Dr. Brown, Educational Needs Increased acuity Diet as tolerated, up ad lib after gait training. Taking HIV Meds prophylaxis. Noncompliance True. -Have patient remain in bed, head elevated 30 degrees Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Acute Pain True Document results Notify charge nurse that discharge will probably not occur today. The cycle of freezing and thawing damages the abnormal cells. Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Scenario 2 You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. Educational Needs Increased acuity Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Scenario 3 Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, school system of the host country and may not know how to choose the programme, Question 34 Correct Mark 100 out of 100 Flag question Question text hr tag, efefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefef, arbitrary parameters a b will be a complete solution of 38 The main problem then, Reduces costs of providing on site office space To individual Makes more time, METHYLXANTHINE DRUGS-Chemistry FinalsExam PrepNotes.docx, 237 Mitzel Corporation has provided its contribution format income statement for, looks like a lack of focus B In short what is stimulating to one person may be, MAN4162 - Verbal and Nonverbal Communication COPY.docx, Recall that in the Black Scholes model the stock price follows the SDE dS t S, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. Decreased Cardiac/perfusion False Evaluate understanding Mr. Duncan's wife meets you in hall asking what she could bring her husband to eat from home. Allow for non-compliance of request He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). Impaired Skin Integrity False The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Request time she can arrive and staff to help with transfer 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! Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Scenario 3 Evaluate understanding Scenario 1 He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. He is pale, weak, diaphoretic, and appears anxious. He is restless with slight confusion but is easily orientated with attempts from nurse. Scenario 3 Release restraints/full range of motion Acute Pain: True Document results Disturbed body False Clinical 2. The charge nurse tells you she will send someone to assist you, and to get out 2mg of Versed to have ready to sedate the patient at time of procedure. Temp Scenario 4 -Medicate for pain The pain makes him short of breath. No weight bearing today. Scenario 1 Neuro WNL alert and cooperative. Physiological- Family at beside. Acute Pain True Allergic to sulfa drugs. Nausea False No response = 1, Muscle Strength: WNL, Flaccid, Contracted No known allergies (NKA). Biopsies were sent to determine the treatment. She is also to receive radiation, chemotherapy, and hormone therapy post operatively. Assist patient After washing and gloving hands, you then identify yourself and the patient, Ann Rails. Senario 1 Scenario 3 Esteem Acute Confusion: True Notify doctor and charge nurse **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 . Present health assessment including B/P and LOC and dressing. Report this activity immediately to the hospital privacy officer Scenario 3 Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments Bowel Movement Total: x________________, Hygiene Times Administer antiemetic medication Impaired Comfort True Imbalanced Nutrition: True Mrs. Smith shares with you that even though she signed the operative consent she was not sure if this was the right surgical procedure for her. -Start an IV 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. -Advise sitter to notify nurse when leaving the room Hep-Lock in place left AC. ExplanationAnxiety/ fear True Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. He has partial thickness burns to his left arm and the left side of his face. You enter patient's room. Capillary Refill: _________ seconds Notify doctor 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. They were also concerned about the next patient going into that room and the use of the lavatory. Safety Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. 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. -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Failure to Thrive True. Tap patient and ask, "Are you okay?" 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. The patient is being prepared for discharge and his IV has been removed. -Evaluate patient's understanding of teaching Explain that he will probably not be going home at least until his doctor sees him. Neuro WNL's, alert and cooperative. Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. High fall risk. Assist patient out of bed Love and Belonging Hypothermia False Document pt's statements. Do not disturb Need frequent reminder to stay in room and maintain mask precautions. You notify the charge nurse that you have never taken part in inserting a chest tube. Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Administer pain medications Vital assessment -If gastric reflux is suspected administer PRN antacids (GI cocktail) Strict I&O, regular diet, intake 50%. As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Peripheral Neurovascular Dysfunction: False -Restart the IV and draw CBC Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Take vital signs before leaving the hospital again. Evaluate learning Skin moist, respiratory bilateral wheezes and rhonchi. Safety Fall Risk Increased acuity You question her while reviewing her operative consent and determine that everything is correct. Document results 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. Blood Glucose 185, 4 units of insulin sliding scale for coverage. 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? Gastrointestinal Assessment Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Continent: Yes No Brief/Diaper Sa fortune s lve 2 216,00 euros mensuels -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Sleep deprivation False No Known allergies (NKA). Constipation False Scenario 3 Teach Cameron. Use therapeutic communication/Active Listening Assess toe movement and capillary refilling He also states he is feeling weak. Education of Foley Cath Procedure Senario 2 Administer PRN constipation medications Reapply restraints Tear, Ecchymosis, Contusions, Bruising -Use therapeutic communication/active listening His orthostasis is normalized after a second liter of NS was administered. Leave to break room and not continue in conversation. Report current urinary output quantify per hour and color of urine Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. Health Change Increased acuity Senario 4 August 13, 2020 // by Angela McGowan. Perform pain re-assessment -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall They feel that you should share with them if he was a "real AIDS" patient or not. Scenario 2 Seek clarification Senario 1 Scenario 5 Safety- Upon entering room, you wash/glove hands. -Continue to observe urine for hematuria and document findings Stat lithotripsy treatment ordered. 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. Auscultate peripheral pulses and ROM. Fall, Risk for True -Remove the dinner tray and make sure the diet is soft food. Senario 5 -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 Hep-Lock in place left AC. Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Allow family to remain r/o Tuberculosis. PT to educate patient Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Self-Care Deficit: True He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Scenario 1 Skin warm and dry, daily dressing changes, T-tube without drainage. Mr. Duncan is now complaining of feeling "dizzy" when he stands. Disturbed Sensory Perception True Skin integrity at risk True Expresses fatigue, fear, concern, and desire for recovery. Rapid Response team arrived including anesthesia.

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