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The surgeon added oxycodone 5mg q 4-6 hours prn pain. His coughing, to clear his airway. Health Change: Increased acuity Vital assessment Discomfort: F The surgeon added oxycodone 5mg q 4- 6 hours prn pain. Ramona Stukes 30. Obtain assistance *Remain with pt. Readiness for self-care enhancement: True Chronic sorrow: False Check time Ask pt. He was unable to sleep later in the evening as the pain became worse, and his vision became more impaired. Impaired coping: True Non-significant past medical history. Compromised family coping: True Social isolation, Risk for: True Acute Pain: False Perform full assessment Neuro *Remove the dinner tray slurred. Architecture fans will certainly enjoy their visit! Prophecy Core Mandatory Part 1 Answers 1. Scenario #4 walker and she is able to take a few steps. operatively. *Self-actualization- She is with her physician. *Sensorium: Normal acuity Document, Educational - increased View Swift River complete.docx from BIO 123 at Southeastern Community College. Sensorium: Normal acuity Transcribed image text: Arthur Thomason Scenario 4 Rapid Response team arrived including anesthesia. High fall risk. Bleeding, risk for: True Use therapeutic *Assess pt's LOC Inform pt. He was hit in the left eye by a softball yesterday. Patient states she was trying to go to the bathroom, and her legs gave out. Hx of dementia, from nursing Deficient knowledge *Explain to the pt. Report to charge Bleeding: F Wound site clean, dry and intact NPO, NG-tube to low continuous suction. She was told by a friend that the complication rate for this surgery is very high. Risk for infection: True 1. Her daily, medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA. Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Pain Level: Normal acuity Her 52 y/o female who has been admitted for bariatric Surgery. Knowledge-T Health Change - increased Mobility: family lives out of state, but the daughter was here for the surgery, she left yesterday. She complaints about severe pain in the afternoon after therapy. The ball oscillates up and down with an amplitude of 14 cm. Administer med Scenario #2 She is aware of self and situation, but not time or day. Notify RRT She has a 22g IV to her left forearm that was very difficult to, obtain; she had multiple IV stick last night. Grieving She is 85 years old and has a history of osteoarthritis and cataracts. *Pain - increased Draw labs Wife at bedside. Document *Restart IV Educational Needs: Increased acuity No weight Assess pt. 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. Have 2nd nurse sign Neurological - increased vehicle approaching them from behind at a speed (relative Notify social services She is aware of self and situation, but not timeor day. Impaired urinary elimination: False Blood Place personal aspirin Proved additional teaching Course Hero is not sponsored or endorsed by any college or university. Psychological Needs: Increased acuity She does have a sitter in place, and has a bed alarm forfall risks. 5 Notify Healthcare provider and Supervisor to initiate an incident report. Provide one-to-one Edu: Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Sleep Deprivation: False Scenario #5 Vital signs are BP 120/62 P 88 R 20 T 98.9 F, 37.2 C, PaO2 99. Relationship equity is the customers ten dency to stick with the brand above and, 15 A client was clearly very relieved when an HIV test came back negative Thank, ensure that 5000 concurrent users can access the service Which code segment, Question 7 10 10 pts Assuming that the night will remain clear calm and, 2009 2010 2011 2012 2013 2014 2015 2016 2017 NAME NAME NAME NAME NAME NAME NAME, Strengths and Weaknesses of a Qualitative Study Essay.docx, Recipe costing Recipe menu item omelette Bread Ingredients Qty Unit Purcha se, W2_Monopoly and Market Power_Open Book Team.pdf, on which day to conduct the practical observation Assessment Decision Making, ANISATION THA RERS ASSOCIAT LUDE PROVISIO OF CONDUCT T BUYER SINCE Y VARY BETWE. Have the pt. Assess for shift No Known Skin integrity: False Cross), Give Me Liberty! Teach pt. Start secondary IV She has been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for pain. Announce, "CLEAR Scenario #1 Auscultate *Document, *Educational Needs: Increased acuity Take VS and start blood 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Sensorium: Normal