Mrs. Smith's surgery has now ended. Paul Greer Continent: Yes No Brief/Diaper Fear True Document Results, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Scenario 4 Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage However, these abnormal cells do not have the capability to spread to other parts of the body. Also worth mentioning is the 'Alter Schwede' - a 217t . Grieving: False. Ineffective Renal Perfusion, Risk for True Assess for fall risk Temp Construct dietary consult (plan) Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. Consult Social Service Mr. Sturgess does not have a living will or durable power of care completed. Localizes pain = 5 Take vital signs before leaving the hospital again. Electrolyte Imbalance False Contact Social Services Senario 5 Remind physician to wash his hands before examining the patient Perform pain re-assessment Activity as tolerated with assistance. -Take initial vital signs (room air Pulse Ox) Fortune Salaire Mensuel de Ticketmaster Beyonce Koln Combien gagne t il You are now preparing for discharge, place steps in order: Senario 1 Administer antipyretic medication Love and Belonging NPO with small amount of ice chips only. Constipation, risk for: True Robert Sturgess - Swift River - Robert Sturgess Educational needs IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. -Discuss with family sitter if there are any other family members who can help with monitoring Lithia It is now the second day post op and he is given discharge information. Mr. Duncan's wife meets you in hall asking what she could bring her husband to eat from home. 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. Impaired Mobility False -Draw a repeat CBC per HCP order to determine current Hemoglobin status Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device If the source voltage for the a phase is Van=12080V\mathbf{V}_{a n}=120 \angle{ 80^{\circ}} \mathrm{V}Van=12080V, and the line impedance is zero, find the phase currents in the wye-connected source. Scenario 1 GI WNL. Scenario 2 You enter room one hour after the physician has left the patient. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. No known allergies (NKA). 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. Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. Fall, risk for: True -Check on patient/sitter hourly Scenario 4 The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Visual assessment Vital signs- 00 Comments Please sign inor registerto post comments. A special lowbed has been ordered that will lower to the ground. Impaired Skin Integrity, Risk for True D/C plan- decrease pain and restore normal gait. Verbal command = 3 After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Grieving: False Scenario 3 Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook Senario 2 Encourage Mr. Dominec to discuss with his partner his best treatment options. Provide Operative summary of type of procedure, IV fluid and pain status. Crutches at bedside adjusted for height. They would also like to start Radium-223. Opening Title Production company Cast and crew Genre J A N U A R Y 2: The Killing of John Lennon: IFC First Take: Andrew Piddington (director/screenplay); Jonas Ball, Krisha Fairchild, Gunter Stern, Gail Kay Bell, Mie Omori, Robert C. Kirk: Crime, Drama: 4: One Missed Call: Warner Bros. Pictures / Alcon Entertainment / Kadokawa Pictures: Eric Valette (director); Andrew Klavan (screenplay . Notify doctor Verify call Light/bed safety precautions Scenario 4 He has been ruled out for an MI. Notify housekeeping. 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. Acute Pain True Microeconomics And Behavior Robert Frank 9th Edition Esteem Respiratory Rate: WNL Tachypnea Bradypnea Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. Imbalanced Fluid Volume, Risk for True Increased fall risk. (PDF) Playful citizens: utopian intersections of play, sex and Contact head nurse or supervisor in the OR to evaluate new situation Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. ADA diet, intake, 25%. Notify doctor Scenario 2 Safety -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 Scenario 5 Deficient knowledge: True -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Gown and mask Scenario 2: 1Educate about recovery from appendectomy and care to wound. Scenario 1 Expresses fatigue, fear, concern, and desire for recovery. Therapeutic communication. Reapply restraints Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Impaired Gas Exchange False Swift River: Sign In Scenario 1 Airborne Isolation. -Tell the patient to call immediately if the chest pain gets worse or they become short of breath The patient has a pneumothorax that requires a chest tube placement. Scenario 1 Bleeding False Several hours later, Mr. Duncan is now complaining of nausea. Scenario 5 Document results Combien gagne t il d argent ? Swift River Medical-Surgical. Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. Increased fall risk. Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Social worker with patient this morning. Tom Richardson Document conversation 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. You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Infection, Risk for False Notify doctor Mr. Greer has just returned from surgery. Auscultate peripheral pulses and ROM. Scenario 3 Perform pain reassessment Notify lead nurse/doctor Evaluate understanding Describe the physical changes from aging and the care required. Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Isolative, appears fearful, crying, and refusing to see her husband. 