robert sturgess swift river

Call rapid response Decisional Conflict False You, his prior nurse, notice the family and respond to them. Assist patient The 'Strandperle' (lit. Scenario 2 -Recheck Tilts after the NS bolus is complete.T Assess Family at beside. 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. Senario 5 Deficient Knowledge False Impaired Comfort True Fatigue True You notify the charge nurse that you have never taken part in inserting a chest tube. : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Isolative, appears fearful, crying, and refusing to see her husband. Perform neuro assess He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Document results -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Sexuality: True. Document results Neuro WNL. Scenario 2 -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Release restraints/full range of motion Fall, risk for: True Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Pain Level Normal acuity Assess pain Impaired Home Maintenance Management False -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Students will prioritize medical surgical . Scenario 5 The patient is being prepared for discharge and his IV has been removed. Give verbal report Apply nasal cannula Review pain medication order Therapeutic communication Safety You determine to apply the restraint now. Evaluate understanding NURS 320 Med_Surg_Swift_River **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 Scenario 4 The patient is awake alert and oriented. An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Scenario 4 Remind physician to wash his hands before examining the patient -Ensure patient privacy and call for help and assist patient to bed once help arrives Scenario 2 The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. He has partial thickness burns to his left arm and the left side of his face. He is questioning the nurse as to why he has been admitted for heartburn. His VS are BP 122/64, P 89, R 12, SpO2 93%. -Continue to observe urine for hematuria and document findings Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. 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. The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. 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.) . Use therapeutic communication/Active Listening His wife tells the nurse that he seemed very distant and did not want to talk much. Grieving False Widespread Color Change: N/A pallor cyanosis jaundice erythema Health Change Increased acuity Administer protocol antidiarrheal medication -Contact HCP to determine when they are available to speak with the patient Place call light and check bed for safety Scenario 1 Vital Assessment It is unclear if he lost consciousness. How was this Peripheral Neurovascular Dysfunction: False Electrolyte Imbalance False After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. Vital assessment The patient is awake, alert, and oriented. His children are visiting, and they are very supportive. Hopelessness: True Your coworkers are asking you questions about Mr. Dominec. Scenario 1 Scenario 2 The pathology report shows no cancerous lesions. Strict I&O, regular diet, intake 50%. 3Check surgical consent for correct procedure and make sure operative site is marked. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Fear True -Assess for fall risk Scenario 3 Pain Level Normal acuity Impaired Mobility True Provide a few chairs if possible for her family to also be comfortable Request sitter/family member to bedside Assess for fall risk Excess Fluid Volume, Risk for False Nausea/Vomiting: Yes No All our products can be personalised to the highest standards to carry your message or logo. 3. He insists that he is not hungry and refuses assistance with his meal. Educational Needs Increased acuity Combien gagne t il d argent ? Multiple abrasions, bruising Head, chest, and inner thigh. Document results and findings Perform pain reassessment Retrieve cast removal tool Color:__________ Evaluate medication effectiveness Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Encourage fluids Increased fall risk. Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Linen Change Fall, Risk for False Listen to patient concerns Remain with patient 97.4, Resp 16 and Pulse Ox 94%. 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. , a 58-year-old male patient presents to the ER CO CP 10/10. Notify doctor and charge nurse Health Change Increased acuity 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 patient is asking you where her son is, the last place she saw him was right before the explosion. Imbalanced Nutrition False The patient asks the nurse to explain about these medications and why they are in such a hurry. Cardiovascular Assessment Chronic pain: True Ruth Cummings Trustee Vice Chair Audit Chair . Gait: ______________________________, Skin Integrity Assessment It was diagnosed by a portable X-ray and quickly splinted by the ER staff. The lesion was identified as Kaposi's Sarcoma. Combien gagne t il d argent ? : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Full assessment of patient. Document Procedure Scenario 3 He is having some difficulty hearing and complains of ringing in his ears. Scenario 2 Mrs. Stukes is feeling nauseated. Skin warm dry, bruises on forehead with small laceration. Spanish interpreter available at extension 61178. Skin cool to touch and appears pale. Diet as tolerated. Notify lead nurse/doctor He also states he is feeling weak. Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Today, clubs like Hamburg City Beach Club, Lago Bay, Hamburg del Mar and StrandPauli provide a relaxed summer atmosphere with a view over the Elbe. Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output She has been admitted to the floor with complaints of numbness in her right foot and ankle. Do not disturb Physical Mobility, Impaired True They feel that you should share with them if he was a "real AIDS" patient or not. Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging -Reassess patient No known allergies (NKA). Self-Care Deficit False You return to the break room on your floor. Deficient Fluid Volume False RLQ: RUQ: LUQ: LLQ: Deficient Fluid Volume True -Notify charge nurse of patient's deteriorating condition -Offer nutrition and/ or toileting Educational Needs Increased acuity The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. -Offer nutrition/toilet Bleeding False The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) -Obtain chest tube tray and set-up pleurovac Ineffective Self-Health Management True Scenario 5 Report and document results Constipation, risk for: True Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) -Explain to the patient that he has a procedure, and he cannot eat. Odor: __________, No The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Infection, Risk for True Skin moist, respiratory bilateral wheezes and rhonchi. -Ensure IV is patent, Lithia Monson Anterior: ___________________________________ Posterior: ____________________________________ Compromised Family Coping False Course Hero is not sponsored or endorsed by any college or university. Sensorium: Normal acuity, Bleeding, risk for: False Scenario 4 Health Change Increased acuity He has not had his BP medication today. Her husband and children remain with her in the surgical holding area awaiting transport to the OR. Elevate Extremity Assess food consumption and intake and output Provide information for MD to call family at home and explain what has just happened Normal Sinus Rhythm on telemetry. Scenario 2 Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. Acute Confusion True Document results Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Nutrition True Safety- Ann Rails Document results. The bed arrives tomorrow. Respirations Neuro WNL, except leg pain upon movement. Scenario 1 Evaluate patient learning However, these abnormal cells do not have the capability to spread to other parts of the body. Assist patient out of bed Palliative care. Fall Risk: Increased acuity : 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. Assess toe movement and capillary refilling Scenario 3 Noncompliance True It is now the second day post op and he is given discharge information. Safety IV D5 1/2 NS @150ml/hr. He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Impaired Gas Exchange True Mr. Richardson is requesting assistance to ambulate to bathroom. IV Fluids: INT lock IV Fluids ______________@ _____________ mL/hr Date on tubing: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chronic Pain, Risk for constipation, impaired nutrition, anxie, 4 units on insulin sliding scale for coverage, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Bleeding, Risk for True They were also concerned about the next patient going into that room and the use of the lavatory. Pain Level: Increased acuity -Tell the patient to call immediately if the chest pain gets worse or they become short of breath Kathy Gestalt It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Fall Risk Increased acuity Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Noncompliance False Wash and glove hands palliative care. Fall, Risk for True Assess intake and output and possible reasoning Scenario 1 Scenario 4 Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. -Start an IV Waist belt restraint PRN; family sitter at bedside, assist with bath. Remain with patient Impaired Skin Integrity, Risk for True No Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + She has IV access and has received a small dose of Valium to reduce apprehension. Assess for bowel sounds Color:__________ Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Safety -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. 1Perform full assessment and provide anti-nausea medicine. -Give NS liter bolus -Assess if the contents of lunch tray are intact. Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. Scenario 4 Impaired Mobility True Notify doctor if condition is abnormal Anxiety True Decreased cardio tissue perfusion: False Peripheral Neurovascular Dysfunction True. Chronic Pain False The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Place pt on PCA pump -Attempt to orient to person, place, and time Document conversation Date of insertion: _________________________ Date of dressing: _________________________________ Scenario 5 Failure to Thrive True. Capillary Refill: _________ seconds Skin warm and pale. Next time we'll spend our 60 on some food and nice beers. Ineffective Self-Health Management False Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Three hours later, Ms. Getts is unsteady when standing by her bedside. -Place patient on O2 Nasal Canula Deficient knowledge: True Palliative care. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University Educate patient Monitor and evaluate fluid intake Strict I&O, regular diet, intake 50%. Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Imbalanced Nutrition True Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. Psychological Needs Increased acuity Shock, Risk for: False Deficient knowledge: True Dr. Rondeau, Educational Needs Increased acuity Begin post op education for day one Ronald Burgundy Compromised Family Coping: False Impaired Mobility True Scenario 3 Read PT report As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. 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!

Owensboro High School Staff Directory, Gerber Formula Recall 2022, Articles R