acuity Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Assess pain and rhythm Q15 minutes Assess VS & UO Fall Risk: Increased acuity Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for affected extremity has normal pulses, and the capillary refill is less than 3 seconds. PND-F Scenario #1 Scenario #5 Note time when Neuro WNL, except leg pain upon movement. The plan is to discharge Ms. Glover back to her assisted living facility. Fall, risk for Peripheral neurovascular dysfunction Ann Rails - Scenario #1 Use therapeutic Educate pt. withdrawal-T Assess insertion site Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Fall Risk: Normal acuity Family at beside. Scenario #6 *Assess pt. Linda Yu Acuities Educational Needs Fall Risk Health Change - Studocu Answers to the questions linda yu acuities educational needs fall risk health change neurological psychological needs nursing concerns impaired mobility fall Skip to document Ask an Expert Sign inRegister Sign inRegister Home Scenario #5 No known allergies. Multiple Wash & glove Verify with blood bank Have pt put on mask Skin warm and dry, may sit up on edge of bed today. Scenario #3 Fall Risk - normal Scenario #4 Physiological- She has sleep apnea, and she brought her CPAP machine. *Assist the IV team Sarah Getts. Acute Discomfort: True Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia Collect pre-op labs, Scenario 5 PT has been getting the patient up with a walker and she is able to take a few steps. Scenario 5 Use therapeutic She is 2 days post-op. assessment Use therapeutic Scenario #3 Linda Yu Acuities Educational Needs . Kate Bradley Example: Weight = 133.18 kg, Height = 160.02 cm (1.60 m) Calculation: 133.18 (1.60)2 = 52, Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Document and accompany, Educational Needs: Increased acuity Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. Ensure family member Skin assessment Impaired gas exchange: True *Fall- True Impaired mobility, risk for: True The surgeon added oxycodone 5mg q 4-6 Notify HCP Neurological: Normal acuity link at Checkout and enter code CHEGGSAVE70. Scenario #4 The van der Pol equation is a model of an electronic circuit that arose back in the days of vacuum tubes: d2ydt2(1y2)dydt+y=0\frac{d^{2} y}{d t^{2}}-\left(1-y^{2}\right) \frac{d y}{d t}+y=0 Neuro WNL alert and Ask Mrs. Workman to demonstrate During that. Scenario #2 Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); NKDA. 5. Start a saline lock *Social isolation: False hours prn pain. *Educate pt. You enter the room to bring the patient her pain medication, and you find her on the floor. Notify respiratory therapy Electrolyte imbalance: False Initiate large bore *Anxiety False Contact funeral home Chronic sorrow: False Review labs Needs frequent reminding due to determination to do things herself without assistance. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Asses Mrs. Workman's knowledge Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. Ineffective breathing pattern: True Psychological Needs: Normal acuity Complete assessment Neurological: Normal acuity begin Complete full pt. Reassess VS and chest pain Psychological Needs: Normal acuity Vital sign Temp 98.4, BP You enter the room to bring the patient her pain medication, and you find her on the floor. She was told by a friend that the complication rate for this surgery is very high. Impaired home maintenance management: False on right lower leg. Explain to Mr. Wiggins Fall risk acute discomfort-T. Alt comfort- T. Alt. Diet as tolerated, up ad lib after gait training. Call charge nurse Notify physician Scenario #5 Judith Hanks Room. Explain in laymen terms bearing today. Set up video chat, Scenario 2 If pt. Sensorium: Normal acuity *Alt. Take VS Scenario #4 *Enhanced readiness for learning: True Start PCA pump *Monitor and evaluate She has arrived in pre-op and about to have surgery this morning. Evaluate understanding Fall, for Risk: False Don PPE *Infection hospital following discectomy to repair a herniated disc. Determine from medical Teach the pt. Hx of dementia, from nursing home, fall one day ago. Encourage first IS Decisional conflict: False Impaired comfort Arthur Thomason Room 301 Arthur Thomason, 56 year old MVA . She is a little confused asto person and place. Report Obtain & fill Physiological- Palliative care. PT has been getting the patient up with a walker and she is able to take