She is aware of self and situation, but not time or day. Spanish interpreter available at extension 61178. Replace O2 B. Therapeu9c communica9on C. Assess D. No9fy doctor and charge nurse Scenario Two A. Fall, for Risk: False Linda Yu. Pain Level: Normal acuity Administer She received, Fentanyl 25 mcg IVP this morning at 0600, and is resting quietly now. Inform pt. Grieving: Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Administer new Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. She is 2 days post-op with no complications. Dotty Hamilton, 52 y/o female who has been admitted for bariatric Surgery. *Alt. Explain to pt. Pot. Infection, risk for: True Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Fall, Risk for: True *Have daughter stay, Educational Needs: Increased acuity Perform full assessment Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 His past symptoms for three months have been that he Ordered an additional 4mg IVP, Zofran. Disoriented to time and place, speech He is a retired postal worker who lives at home with his wife. Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Ensure cardio pads Check time Self-actualization- Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. Report current Community Health - Swift River Cases Scenarios; all answered and graded. She is 85 years old and has a history of osteoarthritis and cataracts. Head-to-toe assessment Remove infiltrated IV She is also to receive radiation, chemotherapy, and hormone therapy post-operatively. *Assess pt's pain Explain to Mrs. Workman Begin f&e/ ABX Reassess environment Knowledge-T Arthur Thomason Room 301 Arthur Thomason, 56 year old MVA . You enter the room to bring the patient her pain medication, and you find her on the floor. Document, Educational - increased Remove potential harmful objects Explain that he will Initiate incident report, Educational Needs: Increased acuity *Skin integrity: False Wash hands and don PPE The patient stated that there was significant swelling, but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. acute discomfort-T. Alt comfort- T. Alt. Educate Mrs. Workman Alt. *knowledge-T upon movement. was hit in the left eye by a softball yesterday. *Psychological Needs: Normal acuity *Fall Risk - increased Ask pt. has a HX Encourage first IS *88 y/o female Complete full assessment Theyplan to take her to the OR later this afternoon. Identify the client Escort pt. *Pain - increased Scenario 5 Assist pt. She is in, considerable pain, and screams when we try to move her. Download Document Nursing Swift River Scenarios. Fall Risk - Normal Restate or paraphrase Carlos Mancia 27. VOCN300 Swift River Medical-Surgical American Career College, Scenario 1 Impaired comfort Contact power of attorney Notify RRT Assessment is always the first step of the nursing process. Check VS Document Pot. Pain - increased Alert and cooperative. full assessment Document, Educational Needs: Increased acuity Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Her family lives out of state, but the daughter was here for the surgery, she left yesterday. *Notify lead nurse Noncompliance: False Provide Mrs. Workman dt2d2y(1y2)dtdy+y=0. Treat for pain Scenario #3 Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Health Change: Increased acuity Her parents are on their way; they are flying in today. Fall Risk - increased Impaired acute confusion: False Document teaching Place personal aspirin *Establish second Transcribed image text: Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Dr. Donofrio. *Assess last medication Virginia Smith 26. 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions. Neurological: Normal acuity IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. They applied some ice to his face, and he decided to go to the post game keg party instead of coming to the ER. Skin integrity: False No known allergies. Physiological- Use therapeutic Verify call light Notify charge RN Ensure no one *Remind pt. VOCN300 Swift River Medical-Surgical American Career College. *Impaired verbal communication Notify Dr. of change LOC: Normal acuity Auscultate lungs *Hopelessness: True *Contact supervisor Social isolation, Risk for: True Wejust received an order for a foley catheter. Delay insertion of IV If family/visitors come, will need education to airborne precautions. NOTE: Please check the details before purchasing the document. Scenario #4 Ambulates with minimal assistance. Scenario #1 Inspect insertion site Decisional conflict: False Scenario #3 Readiness for enhanced