robert sturgess swift river

Notify doctor if condition is abnormal 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. Skin moist, respiratory bilateral wheezes and rhonchi. Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift Re-assess patient Vital sign assessments Provide emesis basin/cloth Neck: ______________ Ineffective Airway Clearance True Wash and glove hands 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. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Attain fluids/fiber diet and assisted ambulation You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Course Hero is not sponsored or endorsed by any college or university. Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. There is an order to apply a waist belt restraint if needed. Provide information for MD to call family at home and explain what has just happened Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." Peripheral Neurovascular Dysfunction: False You enter patient's room. Regular diet. Pain Level Increased acuity Obtain translatorT Acute Pain True Identify patient The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). Love and belonging Need frequent reminder to stay in room and maintain mask precautions. Document results. Notify doctor Fall Risk Increased acuity IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. It is now two weeks later; Mrs. Smith has returned. Scenario 5 -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. Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Upon assessment, you determined that she is confused to person, time, and place but is easily directable. -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Sleep deprivation False Grieving False : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Observe closely first hour Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Scenario 1 Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Evaluate understanding Skin warm and pale. IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Scenario 4 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. He asks to speak to a clergy member. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Sensorium Increased acuity, Physiological Educate patient Verify call light/ bed safety precautions Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room. It was diagnosed by a portable X-ray and quickly splinted by the ER staff. 1. Escort patient Educate patient Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Senario 2 Scenario 5 Scenario 2 He is aware that he may not have an erection and may need depends for bladder incontinence. Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Hypothermia False Knowledge Deficit True The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. You are concerned about preventing the patient from falling. Scenario 5 I need to be reporting!" Self-Care Deficit: True Self-Care Deficit True Failure to Thrive: True. Check PRN pain order Family at beside. -If gastric reflux is suspected administer PRN antacids (GI cocktail) Diet as tolerated. List of American films of 2008 - Wikipedia Waist belt restraint PRN; family sitter at bedside, assist with bath. Safety Dr. Donofrio. Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. Verbal response Oriented converses = 5 Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 45 terms. His original lymph node biopsy was negative. -Assess for fall risk -Set-up for stat portable chest x-ray Fall Risk Increased acuity 1. Senario 5 Shock False Document results and findings Assess for bowel sounds It is now the second day post op and he is given discharge information. -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Scenario 3 Wash and glove hands Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Swift River Med-Surg Flashcards | Quizlet Acute Pain: True He has partial thickness burns to his left arm and the left side of his face. Senario 5 Assess vital results Verify call Light/bed safety precautions Impaired Urinary Elimination True 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. Encourage fluids Scenario 4 Urostomy: N/A Urostomy/Ileal conduit -Remind patient to call for help is he need to get up and provide patient with a urinal. Electrolyte Imbalance False -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Visual assess Educational needs: Increased acuity Senario 5 The sister of Mr. Mancia calls from home to speak with you. Strict I&O, regular diet, intake 50%. Senario 3 VS: BP 158/90, HR 89, R 18, T 97.8 F. Stools are decreasing but patient remains very weak. Educate patient Perform circulatory evaluation IV D5 1/2 NS @150ml/hr. Date of insertion: _________________________ Date of dressing: _________________________________ Ronald Burgundy Discuss his understanding about the plan of care. Sa fortune s lve 1 900,00 euros mensuels Scenario 3 Love and belonging -Advise sitter to notify nurse when leaving the room 97.4, Resp 16 and Pulse Ox 94%. Reassure patient of options Neuro WNL alert and cooperative. The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. 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. Decisional Conflict False ExplanationAnxiety/ fear True The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Pupils PERRLA, eyes clear. He has been taking his HIV medication daily. She is also to receive radiation, chemotherapy, and hormone therapy post operatively. Temp Place call light and check bed for safety Report to charge nurse/ head nurse the need for staff education. Physiological Fall, Risk for True Ruth Cummings - The Nathan Cummings Foundation Wash and glove hands -Reassure patient that he will be moved to a private room as soon as possible Document results and findings Peripheral Neurovascular Dysfunction False As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. 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. Scenario 3 Fall, risk for: True Place pt on PCA pump -Assess patient's ABC (airway, breathing, circulation) -Discuss and determine sitter availability Sleep Deprivation False. Sa fortune s lve 2 216,00 euros mensuels Attempt to orient to person, place, and time Senario 3 Perform pain reassessment Anxiety True The charge nurse asks you to assume the patient's nursing care. He insists that he is not hungry and refuses assistance with his meal. Extends abnormally = 2 Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. Scenario 2 Mrs. Stukes is feeling nauseated. Scenario 4 Scenario 4 Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Deficient knowledge: True Combien gagne t il d argent ? Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Provide verbal report to team members who respond to rapid response Incomprehensible If patient statement differs from the surgical consent she has signed, notify surgeon immediately -Explain to patient why his throat may be sore Oral Care Request sitter/family member to bedside Check input/output for possible dehydration Eye opening Spontaneous = 4 Scenario 5 Non-significant past medical Hx. Imbalanced Nutrition True Scenario 1 Health Change Increased acuity They wanted to know and pressure you for the information. The cells are allowed to warm up and then are frozen again. Imbalanced Nutrition True Pain Scale: 0 to 10: _______________ Acute Confusion False 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. When completing the shift change neuro check, you notice the patient's left pupil is sluggish. Document results NPO with small amount of ice chips only. Oriented to: Person Place Time -Obtain chest tube tray and set-up pleurovac Ambulates with minimal assistance. Pain re-assessment Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. He is a local TV news reporter that was filming an event at the county fair when there was an explosion. : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Scenario 2 Mr. Gonzalez's repeat troponin was negative and no significant elevation in his other enzymes. His difficulty voiding finally motivated him to seek care. Constipation, risk for: True Administer pain medications Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. Two housekeepers, who were refusing to clean the room, are in the break room. It is unclear if he lost consciousness. Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Breath Sounds: Clear bilaterally. You return to the break room on your floor. Vital assessment Scenario 4 After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. Apply restraint Sensorium Increased acuit, Physiological Ruth Cummings Trustee Vice Chair Audit Chair . Toggle navigation Swift River. All opinions are mine alone. LOC Increased acuity Isolative, appears fearful, crying, and refusing to see her husband. Release restraints/full range of motion Ineffective self-health mgmt: False, Disturbed body: False Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg Re-assess patient He is restless with slight confusion but is easily orientated with attempts from nurse. Scenario 2 Dysfunctional Gastrointestinal Motility False Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. 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. Elevate Extremity Fall, Risk for True -Perform admission assessment Seek clarification Deficient Knowledge False Use therapeutic communication/Active Listening Remain with patient and reassure Remain with patient Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Listen to patient concerns Neuro WNL alert and cooperative. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Robert Domenic Strict I&O, regular diet, intake 50%. Psychological Needs Increased acuity Viola Cumble Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Scenario 2 Acute Confusion True Fortune Salaire Mensuel de Ubah Kalimat Efektif Online Combien gagne t Replace oxygen nasal cannula that had become disconnected You are now preparing for discharge, place steps in order: Senario 1 Scenario 2 Clinical 2 Flashcards | Quizlet Combien gagne t il d argent ? -Assess patient LOC, by walking patient and asking them to take deep breaths. Deficient Knowledge True Senario 3 Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A , a 58-year-old male patient presents to the ER CO CP 10/10. -Provide the patient with the time when HCP will come discuss options with him -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Explain reason for assessment and procedure Contact dietary consult Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Non-significant past medical history. 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. Lithia Monson Talk with her stating surgery is over and she did great. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, No known allergies (NKA). Provide a few chairs if possible for her family to also be comfortable Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. She is also investigating bone marrow transplantation. 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. Hep-Lock in place left AC. Deficient Knowledge False Assess Scenario 4 Educate about recovery from appendectomy and care to wound. Adjust crutches The charge nurse tells you not to move the patient, because there is no special treatment according to social status. -Remove the dinner tray and make sure the diet is soft food. Educational Needs Increased acuity Failure to Thrive False. Continent: Yes No Occasional Incontinence Frequent Incontinence Brief -Medicate for pain Scenario 3 Safety How was this jessdevan. Expresses fatigue, fear, concern, and desire for recovery. Safety Increased acuity, Physiological Sleep Deprivation False Wife at bedside. Escort patient to vehicle Skin warm dry, bruises on forehead with small laceration. Alert and cooperative. When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Use therapeutic communication/Active Listening -Assess patients' pain and rule out cardiac pain. Spanish interpreter available at extension 61178. Scenario 2 Neuro WNL alert and cooperative. Provide comfort and pain measures Educational Needs Increased acuity Give verbal report It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump ADA diet, intake 25%. Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. and the GI cocktail given in the ER did relieve his CP but not completely. Hep-Lock in place left AC. When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! -Reorient Patient to person, place, & time Perform neuro assess He has not had his BP medication today. Psychological Needs Normal acuity RS Flashcards | Quizlet Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Skin integrity at risk True Scenario 5 Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. -Explain that Docetaxel is a hormone therapy that suppresses the testosterone that your testicles produce producing similar results as surgical intervention. Diet as tolerated. The Swift River Nursing Simulation involves artificially representing real-world processes with sufficient fidelity to enable learning through immersion, practice, reflection, and feedback without facing the risks inherent in a similar real-life situation. The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. 