robert sturgess swift river

Perform pain reassessment Family at beside. Scenario 4 No known allergies (NKA). Peripheral Neurovascular Dysfunction False Clear liquid diet. -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Blood Glucose 185, 4 units of insulin sliding scale for coverage. Pupils PERRLA, eyes clear. RUE: ______________ LUE: ______________ Use therapeutic communication/Active Listening Apical/Radial Pulse Deficit: No Yes Murmur Valve Click -Reinforce to the patient to not get out of bed Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Document results and findings Notify charge nurse that discharge will probably not occur today. Swift River fisheries research | Mass.gov Excess Fluid Volume, Risk for False Senario 3 Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Offer nutrition/toilet You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Scenario 3 Acute Pain True -Complete full assessment, to include neuro Readiness for Self-Care Enhancement True Yes ADA diet, intake 25%. Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Full assessment She is with her physician. Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Scenario 5 Record intake and output Use therapeutic communication/Active Listening He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Mr. Greer has just been visited by his wife. -Provide the patient with the time when HCP will come discuss options with him Provide emotional support. Electrolyte Imbalance False Esteem Place patient on PCA pump Oral Care Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Administer antipyretic medication -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. 0800 1200 Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Diet as tolerated. Continent: Yes No Brief/Diaper Hx of dementia, from nursing home, fall one day ago. When completing the shift change neuro check, you notice the patient's left pupil is sluggish. Scenario 2 Evaluate understanding Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ His, Joyce Workman Room 303 Joyce Workman Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Disturbed body False Combien gagne t il d argent ? Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Scenario 5 Teach patient about safety when getting out of bed Diet as tolerated. Scenario 4 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Sleep deprivation False Some hair on the left side of his head has been burned off, as well. Remind physician to wash his hands before examining the patient Evaluate understanding. Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Document results Skin warm dry, bruises on forehead with small laceration. He is pale, weak, diaphoretic, and appears anxious. Skin integrity, impaired True Pain Level Normal acuity Neuro WNL alert and cooperative. Allow husband to come into recovery for a quick one-minute visit. ExplanationAnxiety/ fear True No Known allergies (NKA). Use therapeutic communication/Active Listening Educate caller regarding HIPAA -Document and contact nursing supervisor/Charge nurse Re-assess patient Health Change Increased acuity Impaired Mobility True Check PRN pain order Airborne Isolation. -Ensure bed is in lowest position, and rails are in place It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Identify patient Document Results/Findings Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. Seek clarification Ms. Getts is being transferred as an emergency to Critical Care. They wanted to know and pressure you for the information. Diet as tolerated. Neuro WNL, alert, and cooperative. Impaired Urinary Elimination True Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Elevate head of bed Obtain patient record and follow patient as he is transferred to ICU Auscultate peripheral pulses and ROM. Encourage to ambulate with assistance to void if needed DSD (dry sterile dressing), forehead laceration clean and dry intact. -Recheck Tilts after the NS bolus is complete.T Anxiety True Perform neuro assess Ineffective breathing pattern False Several hours later, Mr. Duncan is now complaining of nausea. Scenario 1 Document teaching moment. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Safety Increased acuity, Physiological Document Procedure Vital assessment Regular diet. Decreased cardio tissue perfusion: False Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Full assessment of patient. Visual assess Discuss follow up with his doctor. He has been taking his HIV medication daily. Physiological- Establish second IV Ms. Getts is requesting water to drink. He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Infection, risk for: False. You are the now the Surgical ICU nurse assigned to her. Scenario 1 The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. Love and belonging Next time we'll spend our 60 on some food and nice beers. Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown VS: BP 158/90, HR 89, R 18, T 97.8 F. -Assess if the contents of lunch tray are intact. Cardiovascular Assessment Isolative, appears fearful, crying, and refusing to see her husband. -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 She has been admitted to the floor with complaints of numbness in her right foot and ankle. Acute Pain: True Mr. Duncan's wife meets you in hall asking what she could bring her husband to eat from home. Safety- Dr. Donofrio. Waist belt restraint PRN; family sitter at bedside, assist with bath. Incomprehensible Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy Scenario 5 Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. -Complete head-to-toe assessment while patient is on the floor. Discription, Table 4 Cross-sectional, Longitudinal, and Sequential Developmental Designs, Engagement 1 Recognizing Research Strategies, A mental health worker with a Christian worldview.docx (Auto Recovered), NPO Breakfast: __________% Lunch ______________ %, Ethics and Social Responsibility (PHIL 1404), Care of the childrearing family (nurs420), Advanced Care of the Adult/Older Adult (N566), Business Professionals In Trai (BUSINESS 2000), Microsoft Azure Architect Technologies (AZ-303), Nurs & Healthcare I: Foundations [Lec] (NURS356), Accounting Information Systems (ACCTG 333), Bachelor of Secondary Education Major in Filipino (BSED 2000, FIL 201), Methods of Structured English Immersion for Elementary Education (ESL-440N), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), C228 Task 2 Cindy - Bentonville - Passed with no revisions, Lesson 4 Modern Evidence of Shifting Continents, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, Lesson 17 Types of Lava and the Features They Form, Lesson 9 Seismic Waves; Locating Earthquakes, Analysis of meaning and relevance of History from the millennial point of view, Entrepreneurship Multiple Choice Questions, (Ybaez, Alcy B.) Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments jessdevan. The lesion was identified as Kaposi's Sarcoma. Scenario 4 The patient is awake alert and oriented. Patients within the Swift River Online Simulators Med Surg - Patients SROL Med Surg Female and Male Patients Female Male Ann Rails Carlos Mancia Estelle Hatcher John Duncan Kathy Gestalt Robert Sturgess Lithia Monson Tom Richardson Marcella Como Ramona Stukes Sarah Getts Viola Cumble Dosage Calc - Patients SROL Dosage Calc Female and Male Patients Determine from medical record if partner is aware of his recent AIDS diagnosis. Strict I&O, regular diet, intake 50%. You are concerned about preventing the patient from falling. Safety Document results Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Nutrition True Allow for non-compliance of request Viola Cumble -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Therapeutic communication. Notify doctor Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Skin warm and pale. Your response to all of them would be: Scenario 1 -Inform patient to not get out of bed without assistance and place call light in reach -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." Then the bus splashed into the river for a cruise. Fall, risk for: True She has arrived in pre-op and about to have surgery this morning. Failure to Thrive False. Due to this, the provider would like him to stay in the hospital for observation. and the GI cocktail given in the ER did relieve his CP but not completely. Scenario 5 -Explain procedure to the patient Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Scenario 3 Impaired comfort: True Increased fall risk. 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. Scenario 4 -Medicate for pain Constipation False Scenario 5 Administer antiemetic medication Obtain and provide the infectious disease doctor's contact information for him. Gastrointestinal Assessment Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. 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! Impaired Home Maintenance management r/t client or family False Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. Evaluation patient after consult Obtain translator He does not have an IV nor is he on oxygen. Sarah Getts -Use therapeutic communication/active listening Senario 3 Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. Neuro WNL alert and cooperative. Notify lead nurse : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. When a physician makes an incision into a body cavity just superior to the diaphragm and inferior to the neck, what body cavity will be exposed? Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. He tells the nurse he has called his wife and wants to be discharged now. Decisional Conflict False Scenario 3 References; Access My Virtual Clinicals; Medical-Surgical. The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. Vital Assessment Other: _______________________________ 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.