The charge nurse tells you she will send someone to assist you, and to get out 2mg of Versed to have ready to sedate the patient at time of procedure. Scenario 5 Our Swift River Simulations are designed to help students and practicing nurses master their skills of Prioritization, Delegation, and Sequential thinkingwithout the requirement of being onsiteor even having to download software. Palliative care. Pain Level Increased acuity Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Discharge instructions Use therapeutic communication/Active Listening Pain Scale: 0 to 10: _______________ Educate patient Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg Sa fortune s lve 1 900,00 euros mensuels Call rapid response It is now two weeks later; Mrs. Smith has returned. Fortune Salaire Mensuel de Nba 2k23 Pc Review Combien gagne t il d Ms. Gestalt is now complaining of fever and chills. The patient will be discharged today, and he will be ordering new prescriptions. Deficient Knowledge False Combien gagne t il d argent ? Full assessment D/C plan- decrease pain and restore normal gait. Self-Care Deficit False Today, clubs like Hamburg City Beach Club, Lago Bay, Hamburg del Mar and StrandPauli provide a relaxed summer atmosphere with a view over the Elbe. Check PRN pain order Lithia Monson Evaluate outcome of dietary plan The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Neuro WNL alert and cooperative. Scenario 1 -Discuss effectiveness of sitter -Using therapeutic communication inform Mr. Greer that there are many treatment options, and not to leave until the HCP can come and speak with him Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. Yes Cardiovascular has pacer with rate of 82bpm on demand. Scenario 1 -Reapply the NC that he was admitted with at 2L The oncologist is recommending Docetaxel as opposed to an orchiectomy. Elevate Extremity Swift River Clinical Practice Chamberlain University - Homework Score Safety Health Change Increased acuity Notify doctor if condition is abnormal Hafencity Riverbus (Hamburg) - All You Need to Know BEFORE You Go Explain to physician what interventions you have recently initiated Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Full assessment Scenario 4 Gastrointestinal Assessment Safety -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Patient and family upset regarding dx. Remain with patient and reassure -Reinforce to the patient to not get out of bed Shock, Risk for: False He replies, "six times in the past four hours". Comfort/Pain Assessment Educate pt regarding changes to POC Nausea False Fall Risk Increased acuity Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A Grieving False Dx- urinary stones with 3 episodes/5yrs. Ask patient to explain to you what procedure she was expecting to have this morning. You arrive in room to find Ms. Monson talking to herself. -Offer nutrition and/ or toileting His original lymph node biopsy was negative. Scenario #2. Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Discuss follow up with his doctor. No known allergies (NKA). Discription, Table 4 Cross-sectional, Longitudinal, and Sequential Developmental Designs, Engagement 1 Recognizing Research Strategies, A mental health worker with a Christian worldview.docx (Auto Recovered), NPO Breakfast: __________% Lunch ______________ %, Ethics and Social Responsibility (PHIL 1404), Care of the childrearing family (nurs420), Advanced Care of the Adult/Older Adult (N566), Business Professionals In Trai (BUSINESS 2000), Microsoft Azure Architect Technologies (AZ-303), Nurs & Healthcare I: Foundations [Lec] (NURS356), Accounting Information Systems (ACCTG 333), Bachelor of Secondary Education Major in Filipino (BSED 2000, FIL 201), Methods of Structured English Immersion for Elementary Education (ESL-440N), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), C228 Task 2 Cindy - Bentonville - Passed with no revisions, Lesson 4 Modern Evidence of Shifting Continents, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, Lesson 17 Types of Lava and the Features They Form, Lesson 9 Seismic Waves; Locating Earthquakes, Analysis of meaning and relevance of History from the millennial point of view, Entrepreneurship Multiple Choice Questions, (Ybaez, Alcy B.) Obtain urinary screen Offer nutrition and/ or toileting Expresses fatigue, fear, concern, and desire for recovery. -Medicate for pain except 115 pulse, which is normal for him. Wash and glove hands Assess Scenario 4 Combien gagne t il d argent ? Ambulates with assistance. Physiological- Fall, Risk for True Failure to Thrive True. Scenario 1 Abdominal Pain: Non-tender Tender/Pain Describe: Scenario 2 Bleeding, Risk for: True Love and Belonging Report to charge nurse/ head nurse the need for staff education. -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Dr. Donofrio. -Give NS liter bolus Dr. Altace, Physiological- Safety Educational Needs Increased acuity Carlos Mancia Failure to Thrive False. Noncompliance True -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. The Elbe River - hamburg.com Senario 3 Start secondary large bore IV line Obtain vital signs machine Spiritual Distress False. "I am feeling fine." Evaluate caller understanding -Tell the patient to call immediately if the chest pain gets worse or they become short of breath Assess pain Cough: Perform pain re-assessment Seek clarification Deficient Knowledge True Peripheral Neurovascular Dysfunction: False No Known allergies (NKA). Strict I&O, regular diet, intake 50%. Scenario 5 Scenario 1 He also states he is feeling weak. Psychological Needs Normal acuity The patient is awake alert and oriented. Contact charge nurse. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Nutritional Intake: Adequate Inadequate BMI: Obtain translatorT Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Acute pain: True Acute Confusion False -Ensure patients is positioned in bed properly Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Scenario 2 Psychological Needs: Increased acuity Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. You also notice the patient is more difficult to orient. DSD (dry sterile dressing), forehead laceration clean and dry intact. Notify lead nurse/doctor Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Regular diet. -Assess patients' pain and rule out cardiac pain. RUE: ______________ LUE: _____________ Microeconomics And Behavior Robert Frank 9th Edition Wash and glove hands Educate about recovery from appendectomy and care to wound. The heartburn has become worse since he started treatment for his URI. -Ensure there is suction in the room, and check Use therapeutic communication/Active Listening -If cardiac is suspected call the provider and the rapid response team. Continent: Yes No Occasional Incontinence Frequent Incontinence Brief Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Impaired Skin Integrity False The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Allow family to remain Two housekeepers, who were refusing to clean the room, are in the break room. Powerlessness True. Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Fear True Inspect cast site Isolative, appears fearful, crying, and refusing to see her husband. Pain, Acute True Scenario 4 Scenario 3 The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Lithia Monson Vital re-assessment Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Physiological- Scenario 1 Impaired comfort: True Explain reason for assessment and procedure Nausea False Pain Level Increased acuity Love and belonging Employ therapeutic communication: present reality Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Acute pain: False Scenario 1 Capillary Refill: _________ seconds Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Assist physician in physical exam of patient Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Scenario 5 You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Hypothermia False Electrolyte Imbalance, Risk for True Scenario 3 -Ensure IV is patent, Lithia Monson Safety Disoriented to time and place, speech slurred. No known allergies (NKA). Ambulates with minimal assistance. -Elevate head of bed and place the patient on Pulse oximetry. Decreased cardio tissue perfusion: False Self-Actualization No known allergies. , a 58-year-old male patient presents to the ER CO CP 10/10. Provide comfort measures -Reorient Patient to person, place, & time Evaluate patient learning IV Assessment/ N/A Notify lead nurse/doctor There is an initial triage provider written set of orders at her bedside for a STAT Chest X-ray, IV with NS, O2 NC, and STAT CBC and Chemistry. Safety Increased acuity, Physiological Administer antipyretic medication The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Don Personal Protective Equipment Encourage fluids/fiber/ambulation Educational Needs Increased acuity Provide a few chairs if possible for her family to also be comfortable Sleep Deprivation False Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Fall, risk for: True Scenario 1 Failure to Thrive: True. He was recently treated for a URI with a Z pack, prednisone, and Motrin for pain. He has not had his BP medication today. You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Retrieve cast removal tool Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Notify charge nurse that discharge will probably not occur today. -Ensure bed is in lowest position, and rails are in place Verify call light/bed safety precautions Hopelessness: True Evaluate medication effectiveness The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. The patient got dizzy when he stood up from the commode. Wash and glove hands Connect telemetry Neuro WNL alert and cooperative. Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Evaluate patient understanding -Transport Mr. Burgundy to his room Request sitter/family member to bedside Senario 1 Administer antiemetic medication You question her while reviewing her operative consent and determine that everything is correct. The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". swift river assignment: day swift river assignments dosage minimum score 90 med minimum score 80 minimum score 90 robert sturgess linda yu linda pittmon carlos Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Keiser University Silver Creek High School (Colorado) Notify lead nurse/doctor You notice she is crying and is expressing fear that she "will always have this pain and numbness" and she doesn't think she can cope. Check pedal capillary refill Opening Title Production company Cast and crew Genre J A N U A R Y 2: The Killing of John Lennon: IFC First Take: Andrew Piddington (director/screenplay); Jonas Ball, Krisha Fairchild, Gunter Stern, Gail Kay Bell, Mie Omori, Robert C. Kirk: Crime, Drama: 4: One Missed Call: Warner Bros. Pictures / Alcon Entertainment / Kadokawa Pictures: Eric Valette (director); Andrew Klavan (screenplay . Self-Care Deficit True -Check on patient/sitter hourly -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. -Assess patient's understanding of the teaching and discuss home support, os de la main et de la ceinture pelvienne, Julie S Snyder, Linda Lilley, Shelly Collins. Document Results/Findings Request time she can arrive and staff to help with transfer Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Scenario 5 Non-significant past medical history. Document Results, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Neuro WNL. Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. Scenario 2 20ga. Sexuality: True. Swift River Medical-Surgical. Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. -Offer nutrition/toilet Peripheral Neurovascular Dysfunction False Read PT report Procedure is canceled for the day and rescheduled later allowing for new consent. Encourage fluids and fiber diet Scenario 4 Linen Change Educate patient regarding condition Vital signs- Impaired Skin Integrity, Risk for False Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Safety Increased acuity, Physiological Therapeutic communication Self-Care Deficit: True Chronic Confusion False Obtain recent chest X-ray reports and recent ABG's for physician to review Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. He does not have an IV nor is he on oxygen. Wash and glove hands DOCX Swift River Online Learning - Taxonomy Skin moist, respiratory bilateral wheezes and rhonchi. Wash and glove hands Impaired Home Maintenance management r/t client or family False Dr. Small at bedside with patient and family. Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! His wife tells the nurse that he seemed very distant and did not want to talk much. Nathaniel Gonzalez nursing care plan for Linda Pittmon, a 74 -year old female patient who is a noncompliant diabetic, and frequently stays at the local homeless shelter. Senario 5 Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin She receives the pre-op medication. Diet as tolerated. Scenario 1 He is having some difficulty hearing and complains of ringing in his ears. Document results and findings Disturbed Body Image True Diet as tolerated, up ad lib after gait training. You return to the break room on your floor. Prior to changing shift, you enter the patient's room to complete a full assessment, and Ms. Monson is now crying asking to for someone to take her home! No known allergies (NKA). Flexes & withdraws = 4 Scenario 1 Obtain Spanish signs & brochure Microeconomics And Behavior Robert Frank 9th Edition Author: old.bubbies.com-2022-05-03T00:00:00+00:01 Subject: Microeconomics And Behavior Robert Frank 9th Edition Keywords: microeconomics, and, behavior, robert, frank, 9th, edition Created Date: 5/3/2022 7:02:15 AM Upon entering room, you wash/glove hands. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Swift River MedSurg 1.pdf - MED-SURG SCORE: 100 TIME Document results and findings Senario 1 -Tell the patient that they are being admitted to r/o any cardiac issues Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). The cycle of freezing and thawing damages the abnormal cells. She has arrived in pre-op and about to have surgery this morning. Impaired Skin Integrity, Risk for True Scenario 2 In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. Document results and findings Compromised Family Coping False Deficient Fluid Volume False Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Safety Document results Senario 5 Rapid Response team arrived including anesthesia. Scenario 1 Scenario 2 Sensorium Normal acuity, Physiological Robert Strurgess Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes and chest muscles intact. Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Auscultate peripheral pulses and ROM. Localizes pain = 5 Provide comfort and pain measures He does not want to return to the nursing home, and does not wish to burden or live with his children. Impaired Urinary Elimination True Senario 4 After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Re-assess patient The bed arrives tomorrow. Apply oxygen The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). Notify doctor Strict I&O, regular diet, intake 50%. Educate patient Take vital signs before leaving the hospital again. Sensorium Increased acuity, Physiological Hopelessness False. Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Document results Some hair on the left side of his head has been burned off, as well. 156 terms. Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. -Notify charge nurse of patient's deteriorating condition Allow for non-compliance of request Scenario 2: 1Educate about recovery from appendectomy and care to wound. Waist belt restraint PRN; family sitter at bedside, assist with bath. Bleeding, Risk for False Document results and findings Her pitcher has already been filled three times this shift. Scenario 1 Escort patient Ineffective Peripheral Tissue Perfusion False No known allergies (NKA). r/o Tuberculosis. Bleeding False Assess for bowel sounds -Attempt to orient to person, place, and time Scenario 4 Your responsibilities are: Scenario 1 Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Document results You arrive in room to check on her, after washing hands. Verify call light/bed safety precautions Gait: ______________________________, Skin Integrity Assessment Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Patient demonstrates urine strain procedure. Full head to toe neuro assessment. Verbal command = 3 Notify family jessdevan. Check input/output for possible dehydration Swift River Reflection Questions 1 - Swift River - Course Hero Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Provide Operative summary of type of procedure, IV fluid and pain status. Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. Bladder distention Pelvic pain Low back/flank pain Wash and glove hands Impaired skin integrity: False, Anxiety: True Deficient knowledge: True Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Assess intake and output and possible reasoning Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." A few hours after speaking with the sitter about the patient needing complete observation, you notice the sitter outside of the room talking on the phone. 3Check surgical consent for correct procedure and make sure operative site is marked. Medical Surgical Flashcards | Quizlet -Call security for assistance and compliance officer Remind physician to wash his hands before examining the patient High fall risk. Senario 2 Fortune Salaire Mensuel de Tthuchicago Org Combien gagne t il d argent
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