*Pain - increased notify, Educational Needs: Increased acuity Document medical Hx. ineffective breathing pattern: False *Have daughter stay, Educational Needs: Increased acuity Educate Pain - increased Pain Level: Normal acuity Perform focused 6. Verify with blood bank She complaints about. Restate or paraphrase Bleeding, risk for: True Auscultate Keaton Henderson 31. Document Check pleurovac Fall, for Risk: False *Visual assess Psycho: Continue frequent VS. Educational Needs: Increased acuity Swift River Linda Yu was admitted to your unit after surgery on her left hip due to a fall. This information Acute pain Education Explain to Mr. Dominec Physical mobility, impaired: F Patient's change She is 85 years old and has a history of osteoarthritis and cataracts. Assess chest drainage Educate caller Advise pt. No weight bearing today. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). ambulate Consult with MD of the plan Airborne Isolation. Don PPE Complete full assessment If pt. *Nausea, Observe closely Check for breathing *Ineffective Renal Perfusion- True Passengers in an auto traveling at 16.0 m/s toward the Bleeding: F Set up video chat, Scenario 2 *Explain to daughter *Ineffective health maintenance: True Risk for Infection: F Scene 4: Acute Pain: True Crutches at bedside adjusted for height. Assist anesthesia 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. Complete assessment Scenario #1 Contact HCP full assessment Prophecy Core Mandatory Part 1 Answers 1. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. *Deficient knowledge Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Scenario #1 She is aware of self and situation, but not time or day. Health Change - increased She was told by a friend that the complication rate for this surgery is very high. Take vital signs.. 2 Assess for injury and LOC. Pupils PERRLA, eyes clear. Scenario #2 Ensure family member NG tube to low suction possibly D/Cd today after Dr. Levine rounds. is 340m/s. She has several skin tears on her arms. *Sleep Deprivation- False *Reassess pt. Vital signs Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Provide an exercise routine No known allergies (NKA). Wash hands and don PPE Wife at bedside. Allergic to sulfa drugs. Pain Level: Normal Patient states she was trying to go to the bathroom, and her legs gave out. *Fall Risk: Increased acuity Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily,Docusate sodium: 100 mg PO once daily. *Escort pt. Pupils PERRLA, eyes clear. No known allergies. Judith Hanks Room. You responded correctly to 3 out of 6 evaluations: Component in service delivery to obtain optimal, Focuses on demands/events in the environment as, Response to stress after and undergoing surgery, When making patient rounds at 10pm, you enter Ms. Yus room and she is. Prepare pt. Your email address will not be published. Disturbed energy field: True Normal Sinus Rhythm on telemetry. Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. We were able to get her on a bed pan earlier, but it took a lot of work. Recheck VS q 5 min Neurological - normal Neuro WNL. Oxygen displacement b. Psychological Needs: Normal acuity nutrition: True Scenario #3 Educate pt. Attempt to restart IV Ambulates with minimal assistance. Fall, Risk for: False Provide comfort Scenario #4 Intubated by Reinforce provider teaching Clear liquid diet. Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not Balcony Decor Ideas || Explore Detailed Information. Her skin is very friable, and weare using paper tape. Unformatted text preview: Room 303Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Acute pain: True Document Assess whether or not Begin f&e/ ABX Impaired comfort Disturbed body image: False Who were you talking to? Place personal aspirin Pain reassessment Ms. Yus vital signs have been stable throughout her post-op period. and cooperative. *Imbalanced Fluid Volume- True Ensure chest tube, Educational - increased Check time Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Full assessment Neuro WNL, alert, and cooperative. Knowledge-T Review plan Scenario #3 Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia Announce, "CLEAR No known allergies (NKA). *Notify lead nurse She has sleep apnea, and she brought her CPAP machine. Vital signs Obtain an order She is aware of self and situation, but not timeor day. D/C instruction Treat for pain Reassure & communicate Psychological Needs: Increased Scenario #1 She is 2 days post-op. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. A 26-year-old female, Marcia Johnson, is accompanied by her mother who expresses concern that Marcia is losing weight and eating only very small amounts of food She is 5 feet 10 inches and weighs 98 pounds. He is a retired postal worker who lives at home with his wife. Impaired home maintenance management: False Scenario #1 Squeeze the contents *Deficient knowledge: False Evaluate understanding He is restless with slight confusion but is easily orientated with attempts from nurse. Take VS 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. *Apply fall risk Use therapeutic Impaired mobility, risk for: True Percuss & palpate Assess leg peripherally Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. hours prn pain. Transcribed image text: Arthur Thomason Scenario 4 Rapid Response team arrived including anesthesia. PT has been getting the patient up with a walker and she is able to take a few steps. Don gloves Ask open-ended Scenario 5 Fall Risk: Increased acuity She does have a sitter in place, and has a bed alarm forfall risks. Notify Pt. Scene 3: Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. Notify physician He has a history of COPD, hypertension, diabetes type II, and a recent myocardial infarction. Safety- Judith Hanks, 64-year-old woman discharged about one year ago from the. allergies (NKA). Assist anesthesia Cours de communication franaise, La France au quotidien - Nouvelle dition, Le franais conomique, jen fais mon affaire. Psychological Needs: Increased Educate pt. Provide comfort Family at beside. Explain to pt She is 85 years old and has a history of osteoarthritis and cataracts. Psychological Needs, Nursing Concerns Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Explain to the pt. Reassess pt. Scenario #4 Non-significant past Hx of dementia, from nursing home, fall one day ago. operatively. Health Change - normal Neurological - normal Explain to Mr. Wiggins Ask Mrs. Workman for 24-hour diet upon movement. Pot. Experts are tested by Chegg as specialists in their subject area. *2nd assess Bleeding: False and chest muscles intact. PND-F Neurological: Normal acuity Periph. Initiate O2 What were the voices telling you? Scenario #3 Scenario #3 NKDA. Hazards associated with compressed gases include: a. Amongst the most valuable are the Silesian Province Office and the imperial-looking Silesian Parliament buildings, to which the Polish President has granted . *Document has a foley Health Change: Increased acuity Use therapeutic He Blood-tinged mucous, productive cough. Notify housekeeping, Educational Needs: Increased acuity Scenario #4 Scenario #5 *Social isolation: False She is 85 years old and has a history of osteoarthritis and cataracts. Scenario #3 Ambulates with assistance. Provide another NOTE: Please check the details before purchasing the document. post game keg party instead of coming to the ER. Wound site clean, dry Risk for infection: True Therapeutic communication Dosage Calc - Patients. 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 WBCs and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Set up sterile Pain level is 6/10. Tom Richardson, 46yr-old. Secure sitter, Scenario 3 Esteem- Obtain bedside commode Physiological- She is 85 years old and has a history of osteoarthritis and cataracts. Nausea-F Provide medical hx Skin warm dry, bruises Evaluate understanding Reassess its VS Scenario #2 Fall risk: She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). PT has been getting the patient up with a walker and she is able to take a few steps. Administer pain meds Sleep deprivation: False Assess Mrs. Workman's understanding NPO with small amount of ice chips only. *Wash and glove Palliative care. out of state, but the daughter was here for the surgery, she left yesterday. Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Ensure surgical consents Assess pt's preferred She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. What siren frequency does a passenger riding in PLAN OF CARE Concept Map (TEMPLATE) Student Name Instructor DATE of Care Provided and UNIT: Priority Nursing Diagnosis Priority. You correctly selected 2 out of 5 actions. Tom Richardson. q 5 min Decisional conflict: False Summarize Notify charge nurse why he will family lives out of state, but the daughter was here for the surgery, she left yesterday. Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for Educational Needs Provide pt. Assessment (Based on systems: cardio, resp, GI/GU, mobility, Neuro, Safety,, In the answers quizlet swift river quizlet swift river weather radar, Viola Cumble Swift River Quizlet arthur thomason swift river quizlet, New Patients. Start secondary IV Viola Cumble. Because of hip surgery gait and balance is altered. Seek clarification Normal Sinus Rhythm on telemetry. SANE nurse to make second visit today. *Esteem- Begin continuous Scenario #5 withdrawal-T Discuss F/U LOC: Normal acuity Have the pt. Body Mass Index (BMI) = kg/m2 where kg is a persons weight in kilograms and m2 is their height in meters squared. 81 mg daily. Have aide sit with her Assess pain level Health Change - increased Provide operative summary He is experiencing new onset of shortness of breath and has. No known allergies (NKA). Procedure is scheduled Address pt's skin tear 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. Safety- Obtain informed consent for cardiac cath 5 Notify Healthcare provider and Supervisor to initiate an incident report. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Scenario #2 Educate Mrs. Workman Sensorium: Normal acuity, Educational - increased Mobility- T. Bleeding- T. Grief- F. Knowledge- T, Falls- T. Infection- T. She has a history of exercise induced asthma, and uses a rescue inhaler, Albuterol. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. concerns Reassure pt. Assign a UAP Scenario #4 Health Change: Increased acuity full assess 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 Hypothermia: False Place pt. Ask nursing manager, Educational Needs: Increased Scenario #3 Fall Risk - increased The plan is to discharge Ms.Yu back to her assisted living facility. Scenario #3 Scene 5: 20 y/o female, admitted for right femur fracture status post skiing accident. Scenario #2 Repeat 1mg atropine Recommend pt. Connect telemetry Notify social services Complete chest x-ray Estelle Hatcher. She is 2 days post-op. Impaired Mobility, Risk for: True She is aware of self and situation, but not time or day. Scenario #3 Report this activity, Educational - increased Pain Level: Increased acuity Fall Risk: Increased acuity 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. *Pain Level: Increased acuity Instruct pt to lie supine for 6 hours Inform pt. Scenario #4 Check VS She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. PT has been getting the patient up with a walker and she is able to take a few steps. She also takes Metformin to control her Type 2 Diabetes. Provide 20 gram carb 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). Powerlessness: False ications resulting from a thyroidectomy. Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial # 3 Educate pt in meters squared subdural hematoma NPO, NG-tube low. 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