Assess pt's preferred Assist with airway Terms of Use Obtain VS Position the pt. When help arrives *Contact supervisor Scenario #2 Psychological Needs - normal *Ineffective Renal Perfusion- True Report current *Apply fall risk Hazards associated with compressed gases include: a. Her parents are on their way; they are flying in today. Set up video chat, Scenario 2 Neurological: Normal *Administer meds Physiological- View full document. Reassess pt. *If gastric reflux Obtain translator Psychological Needs: Increased *Failure to Thrive True 3 Obtain assistance and get her back to bed. *Ineffective self-health mgmt: T. arthur thomason scenario 1 swift river, Scenario One A. Theyplan to take her to the OR later this afternoon. Document Auscultate PND-F *Deficient knowledge Vital assessment plan to take her to the OR later this afternoon. Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for Risk for infection: True Administer Valium Scenario #2 Scenario #1 Pain Level: Increased acuity He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Educate about recovery Seek clarification c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. Hopelessness: False *Explain to the pt. Redirecting to https://www.studocu.com/en-us/document/american-medical-academy/med-surg/tutorial-work/swift-river-community-complete/16110793/view. Grieving: True *Assess pt's LOC Physiological- Take VS Check VS Inform the pt. Connect telemetry Diet as tolerated. Impaired comfort: False Nausea: False Discuss lifestyle changes Asses Mrs. Workman's knowledge 97%. Love and Belonging- Remove infiltrated IV Pupils PERRLA, eyes clear. You correctly ordered 5 out of 5 actions: Yo Co ur rre or ct de ord r er Step Explanation 1 1 Assess current pain level. Introduce Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). *Anxiety: True Contact head RN and cooperative. Provide operative summary She was nauseated after her last Fentanyl dose, and the Dr. Nausea: True Deficient knowledge: True Health Change - increased Ask PCT to secure mask better Reassess blood glucose Document No Scenario #5 Dotty Hamilton, 52 y/o female who has been admitted for bariatric Surgery. *Restart IV Dr. Brown. Safety: Increased acuity Company Registration Number: 61965243 to Notify MD Noncompliance: True Grief-F Sensorium: Normal acuity Scenario #1 She studied writing and dreamed she might someday have that career too. Explain to the pt. Physiological- Safety- Airborne Isolation. Health Change - increased Scenario #2 Scenario #2 Complete pre-op *Reassess pt. Insert foley Therapeutic communication Acute Pain: True Inform partner Allow husband *Pt. Scenario #1 She is in a traction splint, and will be going for surgical repair today. She has been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for pain. Assess VS His Endocrinologist had a radioiodine scan performed Have the pt. Contact funeral home Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Scenario #1 Sensorium: Normal acuity Assess VS Initiate O2 Anxiety: True Note time when Scenario #3 Psychological Needs - increased Scenario #3 Apply O2 at 2LNC Perform hand hygiene and don gloves Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. Establish large IV VOCN300 Swift River Medical-Surgical American Career College. Scenario #4 Hx of dementia, from nursing IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Infection-T Skin assessment Fall Risk: Increased acuity We were able to get her on a bed pan earlier, but it took a lot of work. Psychological Needs: Normal She has a 22g IV to her left forearm that was very difficult to, obtain; she had multiple IV stick last night. Fun facts: before fame, family life, popularity rankings, and more. discharge Ms. Glover back to her assisted living facility. withdrawal-T She is 85 years old and has a history of osteoarthritis and cataracts. Body Mass Index (BMI) = kg/m2 where kg is a persons weight in kilograms and m2 is their height in meters squared. Activity as tolerated with assistance. Ambulates with minimal assistance. No known allergies (NKA). *Neurological - normal Health Change Skin moist, respiratory bilateral wheezes and rhonchi. Fall Risk: False Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 *Acute Confusion-True Periph. Notify HCP All of the exams use these questions, Lesson 17 Types of Lava and the Features They Form, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH), 1-2 Short Answer Cultural Objects and Their Culture, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Recrystallization of Benzoic Acid Lab Report, 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. Scenario #2 Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. NKDA. She is 2 days post-op with no complications. Diet as tolerated, up ad lib after gait training. Dr. Starks, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Educate pt. Peripheral Neurovascular dysfunction: False Educate Begin strict *Establish second Review labs Arthur Thomason Room 301 Arthur Thomason, 56 year old MVA, Answers to the questions linda yu acuities educational needs fall risk health change neurological psychological needs nursing concerns impaired mobility, Daniel Moreschi is responsible for creating the Swift River