Safety His orthostasis is normalized after a second liter of NS was administered. Decreased Cardio Tissue Perfusion False Scenario 3 Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. Her chart reports she was extubated upon arrival to the recovery area, received three units (3000 mL) of fluid, receiving O2 @ 4L via nasal cannula, has Foley Catheter in place draining QS clear yellow urine, responds to verbal stimulation, chest dressing in place remains dry and intact, and has just received a small dose of IV morphine for pain. No Known allergies (NKA). Senario 5 Peripheral Neurovascular Dysfunction False. Anterior: ___________________________________ Posterior: ____________________________________ -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Evaluate/modify plan of care Your responsibilities are: Scenario 1 Head/Face: Symmetric Asymmetric Drooping Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. 1. Where is my camera man!! Document results Request time she can arrive and staff to help with transfer Skin integrity, impaired True 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. Acute pain: False Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Anxiety False Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. How does the Med-surg simulator work? Acute Confusion: True Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Visual assess -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. His partner is not with him at this time but will arrive soon to facilitate his discharge home. Scenario 2: 1Educate about recovery from appendectomy and care to wound. Carlos Mancia -Perform admission assessment Hopelessness True Dr. Altace, Physiological- Educate patient Obtain patient record and follow patient as he is transferred to ICU Call rapid response He has a 20-year one pack history of smoking. Encourage fluids Scenario 2 Document results Educational Needs Increased acuity Noncompliance True. Report to charge nurse/ head nurse the need for staff education. After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. Reasses temp in 1 hour. He tells the nurse he has called his wife and wants to be discharged now. Bed Bath: Assist or Total -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Scenario 5 -Ensure IV is patent, Lithia Monson Educate about recovery from appendectomy and care to wound. Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. Multiple abrasions, bruising Head, chest, and inner thigh. Neuro WNL alert and cooperative. Full assessment of patient. : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Therapeutic communicationT -Reorient Patient to person, place, & time Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Educational Needs Increased acuity Scenario 3 In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. Scenario 1 Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. If family/visitors come, will need education to airborne precautions. Vital assessment -Evaluate patient's understanding of teaching -Medicate for pain -Notify charge nurse -Assess if the contents of lunch tray are intact. -Use therapeutic communication/active listening -Tell the patient that they are being admitted to r/o any cardiac issues The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Infection, Risk for False Establish second IV Scenario 3 Scenario 4 The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Provide comfort measures Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Scenario 2 Grieving False Pain Level: Increased acuity Notify charge nurse that discharge will probably not occur today. Bleeding, Risk for False Medical-Surgical - Swift River Scenario 3 Safety Increased acuity, Physiological Scenario 5 Estimate the length of the Neptunian year given that the Earth is 1.50108km1.50 \times 10^{8} \mathrm{km}1.50108km from the Sun on the average. Adjust crutches -Perform neuro assess Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. RS Flashcards | Quizlet Sensorium Increased acuity, Physiological -Call security for assistance and compliance officer Impaired Home Maintenance management r/t client or family False Palliative care. Assist physician in physical exam of patient Constipation, Risk for True Skin cool to touch and appears pale. Scenario 5 Pain Level Normal acuity Self-Care Deficit: True It is now the second day post op and he is given discharge information. Nausea: False Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Scenario 5 Needs frequent reminding due to determination to do things herself without assistance. Self-Actualization Capillary Refill: _________ seconds Ineffective airway clearance True -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Deficient Fluid Volume False He is having some difficulty hearing and complains of ringing in his ears. Your response to all of them would be: Scenario 1 But that's changing. Senario 4 Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Scenario 4 (PDF) Playful citizens: utopian intersections of play, sex and Scenario 3 -Obtain chest tube tray and set-up pleurovac Senario 1 Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Full assessment Safety : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Observe closely first hour This will treat any cancer that may have metastasized to the bone. No known allergies (NKA). Senario 1 You determine to apply the restraint now. Scenario 3 Ineffective Renal Perfusion, Risk for True Upon entering the room, the patient appears to be trying to get out of bed -Discuss with sitter that patient needs continual observation Scenario 4 Vital assessment Decreased cardio tissue perfusion: False Full assessment Deficient Knowledge False You enter patient's room. Place patient on PCA pump Scenario 1 Fatigue True Discharge instructions Skin warm dry, bruises on forehead with small laceration. RLQ: RUQ: LUQ: LLQ: Provide comfort and pain measures Observe closely first hour Contact head nurse or supervisor in the OR to evaluate new situation 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. Minorsky), Principles of Environmental Science (William P. 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Scenario 1 Fall, Risk for True Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Offer nutrition and/ or toileting Taking HIV Meds prophylaxis. Scenario 5 -Remind patient to call for help is he need to get up and provide patient with a urinal. Senario 1 Scenario 3 Love and Belonging He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Document results and findings Swift River Medical-Surgical Flashcards | Quizlet Obtain translator Senario 3 Notify Physical Therapy (PT) Apply restraint Pain Level Increased acuity Assess for bowel sounds Visual assessment Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Administer protocol antidiarrheal medication Sensorium Normal acuity, Physiological Evaluate patient understanding Biopsies were sent to determine the treatment. Your coworkers are asking you questions about Mr. Dominec. Scenario 3 Non-significant past medical Hx. Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Contact dietary consult : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs.
Russell Williams Photos, Sherry Durall Find A Grave, Articles R
Russell Williams Photos, Sherry Durall Find A Grave, Articles R