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. BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Full assessment Scenario 2 Call rapid response Scenario 4 Assess for fall risk The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment -Notify HCP of fall, complete incident report The pain makes him short of breath. Skin cool to touch and appears pale. Scenario 3 Safety -Discuss with sitter that patient needs continual observation -Determine when a hospital provided sitter will be necessary You notify the charge nurse that you have never taken part in inserting a chest tube. Senario 1 -Use therapeutic communication/active listening Offer masks to visitors You enter room one hour after the physician has left the patient. Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? He is questioning the nurse as to why he has been admitted for heartburn. -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Take vital signs before leaving the hospital again. Dr. Donofrio, Physiological Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. No known allergies (NKA). Scenario 3 Scenario 2 Full assessment Stat lithotripsy treatment ordered. Review pain medication order Scenario 3 Scenario 1 Contact head nurse or supervisor in the OR to evaluate new situation If family/visitors come, will need education to airborne precautions. Evaluate understanding. Your response to all of them would be: Scenario 1 Encourage fluids/fiber/ambulation Communication/Speech: Clear Non-verbal Slurred Aphasia Other No weight bearing today. His overall health is good, and he has known he has been HIV positive for the past five years. Robert Sturgess - Swift River - Robert Sturgess Educational needs Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. 00 Comments Please sign inor registerto post comments. Scenario 1 Scenario 5 Scenario 1 Obtain translator Esteem Dr. Small at bedside with patient and family. Bowel Movement Total: x________________, Hygiene Times Skin integrity, impaired True Scenario 3 Check PRN pain order Peripheral Neurovascular Dysfunction False Najvyia ponuka (2013) | Filmotka | SFD.sk Evaluate patient learning Document results. Sensorium: Normal acuity, Bleeding, risk for: False Educate patient Safety Therapeutic Communication Check physician orders A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Infection, Risk for False Ineffective airway clearance True -Tell the patient to call immediately if the chest pain gets worse or they become short of breath You are about to call the Surgical ICU and give report. Check pedal capillary refill Impaired comfort: True Microeconomics And Behavior Robert Frank 9th Edition Wash and glove hands Safety Educate patient regarding changes to POC The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). The bed arrives tomorrow. His children are visiting, and they are very supportive. Acute Pain True Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. Senario 4 Today's weight 226. Vital assessment 156 terms. Provide Operative summary of type of procedure, IV fluid and pain status. Swift River MedSurg 1.pdf - MED-SURG SCORE: 100 TIME Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. The cycle of freezing and thawing damages the abnormal cells. Where is my camera man!! You question her while reviewing her operative consent and determine that everything is correct. You determine to apply the restraint now. Administer antiemetic medication Fortune Salaire Mensuel de New King James Bible Download For Windows 7 Nausea False Impaired Skin Integrity, Risk for True Impaired Home Maintenance Management r/t Client or Family False Scenario 1 Family in room with patient very concerned. Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! -Recheck Tilts after the NS bolus is complete.T Blood Glucose 185, 4 units of insulin sliding scale for coverage. She receives the pre-op medication. Ineffective Self-Health Management True Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Sit at an eye level. Impaired Skin Integrity, Risk for False He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Nathaniel Gonzalez Answers to the questions - 1. Linda Yu Acuities Educational - Studocu Psychological Needs Normal acuity 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. Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Acute pain: False Continent: Yes No Brief/Diaper 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. Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Assume role in response team of documenter Swift River Reflection Questions 1 - Swift River - Course Hero Vital signs are: B/P 112/78, temp. Imbalance nutrition: True Bladder distention Pelvic pain Low back/flank pain Rapid Response team arrived including anesthesia. Ms. Getts is requesting water to drink. Evaluate understanding Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Imbalanced Nutrition False Deficient knowledge: True Senario 4 Normal Sinus Rhythm on telemetry. Strict I&O and strain all urine, filters in bathroom. DOCX Swift River Online Learning - Taxonomy He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Self-Actualization Ms. Gestalt is now complaining of fever and chills. -Check on patient/sitter hourly Scenario 2 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. Nausea: False Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored Senario 2 Therapeutic communication Fall Risk Increased acuity Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion GI WNL. Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Chronic Pain True Elevate head of bed Impaired skin integrity: False, Anxiety: True Decreased Cardio Tissue Perfusion False She has just been transported from recovery. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Cardiovascular has pacer with rate of 82bpm on demand. Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Safety References; Access My Virtual Clinicals; Medical-Surgical. Fall, Risk for True Scenario 5 Assist patient out of bed Scenario 3 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 . Bleeding Risk for: False Notify Physical Therapy (PT) 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! Scenario 4 Allow family to remain Widespread Color Change: N/A pallor cyanosis jaundice erythema Disturbed Sensory Perception False Sleep deprivation: False This will treat any cancer that may have metastasized to the bone. Non-significant past medical Hx. Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. Impaired Mobility False Decreased Cardiac/perfusion: False Scenario 4 Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale.

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