robert sturgess swift river
20ga. High fall risk. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Ms. Rails states that she has not had a bowel movement (BM) in the past two days. ADA diet, intake, 25%. Scenario 3 Electrolyte Imbalance False Educate patient/family Remind physician to wash his hands before examining the patient Widespread Color Change: N/A pallor cyanosis jaundice erythema She is with her physician. Scenario 5 swift river assignment: day swift river assignments dosage minimum score 90 med minimum score 80 minimum score 90 robert sturgess linda yu linda pittmon carlos Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Keiser University Silver Creek High School (Colorado) Disoriented to time and place, speech slurred. Increased fall risk. Normal Sinus Rhythm on telemetry. Impaired Home Maintenance Management False Robert Sturgess Scenarios Swift River.docx - Course Hero Constipation, Risk for True Health Change Increased acuity She has arrived in pre-op and about to have surgery this morning. -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. Health Change Increased acuity Document results. Fall, Risk for True Wound clean dry and intact. Educate patient Combien gagne t il d argent ? Vital re-assessment He has partial thickness burns to his left arm and the left side of his face. Viola Cumble Escort patient to vehicle At Risk, Impaired Comfort False Scenario 4 Evaluate learning Fall, Risk for False Allow family to remain Constipation False The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Obtain vital signs machine Comfort/Pain Assessment His coughing, to clear his airway, appears ineffective. Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Scenario 1 He chooses to go home and see the doctor tomorrow in his office. He also has metal fragments on his left side on his leg arm and torso. Safety He has a history of hypertension and is not compliant with medication. -Provide the patient with the time when HCP will come discuss options with him Document results LUE: Non-pitting Pitting ___+ Check physician orders He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Sexuality: True. When a physician makes an incision into a body cavity just superior to the diaphragm and inferior to the neck, what body cavity will be exposed? Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Pain, Acute True Impaired Skin Integrity, Risk for False Senario 2 Employ therapeutic communication: present reality Waist belt restraint PRN; family sitter at bedside, assist with bath. Scenario 3 Provide verbal report to team members who respond to rapid response He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Seek clarification Blood Glucose 185, 4 units of insulin sliding scale for coverage. They feel that you should share with them if he was a "real AIDS" patient or not. Administer antiemetic medication -Determine when a hospital provided sitter will be necessary The charge nurse tells you to get the Mr. Burgundy to the hallway because six more patients are inbound, and we need to clear out our trauma-bays. Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room. Scenario 3 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Patient and family upset regarding dx. Anxiety False Document results Course Hero is not sponsored or endorsed by any college or university. Swallowing: Intact Dysphagia Aspiration Precautions Fall Risk Increased acuity Paul Greer Ineffective Peripheral Tissue Perfusion False -Reassess patient's physical status prior to leaving him in the hallway #1: _________, No Scenario 5 Scenario 1 She receives the pre-op medication. Impaired Urinary Elimination True Sensorium Normal acuity, Physiological IV Assessment/ N/A Lithia Monson Excess Fluid Volume, Risk for False Imbalanced Nutrition True Scenario 1 Amount: _______ Report this activity immediately to the hospital privacy officer Your responsibilities are: Scenario 1 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. -Ensure the bed is in lowest position, the side rails are up, the call light is in reach, and ask the patient if they need anything before you leave the room Scenario 2 Readiness for Self-Care Enhancement True Family at beside. Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. -Give NS liter bolus Head/Face: Symmetric Asymmetric Drooping SBAR assignment.docx - SBAR(situation, background, - Course Hero You correctly diagnosed 11 out of 16 options. You call his doctor to inform him the family has arrived. Psychological Needs: Increased acuity Psychological Needs Normal acuity Fear True Educational Needs Increased acuity Psychological Needs Increased acuity Non-significant past medical Hx. Senario 2 The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Scenario 4 Physiological- He asks to speak to a clergy member. Spanish interpreter available at extension 61178. Document results Senario 1 Scenario 1 Scenario 2 -Medicate for pain Failure to Thrive True. Medical-Surgical - Swift River Online Learning Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Insert Foley catheter You are about to call the Surgical ICU and give report. Vital sign assessments The patient got dizzy when he stood up from the commode. Imbalanced Nutrition True Safety Senario 2 Scenario 4 Safety The charge nurse asks you to assume the patient's nursing care. Place call light and check bed for safety Impaired home maintenance mgmg r/t client or family: False Scenario 3 Need frequent reminder to stay in room and maintain mask precautions. Vital assessment Review pain medication order If family/visitors come, will need education to airborne precautions. Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Acute Pain True Psychological Needs Increased acuity Provide information for MD to call family at home and explain what has just happened Mrs. Pittmon states she has had numbness for years but "now I can't . Begin post op education for day one Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. and the GI cocktail given in the ER did relieve his CP but not completely. Scenario 1 -Offer nutrition and/ or toileting -Remind patient to call for help is he need to get up and provide patient with a urinal. Document conversation Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Use therapeutic communication/Active Listening Health Change Increased acuity Swift River MedSurg 1.pdf - MED-SURG SCORE: 100 TIME Several hours later, Mr. Duncan is now complaining of nausea. -Call security for assistance and compliance officer Cough: Scenario 2 -Elevate head of bed and place the patient on Pulse oximetry. Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Full assessment You enter room one hour after the physician has left the patient. Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Scenario 4 Administer protocol antidiarrheal medication Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Perform neuro assess He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Notify lead nurse/doctor Color:__________ Blood-tinged mucous, productive cough. Evaluate understanding This will treat any cancer that may have metastasized to the bone. Dr. Brown, Educational Needs Increased acuity IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. 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. Dr. Suculo, Physiological Peripheral Neurovascular Dysfunction False. You determine to apply the restraint now. Notify Physical Therapy (PT) Extends abnormally = 2 Educate caller regarding HIPAA Document results Scenario 4 No Known allergies (NKA). Fatigue True No known allergies (NKA). Perform circulatory evaluation Wash and glove hands Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Assess for bowel sounds Scenario 3 Determine from medical record if partner is aware of his recent AIDS diagnosis. Evaluation patient after consult Sa fortune s lve 2 216,00 euros mensuels Notify lead nurse palliative care. ADA diet, intake 25%. Scenario 2 Inform his partner that everything is being done to keep him comfortable. He does not have an IV nor is he on oxygen. Health Change Increased acuity Educate about recovery from appendectomy and care to wound. Pain and numbness in legs for one week. Glasgow Coma Scale 0-15 Musculoskeletal Evaluate understanding Combien gagne t il d argent ? 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 WBC's and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Scenario 4 Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Senario 4 Re-assess patient 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 known allergies (NKA). 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. In the interim, start an IV and start infusing Ringers Lactate. Pain Level Increased acuity Compromised Family Coping False Educate patient His partner is not with him at this time but will arrive soon to facilitate his discharge home. 50% intake. Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. You explain that he is receiving a higher level of care and was he was sedated before leaving the floor to make him more comfortable. Remind the nursing staff that the patient is NPO. Vital Assessment Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond Swift River Clinical Practice Chamberlain University - Homework Score -Notify charge nurse Scenario 2 He insists that he is not hungry and refuses assistance with his meal. -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Offer nutrition and/ or toileting Vital assessment Scenario 2 The oncologist is recommending Docetaxel as opposed to an orchiectomy. The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump He also complains that his throat is still very sore. Hopelessness False. Ruth Cummings - The Nathan Cummings Foundation Administer antipyretic medication Neuro WNL. Compromised Family Coping: False He is excited and tells the nurse he is starving and glad that he finally gets to eat. Pain Level Increased acuity Medical Surgical Flashcards | Quizlet Check PRN pain order Fatigue True Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! Ineffective Self-Health Management False Robert Sturgess - Swift River - Robert Sturgess Educational needs Love and belonging- Senario 4 To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Educational Needs Increased acuity "I am feeling fine." Intermittent/Continuous Other: Safety When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Replace oxygen nasal cannula that had become disconnected Shock, Risk for False -Complete neuro checks as ordered Linen Change 97.4, Resp 16 and Pulse Ox 94%. When completing the shift change neuro check, you notice the patient's left pupil is sluggish. He also states he is feeling weak. Full assessment Procedure is canceled for the day and rescheduled later allowing for new consent. Suffix For Silver Or Brass Crossword Clue,
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20ga. High fall risk. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Ms. Rails states that she has not had a bowel movement (BM) in the past two days. ADA diet, intake, 25%. Scenario 3 Electrolyte Imbalance False Educate patient/family Remind physician to wash his hands before examining the patient Widespread Color Change: N/A pallor cyanosis jaundice erythema She is with her physician. Scenario 5 swift river assignment: day swift river assignments dosage minimum score 90 med minimum score 80 minimum score 90 robert sturgess linda yu linda pittmon carlos Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Keiser University Silver Creek High School (Colorado) Disoriented to time and place, speech slurred. Increased fall risk. Normal Sinus Rhythm on telemetry. Impaired Home Maintenance Management False Robert Sturgess Scenarios Swift River.docx - Course Hero Constipation, Risk for True Health Change Increased acuity She has arrived in pre-op and about to have surgery this morning. -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. Health Change Increased acuity Document results. Fall, Risk for True Wound clean dry and intact. Educate patient Combien gagne t il d argent ? Vital re-assessment He has partial thickness burns to his left arm and the left side of his face. Viola Cumble Escort patient to vehicle At Risk, Impaired Comfort False Scenario 4 Evaluate learning Fall, Risk for False Allow family to remain Constipation False The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Obtain vital signs machine Comfort/Pain Assessment His coughing, to clear his airway, appears ineffective. Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Scenario 1 He chooses to go home and see the doctor tomorrow in his office. He also has metal fragments on his left side on his leg arm and torso. Safety He has a history of hypertension and is not compliant with medication. -Provide the patient with the time when HCP will come discuss options with him Document results LUE: Non-pitting Pitting ___+ Check physician orders He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Sexuality: True. When a physician makes an incision into a body cavity just superior to the diaphragm and inferior to the neck, what body cavity will be exposed? Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Pain, Acute True Impaired Skin Integrity, Risk for False Senario 2 Employ therapeutic communication: present reality Waist belt restraint PRN; family sitter at bedside, assist with bath. Scenario 3 Provide verbal report to team members who respond to rapid response He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Seek clarification Blood Glucose 185, 4 units of insulin sliding scale for coverage. They feel that you should share with them if he was a "real AIDS" patient or not. Administer antiemetic medication -Determine when a hospital provided sitter will be necessary The charge nurse tells you to get the Mr. Burgundy to the hallway because six more patients are inbound, and we need to clear out our trauma-bays. Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room. Scenario 3 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Patient and family upset regarding dx. Anxiety False Document results Course Hero is not sponsored or endorsed by any college or university. Swallowing: Intact Dysphagia Aspiration Precautions Fall Risk Increased acuity Paul Greer Ineffective Peripheral Tissue Perfusion False -Reassess patient's physical status prior to leaving him in the hallway #1: _________, No Scenario 5 Scenario 1 She receives the pre-op medication. Impaired Urinary Elimination True Sensorium Normal acuity, Physiological IV Assessment/ N/A Lithia Monson Excess Fluid Volume, Risk for False Imbalanced Nutrition True Scenario 1 Amount: _______ Report this activity immediately to the hospital privacy officer Your responsibilities are: Scenario 1 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. -Ensure the bed is in lowest position, the side rails are up, the call light is in reach, and ask the patient if they need anything before you leave the room Scenario 2 Readiness for Self-Care Enhancement True Family at beside. Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. -Give NS liter bolus Head/Face: Symmetric Asymmetric Drooping SBAR assignment.docx - SBAR(situation, background, - Course Hero You correctly diagnosed 11 out of 16 options. You call his doctor to inform him the family has arrived. Psychological Needs: Increased acuity Psychological Needs Normal acuity Fear True Educational Needs Increased acuity Psychological Needs Increased acuity Non-significant past medical Hx. Senario 2 The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Scenario 4 Physiological- He asks to speak to a clergy member. Spanish interpreter available at extension 61178. Document results Senario 1 Scenario 1 Scenario 2 -Medicate for pain Failure to Thrive True. Medical-Surgical - Swift River Online Learning Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Insert Foley catheter You are about to call the Surgical ICU and give report. Vital sign assessments The patient got dizzy when he stood up from the commode. Imbalanced Nutrition True Safety Senario 2 Scenario 4 Safety The charge nurse asks you to assume the patient's nursing care. Place call light and check bed for safety Impaired home maintenance mgmg r/t client or family: False Scenario 3 Need frequent reminder to stay in room and maintain mask precautions. Vital assessment Review pain medication order If family/visitors come, will need education to airborne precautions. Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Acute Pain True Psychological Needs Increased acuity Provide information for MD to call family at home and explain what has just happened Mrs. Pittmon states she has had numbness for years but "now I can't . Begin post op education for day one Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. and the GI cocktail given in the ER did relieve his CP but not completely. Scenario 1 -Offer nutrition and/ or toileting -Remind patient to call for help is he need to get up and provide patient with a urinal. Document conversation Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Use therapeutic communication/Active Listening Health Change Increased acuity Swift River MedSurg 1.pdf - MED-SURG SCORE: 100 TIME Several hours later, Mr. Duncan is now complaining of nausea. -Call security for assistance and compliance officer Cough: Scenario 2 -Elevate head of bed and place the patient on Pulse oximetry. Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Full assessment You enter room one hour after the physician has left the patient. Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Scenario 4 Administer protocol antidiarrheal medication Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Perform neuro assess He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Notify lead nurse/doctor Color:__________ Blood-tinged mucous, productive cough. Evaluate understanding This will treat any cancer that may have metastasized to the bone. Dr. Brown, Educational Needs Increased acuity IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. 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. Dr. Suculo, Physiological Peripheral Neurovascular Dysfunction False. You determine to apply the restraint now. Notify Physical Therapy (PT) Extends abnormally = 2 Educate caller regarding HIPAA Document results Scenario 4 No Known allergies (NKA). Fatigue True No known allergies (NKA). Perform circulatory evaluation Wash and glove hands Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Assess for bowel sounds Scenario 3 Determine from medical record if partner is aware of his recent AIDS diagnosis. Evaluation patient after consult Sa fortune s lve 2 216,00 euros mensuels Notify lead nurse palliative care. ADA diet, intake 25%. Scenario 2 Inform his partner that everything is being done to keep him comfortable. He does not have an IV nor is he on oxygen. Health Change Increased acuity Educate about recovery from appendectomy and care to wound. Pain and numbness in legs for one week. Glasgow Coma Scale 0-15 Musculoskeletal Evaluate understanding Combien gagne t il d argent ? 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 WBC's and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Scenario 4 Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Senario 4 Re-assess patient 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 known allergies (NKA). 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. In the interim, start an IV and start infusing Ringers Lactate. Pain Level Increased acuity Compromised Family Coping False Educate patient His partner is not with him at this time but will arrive soon to facilitate his discharge home. 50% intake. Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. You explain that he is receiving a higher level of care and was he was sedated before leaving the floor to make him more comfortable. Remind the nursing staff that the patient is NPO. Vital Assessment Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond Swift River Clinical Practice Chamberlain University - Homework Score -Notify charge nurse Scenario 2 He insists that he is not hungry and refuses assistance with his meal. -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Offer nutrition and/ or toileting Vital assessment Scenario 2 The oncologist is recommending Docetaxel as opposed to an orchiectomy. The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump He also complains that his throat is still very sore. Hopelessness False. Ruth Cummings - The Nathan Cummings Foundation Administer antipyretic medication Neuro WNL. Compromised Family Coping: False He is excited and tells the nurse he is starving and glad that he finally gets to eat. Pain Level Increased acuity Medical Surgical Flashcards | Quizlet Check PRN pain order Fatigue True Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! Ineffective Self-Health Management False Robert Sturgess - Swift River - Robert Sturgess Educational needs Love and belonging- Senario 4 To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Educational Needs Increased acuity "I am feeling fine." Intermittent/Continuous Other: Safety When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Replace oxygen nasal cannula that had become disconnected Shock, Risk for False -Complete neuro checks as ordered Linen Change 97.4, Resp 16 and Pulse Ox 94%. When completing the shift change neuro check, you notice the patient's left pupil is sluggish. He also states he is feeling weak. Full assessment Procedure is canceled for the day and rescheduled later allowing for new consent.
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