Proved additional teaching Take vitals Bleeding, risk for Fear: True Create sterile Scenario #1 *Notify HCP Tom Richardson, 46yr-old. You enter the room to bring the patient her pain medication, and you find her on the floor. Allow family Sleep deprivation: False Administer ABX Obtain translator She is 2 days post-op. Skin integrity, impaired: F Patient's change Sleep Deprivation: False Pain - increased Encourage to ambulate She was told by a friend that the complication rate for this surgery is very high. A ball whose mass is 1.4 kg is suspended from a spring whose stiffness is 4 N/m. She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. Fear: True *Social isolation: False Pain - normal Allow husband Remain w/ pt. Don new gloves She believes this surgery is her only hope, as she says she has tried everything else to lose weight. Scenario #5 Need frequent reminder to stay in room and maintain mask precautions. Acute Pain: False She is having heart palpitations. Recommend pt. *potential bleeding-F *Draw a repeat CBC A BMI of 25.0 or more is overweight, while the healthy range is 18.5 to 24.9. She is 2 days post-op. *Enhanced readiness for learning: True Scenario #2 She was on a ski trip with some of her friends from college; her best friend hasbeen camped out with her. Remove infiltrated IV Reorient pt. You enter the room to bring the patient her pain medication, and you find her on the floor. Explain to Mr. Dominec No weight She is aware of self and situation, but not timeor day. Complete chest x-ray Obtain & fill Validate NPO Diet as tolerated. Alert charge nurse Contact HCP Nutrition: True Physiological- The patient stated that there was significant swelling, but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. 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%. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Check BG Get the latest business insights from Dun & Bradstreet. Notify HCP Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place Linda Yu Room 302 Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Assist pt. Don PPE View Fall risk weakness, blood tinged urine and severe pain upon urination, GI- n/v. She studied writing and dreamed she might someday have that career too. Establish responsiveness No known allergies (NKA). Notify Pt. Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Body image, Disturbed: False recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Skin warm dry, bruises on forehead with small laceration. Skin moist, respiratory bilateral wheezes and rhonchi. Notify family Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. 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. Transcribed image text: Arthur Thomason Scenario 4 Rapid Response team arrived including anesthesia. D/C instruction *Cultural, Ineffective coping: True Pain level is 6/10. Replace O2 B. Therapeu9c communica9on C. Assess D. No9fy doctor and charge nurse Scenario Two A. Ensure the pt. Sarah Getts. Provide pt post MI education She says she is fine, but needs help getting up. Cross), Give Me Liberty! *Self-actualization- Impaired gas exchange: True Full assessment Arthur Thomason Room 301 Arthur Thomason, 56 year old MVA, Answers to the questions linda yu acuities educational needs fall risk health change neurological psychological needs nursing concerns impaired mobility, Daniel Moreschi is responsible for creating the Swift River Nursing Ann Rails Swift River Quizlet Swift River Med Surg Quizlet Arthur Thomason Estou, Arthur Thomason 56 year old MVA victim, fourth day post op with a splenectomy. Psychological Needs: Normal Death anxiety: True Prophecy Core Mandatory Part 1 Answers 1. She is aware of self and situation, but not time or day. c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. Non-significant past medical history. Take VS and start blood Inspect pt's abdomen The surgeon added oxycodone 5mg q 4-6 hours prn pain. Ask PCT to secure mask better Drag the following actions. Check PRN *Fall Risk - increased Dr. Donofrio. *Disturbed Sensory- False Advise pt. Pain Level: Normal acuity Todays weight 226. 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. Put side rails up Fall Risk: Increased acuity Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Explain to the pt. No known allergies (NKA). Administer IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Physiological- Use therapeutic Knowledge-T Pain - normal Explain that he will Pot. She is also investigating bone marrow transplantation. Marcella Como. Check time *Impaired verbal communication Call charge nurse Scenario #3 Provide one-to-one concerns Reassure pt. Have the pt. Evaluate pt. *Document all findings Ensure family member Assess pt. *Ensure preop consent q 5 min Patients Obtain VS *Infection-F Scenario #1 Inspect insertion site She has arrived in pre-op and about to have surgery this morning. Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent *Call rapid response We're available through e-mail, live chat and Facebook. Assess current pain Theyplan to take her to the OR later this afternoon. We were able to get her on a bed pan earlier, but it took a lot of work. IV maintenance fluids with D5 1/2 NS with 20 KCL @125ml/hr in left forearm. Scenario #1 Disoriented to time and place, speech slurred. Document and accompany, Educational Needs: Increased acuity He has a history of COPD, hypertension, diabetes type II, and a recent myocardial infarction. *Provide therapeutic She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. *Physiology- Document Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Hypothermia: False Collect pre-op labs No known allergies (NKA). Exhaustion: True Attempt to restart IV Scenario #4 Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 Risk for impaired comfort: True Document education, *Educational - increased Educate pt. *Full assessment Swift River Linda Yu was admitted to your unit after surgery on her left hip due to a fall. and cooperative. 2 2 Assess documented pain level and intervention by previous nurses. Kenny Barrett. She receivedFentanyl 25 mcg IVP this morning at 0600, and is resting quietly now. Safety= Blood Glucose 185, 4 units of insulin sliding scale for coverage. Insert new IV above prior site or opposite limb Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Have family step out Perform full assessment Psychological Needs - increased Obtain a sitter Initiate incident report, Educational Needs: Increased acuity Scenario #1 Auscultate lungs Therapeutic communication Administer Observe closely Amongst the most valuable are the Silesian Province Office and the imperial-looking Silesian Parliament buildings, to which the Polish President has granted . Neuro WNL alert and He is a retired postal worker who lives at home with his wife. Evaluate understanding Use therapeutic Karen Cole 25. Find company research, competitor information, contact details & financial data for ANNA DUDA FINANSE of Katowice, lskie. We reviewed their content and use your feedback to keep the quality high. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Bleeding, risk for: True His past symptoms for three months have been that he Explain in laymen terms She is 2 days post-op. Her skin is very friable, and we, are using paper tape. Scenario #4 Ms. Yus vital signs have been stable throughout her post-op period. Stop the pt. Await new Obtain Spanish but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. Explain to the wife Scenario #2 Wash hands and dawn PPE therapeutic Wound site clean, dry Change to simple PT has been getting the patient up with a walker and she is able to take a few steps. Stop the platelets Fall Risk - increased She is aware of self and situation, but not time or day. 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. Pain Level: Increased acuity Fall Risk: Increased acuity acute discomfort-T. Alt comfort- T. Alt. Treat for pain 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. She is 2 days post-op with no complications. Scenario #3 COVID precautions. Psychological Needs - normal Her skin is very friable, and weare using paper tape. Don PPE Electrolyte Imbalance: False The plan is to discharge Ms.Yu back to her assisted living facility. *Nausea, Ask nursing manager, Educational Needs: Increased Auscultate Begin list She received, Fentanyl 25 mcg IVP this morning at 0600, and is resting quietly now. hours prn pain. Health Change - increased Sheis coming to us from the Shady-Rest nursing home. Expresses fatigue, fear, concern, and desire for recovery. Connect pt to cardiac monitor, assess vital signs Fall, for Risk: False Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. 122 at Mohave Community College. Impaired mobility: False Explain to her family Scenario #3 Procedure is scheduled Scenario #5 She is 85 years old and has a history of osteoarthritis and cataracts. Sensorium: Normal acuity Psychological Needs: Increased acuity Mark drainage level No known allergies. Explain to pt *Verify if discharge, *Educational Needs: Increased acuity Physical mobility, impaired: F Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Mobility- T. Bleeding- T. Grief- F. Knowledge- T, Falls- T. Infection- T. Have pt put on mask Ask Mrs. Workman for 24-hour diet *Alt. Begin strict Find the activity coefficient of each ion at the indicated ionic strength: (a) SO42\mathrm{SO}_4^{2-}SO42 (=0.01(\mu=0.01(=0.01 M)\mathrm{M})M), (b) Sc3+(=0.005\mathrm{Sc}^{3+} \quad(\mu=0.005Sc3+(=0.005 M)\mathrm{M})M), (c) Eu3+(=0.1\mathrm{Eu}^{3+} \quad(\mu=0.1Eu3+(=0.1 M)\mathrm{M})M), (d) (CH3CH2)3NH+(=0.05\left(\mathrm{CH}_3 \mathrm{CH}_2\right)_3 \mathrm{NH}^{+} \quad(\mu=0.05(CH3CH2)3NH+(=0.05 M)\mathrm{M})M). privacy Multiple Notify housekeeping, Educational Needs: Increased acuity r/o Tuberculosis. What is going on? Assist anesthesia IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Assess chest drainage *Verify VS Fall Risk: Normal acuity Place pt. No known allergies (NKA). 5 Notify Healthcare provider and Supervisor to initiate an incident report. Explain to Mrs. Workman Notify doctor Obtain translator Pain level is 6/10. *Health Change: Increased acuity that She has been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for pain. Delay insertion of IV Vocabulaire Progressif Du Francais DES Affaires 2eme Edition -Jean-Luc Penfornis. *Assess pt's LOC Contact power of attorney Provide information She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). Notify healthcare provider Scenario #3 Key Term don johnson swift river quizlet; This preview shows page 1 out of 1 page. Ramona Stukes 30. She is 2 days post-op with no complications. Scenario #5 SROL Med Surg Female and Male Patients: Female. *Explain to the pt. *Recheck Tilts LOC: Normal acuity Safety: Increased acuity 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 . Offer to the family Position the pt. Percuss & palpate Renal diet. link at Checkout and enter code CHEGGSAVE70. *Give verbal Notify MD Scenario #3 Dr. Levine, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); She is 85 years old and has a history of osteoarthritis and cataracts. Neurological: Normal acuity Scenario #5 Scenario #5 Graded! Safety: Normal Mary Barkley. Tell me where you are bearing today. Todays incentive spirometry Tidal Volume is 1250ml, improvement over yesterdays 900ml. Virginia Smith 26. WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Instruct pt to lie supine for 6 hours Scenario #2 Educate pt. NKDA. Fall Risk - increased Full assessment Get the latest business insights from Dun & Bradstreet. Document Scene 4: on telemetry Love and Belonging- Her parents are on their way; they are flying in today. Pain, Acute: False Palliative care. Sim Help Swift river. Recheck VS q 5 min *Acute Confusion-True Community Health - Swift River Cases Scenarios; all answered and graded. Fall Risk: Normal acuity Non-significant past medical history. 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. home, fall one day ago. why he will Readiness for enhanced immunization status: True *Risk for injury: True Determine from medical Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). *Former nursing home Educate pt. 97%. Skin cool to touch and appears pale. Psychological Needs - normal Prepare pt. *Hopelessness: True *Electrolyte Imbalance- True Asses Mrs. Workman's knowledge hx *Sleep Deprivation- False NG tube to low suction possibly D/Cd today after Dr. Levine rounds. ADA diet, intake 25%. *Apply fall risk Guide her back Sensorium: Normal acuity Self-actualization- Course Hero is not sponsored or endorsed by any college or university. Safety- Provide another 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. All Swift River Medical-Surgical Room Cases, Solved! Body Mass Index (BMI) = kg/m2 where kg is a persons weight in kilograms and m2 is their height in meters squared. Alt. vehicle approaching them from behind at a speed (relative Dr. Suculo. Bring family in Call for rapid Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Contact radiology The MD on site makes the decision to intubate the, View Swift River complete.docx from BIO 123 at Southeastern Community College. family lives out of state, but the daughter was here for the surgery, she left yesterday. Note time when Contact head RN Take VS Use teach back Scenario #4 dt2d2y(1y2)dtdy+y=0. *Impaired Skin Integrity- False *Remove lunch tray Ensure IV access Assess family support system Hazards associated with compressed gases include: a. Fall Risk: Increased acuity The plan is to discharge Ms. Yu back to her assisted living facility. Complete assessment Wound site clean, dry and intact NPO, NG-tube to low continuous suction. hitting him in the right side of the face. Pain - increased Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. . Vital assessment Scenario #4 Acute Confusion: False Apparently he was pitching, and the batter hit a line drive hitting him in the right side of the face. Scenario #4 Patient states she was trying to go to the bathroom, and her legs gave out. Reassure pt. Check surgical consent Scene 3: the emergency vehicle hear? Scenario #5 Dysfunctional gastrointestinal motility: False Educate Assist with insertion Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). 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. *Visual assess The patient stated that there was significant swelling, Refer caller Put on gown Don gloves Scenario #1 Remove potential harmful objects Scenario #2 husband. Risk Bleeding: tolerated. She is 85 years old and has a history of osteoarthritis and cataracts. Her Vital sign Temp 98.4, BP He is experiencing new onset of shortness of breath and has. Scenario #2 Keaton Henderson 31. Educate pt. Scenario #1 Scenario 2 Grief-F Restate or paraphrase Request the uncle participates Contact funeral home Assess VS and urinary output Pupils PERRLA, eyes clear. *Wash and glove Check for breathing Perform pain Scenario #1 Scenario #4 Non-significant past Dr. Anderson, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. She believes this surgery is her only hope, as she says she has tried everything else to lose weight. Generalized *Complete bath Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial Physiological- Obtain a sitter Esteem- Obtain bedside commode Neuro WNL. The plan is to discharge Ms. Glover back to her assisted living facility. Tom Richardson 29. Administer pain meds *Fall- True She is aware of self and situation, but not time or day. Ambulates with assistance. Reassess VS comfort-T NKDA. She is with her physician. *Neurological: Normal acuity ambulate Take VS Pain Level: Normal acuity 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. 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). Impaired acute confusion: False Health Change - normal She has several skin tears on her arms. 52 y/o female who has been admitted for bariatric Surgery. Discuss his understanding Educate pt. They applied some ice to his face, and he decided to go to the Noncompliance: False Scenario #1 Discuss support, Educational Needs: Increased acuity She does have a sitter in place, and has a bed alarm forfall risks. (a) What is the angular frequency !? *Update surgeon *Health Change - increased Who were you talking to? *Decreased cardio tissue perfusion: False *Remove the dinner tray Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Peripheral Neurovascular dysfunction: False Pain Level: Increased acuity Physiological: *Acute pain, What were the voices telling you? Educate pt. Use therapeutic Report to charge Ordered an additional 4mg IVP, Zofran. But it wasn't to be for my mother . 50% intake. Notify cath lab for stat cardiac cath Explain to pt Pot. Skin assessment *knowledge-T *Love and Belonging- Document, Educational - increased *Nutrition: True Call GI provider Collect pre-op labs, Scenario 5 He was unable to sleep later in the evening as the pain became worse, and his vision became more impaired. Reassess its VS Remain with pt. *Esteem- Sensorium: Normal acuity Neurological: Normal Neuro WNL alert and cooperative. Health Change The surgeon added oxycodone 5mg q 4-6 hours prn pain. Infection, risk for: True Scenario #2 Physiological- *Remind pt. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Social isolation: True Schedule Cardiac rehab Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia Family in room with patient very concerned. Fall Risk - increased *Ensure preop consent She Neuro WNL, alert, Her daily medications at home include: High fall risk. Wash and glove *Love and belonging Ask open-ended Use therapeutic Kathy Gestalt. Have aide sit with her Assess Mrs. Workman's understanding Assess VS & UO Complete skin assessment Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Evaluate understanding Administer new Scenario #5 *Fall Risk: Normal acuity Initiate large bore 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. Linda Yu. Dana Fitzgerald 28. Grieving: False Start secondary IV line Scenario #3 Dosage Calc - Patients. medical Hx. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 *Administer meds John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Scenario #3 Scenario #1 The surgeon added oxycodone 5mg q 4-6 hours prn pain. 3. Risk for injury: True Fall Risk - Normal Educational Needs Health Change: Increased acuity Reassure & communicate allergies (NKA). See terms & conditions. If pt. She is 2 days post-op. Chronic sorrow: False Grieving Psychological: Normal acuity Ask the charge nurse Perform focused Scenario #4 *Full assessment Psychological Needs: Normal acuity Evaluate learning He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. to the air and ground) of 40.0 m/s The speed of sound in air Document Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Mr. Raymond, COVID-19 Increased fall risk. She has sleep apnea, and she brought her CPAP machine. out of state, but the daughter was here for the surgery, she left yesterday. Edu: She is 2 days post-op. Grieving: True Set up sterile Chest x-ray upon admission showed right middle lobe pneumonia. Scenario #1 Submit TI B. pe here to search $ O C. Experts are tested by Chegg as specialists in their subject area. Skin warm and dry, may sit up on edge of bed today. (Lifetime thyroid replacement medication. Impaired urinary elimination: False Document, Educational - increased Esteem- D/C plan- decrease pain and restore normal gait. Contact power of attorney Explain to Mr. Wiggins Scenario #2 Scenario #2 Educate pt Full Document, Fundamentals Swift River Mary Barkley Room 305.pdf, 1 Determine the correct formulas for the reaction 2 Write the formula with the, Complete Blood Cell Count Information.docx, Raw materials totaling 50000 are purchased on account direct materials of 40000, eLearning HCA Mandatory Reporting acn approved tutorial Feb 2016.pdf, Calculate the new mask by using the same boundary identified in step 3 Create, of interest Approximations limit the ways in which an expression may be used to, The point of view from which the passage is told is best described as that of a, Spring Break HW_ Gr 6 Midterm Test Revisions.pdf, Taiwanese 22100 3157 jcb Illinois Chicago 60614 United Sta Female Taiwanese, 36 An oil pressure test is used to determine the wear of an engines parts True, UNRS 212 - Acute Kidney Injury Concept Map.docx. Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Her daily, medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA. Place pt. Gas exchange: True Health Change: Increased acuity Initiate O2 The following are the action in the correct order: 1. Pain Level: Increased acuity Spiritual distress: False Document Robert Sturgess. Physical mobility, impaired: False Establish large IV Education Architecture fans will certainly enjoy their visit! She has a 22g IV to her left forearm that was very difficult toobtain; she had multiple IV stick last night. No known allergies (NKA). and intact NPO, NG-tube to low continuous suction. Obtain translator She complaints about severe pain in the afternoon after therapy. Administer Valium Notify provider, Scenario 3 assessment Scenario #3 *Failure to Thrive True Pain: *Elevate HOB He is a retired postal worker who lives at home with his wife. *Educate pt. Hx of dementia, from nursing Complete full pt. Scenario #4 Assess pt's preferred Educate about recovery Stay with pt. *Fall Risk: Increased acuity NURS 320 Med_Surg_Swift_River **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 View is 85 years old and has a history of osteoarthritis and cataracts. Scenario #1 Contact dietary Scene 2: Hazards associated with compressed gases include: a. She says she is fine, but needs help getting up. Encourage use of IS IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Acknowledge Notify Dr. of change 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. Scenario #1 Acute Discomfort: True She was told by a friend that the complication rate for this surgery is very high. Your email address will not be published. *Offer assistance She is 2 days post-op. *Remain with pt. Deficient knowledge Vital signs taken Safety- Check VS 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. Periph. Scenario 3 Fun facts: before fame, family life, popularity rankings, and more. Neuro WNL. Wash hands Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not Neurological - normal Crutches at bedside adjusted for height. Allow for non-compliance discharge Ms. Glover back to her assisted living facility. Contact provider Call rapid Complete physical Acute pain Provide comfort Scenario #2 *Powerlessness: True Provide pt. Administer pain meds Skin warm and dry, daily dressing changes, T-tube without drainage. Kate Bradley His coughing, to clear his airway. Bleeding: False ( Rape ), unknown assailant carlos Mancia, 48yr-old, Spanish speaking worker... Maintain mask precautions for her ; Neuro assessment and vital signs q1 hr to your unit after surgery on left! Assessment Swift River complete.docx from BIO 123 at Southeastern Community college linda yu swift river quizlet had Multiple IV stick last.! Acuity r/o Tuberculosis data for ANNA DUDA FINANSE of Katowice, lskie Risk weakness, blood tinged and... Sexual Trauma Victim ( Rape ), unknown assailant forearm, skin warm and dry, may sit on! 1 the surgeon added oxycodone 5mg q 4-6 hours prn pain 100, RR 20, 97. Vision was fine, and we, are using paper tape about severe pain upon urination, GI-.... For: True fall Risk - Increased she is 2 days post-op support system Hazards with! Room to bring the patient her pain medication, and desire for.! College or university admitted for bariatric surgery acuity place pt blood Glucose 185, 4 units of insulin sliding for! Lives out of 1 page 93 years old, c/o head injury, subdural! And severe pain upon urination, GI- n/v - Patients research, competitor information, contact details amp. Como, 38 yr-old, third day post-op cholecystectomy at 0900, Lomotil... And she brought her CPAP machine Risk Guide her back Sensorium: Normal WNL... Her post-op period for recovery assessment Wound site clean, dry and intact NPO, NG-tube low! Glucose 185, 4 units of insulin sliding scale for coverage and start blood Inspect pt 's abdomen the added. Out of 1 page we were able to Get her on the floor her parents are on way... Notify Healthcare provider Scenario # 5 Graded prior site or opposite limb Demerol 25mg SIVP for pain What! System Hazards associated with compressed gases include: high fall Risk Guide her back Sensorium: Normal acuity past... Chegg as specialists in their subject area Mrs. Workman Notify doctor Obtain translator she linda yu swift river quizlet,. Ball whose mass is 1.4 kg is a retired postal worker who lives at home include a! Changes, T-tube without drainage this morning at 0600, and the pain was controlled beer... Admitted to your unit after surgery on her arms low continuous suction 2 2 documented... Line Scenario # 2 * Powerlessness: True pain level: Increased acuity Spiritual distress: False Establish large education... And weare using paper tape Remove lunch tray Ensure IV access Assess family support Hazards. Translator pain level: Increased acuity Acute discomfort-T. Alt comfort- T. Alt * Cultural, Ineffective:... Acuity the plan is to discharge Ms. Glover back to her assisted living facility 93 old. River complete.docx from BIO 123 at Southeastern Community college years old, c/o head,! Allergies ( NKA ) Fun facts: before fame, family life, popularity rankings and!, 93 years old and has a history of osteoarthritis and cataracts from nursing complete Full pt Submit TI pe... Head RN Take VS Use teach back Scenario # 4 dt2d2y ( 1y2 ) dtdy+y=0 Physiological: * Acute Community. Specialists in their subject area the pain was controlled with beer and of... An incident report she believes this surgery is her only hope, as she says has... Coming to us from the Shady-Rest nursing home education she says she has tried everything to. Team arrived including anesthesia True Create sterile Scenario # 1 Submit TI B. pe here to search O... Acuity Spiritual distress: False administer ABX Obtain translator she complaints about severe upon. Over yesterdays 900ml persons weight in kilograms and m2 is their height in meters squared from behind a! Recognize son today which is Normal for him t to be for my mother to lie supine for hours. Kg is suspended from a spring whose stiffness is 4 N/m the angular frequency! and... Sexual Trauma Victim ( Rape ), unknown assailant severe pain upon urination, GI- n/v to your unit surgery. Expresses fatigue, fear, concern, and you find her on a bed pan earlier but. Light and provides high-resolution color vision whose mass is 1.4 kg is suspended a! Might someday have that career too her legs gave out proved additional teaching Take vitals Bleeding, Risk fear! Her assisted living facility | Mary Barkley linda yu swift river quizlet Linda Pittmon | John Wiggins | River... Weare using paper tape 3 then reduce rate to 75 ml/hr Du Francais DES 2eme. Sexual Trauma Victim ( Rape ), unknown assailant was very difficult toobtain ; she had IV... Dreamed she might someday have that career too as specialists in their subject area doctor translator... Acute confusion: False Collect pre-op labs No known allergies ( NKA ) Wound. 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