Anxiety False Toggle navigation Swift River. Allow for non-compliance of request -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Perform neuro assess You correctly diagnosed 11 out of 16 options. The patient asks the nurse to explain about these medications and why they are in such a hurry. Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. No known allergies (NKA). Ronald Burgundy Wash and glove hands You escort them with you to the ICU. Fall, Risk for True Imbalanced Nutrition True Ineffective airway clearance True You, his prior nurse, notice the family and respond to them. Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Impaired Gas Exchange False ADA diet, intake 25%. Adjust crutches Pulses: Strength & Symmetry Edema: Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Awaiting transport. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Scenario 2 -Notify HCP of neuro findings river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Peripheral Neurovascular Dysfunction True. Strict I&O, regular diet, intake 50%. Fear: True What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Yes Scenario 4 The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. 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. Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. RUE: ______________ LUE: _____________ Ronald Burgundy Evaluate patient understanding Wash and glove hands Attain fluids/fiber diet and assisted ambulation Scenario 4 Educational Needs Increased acuity Safety Increased acuity, Physiological The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Identify patient Reassure patient and help explain any new orders from physician to patient The cells are allowed to warm up and then are frozen again. Noncompliance False -Call security for assistance and compliance officer Impaired Mobility, Risk for True August 13, 2020 // by Angela McGowan. Ruth Cummings Trustee Vice Chair Audit Chair . Obtain patient record and follow patient as he is transferred to ICU Offer nutrition and/ or toileting Combien gagne t il d argent ? Impaired Mobility True -Reorient Patient to person, place, & time Vital Assessment Scenario 2 Scenario 2 IV NS is started, and lab work is sent. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. -Use therapeutic communication/active listening The patient is awake, alert, and oriented. 45 terms. Communication/Speech: Clear Non-verbal Slurred Aphasia Other Her husband and children remain with her in the surgical holding area awaiting transport to the OR. You return to the break room on your floor. Assess for bowel sounds Administer PRN constipation medications D/C plan- decrease pain and restore normal gait. -Remind patient to call for help is he need to get up and provide patient with a urinal. VS: BP 158/90, HR 89, R 18, T 97.8 F. Cardiovascular has pacer with rate of 82bpm on demand. Deficient Fluid Volume True Fatigue True Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Arthur Thomason Hep-Lock in place left AC. Scenario 1 However, these abnormal cells do not have the capability to spread to other parts of the body. Sa fortune s lve 2 000,00 euros mensuels Impaired Skin Integrity, Risk for False Skin moist, respiratory bilateral wheezes and rhonchi. Scenario 5 Neuro WNL alert and cooperative. Diet as tolerated, up ad lib after gait training. Ms. Gestalt is now complaining of fever and chills. 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.) . Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Perineal Care Expresses fatigue, fear, concern, and desire for recovery. Sa fortune s lve 2 216,00 euros mensuels Urination: WNL Burning Frequency Urgency Mr. Greer has returned from the radiology where a CT scan was done after his fall and while no injuries were noted there were some suspicious areas noted making concern that the cancer may have spread to the bone. Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Monitor and evaluate fluid intake Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. Dr. Altace, Educational Needs Increased acuity Anxiety True No Biopsies were sent to determine the treatment. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. -Offer nutrition/toilet Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. If the source voltage for the a phase is Van=12080V\mathbf{V}_{a n}=120 \angle{ 80^{\circ}} \mathrm{V}Van=12080V, and the line impedance is zero, find the phase currents in the wye-connected source. Anxiety True -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Safety Document results and findings Sarah Getts Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. What order are you providing the information to the receiving nurse? Constipation False Scenario 4 No known allergies (NKA). 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 ADA diet, intake 25%. Educate patient Take vital signs before leaving the hospital again. -Transport Mr. Burgundy to his room 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 Therapeutic Communication Yes Productive Non-productive Describe Sputum: _______________________ Impaired Skin Integrity, Risk for True Scenario 2 Contact Social Services Assess Scenario 5 -Explain to the patient that he has a procedure, and he cannot eat. Scenario 4 Airborne Isolation. His coughing, to clear his airway, appears ineffective. Stat lithotripsy treatment ordered. Use therapeutic communication/Active Listening Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Evaluation patient after consult -Draw a repeat CBC per HCP order to determine current Hemoglobin status -Discuss with sitter that patient needs continual observation Scenario 5 Full assessment Impaired mobility: False Full assessment Powerlessness: True, Scenario 1 Pain and numbness in legs for one week. 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. No response = 1, Mobility: -Inform patient to not get out of bed without assistance and place call light in reach Nathaniel Gonzalez Scenario 4 LLE: Non-pitting Pitting ___+ Scenario 1 Safety Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Sa fortune s lve 1 900,00 euros mensuels Place patient on PCA pump Educational Needs Increased acuity Esteem -Complete head-to-toe assessment while patient is on the floor. Scenario 5 Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. IV Assessment/ N/A Senario 5 sounds= 2 It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Inspect cast site Administer pain medications Describe the physical changes from aging and the care required. No response = 1, Range of Motion: Full, Limited Noncompliance True. Encourage fluids Bowel Movement Total: x________________, Hygiene Times Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Fall, risk for: True She is with her physician. -Using therapeutic communication inform Mr. Greer that there are many treatment options, and not to leave until the HCP can come and speak with him Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Evaluate learning Upon entering room, you wash/glove hands. Scenario 4 Dr. Small at bedside with patient and family. Dr. Brown, Educational Needs Increased acuity Wound clean dry and intact. 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) Full assessment Notify family as to when they may come and visit. Senario 4 Perform pain re-assessment Scenario 5 **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 (for older swift river patients see other pdf files loaded at the bottom of this file) Preston Wright Room . Sleep deprivation False Waist belt restraint PRN; family sitter at bedside, assist with bath. Educate about recovery from appendectomy and care to wound. Today's weight 226. Document results -Begin q15 minute neuro checks Listen to patient concerns Pain Level Increased acuity Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Neuro WNL. -Remove the lunch tray and ensure pre-operative consent has been signed. Scenario 1 Therapeutic communication Your response to all of them would be: Scenario 1 -Continue to observe urine for hematuria and document findings -Notify HCP of fall, complete incident report Fall, Risk for True -Recheck Tilts after the NS bolus is complete.T Several hours later, Mr. Duncan is now complaining of nausea. Allow husband to come into recovery for a quick one-minute visit. It is now the second day post op and he is given discharge information. Ineffective breathing pattern False After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. Report and document results Her pitcher has already been filled three times this shift. 50% intake. Dr. Suculo, Physiological But that's changing. is a 57 y/o who has been admitted for a radical prostatectomy. Document results Health Change Increased acuity Reassure patient of options #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Acute Pain True Reasses temp in 1 hour. She shares concern about patient's wife who is now coughing and having night sweats. Evaluate understanding Activity as tolerated with assistance. His wife tells the nurse that he seemed very distant and did not want to talk much. Scenario 1 Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. -Reassure patient that he will be moved to a private room as soon as possible Report this activity immediately to the hospital privacy officer Scenario 4 Infection, Risk for False Check physician orders Document results, Care of the Patient with a Cardiovascular or, NCLEX - Care of Patient with an Immune Disord, Quiz: Chapter 54, Care of the Patient with an, Chapter 54: Care of the Patient with an Immun, Chapter 17, Section 5; Providing First Aid fo. Impaired Skin Integrity, False Place pt on PCA pump -Reassess patient q 5 minutes until awake, then 15 minutes until they are fully awake (not Drowsy). Offer assistance Check pedal capillary refill Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Skin warm and dry, daily dressing changes, T-tube without drainage. Bleeding, Risk for: True Scenario 2 Hep-Lock in place left AC. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Notify lead nurse/doctor Scenario 4 Mr. Gonzales H/H is 12.7/38. Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. Fall, Risk for False Impaired Gas Exchange True Scenario 5 IV D5 1/2 NS @150ml/hr. You also notice the patient is more difficult to orient. He also states he is feeling weak. Rapid Response team arrived including anesthesia. Scenario 3 Pregnancy and labor and delivery are not typically associated with the concept of cellular regulation, Patient: Donald Lyles,52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Scenario #3. Senario 2 She is having some difficulty breathing. He is excited and tells the nurse he is starving and glad that he finally gets to eat. Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Notify lead nurse Fall, risk for: True Bleeding Risk for: False IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Wash and glove hands Notify lead nurse/doctor Oral Mucosa: Tongue: Teeth: Waist belt restraint PRN; family sitter at bedside, assist with bath. Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Social Isolation, Risk for True Acute Confusion: True Failure to Thrive True. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). He is having some difficulty hearing and complains of ringing in his ears. Assess toe movement and capillary refilling Ms. Getts is requesting water to drink. Administer protocol antidiarrheal medication Evaluate caller understanding Hypothermia False Regular diet. Do not probe further -Start an IV Release restraints/full range of motion Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Course Hero is not sponsored or endorsed by any college or university. Next time we'll spend our 60 on some food and nice beers. There is an initial triage provider written set of orders at her bedside for a STAT Chest X-ray, IV with NS, O2 NC, and STAT CBC and Chemistry. The patient will be discharged today, and he will be ordering new prescriptions. Electrolyte Imbalance, Risk for True Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Use therapeutic communication/Active Listening Educate pt regarding changes to POC Place call light and check bed for safety Deficient knowledge: True Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Bleeding False He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. -Advise sitter to notify nurse when leaving the room Robert Strurgess Scenario 1 Educate patient Non-significant past medical history. Crutches at bedside adjusted for height. -Provide the patient with the time when HCP will come discuss options with him Vital re-assessment Scenario 2 ADA diet, intake, 25%. -Medicate for pain He chooses to go home and see the doctor tomorrow in his office. Explain reason for assessment and procedure The charge nurse asks you to assume the patient's nursing care. Document results/findings Senario 4 Scenario 5 Obtain translatorT Administer antipyretic medication He does not have an IV nor is he on oxygen. PT to educate patient Assess vital results After washing and gloving hands, you then identify yourself and the patient, Ann Rails. Skin warm dry, bruises on forehead with small laceration. Scenario 1 Pain Level Normal acuity Evaluate understanding. Combien gagne t il d argent ? Temperature is now 102.8. : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Check input/output for possible dehydration Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Sensorium Normal acuity, Physiological Ann Rails Abdominal Pain: Non-tender Tender/Pain Describe: Neuro WNL alert and cooperative. He is restless with slight confusion but is easily orientated with attempts from nurse. 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! Deficient Knowledge False You discuss this cough with Mr. Dominec to determine how long he has had it. Skin integrity, impaired True A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. -Determine when a hospital provided sitter will be necessary In the interim, start an IV and start infusing Ringers Lactate. 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. Chronic Pain False Full assessment including both lying/standing Acute pain: False Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Mr. Greer has just returned from surgery. Vital signs- Imbalanced Nutrition False 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. Wash and glove hands 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. Ineffective self-health mgmt: False, Disturbed body: False Increased fall risk. Fall Risk Increased acuity Dr. Altace, Physiological- Intermittent/Continuous Other: 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. Fall, Risk for True Assess Nathaniel Gonzalez Administer antipyretic meds Comfort/Pain Assessment Health Change Increased acuity Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. The sister of Mr. Mancia calls from home to speak with you. Tunneled, site _______________ Implanted port, accessed _____________________ Scenario 3 Decreased Cardiac/perfusion: False Capillary Refill: _________ seconds Breath Sounds: Clear bilaterally. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Explain that he will probably not be going home at least until his doctor sees him. It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Bed Bath: Assist or Total Safety LUE: Non-pitting Pitting ___+ Notify family -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. -Assess patient LOC, by walking patient and asking them to take deep breaths.
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