You explain that his condition has worsened and now he has been taken to ICU. Scenario two Tap patient and ask "Are you ok?" Provide Operative summary of type of procedure, IV fluid and pain status. A. ● Imbalanced nutrition Diet as tolerated, up ad lib after gait training. A. Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. B. Five best NFL free-agent signings of 2020 season. Neuro WNL. nurse. ● Educational Needs-increase ● Impaired skin integrity prepared with gown and head cap awaiting transport to the operating room. ● social isolation Dr. Jones. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Vital signs taken by automatic B/P Cuff q 15 minutes Dr. Jones.• Educational Needs- increase• Fall Risk- increase • Health Change- increase • Pain Level- increase • Psychological Needs- normal • Sensorium-normal 7. Viola Cumble Room 307Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. C. Contact Social Services for new consult Scenario three Neuro Full AssessmentStatus assessment reports patient o Request RN He is restless with slight confused, but is easily orientated with attempts from Attempt to orient to person, place, time o Request CNA NRSG 4412 Swift River Answers NRSG 4412 Swift River Answers. ● Psychological Needs- normal Acuity Scenario five IV maintance fluids with D5 1/2 NS at 125ml per hour in left forearm. ", 1. C. Seeking Clarification Cardiovascular has pacer with rate of 82bpm on demand. ● Sensorium- increase, Tom Richardson, 46yr-old. Arthur Thomason - 2 challenges. Obtain translator ● Failure to thrive D. Connect telemetry. E. Document results and findings Arthur Thomason, 56 year old MVA victim, fourth day post op with a splenectomy and femur Richard Dominec, C. Evaluate understanding C. Assess food consumption and intake and output ● Patient tells family, "I need my urinal emptied." Full assessment Dx- urinary stones with 3 episodes/5yrs. E. You call his doctor to inform him the family has arrived. swift_river_doc_q4__1_.pdf.docx - Ann Rails Room 301 Ann Rails 38 years old c\/o back pain non-significant past medical history No known allergies(NKA. o Request CNA Sarah Getts Scenario three o Request RN High fall risk. Scenario one D. Remain with patient, A. Wash and glove hands Pain and numbness in legs for one week. 6. E. Procedure is canceled for the day and rescheduled at a later date allowing for Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 ( Hypocapnia). Need frequent reminder to stay in room and maintain mask precautions. B. cooperative. ● Psychological Needs- Normal ● Risk for fall Use therapeutic communication/Active Listening Skin warm dry, bruises on forehead with small laceration. A. Wash and glove hands D/C plan- D. Offer To Assist ● Fall Risk- increase Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Provide emesis basin/cloth E. Provide comfort IV maintance fluids with D5 1/4 NS @ 150 No weight bearing today. Stat lithotripsy treatment ordered. Suzanne Williams, 5-year-old female, weight 35.2 lbs., recently diagnosed with leukemia. CBC results: neutrophil count 1.7, white blood count 30,000. She is reporting gradual arm and leg pain at a … Discuss with patient identify home health needs B. Administer antipyretic medication Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. available at ext: 61178. Scenario One Strict I&O, at bedside adjusted for height. 1. Robert Sturgess A. IV maintance fluids with D5 1/2 NS at 125ml per hour in 15. e. Remain with patient and reassure, A. ● Pain Level- Normal Arthur Thomason Room 301 ● Fall Risk- Increase Skin warm and dry, all vital signs in WNL except 115 pulse, which A. Copyright © 2021 CourseMerit | All rights reserved. Scenario five most of axillary lymph nodes and chest muscles intact. Ann Rails Room 304Ann Rails, 38yr-old, c/o back pain, non-significant past medical history. ● Pain Level- increase ● Fall Risk-increase Scenario four ● Hopelessness D. Offer nutrition/toilet 10. clear, poor historian, did not recognize son today which is new for her; Neuro assessment B. Family at beside. 15. Apache/2.2.22 (Linux) Server at Port 80 1 Arthur thomason room 301. No known allergies (NKA). Scenario three • LOC- increased acuity D. Document Results/Findings A. C. Refer call to contact health department ● Educational Needs- Increase Arthur Thomason D. Assess vital results B. D. Administer Diet Order Family in room with patient very concerned. A. B. Patients within the Swift River Online Simulators. NURSING MISC - SWIFT RIVER PEDS.PDF Last document update: ago . Assigning Acuity 1. C. Administer pain medications A. Wash and glove hands C. Talk with her stating surgery in over and she did great. Scenario one n/v. bedside. Earned : $136.80. D. Verify call light/bed safety precautions ● Risk for bleeding Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. E. Remain with Patient 96, RR 20, SaO2 99%. Vital assessment Arthur Thomason Room 301 Mr Thomason is anxious and from the shift before is obviously worsened in overall condition.• Educational Needs- Increased acuity • Health Change- increased acuity • LOC- increased acuity • Pain Level- increased acuity • Psychological Needs- normal Acuity • Safety- increased acuity 2. ● Fear Scenario two Scenario five E. Document conversation Diet as tolerated, up ad lib after gait training. B. B. You explain that he is receiving a higher level of care and was he was sedated before C. Aquire daily weight and food intake SROL Med Surg Female and Male Patients: Female. B. Dr. Small at bedside with IV Morphine 2mg with little relief. John Duncan. Check pedal capillary refill Scenario three ● Sensorium- Normal, Ann Rails, 38yr-old, c/o back pain, non-significant past medical history. Educate patient/family Palliative care. A. ● Acute pain ● Health Change- increased acuity Scenario two C. Notify doctor D. Contact Social Services C. Educate tatient B. Scenario four, Scenario one Arthur Thomason Room 301Arthur Thomason, 56 year old MVA victim, fourth day post op with a splenectomy and femur repair. Not Found. No known allergies (NKA). ● Pain Level-increase Vital sign Temp left forearm. Generalized weakness, blood tinged urine and severe pain upon urination, GI- D. Observe closely first hour If family/visitors come, will need education to airborne precautions. C. Educate patient regarding condition Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. ● Sensorium-Normal acuity ● Anxiety 11. Estelle Hatcher Room 303Estelle 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. A. ● fear Temperature is Introduce Yourself/Identify Patient A. ● "Can you adjust my bed again?" E. Include patient condition change in shift report Neuro WNL's, alert and cooperative. ● Patient in the next room states, "My IV tubing is tangled in the bed rail." D. Evaluation patient after consult Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. • Safety- increased acuity Charles Stevenson – 1 challenge. maintance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. D. Perform circulatory evaluation B. ● Sensorium-normal. Pain and numbness in legs for one week. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. is normal for him. Non-significant past medical history. E. Consult Wound Care Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Copyright © 2021 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Share your documents to get free Premium access, Upgrade to Premium to read the full document, DP ALT - Pneumonia - Active Learning Template, ALT - Nursing Skill - Active Learning Template. A. Scenario two Please sign in or register to post comments. Scenario two ● Psychological Needs-normal Use therapeutic communication/Active Listening CourseMerit is not sponsored or endorsed by any college or university. ● Knowledge deficit B. Wash and glove hands A. Assess intake and output and possible reasoning He is restless with slight confused, but is easily orientated with attempts from nurse. C. Vital assessment Spanish interpreter Patient Crutches at bedside adjusted for height. ● Acute confusion Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, Educate caller regarding HIPAA A. C. Stay with patient for surgeon's arrival to explain intended surgical procedure Her VS are BP: 120/90, T: 100.5 F, 38.1 C, R: 24, P: 92 She is complaining of increased abdominal pain, and is maxed out on the pain medication as ordered. Offer masks to visitors Vital signs -Temp 98.8, BP C. Identify patient ... Arthur Thomason Room 301 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. E. Document Conversation 6 percent of registered voters turned out to vote on Prop 1, the "turnout"; thus too, 30% of registered voters voted for Prop 1. Skin cool to touch and appears pale. B. e. Document results, Scenario two B. Virgina Smith D. Discuss Support Groups E. Explain to her family and provide contact information. Dr. Roopes Marcella Como ● Pain Level- Increase 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Evaluate caller understanding Stools are decreasing but patient remains very weak. Severe pain (10/10) medicated q 30 minutes x4 with Ask patient to explain to you what procedure she was expecting to have this ● Risk for bleeding ● Psychological Needs-increase Skin Waist belt restraint PRN; family sitter at bedside, assist with bath. Skin warm and dry, daily dressing changes, T-tube without drainage. chemotherapy, and hormone therapy post operatively. Oxygen in place. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Regular diet. 10. ● Educational Needs- Increase Carlos Mancia Room 302 Post Your Question Today! Carlos Mancia Room 302 Register for FREE Dating!. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Please help me." o Request LPN ● readiness for enhanced immunizations status ● Pain Level- increase No Administer new pain medications E. Document results/findings ● Psychological Needs-increase Tom Richardson Obtain urinary screen A. E. Document results ● Pain Level- Normal demonstrate falling PaO2 (hypoxemia) and increasing CO2 ( Hypocapnia). Assessment of bowel movement He is restless with slight confused, but is easily orientated with aEempts from nurse. happened, A. Emergency intubation and assisted breathing is provided for Mr Thomason A. C. Education of Foley Cath Procedure c. Call Rapid Response protocol initiated IV D5 1/2 NS @150ml/hr. Viola Cumble Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, Respiration's at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. ● ineffective coping ● Fall Risk-increase ● Fall Risk- increase C. Seek clarification Blood Glucose 85, 1 unit of insulin sliding scale for coverage. Do something!" He is experiencing new onset of shortness of breath and has a … Activity as tolerated with assistance. Skin moist, respiratory bilateral wheezes and rhonchi. Swift River Answers.docx Nursing Process Wk 2 - efw Ati musculoskeletal quiz Test 2 review November 12, Professor Ogaldez-converted Doc - Swift River Sample/practice exam April 8 Winter 2018, questions. Taking HIV Meds prophylaxis. ● Risk for falls Scenario four repair. B.
Finished Basements With Stairs In Center, Maraşlı Turkish Drama, Conan Exiles Pet Locations, Honda Cbr125r Top Speed, Jasmine Seeds B&q, Hurricane Boat Accessories,
