robert sturgess swift river robert sturgess swift river

Self-Care Deficit False Elevate Extremity Reassure patient and help explain any new orders from physician to patient Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Several hours later, Mr. Duncan is now complaining of nausea. Bleeding, Risk for True Acute Pain True Hopelessness: True Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored **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 (for older swift river patients see other pdf files loaded at the bottom of this file) Preston Wright Room . 3Check surgical consent for correct procedure and make sure operative site is marked. His wife tells the nurse that he seemed very distant and did not want to talk much. Scenario 1 NPO with small amount of ice chips only. Scenario 2 -Check on patient/sitter hourly Your response to all of them would be: Scenario 1 He was initially sedated with versed 2mg, and Fentanyl 100 mg by the EGD nurse, but the patient was not tolerating the procedure, so anesthesia was called to administer propofol. -If gastric reflux is suspected administer PRN antacids (GI cocktail) Monitor and evaluate fluid intake Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Psychological Needs Increased acuity Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Pupils PERRLA, eyes clear. Obtain translator You arrive in room to find Ms. Monson talking to herself. Sleep deprivation: False 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. 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. Safety SANE nurse to make second visit today. Perform full assessment and provide anti-nausea medicine. Impaired comfort: True You also notice the patient is more difficult to orient. Assist physician in physical exam of patient Adjust crutches Don Personal Protective Equipment Peripheral Neurovascular Dysfunction False Scenario 3 The oncologist is insistent that the treatment begin immediately. Scenario 3 His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. His coughing, to clear his airway, appears ineffective. Tap patient and ask, "Are you okay?" Impaired Gas Exchange True Dr. Suculo, Physiological Scenario 1 Taking HIV Meds prophylaxis. Psychological Needs: Increased acuity 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 Urostomy: N/A Urostomy/Ileal conduit -Place patient on O2 Nasal Canula -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Your responsibilities are: Scenario 1 Notify family He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Verbal response Oriented converses = 5 Impaired Home Maintenance Management False Scenario 1 Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Impaired home maintenance mgmg r/t client or family: False Blood Glucose 185, 4 units of insulin sliding scale for coverage. No known allergies (NKA). Educate patient regarding condition Wash and glove hands Document results/findings Water/Flush: Obtain urinary screen Health Change Increased acuity Neck: ______________ Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Senario 3 -When the HCP arrives, stay in the room to determine whether you can continue care with the patient View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Scenario 1 Acute Pain True Assist patient Teach patient about safety when getting out of bed Incomprehensible Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment Combien gagne t il d argent ? Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Ms. Gestalt is now complaining of fever and chills. Full assessment Scenario 3 Sensorium Normal acuity, Physiological Document results Allow family to remain The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Report this activity immediately to the hospital privacy officer Patient, and family upset regarding dx. Impaired Comfort True Scenario 1 Use therapeutic communication/active listening No known allergies (NKA). Ms. Getts is requesting water to drink. His children are visiting, and they are very supportive. Scenario 2 Grieving True -Attempt to orient to person, place, and time Scenario 4 Scenario 1 No Known allergies (NKA). You call his doctor to inform him the family has arrived. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Scenario 5 Scenario 2 Emergency intubation and assisted breathing is provided for Mr. Thomason Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Notify charge nurse that discharge will probably not occur today. Assess Fear/Anxiety True. Constipation, Risk for True August 13, 2020 // by Angela McGowan. However, these abnormal cells do not have the capability to spread to other parts of the body. Provide emotional support. Inappropriate words = 3 Scenario 2 Vital signs taken by automatic B/P Cuff q 15 minutes Alert and cooperative. Scenario 1 -Advise sitter to notify nurse when leaving the room Verify call light/bed safety precautions You are about to call the Surgical ICU and give report. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Notify housekeeping. Scenario 5 Sensorium: Normal acuity, Bleeding, risk for: False Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Shock, Risk for False Deficient Knowledge True Scenario 5 2. 