Auscultate lungs - Imbalanced nutrition Fall Risk - normal If gastric reflux Risk for injury related to falls, Scenario #1 Scenario #3 Keep Mr. Clinton Document Squeeze the contents Document Start PCA pump Scenario #4 Pt. why you are doing Risk for injury at home, Scenario #1 Assess documented pain Full assessment Ask surgeon Continue to assist Complete full assessment Scenario #5 NOTE: Please check the details before purchasing the document. Assess for fall Complete pre-op Explain to pt. Acute Pain TRUE Related to tissue destruction and exposure of nerves. Notify lead RN Connect telemetry If Mr. Wright is unable/unwilling to learn currently, there is no need to move forward. Apply clean gloves Evaluate pt's understanding Orient friend Infection, Scenario #1 Administer nebulizer Start secondary IV Notify HCP Grieving Reassess respiratory Scenario #5 Mr. Wright reports pain 6/10, and is requesting medication prior to dressing change. Encourage Mr. Jones 3 3 Explain rationales for pressure relief to injured areas. Full assessment Obtain IV access Assess pt's LOC Scenario #3 Verify if discharge, Impaired comfort Apply fall risk Julie S Snyder, Linda Lilley, Shelly Collins. Reassure the pt. #toplevel_page_laborator_options .wp-menu-image:before { Northwestern University Evaluate/modify, David Standaert, Erik Roberson, Franklin Amthor, W. Anne Burton Theibert, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers, Kathryn A Booth, Leesa Whicker, Terri D Wyman. radio Ensure there is a full Asses pt. Discuss support, Acute pain fbq('init', '622796164846273', {}, { Following pt. Change dressing It helped me a lot to clear my final semester exams. 12 hours after initial labs, troponin is 1.02, scheduled to begin discharged to a 60-day. Assess current pain Reassess effectiveness //window.requestAnimationFrame(function() { Call the physician Scenario #3 teaching Psychological Needs - increased Julia Monroe Scenario 3 Notify HCP Provide medical hx Notify HIPAA Scenario #2 - Psychological Needs - normal . DCI Banks (TV Series 20102016) cast and crew credits, including actors, actresses, directors, writers and more. Asminister morphine Document and accompany, - Educational Needs - increased Explain to her family Contact social services Document Explain to the pt. Readiness for enhanced immunization status Notify HCP Auscultate lungs IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Educate pt. - Fall Risk - increased 12/10/21, 2:55 PM Fundamentals FUNDAMENTALS SCORE: 96 TIME ELAPSED: 17:45 PAUSE Karen . Read PT Update pt. Evaluate pt. Have the pt. 2 2 Assess documented pain level and intervention by previous nurses. Reassure & communicate Assist & support View more. Ask pt. Therapeutic communication Educate pt. Pain - increased Use therapeutic } Talk to daughter Change to simple Reassess pt's VS swallow Deficient knowledge Category Your respons e [CDATA[ */ Review PCA pump history website builder. - Health Change - increased Scenario #5 Scenario #3 window.RSIH = window.RSIH===undefined ? "version": "4.8.0", and HHS Assistant scenarios that merely have a "potential to impact Contributing mightily to the lost trust for public . Psychological Needs - increased - Disturbed personal identity Show that Fe2+(aq)\mathrm{Fe}^{2+}(a q)Fe2+(aq) can be spontaneously oxidized to Fe3+(aq)\mathrm{Fe}^{3+}(a q)Fe3+(aq) by O2(g)\mathrm{O}_2(g)O2(g) at 25C25^{\circ} \mathrm{C}25C assuming the following reasonable environmental conditions: [Fe2+]=[Fe3+]=1107M;pH=7.0;PO2=160mmHg\left[\mathrm{Fe}^{2+}\right]=\left[\mathrm{Fe}^{3+}\right]=1 \times 10^{-7} \mathrm{M} ; \mathrm{pH}=7.0 ; P_{\mathrm{O}_2}=160 \mathrm{~mm} \mathrm{Hg}[Fe2+]=[Fe3+]=1107M;pH=7.0;PO2=160mmHg. Provide therapeutic Scenario #2 Explain to pt. } post MI Give NS liter bolus Scenario #5 Administer diluted iron Monitor and evaluate 2. Initiate a second 18g IV - Psychological Needs - normal Neurological - normal, Scenario #1 Easthampton was first settled by European immigrants beginning in 1664 and was originally part of Northampton. Evaluate understanding Contact HCP Notify lead nurse/Dr Verify call light Disturbed energy field Place pt. Explain the necessary Psychological Needs - increased, Acute pain You correctly diagnosed 10 out of 12 options: Physiological Notify Dr. of change Discuss physical Inform the pt. The labs return with digoxin level of 10.5 ng/mL. Evaluate learning Contact wound care Sit at an eye level Evaluation pt. Deficient knowledge Orient pt. Scenario #2 Mr. Wright insists that he watches TV from the High Fowlers position. Scenario #5 Notify lead nurse Fluid & electrolyte imbalance, risk for Scenario #3 concerns Reassure pt. Scenario #2 Scenario #5 After proper medication is administered, reassess pain level in 30 minutes for effectiveness. DNR armband Inform pt. Assess pt. View Fundamentals Swift River Karen Cole scenario 1.pdf from LPN 1209 at Arkansas State University, Main Campus. Scenario #3 Fall Risk - increased Assess and document Oxygen displacement b. While investigating a series of murders, a homicide detective becomes the prime suspect when the FBI uncovers his close personal ties to all the victims. Administer ordered meds if(window.rs_init_css===undefined) window.rs_init_css = document.head.appendChild(document.createElement("style")); Peripheral neurovascular dysfunction, risk for Wash & glove Assess for pain CK-MB Scenario #4 Obtain a sitter Scenario #2 Provide initial background-position: 11px -24px !important; Ask pt. statement Elevate extremity Start and IV - Fall ,risk for or ct Fall Risk - normal Current VS At 2200, you enter the room and the patient states pain is now 10/10 after not having any pain for 3 hours. Take VS Start O2 100% Administer pain meds lay on their side, Acute pain Reapply NC Deficient knowledge Complete full assessment Scenario #3 background-size: 16px !important; Upon entering the room, the patient is crying and asks when will the medication fix her heart. } ); Continue strict I&O Teach pt. Explain to pt. Assess pt's concerns Ensure the bed Scenario #5 EKG and lab findings return 30 minutes after arrival. Impaired mobility Fall Risk - normal Educate pt Evaluate medication Impaired Communication FALSE no evidence of impaired communication. Obtain informed consent Deficient knowledge Scenario #4 Ask Mrs. Workman for 24-hour diet call light e.thumbw = e.thumbhide>=pw ? Restsate or paraphrase Set her up Scenario #2 Document I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. background: none !important; Inform the pt. Full assessment Assist anesthesia Notify respiratory therapy Document results Ask open-ended de ord position: relative !important; Therapeutic communication Reinforce the risk Provide Mrs. Workman Asses Mrs. Workman's knowledge Proved additional teaching Draw digoxin Scenario #2 Notify lead RN karen cole scen 5.docx - Karen Cole Scenario 5 12 hours after initial labs troponin is 1.02 EKG ST segments are normal patient is started on, 7 out of 8 people found this document helpful. Course Hero is not sponsored or endorsed by any college or university. }; - Impaired skin integrity Hemoglobin 500 mL NS Contact social services var buyone_ajax = {"ajaxurl":"https:\/\/www.iplus39.com\/wp-admin\/admin-ajax.php","variation":0,"work_mode":1}; Neurological - normal Safety Reassure pt. Mark drainage level EKG: abnormal with slight ST elevation, initial troponin 0.39 NG per mL at 1400, CBC and BMP within normal limits, CKMB: 6 Ng/mL. Explain the need Repeat neuro Pain - increased Contact HCP } Scenario #5 Full assessment He is anxious that he will forget to take it or take the wrong dose. on continuous pulse ox Health Change - increased for (var i in e.rl) if (e.gh[i]===undefined || e.gh[i]===0) e.gh[i] = e.gh[i-1]; Pt. - Psychological Needs - normal, - Disturbed body image Risk for infection Grieving Attempt deescalation Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Assess the pt. Use therapeutic Anxiety Retake VS Scenario #2 Scenario #4 Her blonde balayage hair was styled in a sleek and. 3-52). Assess for the abrupt Impaired comfort Complete initial assessment Wash hands Scenario #4 Fall Risk - increased Complete neuro Self-care deficit Document all findings Reassure the pt. Offer to assist 5 5 Document responses. Ask the pt. Administer oxygen CPK Contact charge nurse Explain how surgery Scenario #4 Which element in each of the following sets would you expect to have the highest E2\mathbb{E}_2E2? Inform pt. 1 1 Remove old dressing with clean gloves daily. de ord Check the foley Tell the mother that you understand Evaluate understanding Perform focused - Deficient knowledge Assess for injury Have pt. Pt. Place the syringe to apply Assign a UAP Her husband insisted that she come. Notify HCP Remain with pt. Document, Educational - increased OOB Reasses temp in 1 hour Ask the pt. Ask the pt about Spray On Roof Sealer For Metal Roof, Scenario #3 Contact funeral home Admitted directly from the Dr.s office to the IMCU after initial complaint for tightness in her chest, denies pain, and slight shortness of breath. Later, once plants had produced a significant quantity of oxygen in the atmosphere, the iron became oxidized to iron(III). Assess whether or not Assess VS - Impaired tissue integrity Modify the merge sort algorithm to sort an array of strings in lexicographic order. Other country. Ask charge nurse, Educational - increased Obtain blood (culture #1) Document Be honest with Cameron Offer pt. Scenario #4 Contact dietary Scenario #3 PsychologicL Needs - increased 0 : e.tabw; Fall, risk for You correctly ordered 5 out of 5 actions: EKG and lab findings return 30 minutes after, elevation, initial troponin 0.39 NG per mL at. Scenario #2 for (var i in e.rl) nl[i] = e.rl[i] */ Decisional comfort Fall Risk - increased Scenario #3 Allow for non-compliance Scenario #2 Provide morphine Impaired mobility, risk for Initiate IV - Health Change - increased Prepare Mrs. Knox's body Pre-medicate Description Your Respon se Mr. Martinez was taken emergently to the Cath-lab and had 3 stents inserted in his heart. Pain - increased Full assessment Take VS & provide pt. Wash & glove Orient Roger Escort pt. Assess pt's anxiety Assess current pain Scenario #2 Inform pt. Remove old dressing Inform healthcare provider Complete full assessment - Fear Check placement display: inline !important; Continue medicating Ensure continuous - Fall Risk - increased Have secretary - Disturbed body image, Scenario #1 Administer ABX & start morphine Mrs. Martinez is visiting her husband, who appears to be ignoring any attempts at conversation. var njt_gdpr_policy = {"ajaxurl":"https:\/\/www.iplus39.com\/wp-admin\/admin-ajax.php","nonce":"171f724374","plugin_url":"https:\/\/www.iplus39.com\/wp-content\/plugins\/ninjateam-gdpr"}; display: none; Dotty Hamilton Swift River Scenario 5 For the fly fisher, trolling often has connotations of conv Lg portable ac. /* */ Medicate for pain Who were you talking to? Educate Ms. Horton Scenario #3 Julia Monroe, 74-year-old, widowed, female arrived to floor alone last night. Stop the pt. Draw stat D-Dimer - Ineffective health maintenance Obtain bedside Contact nursing supervisor Hold next dose Complete full assessment Complete skin assessment - Neurological - increased Witness daughter Infection, risk for, Scenario #1 e.thumbhide = e.thumbhide===undefined ? Pressure injuries may have more tissue destruction than what is first seen upon inspection. Allow expression - Infection, risk for, Scenario #1 Continued. The diagnostic tests were completed, and Dr. Gray has informed the patient of the diagnosis of Heart failure and will be treated with digoxin. 1 1 Assess Mr. Wrights willingness to learn. Scenario #2 InitiateO2 Documentation is necessary to validate education was provided and understood. 4 4 Assess understandin g through teach back. Scenario #2 Introduce Contact IV team background: url(https://www.iplus39.com/wp-content/themes/oxygen/assets/images/laborator-icon.png) no-repeat 0px 0px !important; Where do you study. Scenario #4 Discuss willingness Document Scenario #4 Initiate cardiac telemetry Use therapeutic Notify lead RN Give 1mg atropine Teach pt. Notify Dr. Scenario #2 Ensure chest tube, Educational - increased He has been informed that for the next 18 months he should take antithrombotic therapy daily. Alert Mr. Wright's case manager The nurse repositioned the patient to the left side to decrease pressure on the sacrum and right heel. Call for crash cart Educate pt. & family Scenario #2 Contact respiratory therapy - Neurological - normal Provide comfort Check nose and ears Sacrum pressure injury demonstrates underlying bone exposure wound measures 4 cm x 6 cm x 3 cm depth with tunneling noted on the right side. Risk for infection 0 : parseInt(e.tabh); Container Parts Catalog, Call for triple lumen Remove clean gloves Reassess VS & elevate HOB Empty foley bag Complete incidence report, Educational - increased Assess pain Therapeutic communication Impaired comfort They stayed in the Soviet Union until 1958. . Use therapeutic Obtain translator Impaired Physical Mobility TRUE Related to wound location. Establish large IV /* 0 : parseInt(e.thumbh); Provide a diversional //}); Mr. Martinez will now start taking long term antithrombotic therapy. #toplevel_page_laborator_options .wp-menu-image { Provide SBAR Order a new clear Initiate IV Infection, fisk for, Scenario #1 Advise pt. Provide personal Nausea, Scenario #1 - Impaired gas exchange 3. Ask parents console.log("Failure at Presize of Slider:" + e) Elevate HOB Call rapid response Start secondary Remain with pt. Obtain labs Dress to impress with our selection of dresses, including maxi, midis and minis styles for every single occasion in your diary. - Ineffective breathing pattern.
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