Scenario 3 Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Vital assessment Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Wash and glove hands Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Needs frequent reminding due to determination to do things herself without assistance. Senario 5 It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Fear/Anxiety True. Esteem Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Acquire daily weight and food intake Scenario 5 Encourage fluids -Explain to patient why his throat may be sore Pain Level Increased acuity He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Allow husband to come into recovery for a quick one-minute visit. Bed Bath: Assist or Total His orthostasis is normalized after a second liter of NS was administered. Scenario 1 IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. The charge nurse asks you to assume the patient's nursing care. Acute Confusion True You are concerned about preventing the patient from falling. Sa fortune s lve 2 216,00 euros mensuels Estimate the length of the Neptunian year given that the Earth is 1.50108km1.50 \times 10^{8} \mathrm{km}1.50108km from the Sun on the average. Teach Cameron. ADA diet, intake 25%. : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Dr. Anderson, Educational Needs Increased acuity She is also investigating bone marrow transplantation. You arrive in room to find Ms. Monson talking to herself. His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Deficient knowledge: True Acute Pain False The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) -Draw a repeat CBC per HCP order to determine current Hemoglobin status Remind physician to wash his hands before examining the patient -Place patient on O2 Nasal Canula Senario 1 Senario 2 Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? Scenario 1 Scenario 2 Scenario 1 Perform pain re-assessment Lithia Monson Obtain patient record and follow patient as he is transferred to ICU Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Call rapid response Contact Social Services Ambulates with assistance. Scenario 2 Psychological Needs Increased acuity Reasses temp in 1 hour. Skin warm dry, bruises on forehead with small laceration. Expresses fatigue, fear, concern, and desire for recovery. Urination: WNL Burning Frequency Urgency Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Impaired comfort: True Provide emotional support. Provide for physical and thermal comfort. Disturbed body False Scenario 3 Attain fluids/fiber diet and assisted ambulation palliative care. Dr. Donofrio. Scenario 2 Evaluate/modify plan of care Include patient condition change in shift report -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Impaired Gas Exchange False He insists that he is not hungry and refuses assistance with his meal. Scenario 5 Bowel Movement Total: x________________, Hygiene Times We have more than 20 years' experience in the industry providing a quality service to our clients We pride ourselves on our customer-orientated service and commitment to delivering high end quality goods within quick turnaround times. Scenario 4 Sa fortune s lve 1 900,00 euros mensuels Visual assessment Assess food consumption and intake and output Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Educate patient regarding changes to POC Administer antipyretic meds Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice Acute Pain: True Safety Increased acuity, Physiological She is having some difficulty breathing. Construct dietary consult (plan) Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Impaired Skin Integrity, Risk for False Patient and family upset regarding dx. Scenario 4 -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. Administer antipyretic medication Waist belt restraint PRN; family sitter at bedside, assist with bath. Senario 4 Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Bleeding False How does the Med-surg simulator work? You determine to apply the restraint now. Do not probe further The patient will be discharged today, and he will be ordering new prescriptions. Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Risk for Infection True Therapeutic Communication Spanish interpreter available at extension 61178. Obtain translator Perform full assessment and provide anti-nausea medicine. Self-Care Deficit False Noncompliance True. Shock, Risk for: False Evaluate patient understanding Provide verbal report to team members who respond to rapid response Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Dx- urinary stones with 3 episodes/5yrs. Notify family as to when they may come and visit. No known allergies (NKA). Decisional Conflict True Imbalanced Fluid Volume, Risk for True Educate patient ADA diet, intake, 25%. Nathaniel Gonzalez Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Use therapeutic communication/Active Listening nursing care plan for Linda Pittmon, a 74 -year old female patient who is a noncompliant diabetic, and frequently stays at the local homeless shelter. Seek clarification Palliative care. Check input/output for possible dehydration 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 Other: _______________________________ Assess pain Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Evaluate caller understanding Yes Productive Non-productive Describe Sputum: _______________________ Scenario 3 Skin warm and pale. Fall, Risk for True Document results and findings Neuro WNL, alert, and cooperative. Wash and glove hands Scenario 5 Mr. Richardson is requesting assistance to ambulate to bathroom. Fall, risk for: True Remind the nursing staff that the patient is NPO. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Aggravating Factors: -Assess patients' pain and rule out cardiac pain. Scenario 3 Ms. Getts is being transferred as an emergency to Critical Care. -Restart the IV and draw CBC 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". No response = 1, Range of Motion: Full, Limited Provide information for MD to call family at home and explain what has just happened The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. Connect telemetry Ms. Rails shares with you her fear of being discharged home to an abusive husband. Assess for bowel sounds Scenario 1 DSD (dry sterile dressing), forehead laceration clean and dry intact. Bladder distention Pelvic pain Low back/flank pain Pain, Acute True Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Genitourinary Assessment However, he quit three years ago when he remarried; he and his wife have a nine-month-old baby. Skin moist, respiratory bilateral wheezes and rhonchi. When the HCP realizes who he is, he tells the nurse to move the patient in the treatment room down the hall and put Mr. Burgundy in there. Perform circulatory evaluation Scenario 5 Imbalanced Nutrition True -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. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Water/Flush: Stay with patient for surgeon's arrival to explain intended surgical procedure Deficient Fluid Volume True His coughing, to clear his airway, appears ineffective. Scenario 5 The lesion was identified as Kaposi's Sarcoma. Document results Scenario 5 Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Procedure is canceled for the day and rescheduled later allowing for new consent. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. 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. Flexes & withdraws = 4 Educate patient Ruth Cummings Trustee Vice Chair Audit Chair . Fall Risk Increased acuity Bleeding, Risk for True He tells the nurse he has called his wife and wants to be discharged now. Notify lead nurse Scenario 5 Ineffective breathing pattern False Reassure patient of options 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. Scenario 5 Microeconomics And Behavior Robert Frank 9th Edition Author: old.bubbies.com-2022-05-03T00:00:00+00:01 Subject: Microeconomics And Behavior Robert Frank 9th Edition Keywords: microeconomics, and, behavior, robert, frank, 9th, edition Created Date: 5/3/2022 7:02:15 AM