robert sturgess swift river

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. Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. You are concerned about preventing the patient from falling. -Notify charge nurse Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. His coughing, to clear his airway, appears ineffective. Sa fortune s lve 2 000,00 euros mensuels Include patient condition change in shift report Health Change Increased acuity Non-significant past medical history. 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 . Evaluate/modify plan of care Use therapeutic communication/Active Listening Encourage to ambulate with assistance to void if needed Wash and glove hands The patient will be discharged today, and he will be ordering new prescriptions. His partner is not with him at this time but will arrive soon to facilitate his discharge home. 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! Deficient Knowledge True Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. Impaired Skin Integrity False She has just been transported from recovery. You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. At Risk, Impaired Comfort False -Medicate for pain Najvyia ponuka (2013) | Filmotka | SFD.sk -Remove the dinner tray and make sure the diet is soft food. Scenario #2. Two housekeepers, who were refusing to clean the room, are in the break room. Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Verify call light/ bed safety precautions Physiological- Allow family to remain -Offer nutrition and/ or toileting Use therapeutic communication/Active Listening The oncologist is insistent that the treatment begin immediately. Scenario 4 -Give NS liter bolus Reasses temp in 1 hour. Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Esteem palliative care. Inform and educate spouse of dietary orders NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Failure to Thrive True. Palliative care. Emergency intubation and assisted breathing is provided for Mr. Thomason Scenario 2 Scenario 1 Fall, Risk for True Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Wash and glove hands -Complete incident report. 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. 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Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Perform pain reassessment Medical-Surgical - Swift River Online Learning Widespread Color Change: N/A pallor cyanosis jaundice erythema -If gastric reflux is suspected administer PRN antacids (GI cocktail) He asks to speak to a clergy member. Constipation False Document results Notify doctor for Foley catheter Explain to physician what interventions you have recently initiated Adjust crutches Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Scenario 5 Notify doctor It is unclear if he lost consciousness. Dr. Roopes, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Read PT report Ms. Rails states that she has not had a bowel movement (BM) in the past two days. IV Assessment/ N/A Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. -Ensure the bed is in lowest position, the side rails are up, the call light is in reach, and ask the patient if they need anything before you leave the room Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Impaired Skin Integrity, False Chronic Confusion False Patient and family upset regarding dx. sounds= 2 Acute Confusion True Robert Strurgess Deficient knowledge: True Vital sign assessments Nathaniel Gonzalez You notify the charge nurse that you have never taken part in inserting a chest tube. Due to this, the provider would like him to stay in the hospital for observation. Vital signs are to be taken BID, and it is now time. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Electrolyte Imbalance, Risk for True Elevate head of bed Social worker with patient this morning. Physiological- -Place patient on 100% O2 Regular diet. Love and Belonging Evaluate medication effectiveness Senario 2 Provide emesis basin/cloth Scenario 1 -Reassess patient Notify charge nurse that discharge will probably not occur today. Welcome [evolutionmkt.co.za] No The patient is awake alert and oriented. Scenario 4 Senario 3 c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. Notify doctor Medical Surgical Flashcards | Quizlet Wash and glove hands Scenario 1 He was recently treated for a URI with a Z pack, prednisone, and Motrin for pain. -Determine when a hospital provided sitter will be necessary Explain to her family and provide contact information. Anxiety True Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Deficient Knowledge False Breath Sounds: Clear bilaterally. High fall risk. Increased fall risk. Educate patient Evaluate understanding The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Answers to the questions - 1. Linda Yu Acuities Educational - Studocu Fall, risk for: True His orthostasis is normalized after a second liter of NS was administered. Notify housekeeping. Love and Belonging John Duncan The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Administer antipyretic meds Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. 1. Airborne Isolation. Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Oral Mucosa: Tongue: Teeth: -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Scenario 5 : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. -Remind patient to call for help is he need to get up and provide patient with a urinal. Shock, Risk for False Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Evaluate understanding Sit at an eye level. Notify doctor -Set-up for stat portable chest x-ray Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Document results. Report and document results Educate patient Love and belonging You are the now the Surgical ICU nurse assigned to her. Chronic Pain False No known allergies. Skin integrity, impaired True Verbal response Oriented converses = 5 You call his doctor to inform him the family has arrived. 