1Perform full assessment and provide anti-nausea medicine. Check monitor Patient demonstrates urine strain procedure. Neuro WNL, except leg pain upon movement. You arrive in room to find Ms. Monson talking to herself. Strict I&O, regular diet, intake 50%. Senario 5 Noncompliance True jasmine . Stools are decreasing but patient remains very weak. You arrive in room to find Ms. Monson talking to herself. Chronic Pain True Two housekeepers, who were refusing to clean the room, are in the break room. 2. Assist patient LOC Increased acuity No Known allergies (NKA). -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Therapeutic Communication Vital assessment Check physician orders IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Scenario 3 Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Full assessment Fall Risk Increased acuity Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond Scenario 1 Najvyia ponuka (2013) | Filmotka | SFD.sk -Reassess patient q 5 minutes until awake, then 15 minutes until they are fully awake (not Drowsy). Verify call light/ bed safety precautions -Assess patient's understanding of the teaching and discuss home support, os de la main et de la ceinture pelvienne, Julie S Snyder, Linda Lilley, Shelly Collins. Strict I&O and strain all urine, filters in bathroom. Upon entering the room, the patient appears to be trying to get out of bed A few hours after speaking with the sitter about the patient needing complete observation, you notice the sitter outside of the room talking on the phone. RS Flashcards | Quizlet Skin warm and dry, may sit up on edge of bed today. Contact Social Services The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. Students will prioritize medical surgical . The patient will be discharged today, and he will be ordering new prescriptions. Her pitcher has already been filled three times this shift. Evaluate understanding Virginia Smith He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Scenario 2 Nausea False Oral Mucosa: Tongue: Teeth: Impaired Mobility True Determine from medical record if partner is aware of his recent AIDS diagnosis. Educational Needs Increased acuity 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. Her husband and children remain with her in the surgical holding area awaiting transport to the OR. Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? No Known allergies (NKA). -Medicate for pain 1. Next time we'll spend our 60 on some food and nice beers. 50% intake. No known allergies (NKA). IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. She has arrived in pre-op and about to have surgery this morning. -Contact HCP to determine when they are available to speak with the patient Neuro WNL alert and cooperative. He chooses to go home and see the doctor tomorrow in his office. Skin integrity at risk True Alleviating Factors: Last pain medication: Safety Increased acuity, Physiological Connect telemetry He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Full assessment of patient. -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. **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 (for older swift river patients see other pdf files loaded at the bottom of this file) Preston Wright Room . -Remove the dinner tray and make sure the diet is soft food. Clinical 2 Flashcards | Quizlet Check PRN pain order DSD (dry sterile dressing), forehead laceration clean and dry intact. Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Educate patient Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Scenario 5 BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Scenario 5 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. Scenario 2 The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Evaluate patient understanding Health Change Increased acuity Provide a few chairs if possible for her family to also be comfortable Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Wife at bedside. Apply nasal cannula He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. Widespread Color Change: N/A pallor cyanosis jaundice erythema Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Scenario 2 Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. 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. Senario 1 Nausea False Impaired Home Maintenance Management r/t Client or Family False Scenario 1 Extends abnormally = 2 Patient, and family upset regarding dx. Scenario 1 Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. Patient and family upset regarding dx. RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Scenario 1 Scenario 4 Wash and glove hands : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Remain with patient and reassure Scenario 5 Senario 2 His overall health is good, and he has known he has been HIV positive for the past five years. Compromised Family Coping False Pain Scale: 0 to 10: _______________ Pain = 2 -Start IV Dr. Donofrio. Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Psychological Needs Increased acuity Non-significant past medical history. Palliative care. Fear: True Safety -Reassess patient's physical status prior to leaving him in the hallway Safety Increased acuity, Physiological In the interim, start an IV and start infusing Ringers Lactate. Robert Sturgess Scenarios Swift River.docx - Course Hero Anterior: ___________________________________ Posterior: ____________________________________ Scenario 1 Assess Educate patient Pain Level Increased acuity Sensorium Increased acuit, Physiological He does not have an IV nor is he on oxygen. Mr. Duncan is now complaining of feeling "dizzy" when he stands. Clear liquid diet. Scenario 3 Self-Care Deficit False Powerlessness: True, Scenario 1 #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. If patient statement differs from the surgical consent she has signed, notify surgeon immediately The 'Strandperle' (lit. Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. Start secondary large bore IV line Course Hero is not sponsored or endorsed by any college or university. palliative care. Notify Doctor for pain medz Identify patient Scenario 5 Pain Level: Increased acuity Check input/output for possible dehydration Scenario 3, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. You arrive in room to check on her, after washing hands. 45 terms. Wash and glove hands An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. -Begin q15 minute neuro checks Scenario 3 Impaired home maintenance mgmg r/t client or family: False Imbalance nutrition: True Scenario 4 20ga. Fall, risk for: False Acute Confusion: True NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. Safety- Document results and findings -Remind patient to call for help is he need to get up and provide patient with a urinal. Scenario 2 Report this activity immediately to the hospital privacy officer Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy Scenario 4 -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Document teaching moment. She has been documented as being obese, new onset. Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. Educate patient regarding condition river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology .

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