robert sturgess swift river

Imbalanced Nutrition: True -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Assess for fall risk Remain with patient Genitourinary Assessment Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Dr. Donofrio. In the interim, start an IV and start infusing Ringers Lactate. Deficient Fluid Volume False Evaluate learning Continent: Yes No Brief/Diaper Scenario 1 Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Imbalance nutrition: True He also has metal fragments on his left side on his leg arm and torso. Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Document results Needs frequent reminding due to determination to do things herself without assistance. Check PRN pain order Report to charge nurse/ head nurse the need for staff education. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. RUE: ______________ LUE: ______________ Amount:________ Pain re-assessment Use therapeutic communication/active listening Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Acute Pain True Notify doctor Scenario 2 You determine to apply the restraint now. Cardiovascular Assessment 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. Senario 5 Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Safety It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. 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. Safety Increased acuity, Physiological You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. ADA diet, intake 25%. Impaired Skin Integrity, Risk for False Respirations Blood Pressure, 7a-7p Total: 7p-7a Total: Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. Observe closely first hour Physiological- Acquire daily weight and food intake Notify lead nurse/doctor Swift River fisheries research | Mass.gov Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Biopsies were sent to determine the treatment. Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Failure to Thrive True. Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. DSD (dry sterile dressing), forehead laceration clean and dry intact. -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 -Complete full assessment, to include neuro Document Results/Findings Chronic Pain True Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. After washing and gloving hands, you then identify yourself and the patient, Ann Rails. 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. Document results Neuro WNL alert and cooperative. Hx of dementia, from nursing home, fall one day ago. She has been admitted to the floor with complaints of numbness in her right foot and ankle. Educational Needs Increased acuity After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. Request sitter/family member to bedside His original lymph node biopsy was negative. Senario 4 Infection, Risk for False Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Fall, risk for: True "I am feeling fine." You question her while reviewing her operative consent and determine that everything is correct. Tear, Ecchymosis, Contusions, Bruising Her husband and two grown children are also with her as she is prepared with gown and head cap awaiting transport to the operating room. However, he quit three years ago when he remarried; he and his wife have a nine-month-old baby. Safety Ms. Cumble states that she has not had a BM for three days. -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Scenario 1 Wash hands -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. jessdevan. Senario 1 Chronic Pain False Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Fatigue True NURS 320 Med_Surg_Swift_River **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 IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Scenario 1 Evaluate understanding. Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. -Continue to observe urine for hematuria and document findings Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Scenario 3 Senario 2 Perform pain re-assessment Scenario 1 Imbalanced Nutrition True Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Continent: Yes No Occasional Incontinence Frequent Incontinence Brief Educational Needs Increased acuity Shock, Risk for: False Scenario 2 Reassure patient and help explain any new orders from physician to patient Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. He is pale, weak, diaphoretic, and appears anxious. palliative care. Safety Dr. Altace, Educational Needs Increased acuity Safety Do not probe further Swift River: Sign In Senario 5 When completing the shift change neuro check, you notice the patient's left pupil is sluggish. 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. Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Evaluate understanding Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Psychological Needs: Increased acuity Fortune Salaire Mensuel de New King James Bible Download For Windows 7 Scenario 4 Physiological- Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Document results Scenario 1 Esteem Scenario 4 Scenario 5 The patient is asking you where her son is, the last place she saw him was right before the explosion. Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? Scenario 3 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. Dr. Small at bedside with patient and family. Therapeutic communicationT Scenario 5 Love and belonging , a 58-year-old male patient presents to the ER CO CP 10/10. Spiritual Distress False. Sa fortune s lve 10 000,00 euros mensuels Vital signs are to be taken BID, and it is now time. Swift River Reflection Questions 1 - Swift River - Course Hero Enter the email address you signed up with and we'll email you a reset link. new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Offer nutrition/toilet Scenario 4 Pupils PERRLA, eyes clear. Obtain vital signs machine Constipation, Risk for True Scenario 3, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Incomprehensible Chronic pain: True Include patient condition change in shift report Administer protocol antidiarrheal medication Scenario 5 Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Oriented to: Person Place Time Where is my camera man!! If family/visitors come, will need education to airborne precautions. 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Dr. Altace, Physiological- Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Document results After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Scenario 1 Reassure patient of options Scenario 2 Awaiting diagnostic labs. RS Flashcards | Quizlet Provide a few chairs if possible for her family to also be comfortable His VS are BP 122/64, P 89, R 12, SpO2 93%. Health Change Increased acuity -Reassess patient Explain to her family and provide contact information. Sa fortune s lve 1 900,00 euros mensuels We have more than 20 years' experience in the industry providing a quality service to our clients We pride ourselves on our customer-orientated service and commitment to delivering high end quality goods within quick turnaround times. -Ask the patient if it is okay to discuss his care in front of his children. Ineffective Self-Health Management False Wash and glove hands John Duncan You call his doctor to inform him the family has arrived. Verify call light/bed safety precautions -Contact HCP to determine when they are available to speak with the patient Evaluate understanding Scenario 3 -Draw a repeat CBC per HCP order to determine current Hemoglobin status Document conversation Adjust crutches Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Scenario 3 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! No Known allergies (NKA). (PDF) Playful citizens: utopian intersections of play, sex and Self-Care Deficit True Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Construct dietary consult (plan) Fatigue True IV D5 1/2 NS @150ml/hr. 2. Deficient Knowledge False Upon entering room, you wash/glove hands. His left humerus is fractured and splinted. Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration Non-significant past medical history. -Have patient remain in bed, head elevated 30 degrees -Elevate head of bed and place the patient on Pulse oximetry. Self-Actualization Fall Risk Increased acuity Scenario 2 Mrs. Stukes is feeling nauseated. Verbal command = 3 Tunneled, site _______________ Implanted port, accessed _____________________ Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Report this activity immediately to the hospital privacy officer Do not disturb Administer pain medications Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Notify doctor The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Anterior: ___________________________________ Posterior: ____________________________________ Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Verify call light/bed safety precautions You escort them with you to the ICU. Failure to Thrive True. Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). Peripheral Neurovascular Dysfunction False. How does the Med-surg simulator work? Mr. Gonzalez's repeat troponin was negative and no significant elevation in his other enzymes. 2021-22, Historia de la literatura (linea del tiempo), Respiratory Completed Shadow Health Tina Jones, CH 02 HW - Chapter 2 physics homework for Mastering, BI THO LUN LUT LAO NG LN TH NHT 1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Reapply restraints Robert Sturgess - Swift River - Robert Sturgess Educational needs The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Social Isolation, Risk for True This shop has been compensated by Inmar Intelligence and its advertiser. No known allergies (NKA). Deficient knowledge: True RS Vclinical Flowsheet - Student Name : Date: NUR 113 Assessment Swift The patient is being prepared for discharge and his IV has been removed. Fall, risk for True Document results Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output Yes Physical Mobility, Impaired True Scenario 4 Imbalanced Nutrition True Senario 4 He is questioning the nurse as to why he has been admitted for heartburn. Nutritional Intake: Adequate Inadequate BMI: Wash and glove hands Wife at bedside. Perform neuro assess Psychological Needs Normal acuity Scenario 1 Notify Doctor for pain medz His orthostasis is normalized after a second liter of NS was administered. Validate NPO Status You also notice the patient is more difficult to orient. Disoriented, confused = 4 The sister of Mr. Mancia calls from home to speak with you. Scenario 1 He replies, "six times in the past four hours". Notify doctor and charge nurse Perform pain reassessment Contact Social Services You explain that his condition has worsened and now he has been taken to ICU. Explain to physician what interventions you have recently initiated As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. -Attempt to orient to person, place, and time Reasses temp in 1 hour. Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Patient and family upset regarding dx. Home - Swift River 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. Scenario 3 Senario 3 Document results/findings He is currently febrile with temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound tenderness in right lower quadrant, has elevated WBC's and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Deficient knowledge: True Infection, risk for: False. Failure to Thrive: True. 2Provide comfort in pre-surgical room Mr. Dominec. Scenario 1 Powerlessness: True, Scenario 1 Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. -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. Patient, and family upset regarding dx. The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Impaired Mobility, Risk for True -Take initial vital signs (room air Pulse Ox) Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Need frequent reminder to stay in room and maintain mask precautions. Rapid Response team arrived including anesthesia. -Notify HCP of fall, complete incident report No Known allergies (NKA). An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. -Use therapeutic communication/active listening Ronald Burgundy No known allergies (NKA). Evaluation patient after consult Seek clarification Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. Fall, Risk for True Senario 2 The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Scenario 3 Fall, risk for: True The nurse observes an elderly lady who is crying and has not been taken care of yet. Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. 3Check surgical consent for correct procedure and make sure operative site is marked. He has a 20-year one pack history of smoking. Provide comfort in pre-surgical room Mr. Dominec. Swallowing: Intact Dysphagia Aspiration Precautions Neuro WNL, alert, and cooperative. Use therapeutic communication/Active Listening sounds= 2 -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. -Remove the dinner tray and make sure the diet is soft food. The patient got dizzy when he stood up from the commode. Family in room with patient very concerned. river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Health Change Increased acuity Senario 1 Perform circulatory evaluation Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. When you arrive to room 4, you are told to assume the care for the patient and get ready to transport them to the floor ASAP. Apply nasal cannula

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