Today's weight 226. Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. Senario 1 Begin post op education for day one Nathaniel Gonzalez Impaired Gas Exchange True Remain with patient Check PRN pain order Wash and glove hands Scenario 2 Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Impaired Home Maintenance Management False Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. She has been admitted to the floor with complaints of numbness in her right foot and ankle. -Notify charge nurse of patient's deteriorating condition She has IV access and has received a small dose of Valium to reduce apprehension. -Use therapeutic communication/active listening Evaluate medication effectiveness Wash and glove hands Listen to patient concerns Scenario 1 Scenario 4 Elevate Extremity Grieving: True 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! Imbalanced Nutrition True IV NS is started, and lab work is sent. Inspect cast site 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 He replies, "six times in the past four hours". -Complete incident report. Scenario 2 Vital assessment Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Notify charge nurse that discharge will probably not occur today. Neuro WNL alert and cooperative. Dx- urinary stones with 3 episodes/5yrs. Palliative care. Allow for non-compliance of request 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. Scenario 3 Robert Domenic Assess food consumption and intake and output Obtain and provide the infectious disease doctor's contact information for him. Knowledge Deficit True Upon entering room, you wash/glove hands. Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Surrounding skin: Moist/Intact Red/Erythema Irritation Impaired Mobility True Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Determine from medical record if partner is aware of his recent AIDS diagnosis. Temperature is now 102.8. Tom Richardson Scenario 5 Multiple abrasions, bruising Head, chest, and inner thigh. -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. Comfort/Pain Assessment Report this activity immediately to the hospital privacy officer Safety Increased acuity, Physiological Yes Productive Non-productive Describe Sputum: _______________________ Sensorium Increased acuity, Physiological Radiofrequency ablation may be recommended after endoscopic resection. Tear, Ecchymosis, Contusions, Bruising Acute Pain True Physiological- Senario 5 VS: BP 158/90, HR 89, R 18, T 97.8 F. Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Document pt's statements. Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Acute Pain False Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. In the interim, start an IV and start infusing Ringers Lactate. Pupils PERRLA, eyes clear. Scenario 1 -If gastric reflux is suspected administer PRN antacids (GI cocktail) Verbal command = 3 Scenario 2 Full assessment Grieving: False. Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Bleeding, Risk for False Combien gagne t il d argent ? Scenario 5 Bed Bath: Assist or Total Administer antiemetic medication -Remove the dinner tray and make sure the diet is soft food. Normal Sinus Rhythm on telemetry. school system of the host country and may not know how to choose the programme, Question 34 Correct Mark 100 out of 100 Flag question Question text hr tag, efefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefef, arbitrary parameters a b will be a complete solution of 38 The main problem then, Reduces costs of providing on site office space To individual Makes more time, METHYLXANTHINE DRUGS-Chemistry FinalsExam PrepNotes.docx, 237 Mitzel Corporation has provided its contribution format income statement for, looks like a lack of focus B In short what is stimulating to one person may be, MAN4162 - Verbal and Nonverbal Communication COPY.docx, Recall that in the Black Scholes model the stock price follows the SDE dS t S, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. Constipation, Risk for True Bowel Movement Total: x________________, Hygiene Times Grieving True Scenario 1 He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Re-assess patient When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Psychological Needs Increased acuity Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. You are about to call the Surgical ICU and give report. Tom Richardson, 46yr-old. Scenario 2 Scenario 1 Evaluate caller understanding Notify family as to when they may come and visit. Scenario 1 : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Scenario 1 Deficient knowledge: True Ronald Burgundy -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Dr. Altace, Physiological- Urostomy: N/A Urostomy/Ileal conduit 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. Fall Risk Increased acuity Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Scenario 2 Pain Level Increased acuity You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. Scenario 5 Infection, Risk for True Evaluate understanding Scenario 5 A special lowbed has been ordered that will lower to the ground. 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.) . Electrolyte Imbalance True Scenario 1 Crutches at bedside adjusted for height. Full assessment including both lying/standing She is also to receive radiation, chemotherapy, and hormone therapy post operatively. Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown LLE: Non-pitting Pitting ___+ Do not probe further 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. Request time she can arrive and staff to help with transfer All opinions are mine alone. Talk with her stating surgery is over and she did great. Scenario 1 Notify lead nurse/doctor #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Isolative, appears fearful, crying, and refusing to see her husband. Mr. Greer has just been visited by his wife. Health Change Increased acuity The cells are allowed to warm up and then are frozen again. No Known allergies (NKA). Offer bedpan After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. Scenario 5 Scenario #3. He has been taking his HIV medication daily. Psychological Needs Normal acuity Regular diet. Acquire daily weight and food intake Impaired comfort: True Safety DSD (dry sterile dressing), forehead laceration clean and dry intact. Verify call Light/bed safety precautions He asks to speak to a clergy member. Scenario 2 Scenario 2 Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). -Draw a repeat CBC per HCP order to determine current Hemoglobin status 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 He is married, and his wife is requesting to stay at his side. You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. Sleep Deprivation False. Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). -Reassure patient that he will be moved to a private room as soon as possible Encourage fluids Dr. Jones. Deficient knowledge: True Ms. Getts is being transferred as an emergency to Critical Care. -Give NS liter bolus Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. No weight bearing today. Health Change Increased acuity Neuro WNL alert and cooperative. He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Mr. Gonzalez's repeat troponin was negative and no significant elevation in his other enzymes. Observe closely first hour Date of insertion: _________________________ Date of dressing: _________________________________ Sa fortune s lve 10 000,00 euros mensuels Respiratory Assessment You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. 1. Scenario 4 Fall, risk for True Health Change Increased acuity Administer pain medications Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. After washing and gloving hands, you then identify yourself and the patient, Ann Rails. LOC Normal acuity Pain = 2 Color:__________ 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. Respiratory Rate: WNL Tachypnea Bradypnea Scenario 3 Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, He is having some difficulty hearing and complains of ringing in his ears. -Explain procedure to the patient The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Senario 1 Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? Pain Level: Increased acuity Wash and glove hands Shock False Wound clean dry and intact. Aggravating Factors: Scenario 2 Mrs. Stukes is feeling nauseated. Sleep deprivation: False You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. The patient got dizzy when he stood up from the commode. Acute Pain: True Anxiety True He also states he is feeling weak. He was initially sedated with versed 2mg, and Fentanyl 100 mg by the EGD nurse, but the patient was not tolerating the procedure, so anesthesia was called to administer propofol. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Provide comfort in pre-surgical room Mr. Dominec. Educational needs: Increased acuity Nausea False -Complete head-to-toe assessment while patient is on the floor. Increased fall risk. He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. List the nursing care order. The bed arrives tomorrow. Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Biopsies were sent to determine the treatment. Assess for bowel sounds 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. Due to this, the provider would like him to stay in the hospital for observation. Senario 4 Reassure patient of options He states, "This is not serious." Self-Care Deficit True Acute pain: True Neuro WNL, except leg pain upon movement. He is restless with slight confusion but is easily orientated with attempts from nurse. 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. The surgeon has just visited with Mr. Greer 2-days post op and has informed him that the lymph node biopsies have confirmed that the cancer has metastasized, and he will need further treatment. The patient is asking you where her son is, the last place she saw him was right before the explosion. Psychological Needs Increased acuity Wash and glove hands Love and belonging Ms. Cumble states that she has not had a BM for three days. 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.
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