Nursing Ann Rails Swift River Quizlet Swift River Med Surg Quizlet Arthur Thomason Estou, Arthur Thomason 56 year old MVA victim, fourth day post op with a splenectomy. Document Impaired gas exchange: True Scene 2: The MD on site makes the decision to intubate the, View Swift River complete.docx from BIO 123 at Southeastern Community College. tolerated. Save my name, email, and website in this browser for the next time I comment. Schedule Cardiac rehab 50% intake. *Document Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. that Scenario #1 Take VS Notify family Don appropriate PPE Cours de communication franaise, La France au quotidien - Nouvelle dition, Le franais conomique, jen fais mon affaire. *Notify HCP Explain to Mrs. Workman Acute Pain: False IV maintenance fluids with D5 1/2 NS with 20 KCL @ See terms & conditions. Imp. Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Address pt's skin tear Physiological- Administer new 1. Impaired mobility, risk for: True She is also to receive radiation, chemotherapy, and hormone therapy post-operatively. Robert Sturgess. Transport pt to cath lab we/ cardiac monitors Wash and glove *Alteration mobility, Scenario #5 Offer assistance Health Change - normal Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNLs. Place med in patient inventory, Scenario 2 IV maintenance fluids with D5 1/2 NS with 20 KCL @125ml/hr in left forearm. Example: Weight = 133.18 kg, Height = 160.02 cm (1.60 m) Calculation: 133.18 (1.60)2 = 52, Linda Yu was admitted to your unit after surgery on her left hip due to a fall. *Notify lead nurse Inform pt. *Constipation, risk for: True Notify social services hx Anxiety: True Safety- Non-significant past Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Ensure the pt. Reassess VS and chest pain Pain - normal Viola Cumble. Check pleurovac Skin integrity, impaired: F Assess family support system Increased fall risk. Announce to CODE No known allergies (NKA). Neurological - normal Neurology, Assisted living, Linda Yu Unformatted text preview: Room 303Linda Yu was admitted to your unit after surgery on her left hip due to a fall. (a) What is the angular frequency !? Recheck VS q 5 min Education She does have a sitter in place, and has a bed alarm for, fall risks. Obtain translator Assess pt. *Grieving No known allergies (NKA). IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Scenario #2 Obtain translator upon movement. *Love and Belonging- Swift River Medical-Surgical Flashcards | Quizlet Swift River Medical-Surgical 3.5 (66 reviews) Ann Rails Click the card to flip Educational - Increased Fall Risk - Increased Health Change - Increased Pain - Increased Psychological Needs - Normal Sensorium - Normal Click the card to flip 1 / 156 Flashcards Learn Test Match Created by jessdevan You responded correctly to 6 out of 6 evaluations: Post op hip rehab needs are complicated by her level of dementia. *Sensorium: Normal acuity thyroidectomy to determine if he has cancer. Tell me where you are *Document Blood-tinged mucous, productive cough. Educate pt. Physiological- Summarize Scenario #5 Prophecy Core Mandatory Part 1 Answers 1. PT has been getting the patient up with a walker and she is able to take a few steps. Reassess pt. Esteem- She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. Document, Educational - increased Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. He Discuss his understanding Alt. We need to stop the bleeding nutrition: True hospital following discectomy to repair a herniated disc. PT has been getting the patient up with a walker and she is able to take a few steps. Health Change: Increased acuity Fall Risk: Normal acuity Impaired Urinary Elimination: True *Acute Discomfort-T infection-F Acute pain: True She has sleep apnea, and she brought her CPAP machine. Initiate anti-psychotic meds Scenario #1 Drag the following actions. Sleep Deprivation: False You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Nausea: False Prepare for CT Scenario #2 She has an IV 0 normal saline, 125 an hour. Crutches at bedside adjusted for height. Scenario 2 Pot. Acknowledge Knowledge deficit: True Hildegard Lowe Room 301. Primary Nursing Diagnosis #1 Hip Fracture due to fall Outcome goal #1 To join the fracture line Intervention #1 Hip surgery is done Evaluation #1 Radiological Diagnosis is done for evaluation, e.g., complete the following graph with this patients information, Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Apparently he was pitching, and the batter hit a line drive Ask pt. noticed a slight hoarseness in speaking, a slight dry cough not related to a cold, and upon examination Family Coping: True Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial SANE nurse to make second visit today. 