robert sturgess swift riverrobert sturgess swift river

Eye opening Spontaneous = 4 Anxiety True Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Acute Pain True No response = 1, Range of Motion: Full, Limited The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. They wanted to know and pressure you for the information. 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. Reassure patient and help explain any new orders from physician to patient He has been taking his HIV medication daily. Upon entering the room, you find Ms. Rails sleeping. Esteem Chronic Pain False Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. How does the Med-surg simulator work? Allow for non-compliance of request Dr. Altace, Educational Needs Increased acuity Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. -Obtain chest tube tray and set-up pleurovac Vital signs are to be taken BID, and it is now time. Pain Level Increased acuity Scenario 2 -Begin q15 minute neuro checks : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. The surgeon has just visited with Mr. Greer 2-days post op and has informed him that the lymph node biopsies have confirmed that the cancer has metastasized, and he will need further treatment. It is now two weeks later; Mrs. Smith has returned. Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. -Ensure there is suction in the room, and check He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Fatigue True Stools are decreasing but patient remains very weak. Use therapeutic communication/Active Listening Check pedal capillary refill Educational Needs Increased acuity Read PT report The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). Fear True Senario 1 : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Observe closely first hour Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Record intake and output What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Administer protocol antidiarrheal medication Verify call light/ bed safety precautions Compromised Family Coping False Your responsibilities are: Scenario 1 Verify call light/bed safety precautions Urostomy: N/A Urostomy/Ileal conduit Scenario 2 IV NS is started, and lab work is sent. Amount: _______ Vital assessment Fear: True Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Flexes abnormally = 3 Health Change Increased acuity No Known allergies (NKA). Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Document results/findings Palliative care. Hx of dementia, from nursing home, fall one day ago. Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Do not probe further Obtain and provide the infectious disease doctor's contact information for him. Educate pt regarding changes to POC Reorient Patient to person, place, & time You arrive in room to find Ms. Monson talking to herself. Senario 5 Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Noncompliance True. Skin warm and dry, daily dressing changes, T-tube without drainage. He is excited and tells the nurse he is starving and glad that he finally gets to eat. Anxiety True Education of Foley Cath Procedure Use therapeutic communication/active listening LLE: Non-pitting Pitting ___+ Alert and cooperative. The pathology report shows no cancerous lesions. Neuro WNL alert and cooperative. Emergency intubation and assisted breathing is provided for Mr. Thomason Skin integrity, impaired True Senario 5 Tom Richardson Scenario 3 -Teach the patient that there are several interventions for complications post-prostatectomy to include erectile dysfunction, post-op prostatectomies, and self-care involved with a foley catheter at home. Her pitcher has already been filled three times this shift. -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Encourage fluids Scenario 2 Provide comfort in pre-surgical room Mr. Dominec. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Determine from medical record if partner is aware of his recent AIDS diagnosis. Respirations Fall Risk Increased acuity Notify doctor for Foley catheter -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Water/Flush: Health Change Increased acuity Bleeding Risk for: False Wash and glove hands There is an order to apply a waist belt restraint if needed. This shop has been compensated by Inmar Intelligence and its advertiser. Sleep Deprivation False. Senario 5 Stat lithotripsy treatment ordered. Validate NPO Status His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. He is married, and his wife is requesting to stay at his side. In the interim, start an IV and start infusing Ringers Lactate. His overall health is good, and he has known he has been HIV positive for the past five years. Filmotka filmu Najvyia ponuka (2013). -If gastric reflux is suspected administer PRN antacids (GI cocktail) Administer antiemetic medication Wash and glove hands Regular diet. Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. The patient will be discharged today, and he will be ordering new prescriptions. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Scenario 4 His left humerus is fractured and splinted. Request time she can arrive and staff to help with transfer Anxiety False Infection, risk for: False. Safety Psychological Needs Increased acuity Decreased cardio tissue perfusion: False The patient has a pneumothorax that requires a chest tube placement. Date of insertion: _________________________ Date of dressing: _________________________________ Provide a few chairs if possible for her family to also be comfortable Neuro WNL alert and cooperative. Scenario 2 Impaired Skin Integrity, False Scenario 2 Scenario 1 Safety Increased acuity, Physiological Deficient Knowledge True Pain Scale: 0 to 10: _______________ Anterior: ___________________________________ Posterior: ____________________________________ Present health assessment including B/P and LOC and dressing. Psychological Needs Increased acuity Mr. Dominec had his surgical procedure and is doing great. ADA diet, intake 25%. Full assessment Therapeutic Communication Incomprehensible jessdevan. Viola Cumble Scenario 5 If patient statement differs from the surgical consent she has signed, notify surgeon immediately Ronald Burgundy Urine Color: Clarity: Odor: Fatigue True Combien gagne t il d argent ? -Call security for assistance and compliance officer Perineal Care You explain that he is receiving a higher level of care and was he was sedated before leaving the floor to make him more comfortable. Chronic Sorrow False Scenario 4 Readiness for Self-Care Enhancement True Airborne Isolation. Chronic Pain True Pain Level Increased acuity Mrs. Smith shares with you that even though she signed the operative consent she was not sure if this was the right surgical procedure for her. Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Acute Pain True Remind the nursing staff that the patient is NPO. Continent: Yes No Brief/Diaper Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Disturbed Sensory Perception False Surrounding skin: Moist/Intact Red/Erythema Irritation Paul Greer -Tell the patient that they are being admitted to r/o any cardiac issues Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Scenario 5 Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? IV D5 1/2 NS @150ml/hr. 2021-22, Historia de la literatura (linea del tiempo), Respiratory Completed Shadow Health Tina Jones, CH 02 HW - Chapter 2 physics homework for Mastering, BI THO LUN LUT LAO NG LN TH NHT 1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Fall, risk for: True Yes -Document and contact nursing supervisor/Charge nurse Ineffective self-health mgmt: False, Disturbed body: False The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Senario 5 Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. Sa fortune s lve 1 900,00 euros mensuels Scenario 3 Document results Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook 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! Seznam uivatel, kte vlastn, prodvaj nebo shnj film. It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Auscultate peripheral pulses and ROM. Deficient knowledge: True Deficient Fluid Volume False NPO with small amount of ice chips only. Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Palliative care. RUE: ______________ LUE: ______________ Gown and mask August 13, 2020 // by Angela McGowan. Connect telemetry Bleeding False Scenario 4 Ineffective Peripheral Tissue Perfusion False Scenario 2 -Remind patient to call for help is he need to get up and provide patient with a urinal. 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. -Discuss effectiveness of sitter -Reassess patient's physical status prior to leaving him in the hallway Impaired Mobility True Scenario 5 Scenario 3 Scenario 1 Constipation, Risk for True When a physician makes an incision into a body cavity just superior to the diaphragm and inferior to the neck, what body cavity will be exposed? The patient asks the nurse to explain about these medications and why they are in such a hurry. Remain with patient Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. 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. Scenario 1 He is restless with slight confusion but is easily orientated with attempts from nurse. Your response to all of them would be: Scenario 1 Educate patient Ruth Cummings Trustee Vice Chair Audit Chair . Carlos Mancia Self-Care Deficit True Fall, Risk for True 2Provide comfort in pre-surgical room Mr. Dominec. Pain Level: Increased acuity He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Assess for bowel sounds 2. Scenario 2 Notify Physical Therapy (PT) Safety Increased acuity, Physiological Vital assessment except 115 pulse, which is normal for him. Failure to Thrive True. Fall, risk for: True Dysfunctional Gastrointestinal Motility False You discuss this cough with Mr. Dominec to determine how long he has had it. Obtain urinary screen Disoriented to time and place, speech slurred. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Monitor and evaluate fluid intake 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. -Use therapeutic communication/active listening 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 Scenario 3 Hep-Lock in place left AC. Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Provide comfort and pain measures Wash and glove hands Vital assessment -Discuss with family sitter if there are any other family members who can help with monitoring Lithia View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Obtain translator -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Check PRN pain order Scenario 5 The patient is awake alert and oriented. Fall, risk for: True Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. Explain to physician what interventions you have recently initiated Scenario 3 Scenario 4 Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Disturbed Body True Scenario 4 No Offer bedpan Her husband and children remain with her in the surgical holding area awaiting transport to the OR. Scenario 3 Neck: ______________ Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Explain reason for assessment and procedure Non-significant past medical Hx. Senario 2 Strict I&O, regular diet, intake 50%. Wash and glove hands It is unclear if he lost consciousness. Scenario 5 Perform neuro assess -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Peripheral Neurovascular Dysfunction False Call Rapid Response protocol initiated Love and belonging- -Complete incident report. **New Patients from 2020, Post- Covid-19 Update:** **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec, Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose Martinez, Mary Barkley Charlie Raymond (for older swift river patients see other pdf files loaded at the bottom of this file) Preston Wright Room . Scenario 4 Evaluate/modify plan of care Lithia Monson Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Senario 2 Temperature is now 102.8. -Complete full assessment, to include neuro Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Scenario 5 When completing the shift change neuro check, you notice the patient's left pupil is sluggish. Verify call Light/bed safety precautions -Reapply the NC that he was admitted with at 2L The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. -Remove the lunch tray and ensure pre-operative consent has been signed. Scenario 4 You correctly diagnosed 11 out of 16 options. Grieving: False Increased fall risk. ADA diet, intake 25%. Scenario 4 Wash and glove hands Explain that he will probably not be going home at least until his doctor sees him. Verify call light/bed safety precautions Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. 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. Perform full assessment and provide anti-nausea medicine. -Complete initial post-op assessment Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown -Notify charge nurse Chronic Pain False Evaluate outcome of dietary plan -Give NS liter bolus High fall risk. If family/visitors come, will need education to airborne precautions. Spiritual Distress False. Scenario 3, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Upon entering the room, the patient appears to be trying to get out of bed No Known allergies (NKA). Skin integrity at risk True -Ask the patient to verbalize understanding of teaching and reassure them that yourself or any member of their care team will be available to answer questions. Diet as tolerated. Genitourinary Assessment Notify doctor Scenario 1 -Contact HCP to determine when they are available to speak with the patient Upon entering room, you wash/glove hands. Arthur Thomason What order are you providing the information to the receiving nurse? Next time we'll spend our 60 on some food and nice beers. Document results. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. -Tell the patient to call immediately if the chest pain gets worse or they become short of breath All opinions are mine alone. Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. Self-Care Deficit False Acquire daily weight and food intake Some hair on the left side of his head has been burned off, as well. Ms. Getts is being transferred as an emergency to Critical Care. Bleeding, Risk for: True The patient is awake, alert, and oriented. -Notify charge nurse of patient's deteriorating condition -Remove the dinner tray and make sure the diet is soft food. Impaired Gas Exchange True -Transport Mr. Burgundy to his room Encourage Mr. Dominec to discuss with his partner his best treatment options. Constipation, risk for: True The cycle of freezing and thawing damages the abnormal cells. The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. He replies, "six times in the past four hours". The 'Strandperle' (lit. Senario 2 Color:__________ Scenario 5 Clinical 2. Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." Visual assess Evaluate understanding He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Scenario 1 Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Dx- urinary stones with 3 episodes/5yrs. Esteem Infection, Risk for False Request sitter/family member to bedside Document results and findings Pulse Imbalanced Nutrition True Scenario 3 Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. Escort patient to vehicle -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Your coworkers are asking you questions about Mr. Dominec. Insert Foley catheter Scenario 4 Hopelessness False. Place patient on PCA pump Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin.

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