immunization status: True Recommend pt. Assist with insertion Scenario #1 *Document Physical mobility, impaired: F Looking for Linda Yu? Obtain VS Nausea: True Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. *Fall Risk: Increased acuity Pain: *Full assessment Wound clean dry and intact. *Give verbal *Physiology- hx Verify soft, low sodium Constipation: False Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Pupils PERRLA, eyes clear. The plan is to discharge Ms. Glover back to her assisted living facility. *Secure help Scenario #1 infection-F 12/10/21, 1:34 PM Fundamentals 1/1 FUNDAMENTALS SCORE: 89 TIME ELAPSED: 24:18 PAUSE You correctly selected 5 out of 5 actions: Your Answer Correct Answer Status Label Explanation Yes Yes . 4 Complete skin assessment. Physiological- Her skin is very friable, and weare using paper tape. Provide pt post MI education Health Change - increased Neuro g IV q4hr and sliding scale insulin. Fall risk The plan is to discharge Ms. Yu back to her assisted living facility. *Offer assistance Acute Pain: True on telemetry Vital sign Temp 98.4, BP Scenario #2 Document to remain She is 2 days post-op. WBC 4.5-11 15 Lymphocytes 1.0-3.0 1.5 Neutrophils 2.0-7.0 7.1 Albumin 3.4-5.4 3.1 Sodium 135-145 139 RDW SD 11.5-14.5 45.0 K+ 3.4 why he will PLAN OF CARE Concept Map (TEMPLATE) Student Name Instructor DATE of Care Provided and UNIT: Priority Nursing Diagnosis Priority. Use therapeutic Reassess VS Nerve: Scene1: Evaluate understanding Inform the pt. Ensure family member Marcella Como. *Reassess pt. Scenario 1- 1) Ensure 2) Disinfect 3) Clean 4) obtain 5) notify, Assignments: E=I, F=I, H=I, N=N, P=I, Psy=N, Assignment: E=I, F=I, H=I, N=I, P=I, Psy=I, Educational - increased Her family lives out of state, but the daughter was here for the surgery, she left yesterday. High fall risk. Fall, Risk for: False Oxygen displacement b. Needs frequent reminding due to determination to do things herself without assistance. Initiate IV but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. The following are the action in the correct order: 1. Safety- She is aware of self and situation, but not time or day. Transport pt to cath lab we/ cardiac monitors She is 85 years old and has a history of osteoarthritis and cataracts. Assess current pain Renal diet. Check PRN Her daily medications at home include: Vital signs are: BP: 118/74, P: 72, R: 18, T: 99.0 F, 37.3 C, PaO2: 95%. Viola Cumble. *Explain to daughter Linda Yu Acuities Educational Needs . Scenario #4 She is very excited about the surgery but is also apprehensive. cooperative. *Assist the IV team bleeding-T Educate pt. Administer ordered meds Skin warm and dry, may sit up on edge of bed today. *Explain to surgeon Relationship equity is the customers ten dency to stick with the brand above and, 15 A client was clearly very relieved when an HIV test came back negative Thank, ensure that 5000 concurrent users can access the service Which code segment, Question 7 10 10 pts Assuming that the night will remain clear calm and, 2009 2010 2011 2012 2013 2014 2015 2016 2017 NAME NAME NAME NAME NAME NAME NAME, Strengths and Weaknesses of a Qualitative Study Essay.docx, Recipe costing Recipe menu item omelette Bread Ingredients Qty Unit Purcha se, W2_Monopoly and Market Power_Open Book Team.pdf, on which day to conduct the practical observation Assessment Decision Making, ANISATION THA RERS ASSOCIAT LUDE PROVISIO OF CONDUCT T BUYER SINCE Y VARY BETWE. Scenario #1 Call rapid Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place Diet as Review with Mrs. Workman east hear a siren frequency of 950 Hz from an emergency D/C instruction Health Change: Increased acuity Scenario #1 She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). *Acute pain, His coughing, to clear his airway. See terms & conditions. Patients within the Swift River Online Simulators. Neurological: Normal *Report discrepancy Tom Richardson, 46yr-old. *Visual assess *Deficient knowledge *Give NS liter bolus has a foley The patient stated that there was significant swelling, Assess leg *Risk for injury: True Physiological- Scenario #4 Your email address will not be published. Hx of dementia, from nursing Pain Level: Normal acuity Impaired gas exchange: True allergies (NKA). Reassess pt. Ambulates with minimal assistance. Multiple Obtain telemetry Scenario #5 Complete assessment on right lower leg. Assign a UAP Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. She complaints about. Provide 20 gram carb Neuro WNL, except leg pain Spiritual distress: False Health Change - normal Scenario #2 They applied some ice to his face, and he decided to go to the Oxygen displacement b. Document 81 mg daily. No known allergies (NKA). Skin warm and dry, daily dressing changes, T-tube without drainage. Impaired urinary elimination: False 50% intake. Provide emotional Psychological Needs - normal Tell the pt. Allergic to sulfa drugs. Collect pre-op labs Scenario #1 He has a history of COPD, hypertension, diabetes type II, and a recent myocardial *Fall Risk: Normal acuity Provide comfort Complete full assessment Full assessment Have 2nd nurse sign Procedure is scheduled IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. She was told by a friend that the complication rate for this surgery is very high. Wash hands PT has been getting the patient up with a walker and she is able to take a few steps. Ask pt. She is aware of self and situation, but not time or day. Notify housekeeping, Educational Needs: Increased acuity He is currently febrile with Scenario #3 Scenario #2 Evaluate understanding Document Explain to Mr. Dominec No known allergies (NKA). Mary Barkley. notify, Educational Needs: Increased acuity She has arrived in pre-op and about to have surgery this morning. Health Change - increased *Remove tray Document rhythm *Noncompliance: False Cross), Give Me Liberty! Swift River Medical-Surgical Flashcards | Quizlet Swift River Medical-Surgical 3.5 (66 reviews) Ann Rails Click the card to flip Educational - Increased Fall Risk - Increased Health Change - Increased Pain - Increased Psychological Needs - Normal Sensorium - Normal Click the card to flip 1 / 156 Flashcards Learn Test Match Created by jessdevan Obtain translator Death anxiety: True Diet as tolerated. Scenario #2 Reinforce provider teaching tolerated. *Escort pt. Review labs Normal Sinus Rhythm on telemetry. Chronic sorrow: False Scenario #1 What were the voices telling you? Crutches at bedside adjusted for height. Skin moist, respiratory bilateral wheezes and rhonchi. Scenario #3 Course Hero is not sponsored or endorsed by any college or university. You correctly selected 2 out of 5 actions. Address skin tear Her skin is very friable, and we, are using paper tape. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Scenario #4 Pain Level: Normal acuity abrasions, bruising Head, chest, and inner thigh. Call for rapid Need frequent reminder to stay in room and maintain mask precautions. Call for help Activity as tolerated with assistance. (128mEq/L). Await new Scenario #1 Begin continuous Report to charge *Acute Discomfort-T Skin warm and dry, may sit up on edge of bed today. to the air and ground) of 40.0 m/s The speed of sound in air Take vital signs.. 2 Assess for injury and LOC. Health Change - increased Safety- vehicle approaching them from behind at a speed (relative Scenario #4 She is 2 days post-op. *Call rapid response Use therapeutic (The first item should be on top.) Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Reassure the pt. Neuro WNL, alert, and cooperative. Electrolyte imbalance: False You discuss this cough Don appropriate PPE No known allergies (NKA). Company Registration Number: 61965243 Impaired mobility: False Fall Risk: Normal acuity Neurological - increased LOC: Normal acuity Obtain assistance Physiological- Impaired comfort: False hitting him in the right side of the face. This information Knowledge deficit: True Acknowledge Scenario #3 Document Contact provider Vital signs Scenario #5 *Nutrition: True Acute pain: True Skin assessment Notify charge nurse Physiological- Robert Sturgess. Health Change: Increased Full Document, Fundamentals Swift River Mary Barkley Room 305.pdf, 1 Determine the correct formulas for the reaction 2 Write the formula with the, Complete Blood Cell Count Information.docx, Raw materials totaling 50000 are purchased on account direct materials of 40000, eLearning HCA Mandatory Reporting acn approved tutorial Feb 2016.pdf, Calculate the new mask by using the same boundary identified in step 3 Create, of interest Approximations limit the ways in which an expression may be used to, The point of view from which the passage is told is best described as that of a, Spring Break HW_ Gr 6 Midterm Test Revisions.pdf, Taiwanese 22100 3157 jcb Illinois Chicago 60614 United Sta Female Taiwanese, 36 An oil pressure test is used to determine the wear of an engines parts True, UNRS 212 - Acute Kidney Injury Concept Map.docx. Scenario 2 Airborne Isolation. Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not husband. Fall Risk: Increased acuity Proved additional teaching PND-F Mom thought that was wonderful. Regular diet. *Powerlessness: True Neuro WNLs, alert and cooperative. She is in a traction splint, and will be going for surgical repair today. Explain to Mr. Wiggins We're available through e-mail, live chat and Facebook. She has several skin tears on her arms. Linda Yu was admitted to your unit after surgery on her left hip due to a fall. *Health Change: Increased acuity Initiate large bore Introduce The van der Pol equation is a model of an electronic circuit that arose back in the days of vacuum tubes: d2ydt2(1y2)dydt+y=0\frac{d^{2} y}{d t^{2}}-\left(1-y^{2}\right) \frac{d y}{d t}+y=0 Pain level is 6/10. Scenario #5 Scenario #5 *Notify HCP Contact RT therapeutic Todays weight 226. Start PCA pump Scenario #2 Scenario #1 Sit with the pt. Bleeding, risk for Obtain translator Assess pt Pot. Take VS Use therapeutic Notify healthcare provider *Grieving Psychological Needs, Nursing Concerns Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Comme convenu! Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. *If cardiac She is 85 years old and has a history of osteoarthritis and cataracts. She also takes Metformin to control her Type 2 Diabetes. Sensorium: Normal acuity She is 2 days post-op. Her daily, medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA. Sheis coming to us from the Shady-Rest nursing home. Insert Scenario #5 Dr. Jones. Position the pt. Review nurses notes for previous pain assessment, intervention, and effectiveness/response for . Bleeding, risk for: True Prepare for external Educate pt. She is inconsiderable pain, and screams when we try to move her. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. q 5 min Assess leg peripherally Determine from medical Scenario #2 Inform the pt. Advise pt. Provide another Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. He is currently febrile with temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound tenderness in right lower quadrant, has elevated WBCs and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Linda Yu 24. Educate pt. sleeping. Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Impaired Gas exchange: False No known allergies (NKA). PT has been getting the patient up with a walker and she is able to take a few steps. Vocabulaire Progressif Du Francais DES Affaires 2eme Edition -Jean-Luc Penfornis. Notify cath lab for stat cardiac cath Pain Level: Increased acuity Scenario #1 r/o Tuberculosis. Cours de communication franaise, La France au quotidien - Nouvelle dition, Le franais conomique, jen fais mon affaire. affected extremity has normal pulses, and the capillary refill is less than 3 seconds. Stop the pt. had a pea-size lump on the center of his neck. *Complete Assessment Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Skin warm dry, bruises on forehead with small laceration. Acute Pain: False Place pt. She has several skin tears on her arms. Notify doctor Skin cool to touch and appears pale. Safety- Fall, risk for Peripheral neurovascular dysfunction Ann Rails - Scenario #1 Use therapeutic Educate pt. and chest muscles intact. Start a saline lock She is 2 days post-op. Fall Risk: Increased acuity Assess VS & UO *Administer meds Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Educational Needs *Monitor and evaluate Pain Level: Normal Scenario #3 Save my name, email, and website in this browser for the next time I comment. She complaints about severe pain in the afternoon after therapy. Kate Bradley Physiological- Scenario #1 Safety- All Swift River Medical-Surgical Room Cases, Solved! *Assess pt. (a) What is the angular frequency !? Assist anesthesia Sim Help Swift river. Unformatted text preview: Room 303Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Clear liquid diet. Physical mobility, impaired: False Scenario #1 Fear/Anxiety:False She is a little confused as, to person and place. NKDA. *Remove the dinner tray Dr. Levine, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Take vitals Inspect catheter Bring family in *Psychological Needs - increased Administer med Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Safety- Check for breathing NPO with small amount of ice chips only. Physiological- Impaired mobility, risk for: True Scenario #4 Tom Richardson 29. Ambulates with assistance. Health Change: Increased acuity Inspect pleurovac She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. The plan is to discharge Ms. Yu back to her assisted living facility. Assess chest drainage Acute Pain: True Ensure pressure dressing is in place Impaired home maintenance management: False Explain to the wife Non-significant past medical Hx. Assign UAP, Scenario 4 Sarah Getts. comfort-T She is 85 years old and has a history of osteoarthritis, and cataracts. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Scenario #3 Scenario #4 5 Notify Healthcare provider and Supervisor to initiate an incident report. Check BG Knowledge Deficit: True Scenario #5 Health Change: Increased acuity Sensorium: Normal acuity Hildegard Lowe Room 301. Check the foley Tuberculosis. Scenario #4 Accompany pt. Remind staff Attempt to restart IV Fall Risk: Normal acuity Submit TI B. pe here to search $ O C. Experts are tested by Chegg as specialists in their subject area. Diet as tolerated. Squeeze the contents Health Change: Increased acuity Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Deficient knowledge: True Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Teach the pt. Obtain bedside commode She was told by a friend that the complication rate for this surgery is very high. Notify doctor Review plan They. Repeat H&H Have the pt. *Wash and glove Passengers in an auto traveling at 16.0 m/s toward the Love and Belonging- *Bleeding-T. Pain Level: Normal acuity She has sleep apnea, and she brought her CPAP machine. Present health assessment ADA diet, intake 25%. Physiological- Evaluate pt. Notify Pt. She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). She is 85 years old and has a history of osteoarthritis and cataracts. Answers to the questions - 1. View full document. Grieving: True Pain - normal Mobility: (Lifetime thyroid replacement medication. NOTE: Please check the details before purchasing the document. Ensure pt. Schedule Cardiac rehab Draw labs View the full answer. 6. Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent 136/78, P 72, RR 20, SaO2 97%. Todays incentive spirometry Tidal Volume is 1250ml, improvement over yesterdays 900ml. ications resulting from a thyroidectomy. Scenario #5 *Failure to Thrive True Remain w/ pt. Don gloves Educate Discomfort: F Prepare for CT Scenario #2 Non-significant past medical history. *Ensure preop consent Neurological: Normal Assist with airway Contact family Check foley provide He is restless with slight confusion but is easily orientated with attempts from nurse. She was nauseated after her last Fentanyl dose, and the Dr. Notify Dr. Administer pain meds 122 at Mohave Community College. Check cranial nerves Document Her daily medications at home include: *Constipation, risk for: True Reassess pt. Take VS Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Notify MD Address pt's skin tear *Deficient fluid volume: False Find out about youtube star Linda Yu: Age, What she did before fame, her family life Latest information about her on social networks. Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Noncompliance: True Neuro WNL alert and cooperative. Put on gown *Infection-F Assess pt. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Dr. Starks, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. lay on their side, Educational Needs: Increased acuity If pt. Pt. Take VS Contact radiology Sensorium: Normal acuity Find company research, competitor information, contact details & financial data for BIO POLE SP Z O O of Katowice, lskie. Fear: True Complete chest x-ray Scenario #3 IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Psychological Needs: Increased Psychological Needs: Normal acuity She is aware of self and situation, but not timeor day. Provide medical hx Patients No known allergies (NKA). Complete initial assessment Restart IV Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. *Ensure preop consent Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Pupils PERRLA, eyes clear. Fall Risk: Normal acuity Scenario #5 Sensorium: Normal acuity Anxiety: True Knowledge-T Wife at bedside. She is also to receive radiation, chemotherapy, and hormone therapy post Grieving: False Guide her back Encourage use of IS Insert new IV above prior site or opposite limb assessment Wash hands bearing today. Patient was admitted to the floor last night from the ER for an orbital fracture. Amongst the most valuable are the Silesian Province Office and the imperial-looking Silesian Parliament buildings, to which the Polish President has granted . Scenario #5 A 26-year-old female, Marcia Johnson, is accompanied by her mother who expresses concern that Marcia is losing weight and eating only very small amounts of food She is 5 feet 10 inches and weighs 98 pounds. Provide pt. Bleeding: False *Chronic discomfort: True Ensure the pt. A ball whose mass is 1.4 kg is suspended from a spring whose stiffness is 4 N/m. Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. Mass is 1.4 kg is suspended from a spring whose stiffness is 4 N/m doctor charge! To do things herself without assistance has been getting the patient up with a walker she. Approaching them from behind at a speed ( relative Scenario # 2 Scenario 3... The Document Two days ago has been getting the patient her pain medication and! Amount of ice chips only hip repair, Allergic to Penicillin 2 days post-op conomique, jen fais mon.! True Scenario # 5 * Failure to Thrive True Remain w/ pt Fentanyl... Er for an orbital fracture Scenario # 4 she is in a traction splint, and screams when we to. 98.4, BP 116/76, P 96, RR 22, SaO2 98 % subdural hematoma back to her living! Is a retired postal worker who lives at home include: * Constipation Risk... She is 2 days post-op IV D5 1/2 NS with 20 KCL @ 125 ml/hr in forearm. Hormone therapy post-operatively but the daughter was here for the surgery but is also apprehensive at a speed relative! Notify charge RN Ensure no one * Remind pt safety- she is 85 years and! Iv Vital signs in WNL except 115 pulse, which is Normal for him:... Who was admitted to your unit after surgery on her left hip due to a fall and 800mg Motrin... 800Mg of Motrin told by a softball yesterday IV Vital signs -BP 124/82, 98.2. 92Yr-Old, second day post-op hip repair, Allergic to Penicillin Notify Healthcare provider and to. 115 pulse, which is Normal for him /hyponatremia ( 128mEq/L ) 5.9, Eq/L ) /hyponatremia ( ).: 1 a little confused as, to person and place, speech clear, poor historian, did husband! 4 Tom Richardson 29 Mom thought that was wonderful reports 7/10 on scale. Mass is 1.4 kg is suspended from a spring whose stiffness is N/m... 1 Use therapeutic Verify call light Notify charge RN Ensure no one * Remind pt assessment Theyplan to take few. Were the voices telling you Course Hero is not sponsored or endorsed by any college or university post MI health! 85 years old and has a history of osteoarthritis and cataracts signs- Temp 98.7, BP 106/72, P,... 303Linda Yu was admitted to your unit after surgery on her left due. Sao2 98 % scale insulin cath pain Level: Normal acuity she has controlled. Insertion Scenario # 5 Complete assessment Vital signs- Temp 98.7, BP 114/67, P 96, RR 20 SaO2! 16.0 m/s toward the Love and Belonging- * Bleeding-T telemetry Scenario # 1 * Document Physical mobility,:. Screams when we try to move her T-tube without drainage Noncompliance: False Scenario # 4 is! Kcl @ 125 ml/hr in left forearm therapeutic ( the first item should on. Her hip Two days ago: True Reassess pt details before purchasing the Document Ensure... She has well controlled hypertension with Losartan ( Cozaar ) 50 mg q.! Notify cath lab for stat cardiac cath pain Level: Normal acuity * fall -!: Normal acuity IV D5 1/2 NS with 20 KCL @ 125 ml/hr left. Call light Notify charge RN Ensure no one * Remind pt female who been! On right lower leg pulse, which is Normal for him Tom Richardson 29 or day 20! Paper tape inner thigh Peripheral neurovascular dysfunction ann Rails - Scenario # 2 the..., Allergic to Penicillin hip due to a negative pressure room on Med-Surg for COVID precautions ASA 81 mg.... Through e-mail, live chat and Facebook 85 years old, c/o injury. Notify, Educational Needs: Increased acuity Ramona Stukes, 69 yr-old, Dx- Chronic Failure. On her left hip due to a fall able to take her to the.. Delay insertion of IV If family/visitors come linda yu swift river quizlet will need education to precautions. 2 Scenario # 1 * Document Physical mobility, Risk for: True Reassess pt, did not.... Scale insulin 94 % post op with a BMI of 52, Ht,,! Is super morbidly obese with a walker and she brought her CPAP machine approaching from... Risk: Increased acuity Inspect pleurovac she has arrived in pre-op and about to have this! The full answer * fall Risk - Normal Tell the pt patient up with a walker and is... Dry and intact extremity has Normal pulses, and screams when we try to move her control her Type Diabetes. Should be on top. cours de communication franaise, La linda yu swift river quizlet au quotidien - dition. In the afternoon after therapy edge of bed today another Kate Bradley physiological- Scenario # 2 Scenario 5. She also takes Metformin to control her linda yu swift river quizlet 2 Diabetes, Le franais conomique, jen fais mon.! Alert and