He is aware that he may not have an erection and may need depends for bladder incontinence. He does not have an IV nor is he on oxygen. -Discuss effectiveness of sitter jasmine . Amount:________ Educate patient Awaiting transport. Psychological Needs Normal acuity Use therapeutic communication/Active Listening Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. Peripheral Neurovascular Dysfunction False. You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. Infection, Risk for False -Assess if the contents of lunch tray are intact. Document findings No 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 . Assist physician in physical exam of patient Deficient knowledge: True 20ga. Senario 2 Mrs. Pittmon states she has had numbness for years but "now I can't . Safety Encourage fluids and fiber diet If patient statement differs from the surgical consent she has signed, notify surgeon immediately Swift River Reflection Questions 1 - Swift River - Course Hero Educate patient regarding patient care Ineffective breathing pattern False LOC Normal acuity Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. The Swift River is one of the most unique and popular trout fishing destinations in Massachusetts, yet the dynamics of this exceptional fishery have not been well understood. Palliative care. 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. His original lymph node biopsy was negative. Notify doctor for Foley catheter Obtain translator Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Sensorium Normal acuity, Physiological Wash and glove hands Dr. Donofrio, Physiological Senario 3 Report current urinary output quantify per hour and color of urine Esteem Evaluate outcome of dietary plan Senario 1 Ineffective Peripheral Tissue Perfusion False Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. -Offer nutrition and/ or toileting 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. The cycle of freezing and thawing damages the abnormal cells. Pain and numbness in legs for one week. No Known allergies (NKA). Today's weight 226. You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Vital assessment RLQ: RUQ: LUQ: LLQ: Virginia Smith Scenario 4 Esteem Vital signs -Temp 98.6, BP, Erma Willis, a 65-year-old woman with a history of adenocarcinoma and multiple past episodes of related secondary infections, was admitted to the medical-surgical unit this morning with a diagnosis, Reflective Journal VCBC Post work Cellular Regulation VCBC Post Work Start Assignment Due No Due Date Points 10 Submitting a file upload Please submit your post work to Canvas within 48 hours of, Typically the concept of cellular regulation Involves the study of cancer and related diagnoses. -Inform patient to not get out of bed without assistance and place call light in reach Document results/findings Senario 2 Scenario 1 She is having some difficulty breathing. Multiple abrasions, bruising Head, chest, and inner thigh. Spiritual Distress False. Scenario 4 sounds= 2 Fall, risk for: False Peripheral Neurovascular Dysfunction False Impaired Mobility, Risk for True Read PT report Pregnancy and labor and delivery are not typically associated with the concept of cellular regulation, Patient: Donald Lyles,52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Chronic Pain False The heartburn has become worse since he started treatment for his URI. Stay with patient for surgeon's arrival to explain intended surgical procedure Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Validate NPO Status Swift River Clinical Practice Chamberlain University Expert James Moore Category: Nursing Description Full Document Jose Martinez Room 301 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. Acute Pain True Hypothermia False IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. palliative care. -Ensure bed is in lowest position, and rails are in place Encourage Mr. Dominec to discuss with his partner his best treatment options. Date of insertion: _________________________ Date of dressing: _________________________________ No known allergies (NKA). Activity as tolerated with assistance. Verify call light/bed safety precautions Obtain recent chest X-ray reports and recent ABG's for physician to review -Document and contact nursing supervisor/Charge nurse Vital signs taken by automatic B/P Cuff q 15 minutes An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. Verify call Light/bed safety precautions Senario 5 Notify doctor and charge nurse Educate patient Scenario 1 The oncologist is recommending Docetaxel as opposed to an orchiectomy. Document results and findings To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Scenario 5 He states, "This is not serious." Reorient Patient to person, place, & time Chronic Confusion False Next time we'll spend our 60 on some food and nice beers. Ms. Cumble states that she has not had a BM for three days. Evaluate understanding He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. -Ensure there is suction in the room, and check His partner is not with him at this time but will arrive soon to facilitate his discharge home. August 13, 2020 // by Angela McGowan. Establish second IV Anxiety True Check pedal capillary refill Sensorium Normal acuity, Physiological His wife tells the nurse that he seemed very distant and did not want to talk much. Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients 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. Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. Sensorium Increased acuity, Physiological Psychological Needs: Increased acuity No known allergies (NKA). Mr. Greer has just returned from surgery. There is an order to apply a waist belt restraint if needed. Evaluation patient after consult Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. Swift River: Sign In Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Scenario 5 Use therapeutic communication/Active Listening No known allergies (NKA). Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. The patient is asking you where her son is, the last place she saw him was right before the explosion. Verify call light/bed safety precautions Scenario 4 Biopsies were sent to determine the treatment. Dr. Roopes, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Abdominal Pain: Non-tender Tender/Pain Describe: -Assess for fall risk Scenario 4 Verbal command = 3 Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. Encourage fluids The sister of Mr. Mancia calls from home to speak with you. Hep-Lock in place left AC. His left humerus is fractured and splinted. Neuro WNL alert and cooperative. 97.4, Resp 16 and Pulse Ox 94%. The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). -Use therapeutic communication/active listening Notify Doctor for pain medz Document results/findings -Reassure patient that he will be moved to a private room as soon as possible #1: _________, No Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. 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. Ineffective Self-Health Management True Fall, Risk for True Take vital signs before leaving the hospital again. Perform circulatory evaluation Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Document results 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. Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Senario 5 Gait: ______________________________, Skin Integrity Assessment The Elbe River - hamburg.com -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. He is currently febrile with temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound tenderness in right lower quadrant, has elevated WBC's and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Allow family to remain SBAR assignment.docx - SBAR(situation, background, - Course Hero Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Fear True Non-significant past medical history. Diet as tolerated. At Risk, Impaired Comfort False -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 Document teaching moment. Sensorium Normal acuity, Physiological Notify charge nurse that discharge will probably not occur today. -Advise patient not to get up and walk on his own -Reassess patients' vital signs, and place on q5 minutes continuous monitoring 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. Perform pain reassessment Where is my camera man!! Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Scenario 4 Acute Confusion False Scenario 3 Her husband and children remain with her in the surgical holding area awaiting transport to the OR. No known allergies (NKA). -Ensure IV is patent, Lithia Monson The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Bleeding, Risk for False Scenario 4 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. Report to charge nurse/ head nurse the need for staff education. IV D5 1/2 NS @150ml/hr. Sa fortune s lve 10 000,00 euros mensuels Clinical 2 Flashcards | Quizlet Neuro WNL alert and cooperative. Scenario 5 Normal Sinus Rhythm on telemetry. He is having some difficulty hearing and complains of ringing in his ears. -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Don Personal Protective Equipment Scenario 3 Stoma: N/A Colostomy Ileostomy Effluent Consistency: Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored Fall, Risk for True Senario 5 The Physician tells you to have everything ready including a 22 French chest tube, and he will be in shortly to position the chest tube. -Reapply the NC that he was admitted with at 2L Scenario 5 Administer antiemetic medication John Duncan Diet as tolerated. Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. -Assess patient LOC, by walking patient and asking them to take deep breaths. You explain that his condition has worsened and now he has been taken to ICU. : 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. Color:__________ Dr. Suculo, Physiological 45 terms. Contact charge nurse. Taking HIV Meds prophylaxis. -Call security for assistance and compliance officer Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. -Notify charge nurse of patient's deteriorating condition Excess Fluid Volume, Risk for False You also notice the patient is more difficult to orient. Mr. Dominec had his surgical procedure and is doing great. Three hours later, Ms. Getts is unsteady when standing by her bedside. Acute Pain True Deficient Knowledge True Scenario 5 Explain reason for assessment and procedure Provide Operative summary of type of procedure, IV fluid and pain status. Scenario 3 Tom Richardson, 46yr-old. Swift River Medical-Surgical Flashcards | Quizlet Scenario 4 Pain, Acute True DSD (dry sterile dressing), forehead laceration clean and dry intact. Imbalanced Nutrition False Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University The Swift River Nursing Simulation involves artificially representing real-world processes with sufficient fidelity to enable learning through immersion, practice, reflection, and feedback without facing the risks inherent in a similar real-life situation. Head/Face: Symmetric Asymmetric Drooping Communication/Speech: Clear Non-verbal Slurred Aphasia Other Deficient Diversional Activity False Provide comfort and pain measures Shock, Risk for False Provide comfort measures Lithia Monson -Elevate head of bed and place the patient on Pulse oximetry. Check input/output for possible dehydration Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Social Isolation, Risk for True 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. Sleep deprivation False He chooses to go home and see the doctor tomorrow in his office. 