He has been ruled out for an MI. She is also to receive radiation, chemotherapy, and hormone therapy post operatively. Increased fall risk. Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. Nathaniel Gonzalez Check pedal capillary refill Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. Imbalanced Nutrition True Stools are decreasing but patient remains very weak. Establish second IV Physiological- -Explain that Docetaxel is a hormone therapy that suppresses the testosterone that your testicles produce producing similar results as surgical intervention. Scenario 5 A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Lung sounds are worse. -Place patient on 100% O2 Notify doctor Use therapeutic communication/Active Listening -Tell the patient that they are being admitted to r/o any cardiac issues Imbalance nutrition: True Sensorium Normal acuity, Physiological Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Reassure patient of options ASA is held but morphine 4 mg was given after his GI cocktail. DSD (dry sterile dressing), forehead laceration clean and dry intact. Mr. Dominec had his surgical procedure and is doing great. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Diet as tolerated, up ad lib after gait training. Scenario 1 High fall risk. Senario 3 Senario 2 Sa fortune s lve 2 000,00 euros mensuels Full assessment of patient. Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. Psychological Needs: Increased acuity Call rapid response Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Peripheral Neurovascular Dysfunction True. 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. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. -Ensure patients is positioned in bed properly Scenario 2 Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Three hours later, Ms. Getts is unsteady when standing by her bedside. Combien gagne t il d argent ? #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Scenario 3 Rich Dad, Poor Dad (Robert T. Kiyosaki) The Methodology of the Social Sciences (Max Weber) Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.) . Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. 1. -Reassess patient q 5 minutes until awake, then 15 minutes until they are fully awake (not Drowsy). Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? Decreased cardio tissue perfusion: False His coughing, to clear his airway, appears ineffective. Scenario 5 Peripheral Neurovascular Dysfunction False -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. Ineffective Self-Health Management False Notify doctor if condition is abnormal The oncologist is recommending Docetaxel as opposed to an orchiectomy. Notify lead nurse/doctor Bleeding Risk for: False Medical-Surgical - Swift River Online Learning The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Need frequent reminder to stay in room and maintain mask precautions. -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 3. After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! Neuro WNL alert and cooperative. Scenario 4 Check PRN pain order Place pt on PCA pump Acute Confusion False Combien gagne t il d argent ? Chronic Pain False Fatigue True Peripheral Neurovascular Dysfunction: False Remain with patient Scenario 1 Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. No known allergies (NKA). You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Patient, and family upset regarding dx. Chronic Sorrow False Remind physician to wash his hands before examining the patient Use therapeutic communication/Active Listening Anxiety True Scenario 2 Mrs. Stukes is feeling nauseated. Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Discharge instructions Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. The cells are allowed to warm up and then are frozen again. -Assess patients' pain and rule out cardiac pain. Reassure patient and help explain any new orders from physician to patient Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Assess for bowel sounds Document results -Advise patient not to get up and walk on his own This will treat any cancer that may have metastasized to the bone. He chooses to go home and see the doctor tomorrow in his office. Grieving: True Ruth Cummings Trustee Vice Chair Audit Chair . Ineffective Peripheral Tissue Perfusion False He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. No Known allergies (NKA). It is now two weeks later; Mrs. Smith has returned. Report current urinary output quantify per hour and color of urine Your responsibilities are: Scenario 1 Shock, Risk for False Document results Chronic Pain False Fear True Perform full assessment and provide anti-nausea medicine. Wound clean dry and intact. Hypothermia False She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Regular diet. Excess Fluid Volume, Risk for False Failure to Thrive True. Enter the email address you signed up with and we'll email you a reset link. Scenario 1 Senario 4 When completing the shift change neuro check, you notice the patient's left pupil is sluggish. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University Grieving False -Assess if the contents of lunch tray are intact. Explain reason for assessment and procedure Two housekeepers, who were refusing to clean the room, are in the break room. Odor: __________, No -Reassess patient's physical status prior to leaving him in the hallway He also states he is feeling weak. Health Change Increased acuity Scenario 4 Your response to all of them would be: Scenario 1 No known allergies (NKA). As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Release restraints/full range of motion You are about to call the Surgical ICU and give report. Color:__________ 45 terms. -Set-up for stat portable chest x-ray Disturbed Sensory Perception True jessdevan. Stay with patient for surgeon's arrival to explain intended surgical procedure Deficient Knowledge False Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. 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. His orthostasis is normalized after a second liter of NS was administered. -Obtain chest tube tray and set-up pleurovac Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? Sa fortune s lve 1 900,00 euros mensuels LOC Normal acuity Scenario 5 RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Construct dietary consult (plan) Health Change Increased acuity Tear, Ecchymosis, Contusions, Bruising Anterior: ___________________________________ Posterior: ____________________________________ Deficient knowledge: True DSD (dry sterile dressing), forehead laceration clean and dry intact. Pain Level: Increased acuity 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! Social worker with patient this morning. No response = 1, Mobility: The patient will be discharged today, and he will be ordering new prescriptions. Impaired Gas Exchange True Deficient Knowledge True Document results and findings Eye opening Spontaneous = 4 Fortune Salaire Mensuel de Nba 2k23 Pc Review Combien gagne t il d Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Call Rapid Response protocol initiated Disturbed Sensory Perception False Educational Needs Increased acuity Chronic Confusion False Scenario 5 Impaired Home Maintenance management r/t client or family False BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Dysfunctional Gastrointestinal Motility False Physiological Hep-Lock in place left AC. They feel that you should share with them if he was a "real AIDS" patient or not. Scenario 1 Wash hands Airborne Isolation. Normal Sinus Rhythm on telemetry. Shock False Chronic Pain True She has been admitted to the floor with complaints of numbness in her right foot and ankle. Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. Present health assessment including B/P and LOC and dressing. Fortune Salaire Mensuel de Tthuchicago Org Combien gagne t il d argent Upon entering room, you wash/glove hands. Sleep Deprivation False Swift River Clinical Practice Chamberlain University - Homework Score
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