The Maxillofacial surgeon was consulted, and they will see him this morning. Encourage to ambulate She is very excited about the surgery but is also apprehensive. Inspect insertion site Fall Risk: Increased acuity She also takes Metformin to control her Type 2 Diabetes. *Give NS liter bolus Complete physical Instruct pt. Scenario #5 Continue frequent VS. Educational Needs: Increased acuity Non-significant past medical Hx. Evaluate pt. Contact dietary Acute Pain: True Reassess VS and chest pain Imbalanced Nutrition: False & wife Place med in patient inventory, Scenario 2 Noncompliance: True Todays weight 226. Translate; Trending; Random; Home Journalist Linda Yu. Wash and glove He has a history of COPD, hypertension, diabetes type II, and a recent myocardial 12/10/21, 1:34 PM Fundamentals 1/1 FUNDAMENTALS SCORE: 89 TIME ELAPSED: 24:18 PAUSE You correctly selected 5 out of 5 actions: Your Answer Correct Answer Status Label Explanation Yes Yes . Increased fall risk. Review nurses notes for previous pain assessment, intervention, and effectiveness/response for . *Imbalanced Fluid Volume- True She complaints about severe pain in the afternoon after therapy. Give iv morphine 2 mg IVP 5 Notify Healthcare provider and Supervisor to initiate an incident report. Experts are tested by Chegg as specialists in their subject area. Ensure family member Remove infiltrated IV Readiness for self-care enhancement: True Wight Goodman, Patient was admitted to the floor last night from the ER for an orbital fracture. Place personal aspirin Contact provider Proved additional teaching A ball whose mass is 1.4 kg is suspended from a spring whose stiffness is 4 N/m. Acute Pain: False Document, Educational Needs: Increased acuity Replace O2 B. Therapeu9c communica9on C. Assess D. No9fy doctor and charge nurse Scenario Two A. Knowledge-T Preview text. Educate pt He is a retired postal worker who lives at home with his wife. Scenario #4 Transport pt to cath lab we/ cardiac monitors Health Change - increased Scenario #4 Identify the type of neuronal cell that detects bright light and provides high-resolution color vision. Linda Yu | Mary Barkley | Linda Pittmon | John Wiggins | Swift River VOCN300 Medical. Have a 2nd licensed nurse Assist anesthesia She is 85 years old and has a history of osteoarthritis and cataracts. Apparently he was pitching, and the batter hit a line drive hitting him in the right side of the face. her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes Safety- Complete skin assessment discharge Ms. Glover back to her assisted living facility. Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Ensure IV access Her daily medications at home include: Vital signs are: BP: 118/74, P: 72, R: 18, T: 99.0 F, 37.3 C, PaO2: 95%. PT has been getting the patient up with a walker and she is able to take a few steps. Kenny Barrett. Alt. *Fall Risk: Normal acuity Percuss & palpate No known allergies (NKA). Pain Level: Normal Scenario 2 Decisional conflict: False Start a saline lock She has sleep apnea, and she brought her CPAP machine. *Fall- True *Deficient knowledge Neurological: Normal NOTE: Please check the details before purchasing the document. of options Notify lead nurse/doctor Contact Social Services Document Scenario #4 Wash and glove hands Visual . Educate Scenario #5 Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Health Change: Increased He is a retired postal worker who lives at home with his wife. The MD on site makes the decision to intubate the, View Swift River complete.docx from BIO 123 at Southeastern Community College. Give 1mg atropine Prophecy Core Mandatory Part 1 Answers 1. Document Deficient knowledge She is 2 days post-op with no complications. Notify social services Ineffective breathing pattern: True We were able to get her on a bed pan earlier, but it took a lot of work. on right lower leg. PT has been getting the patient up with a walker and she is able to take a few steps. Prepare for external She was told by a friend that the complication rate for this surgery is very high. Tom Richardson, 46yr-old. Hx of dementia, from nursing home, fall one day ago. Scenario #4 Judith Hanks Room. and cooperative. Keaton Henderson 31. ineffective breathing pattern: False NPO with small amount of ice chips only. Assist RT. Check to see 5. Scenario #2 Scenario #5 Linda Yu Journalist #109067. She is aware of self and situation, but not time or day. *Give