Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Nausea False She is also to receive radiation, chemotherapy, and hormone therapy post operatively. Scenario 3 Nausea: False -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Impaired Skin Integrity, Risk for True Assess toe movement and capillary refilling Pain Level Increased acuity Safety Health Change Increased acuity Blood Glucose 185, 4 units of insulin sliding scale for coverage. Notify family as to when they may come and visit. Dysfunctional Gastrointestinal Motility False No known allergies (NKA). Disturbed Sensory Perception False Scenario #3. Several hours later, Mr. Duncan is now complaining of nausea. Determine clinical decisions based on listening to an audible client report. Skin warm and pale. Failure to Thrive False. Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Escort patient to vehicle -Complete head-to-toe assessment while patient is on the floor. Obtain vital signs machine Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Assume role in response team of documenter Full assessment Fear True -Check on patient/sitter hourly Attain fluids/fiber diet and assisted ambulation Obtain urinary screen Scenario 5 50% intake. Scenario #2. Love and belonging Scenario 4 Senario 1 Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. -Use therapeutic communication/active listening Explain that he will probably not be going home at least until his doctor sees him. Monitor and evaluate fluid intake Check pedal capillary refill jasmine . Dr. Altace, Physiological- Safety- He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. The patient is awake, alert, and oriented. Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. She has been documented as being obese, new onset. Swift River Clinical Practice Chamberlain University Expert James Moore Category: Nursing Description Full Document Jose Martinez Room 301 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. Impaired comfort: True Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes and chest muscles intact. This will treat any cancer that may have metastasized to the bone. Non-significant past medical history. Today's weight 226. Incomprehensible Eclectic Recipes Fast And Easy Family Dinner Recipes Tap patient and ask, "Are you okay?" 3. Scenario 3 No Known allergies (NKA). Sa fortune s lve 10 000,00 euros mensuels Document Results/Findings -Perform neuro assess Scenario 5 Scenario 1 Scenario 1 Full assessment of patient. 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. -Perform admission assessment Neuro WNL alert and cooperative. His original lymph node biopsy was negative. Fortune Salaire Mensuel de Nba 2k23 Pc Review Combien gagne t il d Scenario 2: 1Educate about recovery from appendectomy and care to wound. Document results Reapply restraints Urination: WNL Burning Frequency Urgency Document results. Peripheral Neurovascular Dysfunction True. -If cardiac is suspected call the provider and the rapid response team. The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. His, Joyce Workman Room 303 Joyce Workman Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. -Restart the IV and draw CBC Family at beside. Psychological Needs: Increased acuity -Reassure patient that he will be moved to a private room as soon as possible They were also concerned about the next patient going into that room and the use of the lavatory. Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Vital signs -Temp 98.6, BP, Erma Willis, a 65-year-old woman with a history of adenocarcinoma and multiple past episodes of related secondary infections, was admitted to the medical-surgical unit this morning with a diagnosis, Reflective Journal VCBC Post work Cellular Regulation VCBC Post Work Start Assignment Due No Due Date Points 10 Submitting a file upload Please submit your post work to Canvas within 48 hours of, Typically the concept of cellular regulation Involves the study of cancer and related diagnoses. Patient and family upset regarding dx. Safety Provide for physical and thermal comfort. DOCX Swift River Online Learning - Taxonomy Sit at an eye level. You are about to call the Surgical ICU and give report. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Verify call light/bed safety precautions Grieving: False. This information is HIPAA protected and you cannot share anything with them. Scenario 4 Respiratory Assessment How was this 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Health Change Increased acuity -Remove the lunch tray and ensure pre-operative consent has been signed. Also worth mentioning is the 'Alter Schwede' - a 217t . You return to the break room on your floor. Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Swift River Med Surg Scenarios Answers - Homework Score Reorient Patient to person, place, & time There is an order to apply a waist belt restraint if needed. Medical-Surgical - Swift River Online Learning -Obtain chest tube tray and set-up pleurovac No known allergies (NKA). Scenario 4 The Physician tells you to have everything ready including a 22 French chest tube, and he will be in shortly to position the chest tube. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Senario 1 To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Inspect cast site Grieving False His overall health is good, and he has known he has been HIV positive for the past five years. John Duncan Evaluate understanding Take vital signs before leaving the hospital again. Safety Increased acuity, Physiological Vital Assessment John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Constipation False His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Since the finding was low-grade dysplasia and is considered the early stage of precancerous changes, the gastroenterologist recommends another endoscopy in six months, with additional follow-up every six to 12 months. Knowledge Deficit True Identify patient How does the Med-surg simulator work? river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Exam January 9 Spring 2020, questions - Studocu Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Senario 3 Document results His VS are BP 122/64, P 89, R 12, SpO2 93%. Report current urinary output quantify per hour and color of urine -Draw a repeat CBC per HCP order to determine current Hemoglobin status He was recently diagnosed with stage III prostate cancer. You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Notify doctor and charge nurse Therapeutic communication You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients Assume that the oxidation state of sulfur is 2-22 and that iron atoms exist in both +2+2+2 and +3+3+3 oxidation states. Administer new pain medz Talk with her stating surgery is over and she did great. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Document results and findings Assess for bowel sounds Emergency intubation and assisted breathing is provided for Mr. Thomason Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. Awaiting transport. Listen to patient concerns No known allergies (NKA). 0800 1200 IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Urostomy: N/A Urostomy/Ileal conduit High fall risk. Senario 5 -Determine when a hospital provided sitter will be necessary Dr. Donofrio. Escort patient Temp The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Scenario 5 Scenario 1 Anxiety True Patient, and family upset regarding dx. He is having some difficulty hearing and complains of ringing in his ears. Teach Cameron. Seek clarification Breath Sounds: Clear bilaterally. Linen Change The patient is asking you where her son is, the last place she saw him was right before the explosion. Swallowing: Intact Dysphagia Aspiration Precautions Allow for non-compliance of request Lung sounds are worse. The patient describes this pain as a heavy pressure with intermittent stabbing. The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump 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. Senario 2 Scenario 2 Mrs. Stukes is feeling nauseated. Scenario 2 Scenario 2 Chronic Pain False Stat lithotripsy treatment ordered. Vital assessment Disturbed Sensory Perception True A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Scenario 2 Failure to Thrive True. Acute Pain True -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Pain, Acute True Use therapeutic communication/Active Listening It is now the second day post op and he is given discharge information. Mrs. Smith's surgery has now ended. Alert and cooperative. ADA diet, intake 25%. Scenario 3 Call rapid response Assist patient out of bed Nausea: False Ineffective Self-Health Management True 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. He is aware that he may not have an erection and may need depends for bladder incontinence. RS Vclinical Flowsheet - Student Name : Date: NUR 113 Assessment Swift -Offer nutrition and/ or toileting Full assessment Safety Clinical 2. Isolative, appears fearful, crying, and refusing to see her husband. Document results/findings Three hours later, Ms. Getts is unsteady when standing by her bedside. -Reorient Patient to person, place, & time Impaired Gas Exchange False Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. Stay with patient for surgeon's arrival to explain intended surgical procedure Vital assessment Safety Scenario 2 Document conversation Allergic to sulfa drugs. Scenario 3 -Ensure IV is patent, Lithia Monson -Place patient on 100% O2 Senario 4 The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Impaired Home Maintenance Management False Full assessment -Complete full assessment, to include neuro : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Ineffective Coping False Impaired Skin Integrity, False He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Patients within the Swift River Online Simulators Med Surg - Patients SROL Med Surg Female and Male Patients Female Male Ann Rails Carlos Mancia Estelle Hatcher John Duncan Kathy Gestalt Robert Sturgess Lithia Monson Tom Richardson Marcella Como Ramona Stukes Sarah Getts Viola Cumble Dosage Calc - Patients SROL Dosage Calc Female and Male Patients No known allergies (NKA). Knowledge Deficit True 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". Oral Care Love and belonging- Safety -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Establish second IV -Explain to the patient that he has a procedure, and he cannot eat. Acute pain: True This shop has been compensated by Inmar Intelligence and its advertiser. Senario 5 -Reapply the NC that he was admitted with at 2L Pulse Sleep Deprivation False. Wash and glove hands Educate patient/family His children are visiting, and they are very supportive. Scenario 4 Chronic pain: True Impaired Comfort True Mr. Greer has just been visited by his wife. Use therapeutic communication/Active Listening Tunneled, site _______________ Implanted port, accessed _____________________ Discharge instructions Full assessment Evaluate understanding It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Notify lead nurse/doctor Wash and glove hands Psychological Needs Normal acuity He also has metal fragments on his left side on his leg arm and torso. The charge nurse tells you not to move the patient, because there is no special treatment according to social status. 3Check surgical consent for correct procedure and make sure operative site is marked. Acute Pain False 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. -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. Fatigue True His orthostasis is normalized after a second liter of NS was administered. 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 . No known allergies (NKA). No known allergies (NKA). Scenario 4 Increased fall risk. Ambulates with minimal assistance. Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy Deficient Knowledge False c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. Scenario 4 Course Hero is not sponsored or endorsed by any college or university. -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Imbalanced Fluid Volume, Risk for True Bleeding, Risk for False Swift River MedSurg 1.pdf - MED-SURG SCORE: 100 TIME Notify doctor -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Cardiovascular has pacer with rate of 82bpm on demand. Report and document results Pulses: Strength & Symmetry Edema: Verify call light/bed safety precautions Acute pain: False Dr. Donofrio, Physiological Senario 2 The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Odor: __________, No Sa fortune s lve 2 216,00 euros mensuels Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Extends abnormally = 2 Reassure patient of options 2. Ineffective Renal Perfusion, Risk for True Impaired Skin Integrity False -Assess if the contents of lunch tray are intact. Scenario 5 Yes Next time we'll spend our 60 on some food and nice beers. 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.