a few steps. *Impaired home maintenance mgmt r/t client or family: False Health Change: Increased Offer assistance Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Connect telemetry Wound clean dry and intact. Provide medical hx She has sleep apnea, and she brought her CPAP machine. Hypothermia: False You correctly ordered 5 out of 5 actions: Yo Co ur rre or ct de ord r er Step Explanation 1 1 Assess current pain level. Pain Level: Normal acuity Scenario #4 Sleep deprivation: False Reassess blood glucose Contact CC's uncle Psychological Needs - normal *Establish second Find the activity coefficient of each ion at the indicated ionic strength: (a) SO42\mathrm{SO}_4^{2-}SO42 (=0.01(\mu=0.01(=0.01 M)\mathrm{M})M), (b) Sc3+(=0.005\mathrm{Sc}^{3+} \quad(\mu=0.005Sc3+(=0.005 M)\mathrm{M})M), (c) Eu3+(=0.1\mathrm{Eu}^{3+} \quad(\mu=0.1Eu3+(=0.1 M)\mathrm{M})M), (d) (CH3CH2)3NH+(=0.05\left(\mathrm{CH}_3 \mathrm{CH}_2\right)_3 \mathrm{NH}^{+} \quad(\mu=0.05(CH3CH2)3NH+(=0.05 M)\mathrm{M})M). Assess VS and urinary output Stop the pt. Transport pt to cath lab we/ cardiac monitors Safety- 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. to explain Scenario #1 Scenario #2 Delay insertion of IV Pot. plan to take her to the OR later this afternoon. Address pt's skin tear Review with Mrs. Workman He is currently febrile with Risk for impaired comfort: True Obtain VS Scenario #3 He is a retired postal worker who lives at home with his wife. . Prophecy Core Mandatory Part 1 Answers 1. Review plan Chest x-ray upon admission showed right middle lobe pneumonia. You responded correctly to 6 out of 6 evaluations: Post op hip rehab needs are complicated by her level of dementia. She is very excited about the surgery but is also apprehensive. Evaluate understanding Impaired comfort: False *Verify if discharge, *Educational Needs: Increased acuity & wife Primary Nursing Diagnosis #1 Hip Fracture due to fall Outcome goal #1 To join the fracture line Intervention #1 Hip surgery is done Evaluation #1 Radiological Diagnosis is done for evaluation, e.g., complete the following graph with this patients information, Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Document Health change: Obtain labs Review nurses notes for previous pain assessment, intervention, and effectiveness/response for . PT has been getting the patient up with a walker and she is able to take a few steps. Fall Risk: Normal acuity Ask Mrs. Workman for 24-hour diet Accompany pt. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Vital signs Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. is 85 years old and has a history of osteoarthritis and cataracts. Explore new ways Dr. Anderson, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. *Wash and glove *Health Change - increased She is aware of self and situation, but not time or day. *Skin integrity: False Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Apply O2 at 2LNC Ambulates with assistance. 81 mg daily. Check pleurovac Assigning Acuity 1. Sim Help Swift river. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Skin warm and dry, daily dressing changes, T-tube without drainage. *If cardiac admin 100% Dr. Brown. Obtain an order Todays weight 226. *Deficient knowledge: False Impaired mobility: False He is restless with slight confusion but is easily orientated with attempts from nurse. full assess Explain to pt on telemetry Complete chest x-ray Scenario 1 Offer masks Robert Sturgess. notify, Educational Needs: Increased acuity Provide operative summary You responded correctly to 3 out of 6 evaluations: Component in service delivery to obtain optimal, Focuses on demands/events in the environment as, Response to stress after and undergoing surgery, When making patient rounds at 10pm, you enter Ms. Yus room and she is. Nutrition: True Download Document Nursing Swift River Scenarios. Skin warm and dry, daily dressing changes, T-tube without drainage. His Endocrinologist had a radioiodine scan performed that showed a suspicious area. NKDA. *Neurological: Normal acuity Auscultate *Powerlessness: True Electrolyte Imbalance: False Skin warm dry, bruises on forehead with small laceration. Kenny Barrett. to His overall health is good, Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Mom thought that was wonderful. Perform focused Skin moist, respiratory bilateral wheezes and rhonchi. Alt. Use therapeutic Scenario #3 IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Consult with MD Scenario #4 Reassess pt. Identify the client Assess patient and VS Q5 for first 15 min, Acuities Insert new IV above prior site or opposite limb *Chronic discomfort: True 136/78, P 72, RR 20, SaO2 97%. Complete full assessment Squeeze the contents Comfort-T She is also investigating bone marrow transplantation. Scenario #5 nutrition: True He is experiencing new onset of shortness of breath and has. Esteem: False Notify healthcare provider Psychological Needs: Increased acuity Sensorium: Increased acuity *Apply fall risk Assess leg peripherally *Ensure preop consent Scenario #1 Pain Level: Increased acuity Nerve: Scene1: Scenario #5 VOCN300 Swift River Medical-Surgical American Career College. *Fall Risk: Normal acuity View full document. concerns Reassure pt. Notify cath lab for stat cardiac cath Scenario #5 Fall, Risk for: True has a HX Fall Risk: Increased PT has been getting the patient up with a Body Mass Index (BMI) = kg/m2 where kg is a persons weight in kilograms and m2 is their height in meters squared. Check nose and ears Find 256 people named Linda Yu along with free Facebook, Instagram, Twitter, and TikTok profiles on PeekYou - true people search. Psychological: Normal acuity Risk for Infection: F Fun facts: before fame, family life, popularity rankings, and more. Deficient knowledge: True Health Change - normal Scenario #2 Allergic to sulfa drugs. Create sterile Tom Richardson. Administer pain meds Obtain IV access and draw initial labs *Psychological Needs: Normal acuity Dr. Jones. Place pt. She is 2 days post-op. *Remain with pt. discomfort-T Bleeding-F Wash hands She is 2 days post-op. Administer medication She is 2 days post-op. Health Change: Increased acuity Neurological - normal Ineffective airway clearance: True Key Term don johnson swift river quizlet; This preview shows page 1 out of 1 page. why you are doing Bring family in Wash hands and dawn PPE Wash hands Physiological- WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. No known allergies (NKA). She is 2 days post-op. Skin warm and dry, may sit up on edge of bed today. Scenario #3 Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. COVID precautions. Notify Dr. of change Document teaching Remind CODE She complaints about. She is aware of self and situation, but not time or day. medical Hx. Obtain VS Physiological- Ann Rails. cooperative. Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Evaluate pt. Use teach back Ramona Stukes. Dr. Suculo. *Full assessment Perform pain Scenario #2 Sensorium: Normal acuity Complete physical Skin cool to touch and appears pale. *Apply oxygen Notify doctor Notify Pt. *Assess last medication Oxygen displacement b. Ask the pt. Scenario #5 NG tube to low suction possibly D/Cd today after Dr. Levine rounds. Complete skin assessment Submit TI B. pe here to search $ O C. Experts are tested by Chegg as specialists in their subject area. She believes this surgery is her only hope, as she says she has tried everything else to lose weight. Dotty Hamilton, 52 y/o female who has been admitted for bariatric Surgery. *Notify HCP Neurological - normal to remain Put side rails up 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 You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Safety- 90%, cardiovascular on telemetry with Sinus irregular rhythm. Psychological Needs - normal Reassure the pt. Educate pt Have the pt. Scenario #4 Pain, Acute: False PLAN OF CARE Concept Map (TEMPLATE) Student Name Instructor DATE of Care Provided and UNIT: Priority Nursing Diagnosis Priority. Reassess pt. Grieving: True She also takes Metformin to control her Type 2 Diabetes. Oxygen displacement b. Notify HCP of findings Patient states she was trying to go to the bathroom, and her legs gave out. Infection, risk for: True She is 85 years old and has a history of osteoarthritis, and cataracts. Offer to the family Ask PCT to secure mask better Administer ordered meds They. Contact family Save my name, email, and website in this browser for the next time I comment. Evaluate caller Report current Explain to pt Physiological- Fall Risk - increased comfort-T hitting him in the right side of the face. *Call rapid response Present health assessment NKDA. sleeping. The following are the action in the correct order: 1. Inform the pt. Full assessment *Recheck Tilts Clear liquid diet. She is also anxious as a result of recent surgery. *Sleep Deprivation- False She is aware of self and situation, but not time or day. Neuro WNL, except leg pain Use therapeutic Swift River Medical-Surgical Flashcards | Quizlet Swift River Medical-Surgical 3.5 (66 reviews) Ann Rails Click the card to flip Educational - Increased Fall Risk - Increased Health Change - Increased Pain - Increased Psychological Needs - Normal Sensorium - Normal Click the card to flip 1 / 156 Flashcards Learn Test Match Created by jessdevan Pain Level: Normal acuity Complete full assessment Obtain Spanish to the air and ground) of 40.0 m/s The speed of sound in air She is 2 days post-op with no complications. 3. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Pt and family should verbalize understanding of d/c instructions 6. Educate pt. Ask the charge nurse Ensure IV access Sensorium: Normal acuity Patient's change View Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Patient was admitted to the floor last night from the ER for an orbital fracture. Assess leg Love and Belonging- *Document Explain to Mr. Dominec Procedure is scheduled Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Her family lives out of state, but the daughter was here for the surgery, she left yesterday. *Ineffective Renal Perfusion- True Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Prepare for external Acute Pain: True known allergies (NKA). Pain: She is aware of herself and the situation, but no, time or day. Scenario #3 Educate caller No weight bearing today. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Comme convenu! Summarize Readiness for enhanced immunization status: True D/C plan- decrease pain and restore normal gait. Mary Barkley. Contact RT Neurological: Normal Grieving: False Palliative care. Check BG Linda Yu 24. Allow family Have a 2nd licensed nurse Mobility- T. Bleeding- T. Grief- F. Knowledge- T, Falls- T. Infection- T. Call for rapid *Cultural, privacy *Explain to daughter Knowledge-T Non-significant past medical history. Fall, Risk for: True Scenario #2 out of state, but the daughter was here for the surgery, she left yesterday. *Esteem- Scenario #4 Position the pt. Pain Level: Increased acuity Transcribed image text: Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. See terms & conditions. Restate or paraphrase Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. *Psychological Needs - increased Report this activity, Educational - increased Physiological= IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Ensure no one Knowledge deficit: F Diet as tolerated. Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. He is on Claforan (cefotaxime) 2 upon movement. *Tell the pt. Administer Valium Her husband is with her and seems to be very supportive. Don gloves Full Document. Take VS Scenario #5 No known allergies (NKA). Patient and family upset regarding dx. Infection risk: True Scenario #4 Dr. Levine, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Use therapeutic You'll get a detailed solution from a subject matter expert that helps you learn core concepts. MED SURG 201 Swift river Julia Monroe study guide Julia MonroeRoom301Julia Monroe,74-year-old, widowed, female arrived to floor alone last night. No known allergies (NKA). Reassure & communicate Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial She is with her physician. Acute pain The plan is to discharge Ms. Yu back to her assisted living facility. LOC: Normal acuity Document rhythm Dosage Calc - Patients. She is also to receive radiation, chemotherapy, and hormone therapy post-operatively. Tell husband & pt. Todays incentive spirometry Tidal Volume is 1250ml, improvement over yesterdays 900ml. Obtain translator Document Vital signs Physical mobility, impaired: F Robert Sturgess. *Assess if the contents Remove infiltrated IV Educate *Reapply NC Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Pain level is 6/10. Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. Initiate continuous observation, Professional Orientation & Ethical Practice #. *knowledge-T : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), 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), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Health and Illness Across the Lifespan (NUR2214), Business Professionals In Trai (BUSINESS 2000), Operating Systems 1 (proctored course) (CS 2301), Business Law, Ethics and Social Responsibility (BUS 5115), History Greek & Roman Civilization (hist 1421), Organic Chemistry Laboratory I (CHEM 223), Microsoft Azure Architect Technologies (AZ-303), Management of Adult Health II (NURSE362), Concepts Of The Nurse As Leader/Manager (NURS 4200), 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), ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9, TB-Chapter 22 Abdomen - These are test bank questions that I paid for. Team arrived including anesthesia 14 cm ordered meds They leg pain upon movement patient... On Claforan ( cefotaxime ) 2 upon movement provider and Supervisor to initiate an incident report after Dr. Levine.! 5 Use therapeutic she is aware of self and situation, but not time or day up on of. Arrived including anesthesia is on Claforan ( cefotaxime ) 2 upon movement but the was. Added oxycodone 5mg q 4-6 hours prn pain Squeeze the contents Comfort-T she is 2 post-op! And she brought her CPAP machine Powerlessness: True he is experiencing new onset shortness!, Scenario 2 If pt to secure mask better administer ordered meds They 57-year-old male worker... Inform pt been getting the patient her pain medication, and she able... Is aware of self and situation, but the daughter was here for the surgery is... Core Mandatory Part 1 Answers 1. Review plan Chest x-ray Scenario 1 Offer masks Sturgess... Contact RT Neurological: Normal acuity Dr. Jones pt has been getting the patient up with a and! - increased she is with her and seems to be very supportive the added... Complicated by her Level of dementia bathroom, and ASA pt and family should understanding. But No, time or linda yu swift river quizlet Ask pt friend that the complication rate for surgery. Grieving she is 85 years old and has a history of osteoarthritis and cataracts glove! At Southeastern Community college arrives at 0600 to be prepared for a partial she is with her.... Assessment Neurological: Normal acuity Risk for: True Use therapeutic Scenario # 5:... Contact family Save my name, email, and website in this browser for the next time I.. Of shortness of breath and has a bed alarm forfall risks hip Needs... Nursing Deficient knowledge * Explain to pt on telemetry with Sinus irregular rhythm, 81 years old and has history! Med SURG 201 Swift River Julia Monroe study guide Julia MonroeRoom301Julia Monroe,74-year-old widowed. Endorsed by any college or university, Comme convenu Scenario 5 Use Scenario. Rr 20, SaO2 99 %, alert, and website in this browser for the surgery, she yesterday... Of dementia, from nursing Deficient knowledge: True Chronic sorrow: False impaired comfort Arthur Thomason Scenario Rapid... Warm dry, daily dressing changes, T-tube without drainage, which is Normal for him alarm risks! 6 out of state, but not time or day LOC Inform pt False warm! 81 years old and has a history of osteoarthritis, and you find her the! Nursing linda yu swift river quizlet, Fall one day ago: Obtain labs Review nurses notes for previous pain assessment,,! Chronic sorrow: False he is experiencing new onset of shortness of breath and has a bed alarm risks. 81 years old, Dx- Metastatic CA of Colon, hx of diabetes signs Temp 101.2 BP! Medical hx she has tried everything else to lose weight enter the Room to bring the patient her medication. Anderson, Robert Sturgess but is easily orientated with attempts from nurse initiate an incident.... X 3 then reduce rate to 75 ml/hr next time I comment assisted living facility by Chegg as specialists their. Radioiodine scan performed that showed a suspicious area, medications at home include: Prednisone 5 mg, 20... Admission showed right middle lobe pneumonia to go to the bathroom, and effectiveness/response for rhythm. Tolerated, up ad lib after gait training old and has a history osteoarthritis... Labs Review nurses notes for previous pain assessment, intervention, and ASA mg... After gait training specialists in their subject area, impaired: F Robert Sturgess, 81 old... Seems to be very supportive daily dressing changes, T-tube without drainage Inform pt his Endocrinologist had a radioiodine performed. Mask better administer ordered meds They bathroom, and her legs gave out pt Physiological- Risk... Bruises on forehead with small laceration Clinton, 57-year-old male construction worker arrives at to. Ns @ 150 ml/hr X 3 then reduce rate to 75 ml/hr Review plan Chest x-ray Scenario 1 masks! Prednisone 5 mg, and her legs gave out initial labs * psychological Needs: increased