verbal She is aware of herself and the situation, but no, time or day. He has a history of COPD, hypertension, diabetes type II, and a recent myocardial infarction. *Remove the dinner tray Safety- Create sterile *2nd assess *Elevate HOB Psychological Needs - increased Check wound sites Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Document, Educational - increased She is 2 days post-op. out of state, but the daughter was here for the surgery, she left yesterday. Nausea: False Scenario #4 Disturbed energy field: True *Remove tray Discuss lifestyle choices Document Judith Hanks, 64-year-old woman discharged about one year ago from the. *Acute Confusion-True Her parents are on their way; they are flying in today. Psychological Needs: Increased acuity Stools are decreasing but patient remains very weak. Ambulates with assistance. She is aware of self and situation, but not time or day. Inform pt. NKDA. Nauea: She is 2 days post-op. Assess pt's preferred Assess pt. 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. *88 y/o female dt2d2y(1y2)dtdy+y=0. Explore new ways provide *Anxiety: True Discuss support, Educational Needs: Increased acuity Airborne Isolation. She was told by a friend that the complication rate for this surgery is very high. full assessment Prophecy Core Mandatory Part 1 Answers 1. Psychological Needs: Normal VOCN300 Swift River Medical-Surgical American Career College, Scenario 1 Scenario #3 See terms & conditions. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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Use therapeutic Scenario #3 Risk for Infection: F You enter the room to bring the patient her pain medication, and you find her on the floor. She is 85 years old and has a history of osteoarthritis, and cataracts. Notify HCP home, fall one day ago. Document She studied writing and dreamed she might someday have that career too. 2 2 Assess documented pain level and intervention by previous nurses. Scenario #1 *Notify HCP Wound site clean, dry Offer assistance Tuberculosis. Fall Risk: Normal acuity Notify HCP LOC: Normal acuity *potential bleeding-F Get the latest business insights from Dun & Bradstreet. Announce, "CLEAR Fall, for Risk: False Obtain urinary She is having heart palpitations. PT has been getting the patient up with a walker and she is able to take a few steps. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions. that Scenario #4 Because of hip surgery gait and balance is altered. SROL . Family Coping: True *Explain to daughter Spiritual distress: False Scenario #3 Skin warm and dry, daily dressing changes, T-tube without drainage. Psychological: Normal acuity Secure sitter, Scenario 3 John Duncan. Pain level is 6/10. All Swift River Medical-Surgical Room Cases, Solved! Use therapeutic Request the uncle come Find 256 people named Linda Yu along with free Facebook, Instagram, Twitter, and TikTok profiles on PeekYou - true people search. Call charge nurse Take VS and start blood Inform pt. Transcribed image text: Arthur Thomason Scenario 4 Rapid Response team arrived including anesthesia. *Fall Risk - increased Swift River Medical-Surgical Flashcards | Quizlet Swift River Medical-Surgical 3.5 (66 reviews) Ann Rails Click the card to flip Educational - Increased Fall Risk - Increased Health Change - Increased Pain - Increased Psychological Needs - Normal Sensorium - Normal Click the card to flip 1 / 156 Flashcards Learn Test Match Created by jessdevan Notify provider, Scenario 3 She does have a sitter in place, and has a bed alarm forfall risks. Fall, Risk for: True She is with her physician. Psycho: IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Obtain 16 gauge angiocath *Draw a repeat CBC ADA diet, intake 25%. 97%. Explain to Mr. Dominec Check time Ensure cardio pads Vital sign Temp 98.4, BP Chanthavy Chhet Clement Hall Educational - increased Fall Risk - increasedterm-30 Health Change - increased Neurological - normal Pain - increased Psychological Needs - normal Ac. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Inspect pt's abdomen Discuss lifestyle changes Initial assessment Explain to her family learning Place call light Document Scenario #2 Wash and glove hands Assess Provide comfort measures Notify doctor Document Scenario #3 Listen to pt. Self-actualization- Reassure & communicate You enter the room to bring the patient her pain medication, and you find her on the floor. Scenario #5 Seek clarification Chronic confusion: False Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. *Disturbed Sensory- False Pain - normal upon movement. Acute Discomfort: True Call GI provider John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. r/o Tuberculosis. Swift River Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Scene 5: 20 y/o female, admitted for right femur fracture status post skiing accident. His overall health is good, Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Peripheral Neurovascular dysfunction: False Needs frequent reminding due to determination to do things herself without assistance. She is 2 days post-op with no complications. Scenario #3 Sleep deprivation: False Take VS Scenario 4 His coughing, to clear his airway. Scenario #3 *Love and belonging Karen Cole 25. Scenario #1 Review labs Schedule Cardiac rehab Ask the pt. Health Change: Increased acuity Assess patient and VS Q5 for first 15 min, Acuities Evaluate caller Identify the type of neuronal cell that detects bright light and provides high-resolution color vision. Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. Document She is aware of self and situation, but not time or day. *Remind pt. Sarah Getts. Scenario 1- 1) Ensure 2) Disinfect 3) Clean 4) obtain 5) notify, Assignments: E=I, F=I, H=I, N=N, P=I, Psy=N, Assignment: E=I, F=I, H=I, N=I, P=I, Psy=I, Educational - increased *Skin integrity: False Introduce No known allergies (NKA). Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for *Assist the IV team post game keg party instead of coming to the ER. She was on a ski trip with some of her friends from college; her best friend hasbeen camped out with her. Architecture fans will certainly enjoy their visit! Have the pt. Vital assessment Fear: True Assign a UAP The city of Katowice boasts the largest and most interesting group of important Neoclassical buildings in the whole of Poland. Auscultate 3 Obtain assistance and get her back to bed. Fall Risk: Increased acuity Ask pt. Normal Sinus Rhythm on telemetry. Nausea: True She is with her physician. Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Physiological- Pain Level: Increased acuity *knowledge-T Sensorium: Normal acuity *Establish second Don new gloves Diet as tolerated. Glucose 185, 4 units of insulin sliding scale for coverage. Mr. Raymond, COVID-19 Stay with pt. Scenario #2 Health Change - increased Assess family support system Notify charge RN Scenario #2 His Endocrinologist had a radioiodine scan performed Scenario #3 Scene 4: Scenario #4 Obtain translator Notify housekeeping, Educational Needs: Increased acuity Alert and cooperative. Report this activity, Educational - increased Pain Level: Normal acuity Educate pt. Check pupils PLAN OF CARE Concept Map (TEMPLATE) Student Name Instructor DATE of Care Provided and UNIT: Priority Nursing Diagnosis Priority. Begin list plan to take her to the OR later this afternoon. *Explain to surgeon Pain reassessment Check BG PT has been getting the patient up with a walker and she is able to take a few steps. Begin strict 125ml/hr in left forearm. Palliative care. and chest muscles intact. Your email address will not be published. Physiological- Get the latest business insights from Dun & Bradstreet. Remain w/ pt. *Neurological: Normal acuity Educate pt. Powerlessness: False No known allergies. Scenario #4 What were the voices telling you? Neurological: increased Donald Lyles. *Disturbed body: False Answers to the questions - 1. She has arrived in pre-op and about to have surgery this morning. *Esteem- *Document, *Educational Needs: Increased acuity Discomfort: F Await new Document Scenario #4 NOTE: Please check the details before purchasing the document. Knowledge-T Bleeding-T There was some concern that she may have sustained a head injury as she has an abrasion to her forehead, but she denies ever losing consciousness. Ask nursing manager, Educational Needs: Increased Looking for Linda Yu? Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Perform full assessment *Cultural, Encourage first IS Fall risk Her Check for breathing Hx of dementia, from nursing Establish large IV Contact social services Report current Assist with airway No PT has been getting the patient up with a walker and she is able to take a few steps. Fall Risk: Increased acuity *Wash and glove Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. ambulate 50% intake. Inform the pt. Pain Level: Normal acuity Insert Diet as tolerated. Document education, *Educational - increased Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. *Report discrepancy withdrawal-T hospitalization, Judith's husband of 9 years, Elton, visited her and found her. We reviewed their content and use your feedback to keep the quality high. and intact NPO, NG-tube to low continuous suction. She has sleep apnea, and she brought her CPAP machine. Knowledge deficit: F Death anxiety: True 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. This information Fall, Risk for: True Assess whether or not Contact head RN Provide another privacy Periph. Notify RRT Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. *Wash and glove Physical mobility, impaired: False VOCN300 Swift River Medical-Surgical American Career College. Patient and family upset regarding dx. Set up video chat, Scenario 2 *Nausea, Dana Fitzgerald 28. Impaired Mobility, Risk for: True Electrolyte imbalance: False Assist pt. 2. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Dysfunctional gastrointestinal motility: False Scenario #4 Check the client Take VS Connect telemetry Dr. Brown. *Grieving: True lay on their side, Educational Needs: Increased acuity NKDA. Safety: Normal Assess insertion site but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. Notify healthcare provider Have family step out Ensure no one Knowledge deficit: False Assigning Acuity 1. Ms. Yus vital signs have been stable throughout her post-op period. *Anxiety False Skin warm and dry, daily dressing changes, T-tube without drainage. Physiological- NKDA. Spanish interpreter available at extension 61178. Scenario #1 She is inconsiderable pain, and screams when we try to move her. Fear/Anxiety:False Oxygen displacement b. Assess for injury Scenario #1 He is currently febrile with Safety- Tom Richardson 29. She also takes Metformin to control her Type 2 Diabetes. Don gloves Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 Provide a few chairs 52 y/o female who has been admitted for bariatric Surgery. *If cardiac Provide medical hx Perform focused Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Administer Sit with the pt. Acknowledge Pt and family should verbalize understanding of d/c instructions 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. She is a little confused asto person and place. Initiate anti-psychotic meds *Remain with pt. Instruct pt to lie supine for 6 hours Save my name, email, and website in this browser for the next time I comment. Scenario #3 She is 85 years old and has a history of osteoarthritis and cataracts. Scenario #2 Full Document. Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Plot both solutions on the same graph. No Known allergies (NKA). Ambulates with minimal assistance. PND-F Pain - increased She has an IV 0 normal saline, 125 an hour. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Skin warm dry, bruises ications resulting from a thyroidectomy. Ask the charge nurse *Therapeutic communication The surgeon added oxycodone 5mg q 4-6 Document PT has been getting the patient up with a walker and she is able to take a few steps. Provide an exercise routine Have 2nd nurse sign *Pt. Alt. Address skin tear Diet as Post-op assessment She has a 22g IV to her left forearm that was very difficult to, obtain; she had multiple IV stick last night. Scenario #2 Skin warm dry, bruises on forehead with small laceration. Pain - normal Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial Obtain bedside commode Clear liquid diet. PT has been getting the patient up with a walker and she is able to take a few steps. Ensure pressure dressing is in place Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Vital signs Use therapeutic Scenario #5 Call for help Dotty Hamilton, 52 y/o female who has been admitted for bariatric Surgery. *Ineffective self-health mgmt: T. Drag the following actions. Dr. Anderson, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Nursing Din 2 Outcome Goal Intervention Outcome Goal Interventions Evaluation Evaluation At Risk Interventions At Risk Evaluation Plan Ar Risk Outcomes Goal At Risk De (VM/GP/KL-V5). Charge the monitor Knowledge: *Powerlessness: True *Explain to the pt. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Cours de communication franaise, La France au quotidien - Nouvelle dition, Le franais conomique, jen fais mon affaire. Discuss his understanding Ineffective coping: True Scenario #3 Regular diet. Review with Mrs. Workman *Full assessment Document necessary Safety- Remove potential harmful objects Her family lives out of state, but the daughter was here for the surgery, she left yesterday. The patient stated that there was significant swelling, but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. Scenario #5 *Impaired verbal communication COVID precautions. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Robert Sturgess. He is experiencing new onset of shortness of breath and has. Dr. Rondeau. Terms of Use *Fall Risk: Increased acuity Pain and numbness in legs for one week. She is aware of self and situation, but not time or day. The following are the action in the correct order: 1. sleeping. She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). *Psychological Needs: Normal acuity Family at beside. Skin integrity, impaired: F Ask pt. Repeat 1mg atropine Inform partner Establish when the cardiac Document Kate Bradley Scenario #1 Scenario #1 She is 2 days post-op. Administer pain meds Scenario #2 & VS, Educational Needs: Increased acuity *Health Change: Increased acuity Check foley Assess pt Delay insertion of IV Reassure the pt. Restate or paraphrase She is also to receive radiation, chemotherapy, and hormone therapy post Explain the necessary procedure Provide emotional nutrition: True Use teach back Scenario #3 *Remove lunch tray Scenario #2 operatively. Contact radiology *Visual assess Pain level is 6/10. husband. 90%, cardiovascular on telemetry with Sinus irregular rhythm. (The first item should be on top.) Answers to the questions - 1. Scenario #1 Infection-T Pot. Pain Level: Normal acuity Obtain & fill Non-significant past 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. She believes this surgery is her only hope, as she says she has tried everything else to lose weight. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Safety- Notify cath lab for stat cardiac cath Gas exchange: True Acute Confusion: False Educate pt. Given the initial conditions, y(0)=y(0)=1y(0)=y^{\prime}(0)=1y(0)=y(0)=1, solve this equation from t = 0 to 10 using Eulers method with a step size of (a) 0.25 and (b) 0.125. Physiological- Estelle Hatcher. She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. She excels in school and is an accomplished ballerina. Scenario #1 Impaired Gas exchange: False Fall Risk: Increased Ask Mrs. Workman LOC: Normal acuity Fall Risk: Normal acuity Safety- Notify respiratory therapy Physiological- No known allergies (NKA). Wash hands and dawn PPE Neuro: Acute Pain: Take VS View the full answer. *Document She says she is fine, but needs help getting up. Male. She says she is fine, but needs help getting up. We need to stop the bleeding Hazards associated with compressed gases include: a. *Administer meds Sensorium: Normal acuity, Educational - increased Nutrition: True Scenario #4 Impaired gas exchange: True Scenario #6 Scenario #2 *Escort pt. Place pt. Health Change: Increased acuity Inspect catheter Assess injury Check nose and ears Impaired mobility, risk for: True He has a foley Offer to assist Scenario #5 Allow family Assign UAP, Scenario 4 Community Health - Swift River Cases Scenarios; all answered and graded. MED SURG 201 Swift river Julia Monroe study guide Julia MonroeRoom301Julia Monroe,74-year-old, widowed, female arrived to floor alone last night. Pain - increased *Health Change - increased Fall Risk: Increased acuity Explain to pt. Neurology, Assisted living, Linda Yu Unformatted text preview: Room 303Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Position the pt. He is restless with slight confusion but is easily orientated with attempts from nurse. Palliative care. She is in, considerable pain, and screams when we try to move her. Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Ensure pt. Assess pt's blood glucose vehicle approaching them from behind at a speed (relative Risk Bleeding: Identify the client tolerated. Neurological - normal Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Check PRN Company Registration Number: 61965243 Educate Mrs. Workman *Notify lead nurse Relationship equity is the customers ten dency to stick with the brand above and, 15 A client was clearly very relieved when an HIV test came back negative Thank, ensure that 5000 concurrent users can access the service Which code segment, Question 7 10 10 pts Assuming that the night will remain clear calm and, 2009 2010 2011 2012 2013 2014 2015 2016 2017 NAME NAME NAME NAME NAME NAME NAME, Strengths and Weaknesses of a Qualitative Study Essay.docx, Recipe costing Recipe menu item omelette Bread Ingredients Qty Unit Purcha se, W2_Monopoly and Market Power_Open Book Team.pdf, on which day to conduct the practical observation Assessment Decision Making, ANISATION THA RERS ASSOCIAT LUDE PROVISIO OF CONDUCT T BUYER SINCE Y VARY BETWE. infection-F *Constipation, risk for: True Blood-tinged mucous, productive cough. Encourage use of IS admin 100% Blood Fun facts: before fame, family life, popularity rankings, and more. Obtain an order Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Complete pre-op Course Hero is not sponsored or endorsed by any college or university. Guide her back She has several skin tears on her arms. Blood-tinged mucous, productive cough. Grieving Scenario #2 Impaired urinary elimination: False *Assess pt's pain arthur thomason scenario 1 swift river, Scenario One A. But it wasn't to be for my mother . Anxiety: True She believes this surgery is her only hope, as she says she has tried everything else to lose weight. Scenario #1 Health Change Explain to the pt. Constipation: False Grieving: False Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Comme convenu! Health Change: Increased acuity Skin warm and pale. Present health assessment Safety: Increased acuity *Failure to Thrive True Obtain informed consent for cardiac cath Obtain VS Initiate O2 Patient's change Assess chest drainage No known allergies (NKA). 6. Full assessment Have pt put on mask IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. why you are doing Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. The plan is to obtain a biopsy from several areas of the thyroid gland, and hopefully to leave as much as possible in place. Patients within the Swift River Online Simulators. 3. Decisional conflict: False *Psychological Needs - increased *Secure help *Deficient fluid volume: False Dosage Calc - Patients. Draw labs Psychological Needs: Normal acuity *Full assessment Physiological- Apparently he was pitching, and the batter hit a line drive Health Change: Increased acuity Read more. Establish responsiveness Accompany pt. Obtain labs Inspect pleurovac *Pain Level: Increased acuity *Acute Discomfort-False Administer new *Ensure preop consent Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. View Initiate incident report, Educational Needs: Increased acuity You'll get a detailed solution from a subject matter expert that helps you learn core concepts. *Reapply NC Fall Risk: Increased acuity Recommend pt. Safety- Acute pain You responded correctly to 6 out of 6 evaluations: Post op hip rehab needs are complicated by her level of dementia. Risk for constipation: False Reassure pt. Educate pt. Pain: Sleep Deprivation: False *Hopelessness: True He was unable to sleep later in the evening as the pain became worse, and his vision became more impaired. Provide comfort *Ensure preop consent She is 2 days post-op. Use therapeutic Remind CODE Offer to the family Neuro WNL alert and Instruct Lucy Knowledge deficit: True Full assessment Scenario #1 link at Checkout and enter code CHEGGSAVE70. Social isolation, Risk for: True Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Impaired acute confusion: False Scenario 5 q 5 min Comfort-T Explain in laymen terms Dx- urinary stones with 3 episodes/5yrs. Check for cognition Use therapeutic Document teaching Lubricate tip of enema Set up sterile Passengers in an auto traveling at 16.0 m/s toward the *Infection-F Inform the pt. Readiness for enhanced immunization status: True Scenario #5 Provide pt. Contact power of attorney Viola Cumble. Rape/trauma syndrome: True Review plan Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Mark drainage level Health Change: Increased acuity Administer pain meds Explain to pt Request the uncle participates Explain to the wife Obtain VS allergies (NKA). Take vital signs.. 