Peripheral Neurovascular Dysfunction: False Deficient Fluid Volume False Impaired Mobility, Risk for True Acute Pain: True Offer masks to visitors Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Family arrive one hour after event to his prior room and find Mr. Thomason's room is empty and have no idea of the events that have just occurred. Fear: True Obtain and provide the infectious disease doctor's contact information for him. Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Provide comfort measures Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Explain to physician what interventions you have recently initiated You also notice the patient is more difficult to orient. Pain Level Increased acuity Two housekeepers, who were refusing to clean the room, are in the break room. Pain Level Normal acuity Check surgical consent for correct procedure and make sure operative site in marked. Mr. Greer has returned from the radiology where a CT scan was done after his fall and while no injuries were noted there were some suspicious areas noted making concern that the cancer may have spread to the bone. Psychological Needs: Increased acuity Imbalanced Fluid Volume, Risk for True LOC Normal acuity Ineffective airway clearance True Also worth mentioning is the 'Alter Schwede' - a 217t . Therapeutic communicationT IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Acute Confusion True She has just been transported from recovery. Ms. Gestalt is now complaining of fever and chills.
Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift Elevate Extremity IV D5 1/2 NS @150ml/hr. You escort them with you to the ICU. Scenario 3 -Document and contact nursing supervisor/Charge nurse He has been taking his HIV medication daily. Scenario 4 Apply fall risk bracelet Sleep deprivation: False Wife at bedside. Chronic pain: True Neuro WNL's, alert and cooperative. Ms. Cumble states that she has not had a BM for three days. -Notify HCP of neuro findings Senario 4 Hx of dementia, from nursing home, fall one day ago. -Reassure patient that he will be moved to a private room as soon as possible Pain Level: Increased acuity It is now two weeks later; Mrs. Smith has returned. Notify Physical Therapy (PT) August 13, 2020 // by Angela McGowan. Scenario 1 She is also investigating bone marrow transplantation. You are about to call the Surgical ICU and give report. Decisional Conflict False -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 Provide comfort and pain measures
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Swift River Med-Surg Flashcards | Quizlet Notify lead nurse/doctor Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Mr. Greer has just returned from surgery. Wash and glove hands Safety Educational Needs Increased acuity Senario 1 Assess intake and output and possible reasoning Offer bedpan Document Results/Findings Paul Greer Check pedal capillary refill When the nurse enters the room later that day to inform him that the procedure is scheduled for 1430, they see Mr. Gonzalez is sitting in front of a lunch tray. Place call light and check bed for safety -Perform neuro assess He is having some difficulty hearing and complains of ringing in his ears. Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." You arrive in room to check on her, after washing hands.
Fortune Salaire Mensuel de Ticketmaster Beyonce Koln Combien gagne t il -Explain to the patient that because of his weakness and unknown cardiac status as well as the IV, he is a fall risk and should not get out of bed without assistance. Safety Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. He was recently diagnosed with stage III prostate cancer. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Scenario 5 He also states he is feeling weak. Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Request sitter/family member to bedside Abdominal Pain: Non-tender Tender/Pain Describe: Taking HIV Meds prophylaxis. -Evaluate patient's understanding of teaching -Complete initial post-op assessment Administer antipyretic medication ADA diet, intake, 25%. Document results and findings Tom Richardson Senario 3 Scenario 5 She has been documented as being obese, new onset. Acute Confusion: True Love and belonging Neuro WNL. He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Inform and educate spouse of dietary orders Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Infection, risk for: False. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall He replies, "six times in the past four hours". Scenario 5 Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. Bleeding False
