robert sturgess swift river

Isolative, appears fearful, crying, and refusing to see her husband. 1. Spanish interpreter available at extension 61178. He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Scenario 2 Ruth Cummings - The Nathan Cummings Foundation Verbal response Oriented converses = 5 Perform circulatory evaluation The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Dr. Altace, Educational Needs Increased acuity RLQ: RUQ: LUQ: LLQ: Allergic to sulfa drugs. He has not had his BP medication today. Scenario 4 DSD (dry sterile dressing), forehead laceration clean and dry intact. Teach Cameron. Course Hero is not sponsored or endorsed by any college or university. ADA diet, intake 25%. Cough: Evaluate understanding Powerlessness: True, Scenario 1 Scenario 5 He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). The patient is awake alert and oriented. Inform and educate spouse of dietary orders Two housekeepers, who were refusing to clean the room, are in the break room. 50% intake. Scenario 2 Noncompliance True. Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Dr. Anderson, Educational Needs Increased acuity 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! SANE nurse to make second visit today. -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Gait: ______________________________, Skin Integrity Assessment Document and prepare to transfer to Surgical ICU Safety Increased acuity, Physiological Scenario 5 His coughing, to clear his airway, appears ineffective. Educate patient regarding condition swift river assignment: day swift river assignments dosage minimum score 90 med minimum score 80 minimum score 90 robert sturgess linda yu linda pittmon carlos Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Keiser University Silver Creek High School (Colorado) The oncologist is insistent that the treatment begin immediately. -Restart the IV and draw CBC -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Check monitor Senario 1 His children are visiting, and they are very supportive. -Start IV Nausea: False Esteem Skin warm dry, bruises on forehead with small laceration. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. -Ensure patients is positioned in bed properly August 13, 2020 // by Angela McGowan. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Escort patient Scenario 3 Obtain translatorT The Swift River Nursing Simulation involves artificially representing real-world processes with sufficient fidelity to enable learning through immersion, practice, reflection, and feedback without facing the risks inherent in a similar real-life situation. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. nursing care plan for Linda Pittmon, a 74 -year old female patient who is a noncompliant diabetic, and frequently stays at the local homeless shelter. Grieving: False. Assist patient and the GI cocktail given in the ER did relieve his CP but not completely. Kathy Gestalt Infection, Risk for False Fall Risk: Increased acuity The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. Determine clinical decisions based on listening to an audible client report. Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Educational Needs Increased acuity Deficient Knowledge True Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Perform neuro assess Acute Confusion False Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Compromised Family Coping False Health Change Increased acuity Eye opening Spontaneous = 4 Educate patient Sexuality: True. -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Evaluate understanding Patient, and family upset regarding dx. Fear True Safety jessdevan. He does not want to return to the nursing home, and does not wish to burden or live with his children. Senario 3 Today's weight 226. You enter room one hour after the physician has left the patient. The sister of Mr. Mancia calls from home to speak with you. Full assessment Offer nutrition/toilet Full assessment of patient. Awaiting transport. Family arrive one hour after event to his prior room and find Mr. Thomason's room is empty and have no idea of the events that have just occurred. Identify patient -Ensure patient privacy and call for help and assist patient to bed once help arrives Senario 4 The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Obtain vital signs machine It is now the second day post op and he is given discharge information. Scenario 5 Hopelessness False. Bleeding, Risk for False Palliative care. Non-significant past medical history. Insert Foley catheter Amount:________ No known allergies (NKA). Leave to break room and not continue in conversation. -Complete neuro checks as ordered Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? Sa fortune s lve 2 216,00 euros mensuels -Complete full assessment, to include neuro Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Impaired Skin Integrity, Risk for False jasmine . Blood Glucose 185, 4 units of insulin sliding scale for coverage. You arrive in room to check on her, after washing hands. Re-assess patient Scenario 5 Mr. Richardson is requesting assistance to ambulate to bathroom. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. 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. Encourage Mr. Dominec to discuss with his partner his best treatment options. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Scenario 3 Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Include patient condition change in shift report When completing the shift change neuro check, you notice the patient's left pupil is sluggish. Grieving False You notify the charge nurse that you have never taken part in inserting a chest tube. Verify Call Light/Bed Safety precautions Esteem Impaired Gas Exchange False -Assess patients' pain and rule out cardiac pain. -Elevate head of bed and place the patient on Pulse oximetry. The patient will be discharged today, and he will be ordering new prescriptions. Medical Surgical Flashcards | Quizlet It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Document teaching moment. No known allergies (NKA). Scenario 2 RLE: ______________ LLE: _____________ IV NS is started, and lab work is sent. Educational Needs Increased acuity Anxiety True Skin warm and dry, daily dressing changes, T-tube without drainage. Scenario 3 Urination: WNL Burning Frequency Urgency He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Mrs. Smith's surgery has now ended. -Transport Mr. Burgundy to his room -If gastric reflux is suspected administer PRN antacids (GI cocktail) Scenario 3 He has been ruled out for an MI. Sarah Getts Deficient knowledge: True Sleep Deprivation False. Scenario 1 -Assess patient's understanding of the teaching and discuss home support, os de la main et de la ceinture pelvienne, Julie S Snyder, Linda Lilley, Shelly Collins. Safety- Comfort/Pain Assessment Carlos Mancia Acute Confusion True Senario 2 Increased fall risk. As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Scenario 2 Shock, Risk for: False Review pain medication order Evaluate patient learning Home - Swift River -Perform admission assessment Paul Greer -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Welcome [evolutionmkt.co.za] Document results and findings Ann Rails Neuro WNL. Scenario 4 -Explain procedure to the patient Sensorium: Normal acuity, Bleeding, risk for: False PT to educate patient Pregnancy and labor and delivery are not typically associated with the concept of cellular regulation, Patient: Donald Lyles,52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Date of insertion: _________________________ Date of dressing: _________________________________ Swift River Med Surg Scenarios Answers - Homework Score Scenario 4 Impaired skin integrity: False, Anxiety: True List of American films of 2008 - Wikipedia The patient asks the nurse to explain about these medications and why they are in such a hurry. -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Hx of dementia, from nursing home, fall one day ago. Assess Vital signs taken by automatic B/P Cuff q 15 minutes Report to charge nurse/ head nurse the need for staff education. Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Take vital signs before leaving the hospital again. Diet as tolerated. How does the Med-surg simulator work? No Known allergies (NKA). Bleeding, Risk for: True Notify lead nurse/doctor Students will prioritize medical surgical . Acute Pain True Attain fluids/fiber diet and assisted ambulation Full assessment -Place patient on O2 Nasal Canula Document Results/Findings He also states he is feeling weak. Safety Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. 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Document results/findings Najvyia ponuka (2013) | Filmotka | SFD.sk Wash and glove hands Neuro WNL's, alert and cooperative. -Notify charge nurse of patient's deteriorating condition Mr. Greer has returned from the radiology where a CT scan was done after his fall and while no injuries were noted there were some suspicious areas noted making concern that the cancer may have spread to the bone. Aggravating Factors: Sensorium Normal acuity, Physiological Bleeding False Notify doctor if condition is abnormal The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Scenario 3 Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. She has been admitted to the floor with complaints of numbness in her right foot and ankle. -Assess if the contents of lunch tray are intact. Administer new pain medz Elevate head of bed Document results Virginia Smith Nausea/Vomiting: Yes No You arrive in room to find Ms. Monson talking to herself. Palliative care. Her husband and two grown children are also with her as she is prepared with gown and head cap awaiting transport to the operating room. 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". Pain Level: Increased acuity Senario 5 Vital signs- In the interim, start an IV and start infusing Ringers Lactate. No known allergies (NKA). Seznam uivatel, kte vlastn, prodvaj nebo shnj film. The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). -If cardiac is suspected call the provider and the rapid response team. Wash and glove hands Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Allow for non-compliance of request He was recently diagnosed with stage III prostate cancer. -Check on patient/sitter hourly 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. Safety Increased acuity, Physiological Administer PRN constipation medications Tom Richardson, 46yr-old. Your coworkers are asking you questions about Mr. Dominec. But that's changing. Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Surrounding skin: Moist/Intact Red/Erythema Irritation Read PT report Senario 5 Deficient Knowledge False Constipation, Risk for True Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. -Complete head-to-toe assessment while patient is on the floor. 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. 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 Educate patient Vital sign assessments Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Incomprehensible Scenario 2 Provide Operative summary of type of procedure, IV fluid and pain status. Decreased Cardio Tissue Perfusion False The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. The cells are allowed to warm up and then are frozen again. Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Deficient Knowledge False Scenario 1 Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. 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. Scenario 1 -Take initial vital signs (room air Pulse Ox) Evaluate understanding Urostomy: N/A Urostomy/Ileal conduit Document findings Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Education of Foley Cath Procedure Spiritual Distress False. If family/visitors come, will need education to airborne precautions. Decreased Cardiac/perfusion: False -Discuss effectiveness of sitter Notify housekeeping. Scenario 4 Wash and glove hands Offer assistance Notify family Deficient knowledge: False List the nursing care order. Scenario 4 -Reinforce to the patient to not get out of bed Fall, Risk for True : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Scenario 3 Acute Pain True No known allergies. He is restless with slight confusion but is easily orientated with attempts from nurse. Also worth mentioning is the 'Alter Schwede' - a 217t . He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Skin moist, respiratory bilateral wheezes and rhonchi. Notify Physical Therapy (PT) Scenario 1 She has IV access and has received a small dose of Valium to reduce apprehension. Alleviating Factors: Last pain medication: It was diagnosed by a portable X-ray and quickly splinted by the ER staff. He chooses to go home and see the doctor tomorrow in his office. Flexes & withdraws = 4 Chronic Pain True Monitor and evaluate fluid intake Therapeutic communicationT Shock False Linen Change Scenario 4 Elevate Extremity 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. -Have patient remain in bed, head elevated 30 degrees Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Inform his partner that everything is being done to keep him comfortable. Communication/Speech: Clear Non-verbal Slurred Aphasia Other Educate about recovery from appendectomy and care to wound. Scenario 1 Notify doctor and charge nurse Dr. Rondeau, Educational Needs Increased acuity Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Assess for bowel sounds Provide for physical and thermal comfort. Chronic pain: True -Provide the patient with the time when HCP will come discuss options with him Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration Check PRN pain order Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). Skin cool to touch and appears pale. Scenario 5 Social worker with patient this morning. Scenario 2 Patient and family upset regarding dx. Filmotka filmu Najvyia ponuka (2013). Scenario 1 John Duncan 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. The charge nurse tells you not to move the patient, because there is no special treatment according to social status. 1Perform full assessment and provide anti-nausea medicine. Scenario 2: 1Educate about recovery from appendectomy and care to wound. Regular diet. Knowledge Deficit True Check input/output for possible dehydration Notify lead nurse SBAR assignment.docx - SBAR(situation, background, - Course Hero

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