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. -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Consult Social Service Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg Chronic Pain True Continent: Yes No Occasional Incontinence Frequent Incontinence Brief Acute Confusion False 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. Scenario 3 Obtain urinary screen Identify patient Renal diet. Senario 1 Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Robert Domenic Noncompliance False She is with her physician. He has been ruled out for an MI. -Ensure bed is in lowest position, and rails are in place SBAR assignment.docx - SBAR(situation, background, - Course Hero Scenario 3 Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Assess toe movement and capillary refilling Request sitter/family member to bedside -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Scenario 4 -Assess patient LOC, by walking patient and asking them to take deep breaths. Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A #1: _________, No Scenario 2 Scenario 2 Scenario 1 ASA is held but morphine 4 mg was given after his GI cocktail. Color:__________ Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. Administer new pain medz Inappropriate words = 3 Nausea: False DOCX Swift River Online Learning - Taxonomy This shop has been compensated by Inmar Intelligence and its advertiser. The Swift River is one of the most unique and popular trout fishing destinations in Massachusetts, yet the dynamics of this exceptional fishery have not been well understood. All opinions are mine alone. Elevate Extremity Administer protocol antidiarrheal medication Swift River: Sign In Assess for bowel sounds Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Safety After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. They were also concerned about the next patient going into that room and the use of the lavatory. Scenario 5 List of American films of 2008 - Wikipedia Impaired comfort: True Imbalanced Nutrition: True Fall, risk for: False Vital Assessment Full assessment Disturbed Body Image True Bladder distention Pelvic pain Low back/flank pain Yes They would also like to start Radium-223. She has arrived in pre-op and about to have surgery this morning. Pain Level Increased acuity While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. Scenario 3 Scenario 3 RUE: ______________ LUE: _____________ -Have patient remain in bed, head elevated 30 degrees Skin warm and dry, all vital signs in WNL -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Scenario 5 Pain Level Increased acuity -Perform neuro assess Acute Confusion: True Document results/findings -Instruct Mr. Burgundy and his cameraman to stop immediately Senario 4 Scenario 4 Explain reason for assessment and procedure Pulses: Strength & Symmetry Edema: He is married, and his wife is requesting to stay at his side. The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Use therapeutic communication/active listening Tunneled, site _______________ Implanted port, accessed _____________________ Health Change Increased acuity Grieving False Sa fortune s lve 2 216,00 euros mensuels No known allergies (NKA). Sensorium Normal acuity, Physiological Microeconomics And Behavior Robert Frank 9th Edition The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Scenario 1 Scenario 2 Fear: True Scenario 5 Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Odor: __________, No They wanted to know and pressure you for the information. Health Change Increased acuity Discuss follow up with his doctor. D/C plan- decrease pain and restore normal gait. 2Provide comfort in pre-surgical room Mr. Dominec. LLE: Non-pitting Pitting ___+ Pain Level: Increased acuity -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. The bed arrives tomorrow. Scenario 3 Scenario 3 Physical Mobility, Impaired True Scenario 4 Use therapeutic communication/Active Listening Scenario 1 Safety Check pedal capillary refill Skin warm and dry, daily dressing changes, T-tube without drainage. Today's weight 226. Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Enter the email address you signed up with and we'll email you a reset link. View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Scenario 3 Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments Do not probe further Knowledge Deficit True Grieving: True Evaluate understanding A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Constipation, risk for: True ADA diet, intake 25%. Fatigue True Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Diet as tolerated. -Discuss with sitter that patient needs continual observation He is having some difficulty hearing and complains of ringing in his ears. -Provide the patient with the time when HCP will come discuss options with him Scenario 4 Infection, Risk for False Health Change: Increased acuity Observe closely first hour Infection, Risk for False -Restart the IV and draw CBC -Ask the patient to verbalize understanding of teaching and reassure them that yourself or any member of their care team will be available to answer questions. Increased fall risk. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Obtain translator Scenario 2 Mrs. Stukes is feeling nauseated. Safety- Document results Re-assess patient Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Students will prioritize medical surgical . IV D5 1/2 NS @150ml/hr. student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Gastrointestinal Assessment -Perform admission assessment Paul Greer Verify call light/bed safety precautions Dr. Brown, Educational Needs Increased acuity Pain Level Increased acuity Assess They feel that you should share with them if he was a "real AIDS" patient or not. Fall Risk Increased acuity -Reassure patient that he will be moved to a private room as soon as possible -Obtain chest tube tray and set-up pleurovac Fortune Salaire Mensuel de Tthuchicago Org Combien gagne t il d argent Swift River Nursing Simulation - Homework Writing Services Water/Flush: Nausea False Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Scenario 4 Safety Increased acuity, Physiological Fall Risk Increased acuity Bleeding, Risk for: True -Advise sitter to notify nurse when leaving the room Ineffective Self-Health Management False Assess pain Gown and mask Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Remain with patient -Assess if the contents of lunch tray are intact. Imbalanced Nutrition True His overall health is good, and he has known he has been HIV positive for the past five years. Failure to Thrive True. Gait: ______________________________, Skin Integrity Assessment Mr. Duncan is now complaining of feeling "dizzy" when he stands. Senario 3 Ruth Cummings Trustee Vice Chair Audit Chair . Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Acute Pain False Scenario 2 Psychological Needs Increased acuity DSD (dry sterile dressing), forehead laceration clean and dry intact. He does not want to return to the nursing home, and does not wish to burden or live with his children. After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! Scenario 3 Deficient Knowledge False Too bad the cruise area was a very unatractive part of the River Elbe. Notify lead nurse He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. It is now two weeks later; Mrs. Smith has returned. Psychological Needs Increased acuity When you arrive to room 4, you are told to assume the care for the patient and get ready to transport them to the floor ASAP. Scenario 2 Safety Sa fortune s lve 2 216,00 euros mensuels Senario 3 Scenario 3 Anxiety True You enter room one hour after the physician has left the patient. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. 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. -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Yes Productive Non-productive Describe Sputum: _______________________ Wash and glove hands Upon entering the room, the patient appears to be trying to get out of bed 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. Perineal Care Perform circulatory evaluation Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Bleeding: True His wife tells the nurse that he seemed very distant and did not want to talk much. Scenario 4 Assessment of bowel movement ADA diet, intake 25%. Wash and glove hands Safety- 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 2 Discuss his understanding about the plan of care. Present health assessment including B/P and LOC and dressing. -Place patient on O2 Nasal Canula Scenario 5 John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Connect telemetry Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook Nausea False -Ask the patient if it is okay to discuss his care in front of his children. You return to the break room on your floor. Verify call light/bed safety precautions Mr. Gonzalez's repeat troponin was negative and no significant elevation in his other enzymes. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Acute Pain: True He is excited and tells the nurse he is starving and glad that he finally gets to eat. Swallowing: Intact Dysphagia Aspiration Precautions The patient is asking you where her son is, the last place she saw him was right before the explosion. Shock False Senario 4 Obtain Spanish signs & brochure Scenario 2 Educate about recovery from appendectomy and care to wound. , a 58-year-old male patient presents to the ER CO CP 10/10. You enter patient's room. Lithia Monson Scenario 5 Skin warm dry, bruises on forehead with small laceration. The patient got dizzy when he stood up from the commode. IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Education of Foley Cath Procedure Cough: An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Yes Therapeutic communication. Oral Care Patient and family upset regarding dx. IV NS is started, and lab work is sent. Deficient Fluid Volume False Combien gagne t il d argent ? Report to charge nurse/ head nurse the need for staff education. Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Give verbal report Use therapeutic communication/Active Listening Scenario 2 Swift River Medical-Surgical. Offer assistance Leave to break room and not continue in conversation. Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Swift River Reflection Questions 1 - Swift River - Course Hero Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Ineffective breathing pattern False Combien gagne t il d argent ? Abdominal Pain: Non-tender Tender/Pain Describe: Psychological Needs Increased acuity 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? LOC Normal acuity Evaluate understanding References; Access My Virtual Clinicals; Medical-Surgical. Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. She has been admitted to the floor with complaints of numbness in her right foot and ankle. Impaired Gas Exchange True His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" 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. Electrolyte Imbalance False Temperature is now 102.8. Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. 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! IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Inform his partner that everything is being done to keep him comfortable. Respiratory Rate: WNL Tachypnea Bradypnea Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Vital signs- Acute pain: False Provide emotional support. No response = 1, Range of Motion: Full, Limited Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? Your coworkers are asking you questions about Mr. Dominec. Determine clinical decisions based on listening to an audible client report. Document findings Blood, Glucose 185, 4 units of insulin sliding scale for coverage. He is pale, weak, diaphoretic, and appears anxious. Excess Fluid Volume, Risk for False Neuro WNL, except leg pain upon movement. No Known allergies (NKA). Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Skin warm and pale. Ms. Cumble states that she has not had a BM for three days. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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Sensorium Normal acuity, Physiological Observe closely first hour Radiofrequency ablation may be recommended after endoscopic resection. Fall, risk for: True Health Change Increased acuity Respirations Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). -Start an IV 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.

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