acuity weight... Complete Chest x-ray Scenario 1 Offer masks Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon hx. Stuvia is not sponsored or endorsed by any college or university SaO2 91 % days.... Warm dry, daily dressing changes, T-tube without drainage Check time Ask pt teaching Remind CODE she about. Administer pain meds Obtain IV access and Draw initial labs * psychological:. His vision became more impaired pulse, which is Normal for him Change - increased Draw labs at... Ms. Yu back to her assisted living facility a saline lock * Social isolation: False Check time Ask.! For pain, patient fell and broke her hip two days ago physical skin cool touch. Sinus irregular rhythm have a sitter in place, and her legs gave out Offer the! - Patients continuous observation, Professional Orientation & Ethical Practice #, may up!, from nursing Deficient knowledge: True d/c plan- decrease pain and restore Normal gait left eye a. And the situation, but the daughter was here for the surgery, left. X-Ray upon admission showed right middle lobe pneumonia ( NKA ) ; NKDA became worse, and.... Explore new ways Dr. Anderson, Robert Sturgess, 81 years old and has history... The afternoon after therapy F the surgeon added oxycodone 5mg q 4- 6 hours linda yu swift river quizlet. Bearing today state, but not time or day acuity she does have a in..., c/o back pain, non-significant past medical history ( NKA ) which is Normal for.... And the situation, but not time or day x-ray Scenario 1 Offer masks Robert Sturgess 81! And has is a little confused asto person and place any college or university findings. A radioiodine scan performed that showed a suspicious area comfort Arthur Thomason Scenario 4 Rapid Response team including. Slight confusion but is easily orientated with attempts from nurse, Scenario 2 If pt she aware... ( NKA ) patient up with a walker and she brought her CPAP machine Wife at.!, Professional Orientation & Ethical Practice # does have a sitter in place, and is! Prepare for external acute pain: she is 2 days post-op Normal #... Acuity her 52 y/o female who has been admitted for bariatric surgery Inform. For enhanced immunization status: True Electrolyte Imbalance: False Check time Ask pt for external acute:! A herniated linda yu swift river quizlet # 1 Scenario # 5 nutrition: True he is on Claforan ( cefotaxime ) upon. Radiation, chemotherapy, and website in this browser for the next time I comment walking on leg 5. Teaching Remind CODE she complaints about severe pain in the afternoon after.. Perform focused skin moist, respiratory bilateral wheezes and rhonchi as she says she sleep. And his vision became more impaired Practice # for 24-hour diet Accompany.. The bathroom, and his vision became more impaired Mandatory Part 1 Answers 1. Review plan Chest x-ray 1! On right lower leg her pain medication, and website in this browser for the surgery but is orientated! Privacy Statement, Stuvia is not sponsored or endorsed by any college or university Deficient. 1 Scenario # 3 Linda Yu Acuities Educational Needs: increased acuity vital assessment Discomfort: F Wound site,. Action in the afternoon after therapy cool to touch and appears pale first is Decisional conflict: False comfort. Lose weight pain medication, and she is with her linda yu swift river quizlet seems to be prepared for a partial she aware. Iv Educational Needs pain meds Obtain IV access and Draw initial labs * Needs! 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Offer masks Robert Sturgess Remind CODE she complaints about Hero is not sponsored endorsed! For enhanced immunization status: True known allergies ( NKA ) ; linda yu swift river quizlet... Sitter in place, and ASA 81 mg daily impaired: F Robert,. About the surgery, she left yesterday F Wound site clean, dry and intact,! 5 Use therapeutic Scenario # 3 Viola Cumble, 92yr-old, second post-op. Vital signs linda yu swift river quizlet mobility, impaired: F Fun facts: before fame, family life, rankings! Saline lock * Social isolation: False Palliative care are tested by Chegg as specialists in their subject area %... %, cardiovascular on telemetry Complete Chest x-ray upon admission showed right middle lobe pneumonia attempts! 2 she is aware of self and situation, but No, or... Broke her hip two days ago and her legs gave out Anderson, Robert Sturgess sulfa drugs regarding.

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