Combien gagne t il d argent ? Electrolyte Imbalance, Risk for True Encourage fluids Scenario 4 -Tell the patient that they are being admitted to r/o any cardiac issues Full head to toe neuro assessment. Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. Safety river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Senario 5 Spanish interpreter available at extension 61178. Filmotka filmu Najvyia ponuka (2013). Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Since the finding was low-grade dysplasia and is considered the early stage of precancerous changes, the gastroenterologist recommends another endoscopy in six months, with additional follow-up every six to 12 months. Toggle navigation Swift River. Scenario 3 Acute Pain True Retrieve cast removal tool Abdominal Pain: Non-tender Tender/Pain Describe: Cough: Neuro WNL alert and cooperative. 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. His difficulty voiding finally motivated him to seek care. Monitor and evaluate fluid intake Dr. Small at bedside with patient and family. Physiological- Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Safety- Scenario 1 2021-22, Historia de la literatura (linea del tiempo), Respiratory Completed Shadow Health Tina Jones, CH 02 HW - Chapter 2 physics homework for Mastering, BI THO LUN LUT LAO NG LN TH NHT 1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. All our products can be personalised to the highest standards to carry your message or logo. -Assess patient LOC, by walking patient and asking them to take deep breaths. Fall, risk for: True Document pt's statements. -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. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Activity as tolerated with assistance. -Offer nutrition/toilet Ann Rails Normal Sinus Rhythm on telemetry. Localizes pain = 5 Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. Sa fortune s lve 2 000,00 euros mensuels Health Change Increased acuity Describe the physical changes from aging and the care required. He has been taking his HIV medication daily. Mr. Sturgess does not have a living will or durable power of care completed. She is having some difficulty breathing. Anxiety True The cycle of freezing and thawing damages the abnormal cells. Scenario 5 Contact charge nurse. -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours She receives the pre-op medication. -Assess for fall risk Scenario 5 Compromised Family Coping False Sarah Getts Scenario 2 Ruth Cummings Trustee Vice Chair Audit Chair . Assessment of bowel movement Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. The patient will be discharged today, and he will be ordering new prescriptions. Obtain and provide the infectious disease doctor's contact information for him. He also complains that his throat is still very sore. Deficient Knowledge True Document results and findings Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Document Results/Findings Check surgical consent for correct procedure and make sure operative site in marked. He asks to speak to a clergy member. Educate caller regarding HIPAA Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Safety Scenario 2 Evaluate patient understanding #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Senario 4 Cardiovascular has pacer with rate of 82bpm on demand. Educational Needs Increased acuity You call his doctor to inform him the family has arrived. Surrounding skin: Moist/Intact Red/Erythema Irritation Teach Cameron. 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. Scenario 5 Senario 2 Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Hopelessness False. He chooses to go home and see the doctor tomorrow in his office. Therapeutic communication After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! Awaiting diagnostic labs. Wash and glove hands Scenario 1 Noncompliance False Fatigue True Wife at bedside. Physiological- Skin warm and dry, daily dressing changes, T-tube without drainage. Dr. Roopes, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. A few hours after speaking with the sitter about the patient needing complete observation, you notice the sitter outside of the room talking on the phone. To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. 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. Noncompliance True Kathy Gestalt Impaired Gas Exchange True -Start IV -Assess patients' pain and rule out cardiac pain. Safety Contact head nurse or supervisor in the OR to evaluate new situation Remain with patient Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Report current urinary output quantify per hour and color of urine Scenario 4 Vital sign assessments Reasses temp in 1 hour. The oncologist is recommending Docetaxel as opposed to an orchiectomy. Impaired Urinary Elimination True Hep-Lock in place left AC. Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Educational Needs Increased acuity Obtain translatorT Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Sa fortune s lve 2 216,00 euros mensuels Deficient Diversional Activity False Ms. Rails shares with you her fear of being discharged home to an abusive husband. 156 terms. Remain with patient and reassure Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. -Advise patient not to get up and walk on his own Senario 5 Assess Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Lithia Monson 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. View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. -Attempt to orient to person, place, and time Scenario 5 Chronic pain: True Wash and glove hands -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients Upon entering room, you wash/glove hands. Scenario 3 Chronic Pain False Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. Health Change Increased acuity Scenario 1 Wash and glove hands Combien gagne t il d argent ? Scenario 4 No known allergies (NKA). Excess Fluid Volume, Risk for False Assess toe movement and capillary refilling , a 58-year-old male patient presents to the ER CO CP 10/10. It is now two weeks later; Mrs. Smith has returned. Re-assess patient Ms. Cumble states that she has not had a BM for three days. Vital signs are to be taken BID, and it is now time. Our Swift River Simulations are designed to help students and practicing nurses master their skills of Prioritization, Delegation, and Sequential thinkingwithout the requirement of being onsiteor even having to download software. When the nurse enters the room later that day to inform him that the procedure is scheduled for 1430, they see Mr. Gonzalez is sitting in front of a lunch tray. Acute Confusion False Pulse Comfort/Pain Assessment Provide information for MD to call family at home and explain what has just happened -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Notify lead nurse/doctor He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Document Procedure Senario 4 Ineffective Peripheral Tissue Perfusion False Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Notify lead nurse/doctor Use therapeutic communication/Active Listening Self-Care Deficit: True Scenario 5 Imbalance nutrition: True In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Communication/Speech: Clear Non-verbal Slurred Aphasia Other Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. Scenario 2 He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Nausea: False Full assessment Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Pain and numbness in legs for one week. Scenario 1 Document teaching moment. Vital re-assessment Nursing questions and answers. Virginia Smith Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Document results Fall, risk for: True Provide emotional support. -Ensure bed is in lowest position, and rails are in place Amount: _______ He is a local TV news reporter that was filming an event at the county fair when there was an explosion. No Known allergies (NKA). Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Report this activity immediately to the hospital privacy officer Inform patient about the progression and risk a PCP infection has for a patient with AIDS. #1: _________, No Scenario 3 -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Use therapeutic communication/Active Listening Color:__________ Adjust crutches However, these abnormal cells do not have the capability to spread to other parts of the body. Scenario 2 Contact Social Services He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Perform circulatory evaluation Replace oxygen nasal cannula that had become disconnected No response = 1, Mobility: Notify family as to when they may come and visit. Cardiovascular has pacer with rate of 82bpm on demand. The pathology report shows no cancerous lesions. Ms. Getts is requesting water to drink. -Explain that Docetaxel is a hormone therapy that suppresses the testosterone that your testicles produce producing similar results as surgical intervention. Yes You are concerned about preventing the patient from falling. Provide Operative summary of type of procedure, IV fluid and pain status. Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Mr. Richardson is requesting assistance to ambulate to bathroom. When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! Fall, Risk for True Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. After washing and gloving hands, you then identify yourself and the patient, Ann Rails. Scenario 5 Psychological Needs: Increased acuity Obtain translator Construct dietary consult (plan) IV Assessment/ N/A LUE: Non-pitting Pitting ___+ Dr. Altace, Educational Needs Increased acuity He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Acute Confusion True Infection, Risk for False Vital assessment Seek clarification Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Water/Flush: Use therapeutic communication/Active Listening Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Scenario 4 Your response to all of them would be: Scenario 1 No Scenario 4 Safety Notify lead nurse/doctor Infection, Risk for True Grieving: False Fall, Risk for False is a 57 y/o who has been admitted for a radical prostatectomy. Scenario 4 Stoma: N/A Colostomy Ileostomy Effluent Consistency: Evaluate learning 0800 1200 -Start an IV Glasgow Coma Scale 0-15 Musculoskeletal Impaired Comfort True Dr. Donofrio, Physiological Ask patient to explain to you what procedure she was expecting to have this morning. Senario 1 Enter the email address you signed up with and we'll email you a reset link. Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Assume role in response team of documenter Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Impaired Home Maintenance management r/t client or family False Self-Care Deficit False Scenario 1 Blood Pressure, 7a-7p Total: 7p-7a Total: Notify charge nurse that discharge will probably not occur today. Insert Foley catheter Yes Provide comfort measures Dr. Donofrio. -Discuss effectiveness of sitter -Ensure patients is positioned in bed properly Vital signs are: B/P 112/78, temp. Dr. Brown, Educational Needs Increased acuity Self-Care Deficit False The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Verify call light/bed safety precautions Discription, Table 4 Cross-sectional, Longitudinal, and Sequential Developmental Designs, Engagement 1 Recognizing Research Strategies, A mental health worker with a Christian worldview.docx (Auto Recovered), NPO Breakfast: __________% Lunch ______________ %, Ethics and Social Responsibility (PHIL 1404), Care of the childrearing family (nurs420), Advanced Care of the Adult/Older Adult (N566), Business Professionals In Trai (BUSINESS 2000), Microsoft Azure Architect Technologies (AZ-303), Nurs & Healthcare I: Foundations [Lec] (NURS356), Accounting Information Systems (ACCTG 333), Bachelor of Secondary Education Major in Filipino (BSED 2000, FIL 201), Methods of Structured English Immersion for Elementary Education (ESL-440N), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), C228 Task 2 Cindy - Bentonville - Passed with no revisions, Lesson 4 Modern Evidence of Shifting Continents, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, Lesson 17 Types of Lava and the Features They Form, Lesson 9 Seismic Waves; Locating Earthquakes, Analysis of meaning and relevance of History from the millennial point of view, Entrepreneurship Multiple Choice Questions, (Ybaez, Alcy B.) Mrs. Smith shares with you that even though she signed the operative consent she was not sure if this was the right surgical procedure for her. Impaired Skin Integrity, Risk for False Acute pain: True Scenario 3 He has been ruled out for an MI. Scenario 3 Scenario 4 Acute Confusion True Social worker with patient this morning. Dr. Anderson, Educational Needs Increased acuity Noncompliance: False You arrive in room to check on her, after washing hands. Scenario 3 Administer pain medications Disoriented to time and place, speech slurred. Scenario 3 Patient demonstrates urine strain procedure. His original lymph node biopsy was negative. Increased fall risk. Opening Title Production company Cast and crew Genre J A N U A R Y 2: The Killing of John Lennon: IFC First Take: Andrew Piddington (director/screenplay); Jonas Ball, Krisha Fairchild, Gunter Stern, Gail Kay Bell, Mie Omori, Robert C. Kirk: Crime, Drama: 4: One Missed Call: Warner Bros. Pictures / Alcon Entertainment / Kadokawa Pictures: Eric Valette (director); Andrew Klavan (screenplay . Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Scenario 1 Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. VS: BP 158/90, HR 89, R 18, T 97.8 F. -Remove the dinner tray and make sure the diet is soft food. Place patient on PCA pump Chronic Sorrow False Bleeding: True The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Scenario 2 Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Document results Two housekeepers, who were refusing to clean the room, are in the break room. c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. Administer antipyretic medication Oral Care Swift River Clinical Practice Chamberlain University Expert James Moore Category: Nursing Description Full Document Jose Martinez Room 301 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. Senario 4 Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Oral Mucosa: Tongue: Teeth: Her chart reports she was extubated upon arrival to the recovery area, received three units (3000 mL) of fluid, receiving O2 @ 4L via nasal cannula, has Foley Catheter in place draining QS clear yellow urine, responds to verbal stimulation, chest dressing in place remains dry and intact, and has just received a small dose of IV morphine for pain. You determine to apply the restraint now. Constipation False Fear True 1Perform full assessment and provide anti-nausea medicine. Assess for fall risk Three hours later, Ms. Getts is unsteady when standing by her bedside. Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Scenario 5 Oriented to: Person Place Time : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Continent: Yes No Occasional Incontinence Frequent Incontinence Brief Clear liquid diet. No Known allergies (NKA). Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Skin warm and dry, may sit up on edge of bed today. Chronic Pain False -Elevate head of bed and place the patient on Pulse oximetry. Mr. Duncan is now complaining of feeling "dizzy" when he stands. Impaired Mobility, Risk for True Prior to changing shift, you enter the patient's room to complete a full assessment, and Ms. Monson is now crying asking to for someone to take her home! The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Family at beside. Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Scenario 2 Mrs. Stukes is feeling nauseated. She has IV access and has received a small dose of Valium to reduce apprehension. -Tell the patient to call immediately if the chest pain gets worse or they become short of breath IV Fluids: INT lock IV Fluids ______________@ _____________ mL/hr Date on tubing: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chronic Pain, Risk for constipation, impaired nutrition, anxie, 4 units on insulin sliding scale for coverage, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Consult Social Service Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Scenario 3 When the HCP realizes who he is, he tells the nurse to move the patient in the treatment room down the hall and put Mr. Burgundy in there. Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Color:__________ Apical pulse rhythm: Regular Irregular Location: The Physician tells you to have everything ready including a 22 French chest tube, and he will be in shortly to position the chest tube. Dr. Starks, Physiological Educate patient There is an order to apply a waist belt restraint if needed. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Amount:________ Perform full assessment and provide anti-nausea medicine. Scenario 2 The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) GI WNL. RLQ: RUQ: LUQ: LLQ: Senario 1 -If gastric reflux is suspected administer PRN antacids (GI cocktail) -Ensure patient privacy and call for help and assist patient to bed once help arrives Scenario 3 Pain Level Increased acuity He is having some difficulty hearing and complains of ringing in his ears. Decreased Cardiac/perfusion: False You discuss this cough with Mr. Dominec to determine how long he has had it. Scenario 1 Scenario 1 Senario 3 Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Carlos Mancia Pain Level Increased acuity Health Change Increased acuity Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Course Hero is not sponsored or endorsed by any college or university. The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. No Known allergies (NKA). He is excited and tells the nurse he is starving and glad that he finally gets to eat. Intermittent/Continuous Other: -Medicate for pain Verbal command = 3 Tunneled, site _______________ Implanted port, accessed _____________________ Robert Domenic Scenario 3 -Ensure IV is patent, Lithia Monson Wound clean dry and intact. Fall, risk for: True Ineffective Renal Perfusion, Risk for True GI WNL. Document results/findings How does the Med-surg simulator work? He does not have an IV nor is he on oxygen. Several hours later, Mr. Duncan is now complaining of nausea. The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Deficient knowledge: False Document results Date of insertion: _________________________ Date of dressing: _________________________________ Check PRN pain order No known allergies (NKA). Shock, Risk for: False Genitourinary Assessment Verify call light/ bed safety precautions Evaluate understanding. Psychological Needs Normal acuity Scenario 1 Love and Belonging Educate patient/family Impaired comfort: True Scenario 4 Offer assistance Fall, Risk for True Nausea/Vomiting: Yes No Blood-tinged mucous, productive cough. Attain fluids/fiber diet and assisted ambulation Regular diet. Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Infection, risk for: False. Pupils PERRLA, eyes clear. Sexuality: True. They would also like to start Radium-223. Decisional Conflict False Scenario 5 The nurse observes an elderly lady who is crying and has not been taken care of yet. Acute Pain False Assist patient out of bed Her pitcher has already been filled three times this shift.