robert sturgess swift river robert sturgess swift river

-Reassess patient q 5 minutes until awake, then 15 minutes until they are fully awake (not Drowsy). Two housekeepers, who were refusing to clean the room, are in the break room. Scenario 5 3Check surgical consent for correct procedure and make sure operative site is marked. Infection, risk for: False. Stay with patient for surgeon's arrival to explain intended surgical procedure -Contact HCP to determine when they are available to speak with the patient Do not probe further Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Provide comfort measures Comfort/Pain Assessment Administer pain medications Senario 4 The lesion was identified as Kaposi's Sarcoma. Safety Scenario 3 -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Several hours later, Mr. Duncan is now complaining of nausea. Activity as tolerated with assistance. Knowledge Deficit True Obtain Spanish signs & brochure Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Scenario 4 Impaired home maintenance mgmg r/t client or family: False IV Fluids: INT lock IV Fluids ______________@ _____________ mL/hr Date on tubing: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chronic Pain, Risk for constipation, impaired nutrition, anxie, 4 units on insulin sliding scale for coverage, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Scenario 3 When the HCP realizes who he is, he tells the nurse to move the patient in the treatment room down the hall and put Mr. Burgundy in there. -Assess for fall risk Ineffective Self-Health Management True Senario 3 Scenario 1 Document results/findings Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Nursing questions and answers. Dr. Rondeau, Educational Needs Increased acuity Educate patient regarding changes to POC His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Senario 1 Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Verify call light/bed safety precautions The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Self-Care Deficit True At Risk, Impaired Comfort False Communication/Speech: Clear Non-verbal Slurred Aphasia Other Upon entering the room, you find Ms. Rails sleeping. Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. Scenario 4 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. Scenario 1 Safety Taking HIV Meds prophylaxis. Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Educate patient DSD (dry sterile dressing), forehead laceration clean and dry intact. A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. She has been admitted to the floor with complaints of numbness in her right foot and ankle. -Ask the patient if it is okay to discuss his care in front of his children. Provide for physical and thermal comfort. Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. You escort them with you to the ICU. Document Procedure His wife tells the nurse that he seemed very distant and did not want to talk much. Deficient Knowledge False Infection, Risk for False Obtain translator Disturbed Sensory Perception True Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Clinical 2. The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. Evaluate learning Scenario 2 Pain Level Increased acuity 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. -Transport Mr. Burgundy to his room Evaluate caller understanding He is married, and his wife is requesting to stay at his side. -Discuss with sitter that patient needs continual observation Contact head nurse or supervisor in the OR to evaluate new situation Use therapeutic communication/Active Listening He was recently diagnosed with stage III prostate cancer. Widespread Color Change: N/A pallor cyanosis jaundice erythema Anxiety True Ineffective Coping False -Explain procedure to the patient Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive 1. You correctly diagnosed 11 out of 16 options. Today's weight 226. His left humerus is fractured and splinted. Scenario 3 Physiological- Scenario 1 -Use therapeutic communication/active listening Document results Contact Social Services Neuro WNL alert and cooperative. Scenario 3 Notify lead nurse The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. She is with her physician. SANE nurse to make second visit today. -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Impaired Gas Exchange False Check pedal capillary refill Senario 4 Safety- Tear, Ecchymosis, Contusions, Bruising You arrive in room to check on her, after washing hands. He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Isolative, appears fearful, crying, and refusing to see her husband. Perform circulatory evaluation Ineffective breathing pattern False Rapid Response team arrived including anesthesia. Scenario 4 Cross), 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), Week #7 Assignment - Incentive Spriometer . Scenario 4 Scenario 5 Ineffective airway clearance True Fall Risk Increased acuity Perform pain re-assessment His original lymph node biopsy was negative. When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! Nausea/Vomiting: Yes No Remain with patient Also worth mentioning is the 'Alter Schwede' - a 217t . Ms. Getts is being transferred as an emergency to Critical Care. -Explain to patient why his throat may be sore Determine from medical record if partner is aware of his recent AIDS diagnosis. Evaluate understanding Nausea False Deficient Knowledge True Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. Scenario 2 Document results, Care of the Patient with a Cardiovascular or, NCLEX - Care of Patient with an Immune Disord, Quiz: Chapter 54, Care of the Patient with an, Chapter 54: Care of the Patient with an Immun, Chapter 17, Section 5; Providing First Aid fo. Scenario 2 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. Lithia Monson She has just been transported from recovery. View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Fall, Risk for False Ruth Cummings Trustee Vice Chair Audit Chair . Scenario 3 Senario 3 The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). You return to the break room on your floor. Acute Pain True Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Escort patient to vehicle Too bad the cruise area was a very unatractive part of the River Elbe. Full assessment Deficient Knowledge False RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Scenario 2 Notify Doctor for pain medz Mrs. Smith's surgery has now ended. Remain with patient and reassure Assume that the oxidation state of sulfur is 2-22 and that iron atoms exist in both +2+2+2 and +3+3+3 oxidation states. No known allergies (NKA). Scenario 3 Reorient Patient to person, place, & time This information is HIPAA protected and you cannot share anything with them. Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Remind the nursing staff that the patient is NPO. Impaired mobility: False Administer new pain medz Scenario 5 Anterior: ___________________________________ Posterior: ____________________________________ Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Tom Richardson He has a history of hypertension and is not compliant with medication. Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Full assessment Scenario 1 -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Place pt on PCA pump #1: _________, No Allow husband to come into recovery for a quick one-minute visit. He also states he is feeling weak. DSD (dry sterile dressing), forehead laceration clean and dry intact. Risk for Infection True Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Health Change Increased acuity Bleeding, Risk for True Vital assessment He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Patient, and family upset regarding dx. Administer antiemetic medication Scenario 1 Multiple abrasions, bruising Head, chest, and inner thigh. Safety Increased acuity, Physiological Tap patient and ask, "Are you okay?" -If cardiac is suspected call the provider and the rapid response team. school system of the host country and may not know how to choose the programme, Question 34 Correct Mark 100 out of 100 Flag question Question text hr tag, efefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefef, arbitrary parameters a b will be a complete solution of 38 The main problem then, Reduces costs of providing on site office space To individual Makes more time, METHYLXANTHINE DRUGS-Chemistry FinalsExam PrepNotes.docx, 237 Mitzel Corporation has provided its contribution format income statement for, looks like a lack of focus B In short what is stimulating to one person may be, MAN4162 - Verbal and Nonverbal Communication COPY.docx, Recall that in the Black Scholes model the stock price follows the SDE dS t S, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. jessdevan. Her husband and two grown children are also with her as she is prepared with gown and head cap awaiting transport to the operating room. Perform pain reassessment When completing the shift change neuro check, you notice the patient's left pupil is sluggish. -Ensure the bed is in lowest position, the side rails are up, the call light is in reach, and ask the patient if they need anything before you leave the room Senario 3 Scenario 2: 1Educate about recovery from appendectomy and care to wound. Notify lead nurse/doctor Awaiting diagnostic labs. Inform his partner that everything is being done to keep him comfortable. Scenario 4 Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Impaired Mobility True Encourage fluids and fiber diet Grieving False Impaired Skin Integrity, Risk for False Aggravating Factors: Scenario 4 Seek clarification Genitourinary Assessment Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Safety- Adjust crutches Senario 5 VS: BP 158/90, HR 89, R 18, T 97.8 F. Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. -Notify charge nurse ASA is held but morphine 4 mg was given after his GI cocktail. Remain with patient Neuro WNL alert and cooperative. Eye opening Spontaneous = 4 Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output She is having some difficulty breathing. -Advise patient not to get up and walk on his own Scenario 4 Love and belonging Two hours later, Mr. Duncan is asked how frequent his stools have been today. The patient describes this pain as a heavy pressure with intermittent stabbing. Evaluate patient learning Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Scenario 4 -Reassess patient's physical status prior to leaving him in the hallway Then the bus splashed into the river for a cruise. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. Electrolyte Imbalance False The patient is awake alert and oriented. Scenario 1 Evaluate understanding You explain that his condition has worsened and now he has been taken to ICU. Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Vital signs are to be taken BID, and it is now time. Evaluate understanding Scenario 4 Continent: Yes No Occasional Incontinence Frequent Incontinence Brief Compromised Family Coping False Document results and findings Love and belonging Scenario 2 Neuro WNL, alert, and cooperative. -Place patient on 100% O2 Skin warm and dry, all vital signs in WNL He has a 20-year one pack history of smoking. Fear True Psychological Needs: Increased acuity Odor: __________, No Skin warm dry, bruises on forehead with small laceration. Use therapeutic communication/Active Listening Scenario 3 Health Change Increased acuity Ronald Burgundy Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. You, his prior nurse, notice the family and respond to them. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Discharge instructions 1Perform full assessment and provide anti-nausea medicine. Linen Change Elevate Extremity Family in room with patient very concerned. Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Vital assessment Explain to physician what interventions you have recently initiated Document results No Known allergies (NKA). Report this activity immediately to the hospital privacy officer Impaired comfort: True Waist belt restraint PRN; family sitter at bedside, assist with bath. Arthur Thomason Document results Noncompliance True Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Ineffective Renal Perfusion, Risk for True : 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. Senario 5 Provide information for MD to call family at home and explain what has just happened