Replace oxygen nasal cannula that had become disconnected Check PRN pain order Incomprehensible Fall, risk for: True fallout 4 save wizard quick codes death and wheel of fortune tarot combination; gambling meaning in english urdu alpine spiced apple cider gluten free; how to use v2ray samsonas sequential gearbox subaru; lg magic remote power light stays on Document teaching moment. 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. Encourage Mr. Dominec to discuss with his partner his best treatment options. Scenario 5 Anxiety True Psychological Needs Increased acuity Determine clinical decisions based on listening to an audible client report. Scenario 5 He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Amount:________ He does not want to return to the nursing home, and does not wish to burden or live with his children. Compromised Family Coping False No weight bearing today. Inform his partner that everything is being done to keep him comfortable. Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin She has been admitted to the floor with complaints of numbness in her right foot and ankle. -Offer nutrition/toilet Anxiety True Refer call to contact health department Assess toe movement and capillary refilling Vital signs taken by automatic B/P Cuff q 15 minutes Acute Pain True Scenario 3 Toggle navigation Swift River. Offer nutrition and/ or toileting -Advise patient not to get up and walk on his own Bleeding False Document pt's statements. except 115 pulse, which is normal for him. Provide for physical and thermal comfort. Allow family to remain -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Pain, Acute True Sensorium: Normal acuity, Bleeding, risk for: False Self-Actualization Wash and glove hands Oral Mucosa: Tongue: Teeth: Scenario 3 jasmine . Peripheral Neurovascular Dysfunction True. His wife tells the nurse that he seemed very distant and did not want to talk much. 1. Document results, Care of the Patient with a Cardiovascular or, NCLEX - Care of Patient with an Immune Disord, Quiz: Chapter 54, Care of the Patient with an, Chapter 54: Care of the Patient with an Immun, Chapter 17, Section 5; Providing First Aid fo. Scenario 3 Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes
Ruth Cummings - The Nathan Cummings Foundation Talk with her stating surgery is over and she did great. and the GI cocktail given in the ER did relieve his CP but not completely. Fall Risk: Increased acuity Encourage fluids -Ensure patient privacy and call for help and assist patient to bed once help arrives Scenario 4 Kathy Gestalt Assess pain Apply restraint Love and Belonging Mr. Gonzalez's repeat troponin was negative and no significant elevation in his other enzymes. After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. -Set-up for stat portable chest x-ray Bed Bath: Assist or Total The lesion was identified as Kaposi's Sarcoma. Scenario 3 Gown and mask -Assess if the contents of lunch tray are intact. Educate patient regarding changes to POC Scenario 3 Skin warm dry, bruises on forehead with small laceration. Therapeutic communication Infection, Risk for True 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. Acute Pain False How was this Peripheral Neurovascular Dysfunction False. Perform circulatory evaluation Remind physician to wash his hands before examining the patient Scenario 5
Swift River Reflection Questions 1 - Swift River - Course Hero He has been ruled out for an MI. 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. Bleeding, Risk for False Chronic Pain True Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Mr. Dominec had his surgical procedure and is doing great. Senario 4 Observe closely first hour Nausea False Escort patient Excess Fluid Volume, Risk for False -Complete neuro checks as ordered Place patient on PCA pump Airborne Isolation. Skin warm and pale. student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. The cycle of freezing and thawing damages the abnormal cells. Genitourinary Assessment Neck: ______________ Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. All opinions are mine alone. -Perform admission assessment While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Explain that he will probably not be going home at least until his doctor sees him. Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Use therapeutic communication/active listening Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. Sarah Getts Identify patient Electrolyte Imbalance False Neuro WNL, except leg pain upon movement. Impaired Skin Integrity, False Disturbed body False You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Educate patient regarding condition -Teach the patient that there are several interventions for complications post-prostatectomy to include erectile dysfunction, post-op prostatectomies, and self-care involved with a foley catheter at home. Scenario 2 Impaired skin integrity: False, Anxiety: True Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. He also has metal fragments on his left side on his leg arm and torso. -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Scenario 4 Pulse Enter the email address you signed up with and we'll email you a reset link. Scenario 5 Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ No known allergies (NKA). Anterior: ___________________________________ Posterior: ____________________________________ Stat lithotripsy treatment ordered. Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Senario 2 Monitor and evaluate fluid intake Use therapeutic communication/Active Listening Acute Pain True Scenario 4 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". NPO with small amount of ice chips only. Impaired Skin Integrity False -Complete incident report. Senario 4 Students will prioritize medical surgical . Scenario 1 Report this activity immediately to the hospital privacy officer Tear, Ecchymosis, Contusions, Bruising View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. No known allergies. Health Change Increased acuity He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Visual assess Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Sa fortune s lve 2 000,00 euros mensuels Deficient knowledge: True Notify family **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 . sounds= 2 Listen to patient concerns They feel that you should share with them if he was a "real AIDS" patient or not. 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. Wash and glove hands She has IV access and has received a small dose of Valium to reduce apprehension. Evaluate outcome of dietary plan Scenario 1 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.) Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. Nausea: False Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Scenario 5 Scenario 4 No Known allergies (NKA). Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Combien gagne t il d argent ? Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output Fall, risk for True Begin post op education for day one Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. 1. No Known allergies (NKA). Isolative, appears fearful, crying, and refusing to see her husband. Senario 5 Spiritual Distress False. -Remove the dinner tray and make sure the diet is soft food. Color:__________ They were also concerned about the next patient going into that room and the use of the lavatory. -Contact HCP to determine when they are available to speak with the patient Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Decreased Cardiac/perfusion: False Educational Needs Increased acuity Perform circulatory evaluation Mr. Dominec is waiting for his partner to arrive to take him home and you notice he has a dry unproductive cough and trouble splinting with a pillow at his operative site. Where is my camera man!! Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Report current urinary output quantify per hour and color of urine Normal Sinus Rhythm on telemetry. -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Linen Change 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. 2Provide comfort in pre-surgical room Mr. Dominec. Vital signs are to be taken BID, and it is now time. Scenario 2 Waist belt restraint PRN; family sitter at bedside, assist with bath. Obtain Spanish signs & brochure Consult Social Service Contact Social Services Report and document results The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Scenario 5 Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Seek clarification Nausea: False Crutches at bedside adjusted for height. 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. Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Rich Dad, Poor Dad (Robert T. Kiyosaki) The Methodology of the Social Sciences (Max Weber) Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.) . Full assessment of patient. Diet as tolerated. Shock, Risk for: False Non-significant past medical history. Upon entering the room, you find Ms. Rails sleeping. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Impaired mobility: False Family in room with patient very concerned. She is with her physician. -Determine when a hospital provided sitter will be necessary Contact charge nurse. Fall, Risk for True
Medical Surgical Flashcards | Quizlet Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Vital signs- Breath Sounds: Clear bilaterally. Electrolyte Imbalance True Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Chronic Sorrow False Document Procedure
No known allergies (NKA). -Discuss and determine sitter availability Safety Increased acuity, Physiological Scenario 2 Temperature is now 102.8. Chronic Confusion False Stools are decreasing but patient remains very weak. Fall, Risk for True Scenario #2. His overall health is good, and he has known he has been HIV positive for the past five years. Scenario 3 He chooses to go home and see the doctor tomorrow in his office. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Encourage fluids Constipation False -Discuss with sitter that patient needs continual observation Filmotka filmu Najvyia ponuka (2013). Mr. Duncan's wife meets you in hall asking what she could bring her husband to eat from home. Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion
Robert Sturgess Scenarios Swift River.docx - Course Hero He is a local TV news reporter that was filming an event at the county fair when there was an explosion. You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Contact head nurse or supervisor in the OR to evaluate new situation Physical Mobility, Impaired True Re-assess patient Educate about recovery from appendectomy and care to wound. Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. swift river assignment: day swift river assignments dosage minimum score 90 med minimum score 80 minimum score 90 robert sturgess linda yu linda pittmon carlos Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Keiser University Silver Creek High School (Colorado) -Draw a repeat CBC per HCP order to determine current Hemoglobin status Therapeutic Communication Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. PT to educate patient Hep-Lock in place left AC. LOC Normal acuity
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