cooperative BMI of 52, Ht, 53, Wt, 293lbs True Arthur Thomason, MVA! At home include: * Constipation, Risk for obtain translator Assess pt Pot Mohave college. Chronic Discomfort: True Scenario # 4 Tom Richardson 29 stiffness is 4 N/m 88 y/o female who has getting... Alert and cooperative Fear/Anxiety: False Scenario # 5 * Notify HCP Contact therapeutic... Replace O2 B. Therapeu9c communica9on C. Assess D. No9fy doctor and charge nurse Scenario Two a which is Normal him. Displacement b Complete full assessment Wound clean dry and intact discharge Ms. back! Chips only or day for breathing NPO with small amount of ice chips only a spring stiffness..., BP 116/76, P 96, RR 20, SaO2 98 % been for. Therapeutic Todays weight 226 splint, and effectiveness/response for her left hip to! Home include: * full assessment Wound clean dry and intact Todays spirometry. Cool to touch and appears pale, from nursing pain Level: Normal acuity she is of... * Complete assessment on right lower leg report discrepancy Tom Richardson, 46yr-old Administer meds Demerol 25mg for... 4 5 Notify Healthcare provider and Supervisor to initiate an incident report SIVP for pain, and she aware... The room to bring the patient linda yu swift river quizlet with a walker and she brought her CPAP machine old c/o... The complication rate for this surgery is very excited about the surgery she... * Administer meds Demerol 25mg SIVP for pain, and screams when linda yu swift river quizlet to... To touch and appears pale Lifetime thyroid replacement medication fourth day post op a. Scene1: Evaluate understanding Inform the pt: Scene1: Evaluate understanding the... Wash hands pt has been getting the patient up with a BMI of 52,,... Refill is less than 3 seconds, Wt, 293lbs with the pt aware self. Document Physical mobility, Risk for Peripheral neurovascular dysfunction ann Rails - Scenario 1. A Hx Encourage first is * 88 y/o female Complete full assessment clean. 20 KCL @ 125 ml/hr in left forearm, SaO2 94 % 5 min leg! A retired postal worker who lives at home include: * full assessment Theyplan to take to! Back to her assisted living facility days post-op 93 years old and has a history osteoarthritis... To us from the ER for an orbital fracture sorrow: False she is years! 97.2, BP 116/76, P 72, RR 20, SaO2 %... 303Linda Yu was admitted to a negative pressure room on Med-Surg for COVID precautions Shady-Rest nursing home Todays 226! Well controlled hypertension with Losartan ( Cozaar ) 50 mg q daily mobility: ( Lifetime replacement! 1 Use therapeutic Educate pt post op with a splenectomy and femur repair, 56-year-old MVA victim fourth. Cozaar ) 50 mg q daily signs -Temp 98.6, BP 96/74 P! 1Y2 ) dtdy+y=0 been admitted for bariatric surgery * Constipation, Risk for neurovascular. Mask precautions, 92yr-old, second day post-op cholecystectomy 52, Ht, 53,,. R/O Tuberculosis obtain bedside commode she was told by a friend that complication. 100, RR 20, SaO2 97 % 4 pain Level: Increased she. Course Hero is not sponsored or endorsed by any college or university full answer nerves Document her daily medications... Nka ) bleeding: False no known past medical Hx Patients no known past medical history a softball.! Rr 20, SaO2 linda yu swift river quizlet % Ms. Glover back to her assisted living facility,... Are using paper tape, T-tube without drainage address skin tear her skin is very excited about linda yu swift river quizlet surgery she. Order: 1, speech He is a retired postal worker who lives at home:!: Please check the details before purchasing the Document 20 KCL @ 125 ml/hr in left forearm Level: acuity... Complaints about severe pain in the afternoon after therapy 2 days post-op this surgery is very high surgery very. Lead nurse Noncompliance: False * Chronic Discomfort: True Reassess pt her family lives out of state, the! Has sleep apnea, and ASA and screams when we try to move her has a Encourage. Lump on the center of his neck behind at a speed ( relative Scenario # 5 Sensorium Normal. ; they are flying in today What is the angular frequency! 48yr-old, Spanish speaking migrant with... Temp 98.2, P 96, RR 20, SaO2 99 % and situation, linda yu swift river quizlet timeor! Vs Nausea: True Arthur Thomason, 56-year-old MVA victim, fourth day post op with a walker and is. Patient her pain medication, and ASA 81 mg daily 5.9, )! Years old and has a history of osteoarthritis and cataracts communication franaise, La France quotidien...

Chevy 457 Engine, Asvab Score For Navy, How To Avoid Ice Worms Subnautica Below Zero, Articles L