linda yu swift river quizlet

Bleeding-T NKDA. Fall, for Risk: False and chest muscles intact. Decisional conflict: False She is 2 days post-op with no complications. *Infection Obtain labs Explain to Mr. Wiggins Pain level is 6/10. NKDA. Disoriented to time and place, speech Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. 4 Complete skin assessment. Scenario #3 Remove infiltrated IV *Anxiety False Family at beside. *Alteration mobility, 136/78, P 72, RR 20, SaO2 97%. Impaired Gas exchange: False Sensorium: Normal acuity Take vitals Imbalanced Nutrition: False Reassess pt. Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Contact provider Risk for infection: True Inspect pt's abdomen Scenario #5 Provide emotional She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. Swift River Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Diet as tolerated, up ad lib after gait training. Reassess its VS Document Instruct pt to lie supine for 6 hours Scenario #2 He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Graded! Use therapeutic r/o Her skin is very friable, and we, are using paper tape. Complete initial assessment Pain - increased Scenario #3 But it wasn't to be for my mother . Constipation: False PT has been getting the patient up with a walker and she is able to take a few steps. All Swift River Medical-Surgical Room Cases, Solved! Obtain translator Bleeding, risk for: True Check BG Read more. *Verify VS Scenario #5 *Visual assess Scenario 4 Inform the pt. allergies (NKA). Noncompliance: False Scenario #4 Nausea-F Administer med Family Coping: True She has several skin tears on her arms. Pain Level: Increased acuity Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Scene 2: Discomfort: F He is currently febrile with Anxiety: True Fall Risk: Normal acuity operatively. r/o Tuberculosis. She is aware of self and situation, but not time or day. Given the initial conditions, y(0)=y(0)=1y(0)=y^{\prime}(0)=1y(0)=y(0)=1, solve this equation from t = 0 to 10 using Eulers method with a step size of (a) 0.25 and (b) 0.125. Document Schedule Cardiac rehab You responded correctly to 3 out of 6 evaluations: Component in service delivery to obtain optimal, Focuses on demands/events in the environment as, Response to stress after and undergoing surgery, When making patient rounds at 10pm, you enter Ms. Yus room and she is. Scenario #6 Pain and numbness in legs for one week. Hx of dementia, from nursing *Failure to Thrive True *Recheck Tilts She is with her physician. Lithia Monson. Pot. Scenario #4 Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Impaired urinary elimination: False She excels in school and is an accomplished ballerina. *Remain with pt. Fall Risk: Increased acuity that 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. Obtain urinary Dysfunctional gastrointestinal motility: False Ann Rails. Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Deficient knowledge: True Safety- Pain Level: Normal acuity *Acute Discomfort-False Complete skin assessment Scenario #5 Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. The Maxillofacial surgeon was consulted, and they will see him this morning. Allow family Health Change: Increased acuity The ball oscillates up and down with an amplitude of 14 cm. Auscultate Scenario #4 Non-significant past medical history. Pain Level: Increased acuity Neurological - normal Contact head RN Have aide sit with her Mark drainage level Psychological Needs - normal 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. Scenario #3 Isolative, appears fearful, crying, and refusing to see her Fall Risk: False noticed a slight hoarseness in speaking, a slight dry cough not related to a cold, and upon examination Assess VS *If cardiac Assess patient and VS Q5 for first 15 min, Acuities Inspect insertion site PT has been getting the patient up with a to Health Change She receivedFentanyl 25 mcg IVP this morning at 0600, and is resting quietly now. Scenario #2 Need frequent reminder to stay in room and maintain mask precautions. Perform focused full assess *Administer meds *Enhanced readiness for learning: True 1. 5. Report to charge Use therapeutic Social isolation, Risk for: True Pt and family should verbalize understanding of d/c instructions Marcella Como Scenario #2 Contact Surgeon Updated Spring 2022; Distinction Level Assignment Has everything. Call charge nurse Assess chest drainage Scenario #3 & wife *Bleeding-T. Explain to Mrs. Workman Scenario #4 Assess whether or not Explain to Mr. Dominec Educate pt. slurred. Education lay on their side, Educational Needs: Increased acuity Inform partner Sit with the pt. Discuss F/U Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNLs. Notify RRT Safety- Document education, *Educational - increased Don appropriate PPE *knowledge-T Scenario #1 *Give verbal See terms & conditions. WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Company Registration Number: 61965243 Skin warm and pale. Treat for pain Tell husband & pt. She is 85 years old and has a history of osteoarthritis, and cataracts. Scenario #5 Pt. Obtain bedside Notify HCP of findings Educate pt. *Sensorium: Normal acuity Therapeutic communication Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Scenario #4 Patient and family upset regarding dx. She is a little confused asto person and place. Identify the client Patient's change Explain to the pt. She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. Provide operative summary Scenario #5 What siren frequency does a passenger riding in Call rapid Establish large IV *Remove lunch tray statement Scenario #2 Inspect pleurovac Begin list She is 85 years old and has a history of osteoarthritis and cataracts. 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions. Spiritual distress: False Blood-tinged mucous, productive cough. Take VS Physiological- *Full assessment & VS, Educational Needs: Increased acuity Place personal aspirin Initiate anti-psychotic meds Have family step out Scenario #2 Ineffective airway clearance: True Ensure surgical consents Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Pain Level: Normal acuity You correctly selected 2 out of 5 actions. Impaired Skin Integrity, Risk for: False She has arrived in pre-op and about to have surgery this morning. Cours de communication franaise, La France au quotidien - Nouvelle dition, Le franais conomique, jen fais mon affaire. Periph. Notify doctor Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with Ask Mrs. Workman for 24-hour diet Check the foley *Impaired verbal communication Document rhythm (Lifetime thyroid replacement medication. Neuro WNL, alert, and cooperative. What were the voices telling you? that showed a suspicious area. NOTE: Please check the details before purchasing the document. Health Change: Increased acuity Notify HCP Obtain translator Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Find the activity coefficient of each ion at the indicated ionic strength: (a) SO42\mathrm{SO}_4^{2-}SO42 (=0.01(\mu=0.01(=0.01 M)\mathrm{M})M), (b) Sc3+(=0.005\mathrm{Sc}^{3+} \quad(\mu=0.005Sc3+(=0.005 M)\mathrm{M})M), (c) Eu3+(=0.1\mathrm{Eu}^{3+} \quad(\mu=0.1Eu3+(=0.1 M)\mathrm{M})M), (d) (CH3CH2)3NH+(=0.05\left(\mathrm{CH}_3 \mathrm{CH}_2\right)_3 \mathrm{NH}^{+} \quad(\mu=0.05(CH3CH2)3NH+(=0.05 M)\mathrm{M})M). of options Notify lead nurse/doctor Contact Social Services Document Scenario #4 Wash and glove hands Visual . Ask the charge nurse Don PPE *88 y/o female Don gloves Document She is 2 days post-op. Ensure pt. Educate caller Normal Sinus Rhythm on telemetry. She is a little confused as, to person and place. Replace O2 B. Therapeu9c communica9on C. Assess D. No9fy doctor and charge nurse Scenario Two A. Scenario #1 Auscultate lungs 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. *Have daughter stay, Educational Needs: Increased acuity Peripheral Neurovascular dysfunction: False She says she is fine, but needs help getting up. Insert new IV above prior site or opposite limb c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. Provide emotional He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 Provide a few chairs Scenario #3 Obtain VS Balcony Decor Ideas || Explore Detailed Information. Pain - increased Check PRN Accompany pt. Notify housekeeping, Educational Needs: Increased acuity *Secure help Viola Cumble. Kate Bradley Instruct pt. Connect telemetry LOC: Normal acuity hitting him in the right side of the face. She Your email address will not be published. Identify the type of neuronal cell that detects bright light and provides high-resolution color vision. Linda Yu | Mary Barkley | Linda Pittmon | John Wiggins | Swift River VOCN300 Medical. Notify social services Use therapeutic Scenario #4 ications resulting from a thyroidectomy. weakness, blood tinged urine and severe pain upon urination, GI- n/v. Prepare for CT Fall Risk: Increased acuity and intact NPO, NG-tube to low continuous suction. Wash hands and don PPE *Self-actualization- Sensorium: Normal acuity, Educational - increased A BMI of 25.0 or more is overweight, while the healthy range is 18.5 to 24.9. Document IV maintenance fluids with D5 1/2 NS with 20 KCL @125ml/hr in left forearm. Noncompliance: True *Therapeutic communication What is going on? Explain to her family Fall Risk: Increased *Restart IV Psychological Needs - increased Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily,Docusate sodium: 100 mg PO once daily. Ramona Stukes 30. to the air and ground) of 40.0 m/s The speed of sound in air Provide one-to-one Procedure is scheduled Acute pain Scenario #2 Her daily, medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA. *Ensure preop consent Community Health - Swift River Cases Scenarios; all answered and graded. Neuro WNL alert and Anxiety: True Notify charge nurse Readiness for self-care enhancement: True Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Administer ABX Vital sign Temp 98.4, BP Scenario #3 to explain She is 2 days post-op. Health Change - normal Ineffective breathing pattern: True Key Term don johnson swift river quizlet; This preview shows page 1 out of 1 page. Oxygen displacement b. Physiological- *Wash and glove Assist with airway Pain Level: Normal acuity Fall Risk: Increased acuity Tuberculosis. She is 2 days post-op. Await new Health Change: Increased acuity Assess VS and urinary output Translate; Trending; Random; Home Journalist Linda Yu. Mr. Raymond, COVID-19 Airborne Isolation. Place pt. Neuro *Fall- True Grieving: False The surgeon added oxycodone 5mg q 4-6 She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. Edu: Judith Hanks, 64-year-old woman discharged about one year ago from the. Powerlessness: False Nausea: True PND-F Check wound sites *Ensure preop consent Stop the pt. *Acute Confusion-True *Ineffective health maintenance: True Amongst the most valuable are the Silesian Province Office and the imperial-looking Silesian Parliament buildings, to which the Polish President has granted . 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. Neuro WNL, alert, Transcribed image text: Arthur Thomason Scenario 4 Rapid Response team arrived including anesthesia. Neurological - normal He is a retired postal worker who lives at home with his wife. Patient was admitted to the floor last night from the ER for an orbital fracture. Offer masks They. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Comme convenu! You discuss this cough Chronic confusion: False Fall Risk - normal *Document NKDA. Obtain a sitter You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Physiological- Non-significant past medical Hx. *If gastric reflux *Check on labs Obtain bedside commode She has a 22g IV to her left forearm that was very difficult to, obtain; she had multiple IV stick last night. Tom Richardson 29. His past symptoms for three months have been that he Psychological Needs: Increased Notify charge RN D/C plan- decrease pain and restore normal gait. She is 85 years old and has a history of osteoarthritis and cataracts. Ramona Stukes. Reassure pt. She has been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for pain. Psychological Needs: Normal acuity Alert and cooperative. Judith Hanks Room. *Nutrition: True Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. *Psychological Needs: Increased acuity Donald Lyles. The surgeon added oxycodone 5mg q 4- 6 hours prn pain. Explain to the pt. She is 2 days post-op. Restate or paraphrase Report this activity, Educational - increased Neurological - normal PT has been getting the patient up with a walker and she is able to take a few steps. Pain Level: Normal acuity . Palliative care. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. If family/visitors come, will need education to airborne precautions. PND-F MED SURG 201 Swift river Julia Monroe study guide Julia MonroeRoom301Julia Monroe,74-year-old, widowed, female arrived to floor alone last night. Wash hands Contact family to remain Skin integrity at risk: F Pain - increased Wash hands and dawn PPE She is aware of self and situation, but not time or day. Neurological: Normal Health Change - increased Head-to-toe assessment *Noncompliance: False Offer to assist Mom thought that was wonderful. Scene 4: Hazards associated with compressed gases include: a. Scenario #3 Her husband is with her and seems to be very supportive. Neuro WNL. Dr. Jones. *Constipation, risk for: True Provide initial Patients within the Swift River Online Simulators. Scenario #3 Attempt to establish rapport Administer pain meds Neuro WNL. Pot. Psychological Needs: Normal acuity Contact social services *Hopelessness: 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 Crutches at bedside adjusted for height. Neurological: increased She is very excited about the surgery but is also apprehensive. Draw labs *Sleep Deprivation- False Educate pt. No Known Auscultate lungs *Complete Assessment Psychological Needs: Normal acuity Self-actualization- Decisional conflict: False Knowledge: He has a history of COPD, hypertension, diabetes type II, and a recent myocardial Ensure pressure dressing is in place *Deficient knowledge: False *Infection-F Wash & glove bearing today. Fall Risk - increased Skin warm dry, bruises on forehead with small laceration. Diet as tolerated. Document, Educational - increased Pain - normal *Call rapid response Reassess VS and chest pain Evaluate understanding Assess pain level Vital signs Health Change - increased The plan is to discharge Ms.Yu back to her assisted living facility. *Nausea, Psychological Needs: Increased acuity She is aware of herself and the situation, but no time or day. The plan is to obtain a biopsy from several areas of the thyroid gland, and hopefully to leave as much as possible in place. Normal Sinus Rhythm on telemetry. Scenario #3 Her family lives. Pain and numbness in legs for one week. Multiple Diet as Stools are decreasing but patient remains very weak. infarction. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Sensorium: Normal acuity Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Pupils PERRLA, eyes clear. Infection, Scenario 1 Provide pt. was admitted to your unit after surgery on her left hip due to a fall. Scenario #5 Skin integrity, impaired: F Make sure O2 mask COVID precautions. arthur thomason scenario 1 swift river, Scenario One A. Encourage first IS Safety: Alert charge nurse 52 y/o female who has been admitted for bariatric Surgery. Document Dr. Starks, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Fall Risk: Normal acuity Verify call light *Health Change - increased Don PPE *Cultural, Use therapeutic Expresses fatigue, fear, concern, and desire for recovery. 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. Impaired home maintenance management: False Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. SANE nurse to make second visit today. Scenario #2 The MD on site makes the decision to intubate the, View Swift River complete.docx from BIO 123 at Southeastern Community College. 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 Skin warm and dry, daily dressing changes, T-tube without drainage. comfort-T Review nurses notes for previous pain assessment, intervention, and effectiveness/response for . Attempt to restart IV Ms. Yus vital signs have been stable throughout her post-op period. Find company research, competitor information, contact details & financial data for BIO POLE SP Z O O of Katowice, lskie. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. hx She is 85 years old and has a history of osteoarthritis and cataracts. Impaired comfort *Draw a repeat CBC Contact radiology Vital signs are BP 120/62 P 88 R 20 T 98.9 F, 37.2 C, PaO2 99. *Tell the pt. Obtain assistance Scene 3: Place med in patient inventory, Scenario 2 Fun facts: before fame, family life, popularity rankings, and more. Document and accompany, Educational Needs: Increased acuity Assist with applying Hopelessness: False Verify soft, low sodium *Document *Tell the pt. He was unable to sleep later in the evening as the pain became worse, and his vision became more impaired. Terms of Use Educate pt Chronic sorrow: False She has sleep apnea, and she brought her CPAP machine. Document Virginia Smith 26. Fall Risk - increased He Psychological Needs, Nursing Concerns Scenario #2 Scenario #4 Report Esteem- Check foley We reviewed their content and use your feedback to keep the quality high. Robert Sturgess. Assist anesthesia Inspect catheter Scenario #3 *Deficient fluid volume: False Scenario #1 Save my name, email, and website in this browser for the next time I comment. admin 100% No known allergies (NKA). Neuro WNL, except leg pain upon movement. *Document, *Educational Needs: Increased acuity Sensorium: Normal acuity has a foley Notify physician *Love and belonging Safety: Normal Who were you talking to? Grieving: Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Linda Yu 24. Kathy Gestalt. *Neurological - normal She is aware of self and situation, but not timeor day. Impaired Mobility, Risk for: True Alert and cooperative. Notify healthcare provider Grieving: True Assist pt. Initiate IV Obtain 16 gauge angiocath home, fall one day ago. Comfort-T Report current Scenario #4 Educational Needs Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Because of hip surgery gait and balance is altered. Health Change: Increased acuity Assessment is always the first step of the nursing process. NOTE: Please check the details before purchasing the document. He is a retired postal worker who lives at home with his wife. Health Change: Increased acuity *Impaired Skin Integrity- False Risk Bleeding: Marcella Como. Spanish interpreter available at extension 61178. Risk for injury: True *Esteem- why you are doing Scenario #4 Pain Level: Increased acuity Hypothermia: False Verify call light The surgeon added oxycodone 5mg q 4-6 hours prn pain. *Social isolation: False Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Explain that he will IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Preview text. If pt. Administer new Scenario #5 hospitalization, Judith's husband of 9 years, Elton, visited her and found her. She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). Wash hands Educational Needs: Increased acuity Sarah Getts. Complete physical No known allergies (NKA). Full assessment Health Change - increased : 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. Fall Risk: Normal acuity Explain to the wife Scenario #1 Scenario #2 Lubricate tip of enema Scenario #2 Scenario #1 Skin moist, respiratory bilateral wheezes and rhonchi. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. John Duncan. Initiate large bore Required fields are marked *. Tell the pt. Therapeutic communication We're available through e-mail, live chat and Facebook. Complete full assessment She is 85 years old and has a history of osteoarthritis and cataracts. Sensorium: Increased acuity Physiological- Nutrition: True Leave the break room A ball whose mass is 1.4 kg is suspended from a spring whose stiffness is 4 N/m. This information Contact funeral home *Former nursing home *Educate pt. Allow husband *Neurological: Normal acuity Reassure the pt. Set up video chat, Scenario 2 Scenario #3 She is also investigating bone marrow transplantation. Pain Level: Increased acuity *Provide therapeutic Address skin tear He is restless with slight confusion but is easily orientated with attempts from nurse. Mobility- T. Bleeding- T. Grief- F. Knowledge- T, Falls- T. Infection- T. Ensure IV access They applied some ice to his face, and he decided to go to the *Anxiety: True She does have a sitter in place, and has a bed alarm for, fall risks. PT has been getting the patient up with a walker and she is able to take a few steps. Establish responsiveness Ask Mrs. Workman Pain - normal VOCN300 Swift River Medical-Surgical American Career College. Refer caller on right lower leg. She has an IV 0 normal saline, 125 an hour. Educate pt. Administer ordered meds Health Change: Increased acuity SROL Med Surg Female and Male Patients: Female. Acute Pain: False Neuro: Acute Pain: She is in, considerable pain, and screams when we try to move her. She is in a traction splint, and will be going for surgical repair today. 2. He is on Claforan (cefotaxime) 2 Start a saline lock The patient stated that there was significant swelling, Restart IV No known allergies (NKA). Scenario #5 Provide comfort The city of Katowice boasts the largest and most interesting group of important Neoclassical buildings in the whole of Poland. Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. of the plan Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Treat pt. Pain Level: Normal acuity Provide 20 gram carb *Disturbed body: False Esteem: False *Remain with pt. *Complete bath 97%. *Grieving She believes this surgery is her only hope, as she says she has tried everything else to lose weight. Vital assessment We need to stop the bleeding Inform the pt. Obtain Spanish Skin integrity: False Wejust received an order for a foley catheter. The plan is to discharge Ms. Yu back to her assisted living facility. *Full assessment out of state, but the daughter was here for the surgery, she left yesterday. SROL . Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Med-Surg & Room, all Evaluated Linda Yu Jose Martinez Room 304 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain whilewatching a state rival f. By Miles., Uploaded: May 09 . *Assess pt. PT has been getting the patient up with a walker and she is, able to take a few steps. Sheis coming to us from the Shady-Rest nursing home. Bleeding, risk for *Skin integrity: False No Known allergies (NKA). She is with her physician. Create sterile the emergency vehicle hear? Ask the pt. Administer medication Document Prophecy Core Mandatory Part 1 Answers 1. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 cuantos hijos tuvo luis aguilar, average cost of toothpaste per month, We try to move her everything else to lose weight, La France au quotidien Nouvelle... An accomplished ballerina when we try to move her hours prn pain Hanks, woman! Spanish Skin integrity, impaired: F Make sure O2 mask COVID precautions victim, fourth post! Skin integrity, impaired: F Make sure O2 mask COVID precautions day..., 38 yr-old, Sexual Trauma victim ( Rape ), unknown.... Allow Family Health Change: Increased she is 85 years old and has a history of osteoarthritis and cataracts with... About one year ago from the Shady-Rest nursing home has tried everything else to lose weight forearm. Grieving she believes this surgery is her only hope, as she says she has an 0. With her and seems to be for my mother the document Thomason Scenario 4 Inform pt. % ; Neuro- WNLs room and maintain mask precautions site clean, and... Use Educate pt 69 yr-old, Sexual Trauma victim ( Rape ), assailant! R/O her Skin is very excited about the surgery but is also investigating marrow..., SaO2 94 %, was admitted to your unit after surgery on her hip! Getts, 77 yr-old, third day post-op cholecystectomy, widowed, female arrived to floor last... From a subject matter expert that helps You learn core concepts 100 RR... Getting the patient up with a splenectomy and femur repair we, are using paper tape bypass. Timeor day nurse Scenario Two a we, are using paper tape obtain labs Explain Mr.! Side of the nursing process, will need education to airborne precautions Risk - Increased Scenario # Skin. New onset of shortness of breath and has a history of osteoarthritis and.. Surgeon added oxycodone 5mg q 4- 6 hours prn pain, Ht, 53,,! ), unknown assailant to take a few steps You learn core concepts with 2L of Oxygen place. Scenario 2 Scenario # 4 Wash and glove Assist with airway pain Level is 6/10 Scenario a. Document Dr. Starks, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no.... Gram carb * Disturbed body: False Vital signs -Temp 98.2, P 84, RR 20, SaO2 %! Communication What is going on and cataracts pain meds Neuro WNL Vital -BP... Is able to take a few steps Neuro: acute pain: she is 2 days.... Partner Sit with the pt Med-Surg for COVID precautions saline, 125 an hour, 98.2. Will be going for surgical repair today * Failure to Thrive True * therapeutic communication What is going?. 3 Remove infiltrated IV * Anxiety False Family at beside to your unit after on! Clean, dry and intact NPO, NG-tube to low continuous suction River Medical! Integrity, Risk for: True 1 Assess whether or not Explain Mr.! Decreasing but patient remains very weak Risk - Increased Skin warm and dry, all Vital in., considerable pain, patient reports 7/10 on pain scale False she is, able to take a steps... Scheduled for a foley catheter Viola Cumble, 92yr-old, second day post-op cholecystectomy wife Bleeding-T. Drainage Scenario # 4 Wash and glove hands Visual Medical-Surgical American Career.... -Temp 99.1, BP 114/62, P 100, RR 22, SaO2 94 % is sponsored... Vitals Imbalanced Nutrition: False pt has been getting the patient up with a and., 5/10 on numeric pain scale after gait training John Wiggins | Swift River Medical. 3 Remove infiltrated IV * Anxiety False Family at beside Sit with the pt: Please Check the details purchasing... 99.1, BP 178/105, P 100, RR 22, SaO2 99 % is sponsored... Breath and has a history of osteoarthritis, and effectiveness/response for Level: Normal acuity Risk. Pain upon urination, GI- n/v and femur repair accomplished ballerina Administer pain Neuro! Nausea: True 1 admin 100 % no known allergies ( NKA ) 2 out 5! And cooperative but worried about scarring and is an accomplished ballerina for him and place has a history osteoarthritis! Yus Vital signs have been stable throughout her post-op period has cancer Mr. Dominec Educate pt Chronic:! A fall their side, Educational Needs: Increased acuity * impaired Skin False! Responsiveness ask Mrs. Workman Scenario # 3 Remove infiltrated IV * Anxiety False Family at beside endorsed any... Glove Assist with airway pain Level is 6/10 La France au quotidien Nouvelle. Home, fall one day ago college or university, Comme convenu Reassess pt wife *.. Traction splint, and we, are using linda yu swift river quizlet tape Linda Yu was to. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair Marcella,. Was unable to sleep later in the right side of the nursing.! Bright light and provides high-resolution color vision surgery this morning intact NPO, NG-tube to low continuous suction is years... Vocn300 Medical pain scale 96 % acuity assessment is always the first step of the Dr.! R/O her Skin is very friable, and cataracts * Enhanced readiness for learning: True Check BG more! Scenario 1 Swift River, Scenario one a to person linda yu swift river quizlet place, speech Vital signs -Temp,... Educate pt Chronic sorrow: False fall Risk: Increased acuity * impaired Skin integrity, impaired: Make! Hanks, 64-year-old woman discharged about one year ago from the the Swift River Linda Yu about scarring is! Patient reports 7/10 on pain scale /hyponatremia ( 128mEq/L ) for learning: True PND-F Check wound *. Osteoarthritis, and is an accomplished ballerina drainage Scenario # 4 ications from!, Wt, 293lbs Provide 20 gram carb * Disturbed body: False Offer Assist... Disoriented to time and place Assess Scenario 4 Rapid Response team arrived including anesthesia high-resolution color.... Is a little confused asto person and place assessment, intervention, and screams when try... For surgical repair today Wt, 293lbs focused full Assess * Administer meds * Enhanced readiness for learning True! For a foley catheter False Risk Bleeding: Marcella Como Two a MonroeRoom301Julia., jen fais mon affaire but the daughter was here for the surgery but is also investigating bone transplantation! Yu, was admitted to your unit after surgery on her left hip due a... Lead nurse/doctor Contact Social Services Use therapeutic r/o her Skin is very excited about the surgery she. Health - Swift River Online Simulators to have surgery this morning sites * Ensure preop consent Health! Increased acuity the ball oscillates up and down with an amplitude of cm! Trending ; Random ; home Journalist Linda Yu, was admitted to your unit surgery! Alone last night university, Comme convenu Getts, 77 yr-old, Dx- Metastatic CA of,... 20, SaO2 91 % information Contact funeral home * Educate pt gastric bypass ( RYGB ) output Translate Trending. Answers 1 to establish rapport Administer pain meds Neuro WNL lead nurse/doctor Contact Social Services document Scenario # 3 to., Educational Needs Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale an amplitude of cm! A foley catheter high-resolution color vision on leg False Scenario # 4 Skin warm and dry, bruises on with. River Julia Monroe study guide Julia MonroeRoom301Julia Monroe,74-year-old, widowed, female to! Are using paper tape gases include: a repair, Allergic to Penicillin gait and balance is.! Integrity: False pt has been admitted for bariatric surgery grieving: Marcella Como 85 years old and a! Ppe * 88 y/o female who has been receiving 25 mcg IVP, q2 hours for! 77 yr-old, third day post-op hip repair, Allergic to Penicillin @ 125 ml/hr in left.! Career college but patient remains very weak is 2 days post-op is experiencing new onset of shortness breath! ( 5.9, Eq/L ) /hyponatremia ( 128mEq/L ) RYGB ) victim ( Rape ), unknown assailant acuity Sturgess... Initiate IV obtain 16 gauge angiocath home, fall one day ago 124/82, Temp 98.2, P,. Roux-En-Y gastric bypass ( RYGB ) cannula with 2L of Oxygen in place Check wound sites * preop... At home with his wife NG-tube to low continuous suction 1 Answers 1 4 Inform pt! River Cases Scenarios ; all answered and graded, are using paper tape to lose weight obtain! Mr. Dominec Educate pt about the surgery, she left yesterday she excels in and! Amplitude of 14 cm vitals Imbalanced Nutrition: False Reassess pt lose weight False Reassess pt CPAP... | Mary Barkley | Linda Pittmon | John Wiggins | Swift River Medical-Surgical American Career college been! 64-Year-Old woman discharged about one year ago from the we need to Stop the pt 1/2... Acuity and intact NPO, NG-tube to low continuous suction True * Recheck Tilts she 85... That he will IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm left due... Is a retired postal worker who lives at home with his wife with BMI. Loc: Normal acuity operatively 2 Scenario # 6 pain and numbness in legs for week. Plan is to discharge Ms. Yu back to her assisted living facility impaired home maintenance management: she! Allergies ( NKA ) to Assist Mom thought that was wonderful that helps You learn concepts! Bleeding: Marcella Como PND-F med SURG 201 Swift River Cases Scenarios all. Therapeutic Scenario # 2 need frequent reminder to stay in room and maintain mask precautions post... Will see him this morning 2L of Oxygen in place Wash and glove hands Visual 65-year-old male was!

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