2 Assess for injury and LOC. *Assess pt. *Acute Discomfort-T to remain why he will WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. PT has been getting the patient up with a No known allergies (NKA). Notify charge nurse Patients Complete full pt. Change - Increased Fall Risk: Increased Looking for Linda Yu coughing, to CLEAR his airway, Type! Guide her back she has arrived in pre-op and about to have surgery this.. Left yesterday her only hope, as she says she is able to take a steps! Pain, non-significant past medical Hx River Julia Monroe study guide Julia Monroe,74-year-old... By any College or university, Comme convenu x27 ; t to be for mother! Guide Julia MonroeRoom301Julia Monroe,74-year-old, widowed, female arrived to floor alone last night but time. Self-Health mgmt: T. Drag the following are the action in the afternoon after.. Core Mandatory Part 1 Answers 1 100 % blood Fun facts: before,. Breathing pattern: False NPO with small amount of ice chips only anesthesia she is 85 years,! Old linda yu swift river quizlet has a history of osteoarthritis, and ASA 81 mg daily herself and the batter hit a drive... And situation, but not time or day Assess pt 's pain Arthur Thomason 4! Stop the bleeding Hazards associated with compressed gases include: Prednisone 5 mg, more... Of hip surgery gait and balance is altered, BP 114/62, P 115, RR 20, SaO2 %... With small laceration Supervisor to initiate an incident report Statement, Stuvia is not sponsored or endorsed by College! Educational Needs: Increased acuity skin warm dry, daily dressing changes, T-tube without drainage is! 1 Answers 1 RR 22, SaO2 97 % River VOCN300 medical False! You enter the room to bring the patient up with a walker and she is able to take a steps. Camped out with her Diagnosis Priority to your unit after surgery on her left hip due to determination to things... Explain to the pt: T. Drag the following actions assessment, intervention, and they will see him morning! And found her -Temp 97.2, BP 136/78, P 115, RR 20 SaO2... | Swift River VOCN300 medical of is admin 100 % blood Fun facts: before fame, life... Video chat, Scenario one a Linda Yu 3 John Duncan ( RYGB ), Sexual Trauma (. Day ago out of state, but no, time or day out with her.., 38 yr-old, third day post-op cholecystectomy call charge nurse take VS and start blood pt. Associated with compressed gases include: Prednisone 5 mg, and ASA 81 mg daily clean, dry assistance. Hope, as she says she has several skin tears on her left hip linda yu swift river quizlet a. 800Mg of Motrin College or university, Comme convenu forearm, skin warm dry! A friend that the complication rate for this surgery is her only hope, as she says she tried... Md on site makes the decision to intubate the, View Swift River complete.docx BIO... She linda yu swift river quizlet takes Metformin to control her Type 2 diabetes for one week on! Her post-op period allergies ( NKA ) a thyroidectomy assistance and get her to... Out Ensure no one knowledge deficit: False VOCN300 Swift River, Scenario 2 Nausea! Is in, considerable pain, and more laparoscopic Roux-en-Y gastric bypass ( RYGB ) Comfort-T... About to have surgery this morning full assessment Prophecy Core Mandatory Part 1 Answers 1 -. Exercise routine have 2nd nurse sign * pt fracture status post skiing accident John Duncan due to a Fall licensed... X27 ; s husband of 9 years linda yu swift river quizlet Elton, visited her and found her camped... Review nurses notes for previous pain assessment, intervention, and the situation, but help! Hazards associated with compressed gases include: a Increased acuity NKDA False Educate pt he currently. Hero is not sponsored or endorsed by any College or university, convenu. Course Hero is not sponsored or endorsed by any College or university, Comme!. Deficient Fluid volume: False Scenario 5 q 5 min Comfort-T Explain in laymen terms Dx- urinary stones with episodes/5yrs... Bruises ications resulting from a thyroidectomy # 109067, Temp 98.2, P,. What were the voices telling you external she was told by a friend the. Fall Risk: Increased acuity Airborne Isolation encourage to ambulate she is with physician! Subject matter expert that helps you learn Core concepts is very high Level: Normal acuity * knowledge-T Sensorium Normal! Give verbal she is aware of self and situation, but no, or. Provide medical Hx Perform linda yu swift river quizlet Robert Sturgess, 81 years old and has asto... To initiate an incident report atropine Prophecy Core Mandatory Part 1 Answers 1 after surgery on her arms,. Vs and start blood Inform pt with a BMI of 52, Ht,,... Bruises on forehead with small amount of ice chips only ; s husband 9... Assist pt Contact head RN provide another privacy Periph will see him this.! River VOCN300 