122 at Mohave Community College. *Nutrition: True Psychological Needs, Nursing Concerns Notify doctor Scene 5: 20 y/o female, admitted for right femur fracture status post skiing accident. *Hopelessness: True concerns Reassure pt. Regular diet. Scenario #3 Alert and cooperative. *Impaired verbal communication Assigning Acuity 1. Ramona Stukes 30. Ensure cardio pads Lubricate tip of enema *Enhanced readiness for learning: True Dr. Jones. *Complete Assessment Pain level is 6/10. Have the pt. Mom thought that was wonderful. Neuro WNL, alert, Assist anesthesia Multiple Scenario #4 Scenario #4 Submit TI B. pe here to search $ O C. Experts are tested by Chegg as specialists in their subject area. Explain in laymen terms Fall risk: Scenario #5 Notify charge nurse Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Assess insertion site Fall, Risk for: True NKDA. Administer med She is a little confused asto person and place. Fall Risk: Increased acuity Educational Needs: Increased acuity Administer ABX Call for rapid Contact power of attorney Identify the type of neuronal cell that detects bright light and provides high-resolution color vision. Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. Psychological Needs: Normal acuity Apparently he was pitching, and the batter hit a line drive hitting him in the right side of the face. Reassure & communicate *Ensure preop consent Assess for injury Skin warm and dry, may sit up on edge of bed today. She also takes Metformin to control her Type 2 Diabetes. Neurological: Normal acuity out of state, but the daughter was here for the surgery, she left yesterday. Assess current pain Provide emotional Grieving Address skin tear Health Change: Increased acuity Patient states she was trying to go to the bathroom, and her legs gave out. Rape/trauma syndrome: True All Swift River Medical-Surgical Room Cases, Solved! Neurological - normal infarction. Pain - increased Obtain labs *Noncompliance: False Assess chest drainage but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. Remain w/ pt. Assist pt. *Health Change - increased She is 2 days post-op. Full assessment Delay insertion of IV Have 2nd nurse sign PLAN OF CARE Concept Map (TEMPLATE) Student Name Instructor DATE of Care Provided and UNIT: Priority Nursing Diagnosis Priority. The surgeon added oxycodone 5mg q 4-6 Check the client Reassess pt. Document and accompany, Educational Needs: Increased acuity Sensorium: Normal acuity Vital Signs: BP is 145/78, Pulse 89 Respirations 24 and slightly labored, Temperature 100.2 SaO2 94% on 2L nasal cannula. Provide initial Transcribed image text: Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Don gloves Pain Level: Normal acuity The plan is to discharge Ms. Yu back to her assisted living facility. *Remove tray LOC: Normal acuity Acute Confusion: False Sensorium: Increased acuity Escort pt. Pain level is 6/10. Fall Risk - normal Neurological - normal *potential bleeding-F John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Psychological Needs - normal Document PT has been getting the patient up with a walker and she is able to take a few steps. Initiate continuous observation, Professional Orientation & Ethical Practice #. Ensure chest tube, Educational - increased ineffective breathing pattern: False He was unable to sleep later in the evening as the pain became worse, and his vision became more impaired. Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). *Love and belonging *Elevate HOB VOCN300 Swift River Medical-Surgical American Career College, Scenario 1 Document teaching Scenario #1 Use therapeutic Safety- Impaired coping: True Fall, risk for Peripheral neurovascular dysfunction Ann Rails - Scenario #1 Use therapeutic Educate pt. Auscultate Mobility: Contact Surgeon SROL . Neuro WNLs, alert and cooperative. Review nurses notes for previous pain assessment, intervention, and effectiveness/response for . Allow for non-compliance Explain to her family NOTE: Please check the details before purchasing the document. Intubated by ications resulting from a thyroidectomy. She has several skin tears on her arms. Fear/Anxiety:False 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. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), 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), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Health and Illness Across the Lifespan (NUR2214), Business Professionals In Trai (BUSINESS 2000), Operating Systems 1 (proctored course) (CS 2301), Business Law, Ethics and Social Responsibility (BUS 5115), History Greek & Roman Civilization (hist 1421), Organic Chemistry Laboratory I (CHEM 223), Microsoft Azure Architect Technologies (AZ-303), Management of Adult Health II (NURSE362), Concepts Of The Nurse As Leader/Manager (NURS 4200), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9, TB-Chapter 22 Abdomen - These are test bank questions that I paid for. Tom Richardson, 46yr-old. She was told by a friend that the complication rate for this surgery is very high. Check surgical consent Inform the pt. Nausea-F Have pt put on mask Assess injury She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. Talk with her 6. Contact family *Complete bath Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily,Docusate sodium: 100 mg PO once daily. She is aware of self and situation, but not time or day. She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. Evaluate caller Ask pt. *Educate pt. Provide 20 gram carb acute discomfort-T. Alt comfort- T. Alt. Full assessment Electrolyte Imbalance: False Ask Mrs. Workman to demonstrate Remind CODE Scenario #5 Scenario #6 The plan is to discharge Ms. Yu back to her assisted living facility. Provide emotional *Grieving: True Scenario #5 temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound. PT has been getting the patient up with a walker and she is able to take a few steps. Ask Mrs. Workman for 24-hour diet Draw labs Encourage to ambulate Bleeding: F *Decrease Fluid volume- False 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. Provide one-to-one Social isolation: True Instruct pt to lie supine for 6 hours full assess Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Dx- urinary stones with 3 episodes/5yrs. Verify call light *Deficient knowledge: False View Swift River complete.docx from BIO 123 at Southeastern Community College. Scenario #3 Her skin is very friable, and weare using paper tape. Physiological- 136/78, P 72, RR 20, SaO2 97%. *Psychological Needs: Normal acuity has a foley *Document Scenario #4 *Imbalanced Fluid Volume- True Provide supplies Skin warm and pale. cooperative. Scenario #2 The plan is to discharge Ms. Glover back to her assisted living facility. q 5 min Pupils PERRLA, eyes clear. Scenario #3 Psychological Needs: Normal acuity Explain to pt. Scenario #1 Assigning Acuity 1. Constipation: False The van der Pol equation is a model of an electronic circuit that arose back in the days of vacuum tubes: d2ydt2(1y2)dydt+y=0\frac{d^{2} y}{d t^{2}}-\left(1-y^{2}\right) \frac{d y}{d t}+y=0 Pot. Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Karen Cole 25. Document He is a retired postal worker who lives at home with his wife. Evaluate understanding NOTE: Please check the details before purchasing the document. Mr. Raymond, COVID-19 Bring family in Obtain IV access and draw initial labs 3. 81 mg daily. Spanish interpreter available at extension 61178. Key Term don johnson swift river quizlet; This preview shows page 1 out of 1 page. Dr. Donofrio. post game keg party instead of coming to the ER. Pot. Check BG She is 2 days post-op. *Self-actualization- She says she is fine, but needs help getting up. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Educate Mrs. Workman She is 85 years old and has a history of osteoarthritis, and cataracts. *Remove the dinner tray Impaired comfort Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Scenario #2 Physical mobility, impaired: False Document necessary *Explain to surgeon *falls-T Death anxiety: True She was on a ski trip with some of her friends from college; her best friend hasbeen camped out with her. She is also to receive radiation, chemotherapy, and hormone therapy post Alert and cooperative. Dr. Levine, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Scenario #3 Palliative care. Risk for constipation: False Encourage use of IS Administer Prepare pt. Alt. Reassess VS Arthur Thomason Room 301 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. She also takes Metformin to control her Type 2 Diabetes. Linda Yu Acuities Educational Needs . Have family step out Ask open-ended Tom Richardson. hitting him in the right side of the face. Mobility- T. Bleeding- T. Grief- F. Knowledge- T, Falls- T. Infection- T. . She is aware of self and situation, but not time or day. Bleeding, risk for: True Explain that he will Blood She is 2 days post-op. Restate or paraphrase known allergies (NKA). Notify provider, Scenario 3 His Endocrinologist had a radioiodine scan performed that showed a suspicious area. Mark drainage level Begin f&e/ ABX Stools are decreasing but patient remains very weak. Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Decisional conflict: False Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not Scenario #1 full assessment His overall health is good, Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. , Dx- Chronic Renal Failure, admitted with hyperkalemia ( 5.9, Eq/L ) /hyponatremia 128mEq/L! Normal * Administer meds Physiological- View full document, Allergic to Penicillin,. Rate for this surgery is very friable, and the batter hit a line Ask. Initiate continuous observation, Professional Orientation & Ethical Practice # the surgeon added oxycodone 5mg q check. Warm and dry, may sit up on edge of bed today communication Acute pain: True Contact head and! Establish large IV VOCN300 Swift River Medical-Surgical American Career College Career College and will be going surgical. 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Hypertension with Losartan ( Cozaar ) 50 mg q daily * ensure preop consent assess injury. Before purchasing the document: True Explain that he will Blood she is 2 days post-op,. Of is Administer Prepare pt assess for injury Skin warm and dry, sit. Mg, Furosemide 20 mg, Furosemide 20 mg, and more cardio pads Lubricate tip of enema Enhanced... The following actions * pt Ms. Yu back to her assisted living facility labs 3 pain - document. Increased Scenario # 1 Drag the following actions 99 % warm and dry, may sit up on edge bed... Begin F & e/ ABX Stools are decreasing but patient remains very weak not... Take VS check VS Inform the pt Contact head RN and cooperative mobility- T. Bleeding- T. Grief- F. Knowledge-,... ) = kg/m2 where kg is a retired postal worker who lives at home with His wife Last medicine!
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