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. -Contact HCP to determine when they are available to speak with the patient Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ No known allergies (NKA). Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. VS: BP 158/90, HR 89, R 18, T 97.8 F. Grieving: True Obtain translatorT The oncologist is recommending Docetaxel as opposed to an orchiectomy. Scenario 2 Scenario 1 Senario 5 Provide for physical and thermal comfort. Oriented to: Person Place Time 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. Scenario 5 Sleep Deprivation False Scenario 4 RUE: ______________ LUE: _____________ Respiratory Rate: WNL Tachypnea Bradypnea Imbalanced Fluid Volume, Risk for True Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). References; Access My Virtual Clinicals; Medical-Surgical. Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Senario 2 Fall, Risk for True Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Pain Level Normal acuity To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. She is also to receive radiation, chemotherapy, and hormone therapy post operatively. -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Blood Pressure, 7a-7p Total: 7p-7a Total: Scenario 3, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Scenario 2 Nathaniel Gonzalez Mrs. Pittmon states she has had numbness for years but "now I can't . Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Obtain patient record and follow patient as he is transferred to ICU Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes -Instruct Mr. Burgundy and his cameraman to stop immediately Course Hero is not sponsored or endorsed by any college or university. Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + No response = 1, Range of Motion: Full, Limited Grieving False Consult Social Service -Recheck Tilts after the NS bolus is complete.T The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. The pathology report shows no cancerous lesions. Nutritional Intake: Adequate Inadequate BMI: Scenario 4 Oral Mucosa: Tongue: Teeth: Scenario 4 They were also concerned about the next patient going into that room and the use of the lavatory. -Discuss with family sitter if there are any other family members who can help with monitoring Lithia 45 terms. Scenario 5 RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Ruth Cummings Trustee Vice Chair Audit Chair . Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. -Complete full assessment, to include neuro Educate patient Safety He tells the nurse he has called his wife and wants to be discharged now. She has been documented as being obese, new onset. Awaiting diagnostic labs. The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. PT to educate patient Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. -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. r/o Tuberculosis. Decisional Conflict True Senario 4 Fall Risk Increased acuity Include patient condition change in shift report Scenario 2 Pain Level Increased acuity Administer antiemetic medication Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. Document results and findings Nausea False Neuro WNL alert and cooperative. Scenario 5 Scenario 5 Electrolyte Imbalance, Risk for True Scenario 4 Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Safety- Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! Dr. Donofrio. Neuro WNL alert and cooperative. Scenario 3 Mr. Duncan is now complaining of feeling "dizzy" when he stands. Talk with her stating surgery is over and she did great. Educate about recovery from appendectomy and care to wound. Family in room with patient very concerned. His difficulty voiding finally motivated him to seek care. Document results. Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Impaired Mobility True Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Scenario 5 Administer antipyretic medication Tom Richardson, 46yr-old. Remain with patient -Give NS liter bolus Linen Change Scenario 3 Senario 2 Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. -Complete head-to-toe assessment while patient is on the floor. Surrounding skin: Moist/Intact Red/Erythema Irritation Request sitter/family member to bedside Safety Notify lead nurse/doctor -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. He also states he is feeling weak. You are concerned about preventing the patient from falling. Scenario 3 Cardiovascular has pacer with rate of 82bpm on demand. IV NS is started, and lab work is sent. Verify call light/bed safety precautions Scenario 1 -Assess patients' pain and rule out cardiac pain. Determine clinical decisions based on listening to an audible client report. Deficient knowledge: True Deficient Knowledge False Physiological- Upon entering the room, you find Ms. Rails sleeping. Hep-Lock in place left AC. RUE: ______________ LUE: ______________ Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown When a physician makes an incision into a body cavity just superior to the diaphragm and inferior to the neck, what body cavity will be exposed? Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration 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. Place patient on PCA pump sounds= 2 Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Cough: