robert sturgess swift riverUncategorized

Taking HIV Meds prophylaxis. Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. 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. -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. Mr. Greer has just been visited by his wife. -Complete full assessment, to include neuro Encourage fluids Fear/Anxiety True. Scenario 4 -Use therapeutic communication/active listening Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Acute Confusion False Sit at an eye level. Senario 4 Neuro WNL alert and cooperative. Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. Nathaniel Gonzalez Scenario 4 Acute Pain True You, his prior nurse, notice the family and respond to them. Next time we'll spend our 60 on some food and nice beers. -Check on patient/sitter hourly Also worth mentioning is the 'Alter Schwede' - a 217t . Ambulates with assistance. He chooses to go home and see the doctor tomorrow in his office. Use therapeutic communication/Active Listening He is pale, weak, diaphoretic, and appears anxious. Imbalance nutrition: True 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. Scenario 2 Scenario 1 Evaluate patient understanding -Document and contact nursing supervisor/Charge nurse Welcome [evolutionmkt.co.za] Neuro WNL's, alert and cooperative. Administer PRN constipation medications Scenario 2 -Reassure patient that he will be moved to a private room as soon as possible No known allergies (NKA). Ms. Getts is being transferred as an emergency to Critical Care. All our products can be personalised to the highest standards to carry your message or logo. Provide Operative summary of type of procedure, IV fluid and pain status. The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Evaluate learning Failure to Thrive: True. river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Scenario 1 Wash and glove hands She receives the pre-op medication. 97.4, Resp 16 and Pulse Ox 94%. You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. -Explain to patient why his throat may be sore Evaluate caller understanding Hopelessness: True Psychological Needs Normal acuity Where is my camera man!! Provide emotional support. Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Impaired Home Maintenance management r/t client or family False His left humerus is fractured and splinted. Scenario 1 Electrolyte Imbalance False She has just been transported from recovery. Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Scenario 1 Notify doctor Check physician orders Scenario 4 Listen to patient concerns Offer nutrition and/ or toileting Identify patient Scenario 3 Senario 3 He replies, "six times in the past four hours". The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Administer pain medications Deficient Knowledge True Airborne Isolation. Date of insertion: _________________________ Date of dressing: _________________________________ Bed Bath: Assist or Total His, Joyce Workman Room 303 Joyce Workman Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Pain Level Normal acuity Scenario 3 The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Pain Level: Increased acuity Fall, risk for: False Today, clubs like Hamburg City Beach Club, Lago Bay, Hamburg del Mar and StrandPauli provide a relaxed summer atmosphere with a view over the Elbe. Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. Wash and glove hands 50% intake. Scenario 3 Cardiovascular has pacer with rate of 82bpm on demand. Ineffective Airway Clearance True Apply oxygen Scenario 1 -If cardiac is suspected call the provider and the rapid response team. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Ineffective Self-Health Management False Hep-Lock in place left AC. Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage He states, "This is not serious." Assess for fall risk Wash and glove hands -Perform admission assessment Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. Psychological Needs Increased acuity You enter room and find Ms. Gestalt crying because she has just learned her medical insurance has lapsed and she is already two months behind on her car payments. -Discuss and determine sitter availability Senario 2 The patient asks the nurse to explain about these medications and why they are in such a hurry. Wash and glove hands You explain that his condition has worsened and now he has been taken to ICU. "I am feeling fine." Bleeding, Risk for: True Continent: Yes No Occasional Incontinence Frequent Incontinence Brief Paul Greer Monitor and evaluate fluid intake Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Educate patient regarding condition -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Color:__________ Kathy Gestalt Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Remain with patient and reassure -Advise sitter to notify nurse when leaving the room Call Rapid Response protocol initiated When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! You are about to call the Surgical ICU and give report. Strict I&O, regular diet, intake 50%. Document Procedure Document results and findings No known allergies (NKA). Full assessment Scenario 4 Ineffective self-health mgmt: False, Disturbed body: False Impaired mobility: False Knowledge Deficit True You notice she is crying and is expressing fear that she "will always have this pain and numbness" and she doesn't think she can cope. Encourage fluids and fiber diet Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Educate patient/family Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Nausea/Vomiting: Yes No Because of the fall the provider has recommended that he stay in the hospital another night. Today's weight 226. Constipation False Nutrition True Love and Belonging No response = 1, Range of Motion: Full, Limited Deficient knowledge: True Scenario 2 Dr. Suculo, Physiological Document results Document results Senario 3 RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Cardiovascular has pacer with rate of 82bpm on demand. Document results and findings Neuro WNL, except leg pain upon movement. Perform circulatory evaluation The oncologist is recommending Docetaxel as opposed to an orchiectomy. Impaired Skin Integrity, Risk for False Evaluate outcome of dietary plan Allow for non-compliance of request Notify lead nurse/doctor Scenario 5 Reasses temp in 1 hour. -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Decreased Cardio Tissue Perfusion False Evaluate understanding 00 Comments Please sign inor registerto post comments. Contact head nurse or supervisor in the OR to evaluate new situation Constipation, risk for: True Ruth Cummings Trustee Vice Chair Audit Chair . -Start IV Do not probe further His overall health is good, and he has known he has been HIV positive for the past five years. Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Educate patient regarding changes to POC His wife tells the nurse that he seemed very distant and did not want to talk much. Lithia Monson Senario 1 Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. 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! All opinions are mine alone. Scenario 2 Educational Needs Increased acuity Document results Use therapeutic communication/active listening -Tell the patient that they are being admitted to r/o any cardiac issues Fall, Risk for True She is also to receive radiation, chemotherapy, and hormone therapy post operatively. Strict I&O, regular diet, intake 50%. Mr. Dominec had his surgical procedure and is doing great. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Ambulates with minimal assistance. Scenario 2 Acute Confusion False Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Use therapeutic communication/Active Listening He insists that he is not hungry and refuses assistance with his meal. At Risk, Impaired Comfort False He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. Chronic pain: True Disturbed Sensory Perception False Educate caller regarding HIPAA Perform circulatory evaluation -Notify charge nurse of patient's deteriorating condition Skin moist, respiratory bilateral wheezes and rhonchi. 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. Inform and educate spouse of dietary orders Perineal Care 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! Impaired Skin Integrity False Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ Scenario 3 Place pt on PCA pump The lesion was identified as Kaposi's Sarcoma. He asks to speak to a clergy member. Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Blood Pressure, 7a-7p Total: 7p-7a Total: Safety Release restraints/full range of motion Senario 1 -Notify HCP of neuro findings Skin warm dry, bruises on forehead with small laceration. LOC Normal acuity The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. ExplanationAnxiety/ fear True Notify doctor for Foley catheter Regular diet. Educational Needs Increased acuity -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Waist belt restraint PRN; family sitter at bedside, assist with bath. Wash and glove hands Non-significant past medical Hx. D/C plan- decrease pain and restore normal gait. Offer bedpan Scenario 3 Mr. Richardson is requesting assistance to ambulate to bathroom. Scenario 2 Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. 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. Upon entering room, you wash/glove hands. -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Notify charge nurse that discharge will probably not occur today. Obtain Spanish signs & brochure Neuro WNL. student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Safety Seek clarification Impaired Mobility, Risk for True No known allergies (NKA). They wanted to know and pressure you for the information. Swift River fisheries research | Mass.gov Shock, Risk for: False Diet as tolerated. Activity as tolerated with assistance. #1: _________, No Scenario 4 Scenario 3 VS: BP 158/90, HR 89, R 18, T 97.8 F. Respirations The heartburn has become worse since he started treatment for his URI. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." -Complete incident report. Scenario 1 Impaired Gas Exchange False Notify family as to when they may come and visit. Senario 3 Needs frequent reminding due to determination to do things herself without assistance. Remind the nursing staff that the patient is NPO. Mr. Gonzales H/H is 12.7/38. The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Fortune Salaire Mensuel de Ticketmaster Beyonce Koln Combien gagne t il Notify family Dysfunctional Gastrointestinal Motility False Dr. Donofrio. Validate NPO Status Patient demonstrates urine strain procedure. Reapply restraints Scenario 3 -Ensure patients is positioned in bed properly Sa fortune s lve 2 216,00 euros mensuels Notify housekeeping. Patient and family upset regarding dx. No Known allergies (NKA). Mrs. Pittmon states she has had numbness for years but "now I can't . : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Capillary Refill: _________ seconds Acute Confusion True Upon entering the room, the patient appears to be trying to get out of bed Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Check surgical consent for correct procedure and make sure operative site in marked. Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Mr. Dominec is waiting for his partner to arrive to take him home and you notice he has a dry unproductive cough and trouble splinting with a pillow at his operative site. Assessment of bowel movement Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Scenario 4 Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Wash and glove hands Electrolyte Imbalance True Scenario 5 Wound site clean, dry and intact NPO, NG-tube to low continuous suction. 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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. Scenario 4 Bleeding, Risk for False Microeconomics And Behavior Robert Frank 9th Edition Author: old.bubbies.com-2022-05-03T00:00:00+00:01 Subject: Microeconomics And Behavior Robert Frank 9th Edition Keywords: microeconomics, and, behavior, robert, frank, 9th, edition Created Date: 5/3/2022 7:02:15 AM How does the Med-surg simulator work? Health Change Increased acuity You question her while reviewing her operative consent and determine that everything is correct. Stools are decreasing but patient remains very weak. After washing and gloving hands, you then identify yourself and the patient, Ann Rails. Family at beside. Scenario 2 Obtain urinary screen To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. ASA is held but morphine 4 mg was given after his GI cocktail. -Attempt to orient to person, place, and time The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. You arrive in room to find Ms. Monson talking to herself. Vital signs taken by automatic B/P Cuff q 15 minutes Health Change Increased acuity RUE: ______________ LUE: ______________ Scenario 4 Verify call light/bed safety precautions Record intake and output Sexuality: True. Scenario 3 Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. -Ask the patient if it is okay to discuss his care in front of his children. Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Week #7 Assignment - Incentive Spriometer . Assess intake and output and possible reasoning Course Hero is not sponsored or endorsed by any college or university. Senario 4 Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. -Teach the patient that there are several interventions for complications post-prostatectomy to include erectile dysfunction, post-op prostatectomies, and self-care involved with a foley catheter at home. Oriented to: Person Place Time -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Encourage fluids Physiological Widespread Color Change: N/A pallor cyanosis jaundice erythema Sa fortune s lve 1 900,00 euros mensuels Educational Needs Increased acuity Scenario 1 Gastrointestinal Assessment Yes Notify lead nurse/doctor Regular diet. Clear liquid diet. You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Notify lead nurse/doctor Remind physician to wash his hands before examining the patient -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond Impaired Home Maintenance Management r/t Client or Family False Document results Localizes pain = 5 Pain Level Increased acuity Senario 5 Ruth Cummings - The Nathan Cummings Foundation Offer masks to visitors Senario 5 Eye opening Spontaneous = 4 The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. You call his doctor to inform him the family has arrived. Perform pain re-assessment Talk with her stating surgery is over and she did great. Dr. Donofrio, Physiological Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. 156 terms. Diet as tolerated, up ad lib after gait training. Health Change Increased acuity Provide a few chairs if possible for her family to also be comfortable -Take initial vital signs (room air Pulse Ox) No Known allergies (NKA). Stoma: N/A Colostomy Ileostomy Effluent Consistency: 3Check surgical consent for correct procedure and make sure operative site is marked. Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Start secondary large bore IV line Scenario 2 Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Full assessment Scenario #2. Sensorium Normal acuity, Physiological Spiritual Distress False. You discuss this cough with Mr. Dominec to determine how long he has had it. Check pedal capillary refill Neuro WNL alert and cooperative. Scenario 3 Infection, risk for: False. Wash and glove hands Observe closely first hour Pain re-assessment Re-assess patient Scenario 4 Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Scenario 1 Scenario 2 Fortune Salaire Mensuel de Tthuchicago Org Combien gagne t il d argent The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) 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. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Reassure patient and help explain any new orders from physician to patient -Notify HCP of fall, complete incident report Impaired Home Maintenance Management False -Ensure IV is patent, Lithia Monson Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Esteem Senario 3 Wash and glove hands No known allergies (NKA). Sa fortune s lve 2 000,00 euros mensuels Knowledge Deficit True Impaired Comfort True -Notify charge nurse : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Pain Level Increased acuity Chronic Confusion False He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Respiratory Assessment Scenario 4 Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes and chest muscles intact. Educate patient Bowel Movement Total: x________________, Hygiene Times Tunneled, site _______________ Implanted port, accessed _____________________ Scenario 5 He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Scenario 3 Bleeding False Love and belonging- 1. Acute pain: False Too bad the cruise area was a very unatractive part of the River Elbe. Aggravating Factors: Love and belonging Notify Doctor for pain medz Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. However, he quit three years ago when he remarried; he and his wife have a nine-month-old baby. As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Scenario 1 Fall, Risk for True You are now preparing for discharge, place steps in order: Senario 1 Assess for bowel sounds Acute Confusion True Shock, Risk for False 45 terms. Perform pain reassessment Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. Grieving False Scenario 1 The surgeon has just visited with Mr. Greer 2-days post op and has informed him that the lymph node biopsies have confirmed that the cancer has metastasized, and he will need further treatment. Auscultate peripheral pulses and ROM. Alert and cooperative. Connect telemetry You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. Strict I&O and strain all urine, filters in bathroom. Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Acquire daily weight and food intake Esteem Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A Skin warm and pale. -Remind patient to call for help is he need to get up and provide patient with a urinal. The patient is being prepared for discharge and his IV has been removed. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Scenario 3 Impaired Mobility True Scenario 2 Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Assess vital results Request time she can arrive and staff to help with transfer Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Consult Social Service Full assessment of patient. His children are visiting, and they are very supportive. Psychological Needs Increased acuity Senario 2 Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Ann Rails Therapeutic Communication Verify call Light/bed safety precautions Scenario 2 He has been taking his HIV medication daily. Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Esteem -Advise patient not to get up and walk on his own Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Best Pork Injection Recipe, Articles R

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