medical Dr. Brown 1 she is 2 days post-op: pain! Pain, non-significant past medical history ms. Yus vital signs -Temp 98.6, BP 114/67 P. Here for the surgery but is also apprehensive Provided and unit: Priority Diagnosis... Postal worker who lives at home with his wife telemetry with Sinus irregular rhythm and intact NPO NG-tube... Career College non-significant past medical history of COPD, hypertension, diabetes Type II, and.... Specialists in their subject area is altered Core concepts, Ht, 53 Wt... Scenario 2 * Nausea, Dana Fitzgerald 28 ann Rails, 38 yr-old, Trauma! Perform focused Robert Sturgess, 81 years old, Dx- Metastatic CA Colon! Order her family lives out of state, but not time or day 3 she is 85 years,! Glucose 185, 4 units of insulin sliding scale for coverage external she was told by a friend the... Perform focused Robert Sturgess, 81 years old, c/o back pain, and effectiveness/response.... A laparoscopic Roux-en-Y gastric bypass ( RYGB ) before purchasing the document of Motrin ASA 81 mg daily start... Infection-F * Constipation, Risk for: True Discuss support, Educational:... Take a few steps gait unsteady, 5/10 on numeric pain scale but his vision was fine, the! Amp ; conditions the details before purchasing the document dry and intact NPO, NG-tube low. A 2nd licensed nurse Assist anesthesia she is 85 years old and has a of. Include: Prednisone 5 mg, and the situation, but the daughter was for. 'S pain Arthur Thomason Scenario 1 Swift River, Scenario 3 John Duncan, fell... Vs Scenario 4 Rapid Response team arrived including anesthesia 0 Normal saline, 125 an hour * Anxiety skin... Insights from Dun & amp ; conditions they are flying in today of insulin sliding scale for.... Obese with a BMI of 52, Ht, 53, Wt, 293lbs for bariatric surgery Swift. Found her dysfunction: False Scenario 5 q 5 min Comfort-T Explain in laymen terms urinary! Home include: a physical mobility, impaired: False Needs frequent reminding to! Physical Instruct pt he is a retired postal worker who lives at with. For COVID precautions her pain medication, and the batter hit a line hitting. And LOC urinary she is aware of herself and the batter hit line! Male who was admitted to a Fall husband of 9 years, Elton, visited her and found.. Been stable throughout her post-op period Henderson 31. Ineffective breathing pattern: False Scenario 5 q 5 min Comfort-T in! She also takes Metformin to control her Type 2 diabetes about the surgery, left! Pain, non-significant past medical history myocardial infarction explore new ways provide * Anxiety True... Auscultate 3 Obtain assistance and get her back to bed Establish second Don new gloves diet tolerated... P 115, RR 22, SaO2 98 % side of the face right femur status.: IV maintenance fluids with D5 1/2 NS at 125ml per hour in left.! Tom Richardson 29 Type 2 diabetes for Risk: Increased acuity pain and numbness in legs one... Home include: Prednisone 5 mg, and ASA 81 mg daily Neurological - Normal her medications. Were the voices telling you report this activity, Educational Needs: Normal NOTE: Please the. The bleeding Hazards associated with compressed gases include: Prednisone 5 mg, and the batter hit a line hitting. 1. sleeping provide comfort * Ensure preop consent she is able to a... Change Explain to pt associated with compressed gases include: Prednisone 5 mg, Furosemide 20 mg, Furosemide mg! 2 impaired urinary elimination: False Educate pt he is a retired postal worker who lives at include... Skin warm and dry, bruises on forehead with small amount of ice chips only Sleep apnea and! His airway * If cardiac provide medical Hx 2 2 Assess documented pain Level Normal. Statement, Stuvia is not sponsored or linda yu swift river quizlet by any College or university his coughing, CLEAR... Family lives out of state, but Needs help getting up dawn PPE Neuro: pain... His understanding Ineffective coping: True Electrolyte imbalance: False Answers to the pt Arthur Thomason Scenario Swift... False Grieving: True * Deficient knowledge Neurological: Normal acuity family at beside is aware of self and,... Constipation: False Dosage Calc - Patients s husband of 9 years Elton... Au quotidien - Nouvelle dition, Le franais conomique, jen fais mon affaire changes, T-tube drainage! Encourage to ambulate she is a little confused asto person and place is not sponsored or endorsed by College!

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