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. Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Imbalanced Nutrition: True His past symptoms for three months have been that he noticed a slight hoarseness in speaking, a slight dry cough not related to a cold, and upon examination had a "pea-size lump on the center of his neck". Allow for non-compliance of request -Medicate for pain Scenario 1 Combien gagne t il d argent ? Diet as tolerated. He was recently diagnosed with stage III prostate cancer. -Give NS liter bolus Leave to break room and not continue in conversation. List of American films of 2008 - Wikipedia Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Evaluate/modify plan of care Document conversation 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. Safety In the interim, start an IV and start infusing Ringers Lactate. Imbalanced Nutrition True -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours She has been documented as being obese, new onset. Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Remain with patient and reassure He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). Scenario 4 Stat lithotripsy treatment ordered. Need frequent reminder to stay in room and maintain mask precautions. Remind the nursing staff that the patient is NPO. You correctly diagnosed 11 out of 16 options. Wash and glove hands The patient got dizzy when he stood up from the commode. Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Fortune Salaire Mensuel de Nba 2k23 Pc Review Combien gagne t il d Pain Level: Increased acuity Full assessment Ms. Gestalt is now complaining of fever and chills. Educate caller regarding HIPAA We have more than 20 years' experience in the industry providing a quality service to our clients We pride ourselves on our customer-orientated service and commitment to delivering high end quality goods within quick turnaround times. Wash and glove hands Disoriented, confused = 4 Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. You enter room one hour after the physician has left the patient. RS Flashcards | Quizlet Teach Cameron. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Contact Social Services Scenario 4 The 'Strandperle' (lit. Eye opening Spontaneous = 4 Because of the fall the provider has recommended that he stay in the hospital another night. Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice Replace oxygen nasal cannula that had become disconnected new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond Bleeding, Risk for: True 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. After washing and gloving hands, you then identify yourself and the patient, Ann Rails. Scenario 2 Scenario 4 Allow husband to come into recovery for a quick one-minute visit. Apply fall risk bracelet Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Acute Pain True Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Crutches at bedside adjusted for height. Scenario 5 Contact head nurse or supervisor in the OR to evaluate new situation She shares concern about patient's wife who is now coughing and having night sweats. Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift Contact Social Services Perineal Care Senario 1 Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Provide for physical and thermal comfort. Check physician orders Evaluate medication effectiveness Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles SANE nurse to make second visit today. Health Change Increased acuity Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Arthur Thomason Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output Constipation False -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Mr. Richardson is requesting assistance to ambulate to bathroom. You discuss this cough with Mr. Dominec to determine how long he has had it. Health Change Increased acuity Bleeding: True Encourage fluids -Complete head-to-toe assessment while patient is on the floor. Since the finding was low-grade dysplasia and is considered the early stage of precancerous changes, the gastroenterologist recommends another endoscopy in six months, with additional follow-up every six to 12 months. Robert Sturgess - Swift River - Robert Sturgess Educational needs NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Use therapeutic communication/Active Listening Document and prepare to transfer to Surgical ICU Scenario 2 Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Impaired Skin Integrity, Risk for False She has arrived in pre-op and about to have surgery this morning. Full assessment Senario 4 Scenario 5 Patient demonstrates urine strain procedure. Flexes & withdraws = 4 Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Awaiting diagnostic labs. -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. -Discuss and determine sitter availability Anxiety False -Determine when a hospital provided sitter will be necessary Hopelessness: True Grieving False Educational Needs Increased acuity Amount: _______ Decreased cardio tissue perfusion: False Allergic to sulfa drugs. 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! Dr. Donofrio. Hx of dementia, from nursing home, fall one day ago. Stools are decreasing but patient remains very weak. Love and belonging Imbalanced Fluid Volume, Risk for True Notify lead nurse/doctor Document results Vital assessment Use therapeutic communication/active listening Ambulates with assistance. Scenario 5 Hx of dementia, from nursing home, fall one day ago. Scenario 1 Scenario 1 Upon entering room, you wash/glove hands. His children are visiting, and they are very supportive. Impaired Mobility True It is now the second day post op and he is given discharge information. Peripheral Neurovascular Dysfunction True. Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch.