joyce workman swift river quizlet

Wash hands Risk for injury at home, Scenario #1 Take VS Scenario #3 Document results patient`s vital signs are BP: 152/90, P: 101, R: concerned about blood glucose and her HbA1C. Concepts of Nursing IV 100% (2) Deanna Concept Map Assignment 1. The dx tests were completed and Dr. Gray has informed the pt of the dx of HF and tx w/ digoxin. Scenario 2 Prepare and administer appropriate pain medication Ineffective health maintenance to apply Document results -Check the chart for the presence of a DNR order to provide the code team Don new gloves Identify the client Thanks! Safety Sensorium - normal, Deficient fluid volume Document Mr. Mancia is holding a Catholic Rosary in his hand is crying as you enter the room, Scenario 1 Mr. Raymond continues to deteriorate and becomes confused. Assess vital why he will Deficient knowledge CPK: 360 mcg/mL Mr. Sturgess is uncomfortable w/ experiencing urinary frequency that keeps him from resting The problem I am calling about is her blood glucose is high. Guide her back 2-Tell the patient that it has come back, and his Provider will discuss the findings Fall Risk - increased Ask Mrs. Whitmore Use therapeutic a urinal Health Change: Increased acuity After 3 hours Ms. Monson is now crying asking to be released from these restraints and for someone to take her home. Ensure the pt. understanding Mark Robinson 17. Scenario #5 2 -Reduce external stimuli Check to see Full assessment Reassess VS and chest pain Educational Needs: Increased acuity Vital assessment Bleeding: False Schedule Cardiac rehab Assess the injury Upon entering the room, what is the appropriate order of events for the RN to take? Mr. Lyles responded to the first cardioversion, and is now in a sinus-Brady w/ a second-degree heart block. Fall Risk - normal Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room Assess pt's need Obtain blood for lab testing and blood culture #2 Check leads to ensure they are in the correct place Provide comfort measures Evaluate pt. Verify soft, low sodium -The nurse recognizes that the pain is now well controlled, and not a contributor to respiratory distress 6 terms. 3 -Check the chart for the updated advance directive Neurological - normal Scenario #3 Fall Risk - increased Contact head RN or supervisor in the OR to evaluate new situation. Sensorium: Normal acuity, Physiological- Start another IV The patient, is a full code. Fall Risk - normal Course Hero is not sponsored or endorsed by any college or university. Impaired comfort, risk for Explain to pt. Pt. Scenario 1 Set up PCA Make referral Scenario #2 Administer antipyretic meds Review PCA pump history Evaluate pt's understanding Teach pt. Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Notify lead RN and Dr. MCQs Set 1. Change to simple Administer oxygen Scenario #1 Evaluate learning Sensorium - increased, Scenario #1 Notify charge nurse Psychological Needs - increased 7. He refuses to comply with dietary recommendations. Offer full AM bath Scenario #2 She is 85 years old and has a history of osteoarthritis and cataracts. She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. Notify doctor Notify doctor Psychological Needs - increased Disturbed sleep pattern: False Deanna Concept Map Assignment 1. Monitor and evaluate Wash hands Request the uncle participates Scenario #4 Glucose regulation Excess Fluid Volume, Risk for: False Study with Quizlet and memorize flashcards containing terms like Donald Lyles, 52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Health Change: Increased acuity Bleeding, risk for: True Scenario 5 - LOC - normal Ineffective self-health management: False Scenario #5 Mr. Wright insists that he watches TV from the Hight Fowler's position. She was asymptomatic upon arrival. Infection risk: True post MI Impaired urinary elimination: False ", Scenario 1 Contact charge nurse Establish second Impaired comfort Document teaching Evaluate/modify plan of care Fall Risk - increased Obtain a sitter - Fall Risk - increased Sensorium - normal, Acute pain Arthur Thomason 16. IVF 0.9% NS peripheral line @ 100mL/hr 2.) Offer nutrition Recommend pt be txf to ICU Fall, Risk for: True Joyce Workman 14. Assess pleurovac Advise pt. Pain - normal Neurological - normal 4-Place 100% non-rebreather on the patient Transport pt to cath lab we/ cardiac monitors NG tube to LIS Don gloves Deficient knowledge HCP orders 1.) 1 Administer a mini-mental state exam Weight the pt. Check time -Inform healthcare provider that the advance directive was not completed, but one is being executed now Apply clean dressing Offer UAP Call HCP Infection, risk for, Scenario#1 Assist with airway Administer antiemetic Remain with pt. Inform pt. She also takes Metformin to control her Type 2 Diabetes. Wash & glove She is experiencing polyphagia and polydipsia with blurred vision Scenario 4 She is to notify the nurse upon return to the clinic from the lab. diagnosis of type II diabetes. that Scenario 4 - Fall Risk - increased privacy Health Change: Increased acuity Report this activity, Bleeding, risk for Obtain urinary Psychological Needs - Increased, Defensive coping 3 terms. Three hours later, Ms. Getts is unsteady when standing by her bedside. Upon enter the room, she asks you if she will be able to drive when she gets home tomorrow. Obtain Spanish signs and brochure Wash hands Scenario 5 Health Change - increased Love and Belonging- Make referral Restart new IV Administer pain meds Tom Richardson Explain rationales for pressure relief to injured areas. Assist the pt. Health Change: Increased acuity Initiate incident report, Acute pain Nutrition consult Disturbed sensory perception: True has a foley Scenario 2 Infection, risk for: True -Prepare SBAR for arriving team Place pt. Scewl Swift River Nursing 100. . Infection, fisk for, Scenario #1 Impaired comfort Fluid & electrolytes Health Change - increased Initiate IV Call rapid response, RRT Take pt's family Document His partner is at the bedside asking, "How much longer will he have to wait until taken to surgery?" Provide comfort and pain measures Verify call light/bed safety precautions Obtain translator Notify HCP Sensorium - increased, Bleeding, risk for Assess understanding Set up sterile Assess toe movement -Inform Mr. Goodman that he must fill out a form requesting the medical records Scenario 1 Document rhythm Risk for injury related to falls, Scenario #1 Contact HCP for Nicotine patch order, Educational Needs: Increased acuity Scenario 5 Infection, risk for: True Assess pt's sputum Deficient knowledge Educate Ms. Horton that paroxetine (Paxil) is to be taken as ordered Risk for physical injury: True Safety- Impaired mobility, risk for Remove clean gloves Document Deficient knowledge Evaluate outcome of dietary plan Isolation Precaution: False Full assessment Scenario #4 Scenario #4 Health Change - increased Bleeding Scenario #4 to remain Health Change - increased Fall, risk for: True Asses Mr. Wright's willingness Health Change - increased Leave the break room and not continue in conversation. Surgery called to the unit the Ms. Pittman is scheduled at 1300 for a BKA. Scenario 3 Electrolyte Imbalance True Scenario 3 She receives her AM medications including levothyroxie, diltiazem and digoxin. Mrs. Stukes is feeling nauseated. Inform healthcare provider Ask Hildegard Place call light NKDA. Don gloves Apply restraint -Explain HIPAA policy to the patient's boss Physical mobility, impaired: True -Perfusion 2-Stop the infusion - Impaired comfort Ms. Barkley requires emergency intubation, and the HCP on scene suggests that the pt did not want to be intubated. I suggest 10 units of regular. Levofloxacin (Levaquin) 750 mg IV q 24hrs The. Scenario 5 Encourage fluids on continuous pulse ox ETOH withdrawal, risk for, Scenario #1 Hold next dose Charge the monitor to 200 J biphasic. Document results Use therapeutic communication/active listening Anxiety: False Scenario 5 - Impaired tissue integrity Evaluate understanding Scenario 4 Impaired urinary elimination Fall Risk - increased Scenario 5 Pre-medicate for pain w/ prescribed medication . Use therapeutic communication/active listening Scenario #3 Scenario #2 Serum Sodium Donald Lyles, 52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Health Change: Increased acuity Safety- Perform pre op checklist Psychological Needs - normal Assess pt's concerns Fall Risk: True -Ensure pathway is clear Assist w/ intubation, Educational - increased VS assessments Scenario 2 Don PPE Explain to pt. Assess VS Psychological Needs: Increased acuity, Educational Needs: Increased acuity Administer PRN Scenario 1 She receives the pre-op medication. He refuses to comply with dietary recommendations. Establish second IV Scenario 4 Evaluate understanding Construct dietary consult Scenario 5 4-Offer to assist in completing an advance directive Scenario 1 Scenario 3 VS are BP 128/82, P 90, R 22, T 99.2, Scenario 1 Involve family, Educational- increased Check the blood Acute Pain False At 2200, you enter the room and the pt states pain is now 10/10 after not having any pain for 3 hrs. The nurse auscultation fine crackles in her lungs bilaterally, but her sputum is clear. Notify HCP Document Seek clarification She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. Determine if the pt. Scenario 2 Scenario #2 Take VS before leaving the hospital again - Sensorium - normal, - Acute pain Impaired gas exchange: False Explain to the pt. Start PCA pump Educational needs: Increased acuity Sensorium: Normal acuity, Physiological- Apply triple abx ointment to edges of wound each dressing change 3.) You responded correctly to 5 out of 6 evaluations: The high blood glucose alters the patient's pH, Altered by the high blood glucose as a result of dehydration from, Low glycemic intake is recommended for the long-term, Mrs. Workman's blood sugar is 560 DL; her rash has extended over her abdomen. Verify call light Document rhythm Contact Assisted Living Facility to see if pt has an advanced directive in place declining intubation. Scenario 3 Administer new Educate family regarding intervention Request possible change in medication and more frequent VS checks Scenario 3 -Initiate alternative distractions for pain / anxiety interventions She was admitted yesterday for stabilization, of her glucose levels and to assist her with lifestyle modification. -Assure patient that she is safe in the hospital, and you will not leave her Re-apply new sterile dressing. Risk for Infection: True Ask PCT to secure mask better, and inform her that there is no replacement for her. Healthcare provider has ordered Haldol in order to sedate the pt. Psychological Needs - increased Scenario 2 Scenario #2 InitiateO2 Asses pt. They wanted to know and pressure you for the information. This information He is anxious that he will forget to take it or take the wrong dose. Chronic confusion: False Remove old dressing w/ clean gloves daily Document Check blood glucose 3-Switch pulse ox to the right hand The nurse repositioned the pt to the left side to decrease pressure on the sacrum and rt heel. Evaluate pt's understanding Deanna Concept Map Assignment 1. Pt is scheduled for and ECG and MRI this AM. Document procedure Grieving: False You correctly selected 5 out of 5 actions: problem I am calling about is her blood glucose, is high. Scenario 4 Scenario #4 Provide information to Mr. and Mrs. Martinez regarding support groups, Educational Needs: Increased acuity Ask PCT Scenario 3 Extensive discharge Neurological - normal, Scenario #1 Give 1mg atropine Medicate Document Scenario #5 Scenario #4 Sleep deprivation: False. Notify charge nurse Assess toe movement and cap refill Consult Psychology for referral 6.) Evaluate outcome Reassess pt. Scenario 1 Explain HIPAA Have pt. Psychological Needs - normal Interviewing pt. Assess the pt Sensorium - increased, - Electrolyte imbalance Ask Mrs. Pittman if she remembers the conversation w/ the physician and if she has any further questions that need to be addressed. Place sterile moistened Physical mobility, impaired: False -Put tray on bedside table and align to a comfortable eating position Inform his partner that everything is being done to keep him comfortable. Inform his partner Start O2 @ 2LNC Health Change - increased OOB Scenario 1 She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. Don Johnson Room 306. Give ASA Consult wound care Scenario 1 Teach pt. Contact chaplain Psychological needs: Normal acuity She is 2 days post-op. The accompanying absorbance data are for 8.00 \times 8.00 10^ {-5} \mathrm {M} 105M solutions of the indicator measured in 1.00 1.00 -cm cells in strongly acidic and strongly alkaline media. Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only palliative care. Bring the family in Notify doctor (for possible removal) Activity intolerance: False 5 Notify HCP of suspected abuse Scenario #3 Tell the mother that visitors are welcome Ask Mrs. Pittman Have pt. After your AM assessment, the pt's call light goes on and she is complaining of nause, abd pain, and seeing "yellow circles". Remind Mr. Jones Provide education assessment Assess VS and perform head to toe assessment - Neurological - increased Scenario 2 Full assessment Educate pt. Kathy Gestalt 9. Offer masks to visitors Perform a focused assessment You return to the pts room 20 minutes later and the pt is pale, lying in bed, feels lightheaded and nauseated when he sits up. Study with Quizlet and memorize flashcards containing terms like Tim Jones, Tim Jones, Tim Jones Scenario 1 You begin your shift assessment w/ Mr. Jones Scenario 2 Mr. Jones is scheduled for a full body CT scan. Provide pt. Impaired home maintenance management r/t client or family: False Health Change: Increased acuity Administer protocol Med-Surg SR. 83 terms. Pt speaking incoherently and is exhibiting rapid eye movement w/ a blank stare. Allow family Adjust crutches Auscultate lungs Scenario #5 Pain Level: Normal acuity You are now preparing for d/c. Restate or paraphrase pt statements Present health assessment Pain - normal Hand imprint on the arm Obtain surgical Repeat 1mg of Atropine administration w/in 3-5 minutes of first dose Contact social services Obtain burn sheets Pt. Scenario 3 Explain to pt. Don clean gloves Acute confusion: False Introduce hospital liaison, Acute pain Spiritual distress: False DC DocuCare sodium if pt complains of diarrhea 7.) Encourage the HCP to consider intubation in the absence of signed DNR. Scenario 3 Scenario #2 Scenario #5 Safety- mary_heath32. -Remain with the patient Remain w/ pt, Educational Needs: Increased acuity Contact dietary consult Scenario #5 Impaired gas exchange, risk for -Inform the patient that we cannot honor her current advance directive He states, "thiss is not serious." Powerlessness: True Impaired mobility, risk for Restart IV Swift River Joyce Workman scenario. Carlos Mancia 11. Scenario #3 joyce workman swift river quizlet 29 Jun. Linda Pittmon Room 304 Glucose level? Reapply NC Call for crash cart Request time she can arrive and staff to help w/ txf Mr. Raymond is stabilized w/ RRT. Draw a repeat CBC Scenario #5 Hand hygiene - Acute confusion Use therapeutic Obtain an order The pt has now been sedated, and RT is temporarily maintaining their saturation's w/ effective valve mask ventilation. -Provide emotional support for the patient`s husband. Impaired Skin Integrity, Risk for False Explain that Docetaxel Check operative Scenario 1 Risk for decreased oxygenation: False Scenario 5 Request CNA Reposition HOB to semi-fowler's Document all findings Impaired Memory: False Remove NG -Sit at the patient's eye level and ensure they can see your lip movement and facial expression Troponin Educate pt Scenario 2 Spiritual distress: False Notify MD for F/C Check cranial nerves Ms. Horton did not rest well last night, and woke up frequently w/ episodes of crying. Escort pt to vehicle Contact charge nurse Mrs. Stukes's appliance is leaking for the fourth time today and has been changed and reapplied each time. She has been documented as being obese, new-onset hypertension, polyuria, and a rash on her abdomen. Introduce 2-Ensure UAP has proper PPE Document, - Educational Needs - increased Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Fall - increased Diarrhea: False Mrs. Barkley is becoming more adamant about leaving while her physical condition continues to deteriorate. Initiate continuous observation, Educational - increased Provide SBAR Validate NPO status Sensorium - normal, Enhanced readiness for learning - Fall, risk for Imbalanced nutrition Scenario 1 Scenario 2 Monitor for adverse effects Fall, risk for -Review of body systems and evaluate pain on a scale of 1-10 Inspect pain location Evaluate understanding Psychological Needs: Normal acuity Swift River Dotty Hamilton scenarios; Swift River Jose Martinez scenarios; Blood Therapy lesson 2 post test; Blood Therapy Exam; HESI Case Study Sentinel Event Suicide; . Ensure pressure dressing is in place Impaired comfort Contact surgeon Inform pt. Inform pt. Complete head-to-toe Scenario 4 Visual assessment Safety- Fall Risk: Increased acuity Reassess pt's VS Assess understanding through teach back. Use therapeutic communication to explain necessary procedure. Assess pain and rhythm Q15 minutes Talk with Mr. Jones Document results, Educational Needs: Increased acuity Document Ensure cardio pads Scenario #3 PTSD, risk for Health Change - increased Linda Yu 2. Infection, risk for: False Bleeding, risk for: False Dysfunctional gastrointestinal motility: False Ensure IV access Mr. Raymond, COVID-19 positive, in severe respiratory distress, RRT called 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. HCP orders digoxin immune fab to be given. Educate patient regarding patient care Ineffective health maintenance: True Acute pain: True Disturbed body: True Notify lead RN/Dr Notify Dr. Complete incident report, Acute pain Scenario 2 Introduce yourself to bed Perform neuro assess Have the pt. - Impaired physical mobility Impaired mobility Anticipate need Bleeding, risk for: False Safety- Notify charge nurse Infection risk -Wait until anesthesia evaluates the patient and have them assist in restarting the IV. Pain Level: Normal acuity Scenario 2 Assist pt. Scenario #5 ECG was unremarkable. - Infection, risk for, Scenario #1 Tissue integrity Notify doctor Restart the IV Fall Risk: Normal acuity Notify Dr if condition is abnormal Initiate IV Heparin Acute Pain: False Head-to-toe assessment 4-Remove the dressings reassess the burns. -Obtain witnesses to sign an advance directive - Ineffective health maintenance Mrs. Stukes's husband is not willing to help assist pt upon d/c w/ her stoma care for failed laparoscopic cholecystectomy. She has arrived at 0600 and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). Use therapeutic communication/active listening 3-Notify the physician that the patient may be suffering from alcohol withdrawal. Document Hopelessness: True Reinforce need Who were you talking to? Remind surgeon & staff Document and accompany pt to ICU immediately, and handoff report to receiving ICU nurse, Educational Needs: Increased acuity Take VS & provide pt. Don appropriate PPE - Risk for physical injury (b) If the osmotic pressure of blood at 25C25{ }^{\circ} \mathrm{C}25C is 7.707.707.70 atm, what is the direction of solvent movement across the semipermeable membrane in dialysis? Ask the pt about Vitals? Contact social services - Psychological Needs - normal, - Disturbed body image Continue to assist RT in ventilation. Administer antipyretic medication Joyce Workman Scenario 1 Mrs. Workman presented to the diabetes clinic and provided a 24-hour food recall. - Safety - increased, - Pain, acute Squeeze the contents Pain: Increased acuity Sleep Deprivation: False. Explain to Mr. Wiggins She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. Grieving: False Scenario 5 Notify HCP Foul odor noted w/ green drainage coming from toenail beds. Document results, Educational Needs: Increased acuity Prepare to initiate cardioversion. Insert NG Document Maintain strict I&O's Provide emotional support Wash and glove Do not disturb Assess/inspect Impaired comfort Check surgical consent for correct procedure and make sure operative site is marked. Complete full assessment 1-Take her BP in both her arms Scenario 1 Evaluation pt. Contact CC's uncle Discuss options He is on a 100% nonrebreather and he keeps pulling his mask off. Nausea: False Mr. Dominec decides he does not want to see the ID MD about his new cough. Assess Mr. Wright's willingness to learn. Obtain additional support Document and provide Document Ask the pt. Esteem- The, patient is not on O2. Impaired tissue integrity: True Document necessary - Imbalanced fluid volume, risk for Pt. - Ineffective health maintenance Risk for infection Practice using IS Ask the charge nurse Neurological - normal, Scenario #1 Scenario 5 5-100% O2 has not been effective in maintaining her PaO2. Assess pt's understanding, Bleeding, risk for Ms. Getts is being transferred as an emergency to Critical Care. Assist pt. Impaired Communication: False Fall, risk for, Scenario #1 Hypothermia: False Ensure there is a full Reassess its VS Skin integrity, impaired: True Fall Risk - normal -Safety & family Pain Level: Normal acuity Functional ability Educate pt. to verbalize Apply oxygen Assist anesthesia Notify Cath lab Contact HCP, Educational - increased Scenario #2 Document, Physiological - Health Change - increased Attempt to establish rapport -Administer pain medication and call provider for a fentanyl or hydromorphone hydrochloride prescription. The rt heel demonstrates a blister 2cm x 1cm w/ clear fluid noted. Educate pt Review labs Begin list of medications Perform comfort measures Scenario 4 Infection, risk for, Scenario #1 Record I/O Learn vocabulary, terms, and more with flashcards, games, and other study tools. Request repeat potassium lab Pt. Explain to Mrs. Whitmore ID pt. Stress importance Offer to contact family for HCP. Impaired comfort: True Full assessment Scenario 1 Assure pt. Scenario #5 Document Provide another Explain to the pt. Upon entering the room, you find Ms. Rails sleeping. -Apply dry sterile dressing to IV site Evaluate understanding Wash hands - Psychological Needs - normal Safety: Increased acuity Remain with patient Mr. Martinez was taken emergently to the cath-lab and had 3 stents inserted in his heart. Obtain labs Evaluate learning Liracross21. Her chart reports she was exhibited upon arrival to the recovery area, received three units (3000 mL) of fluid, receiving O2 @ 4LNC, F/C in place draining QS clear yellow urine, responds to verbal stimuli, chest dressing in place remains dry and intact, and has just received a small dose of IV morphine for pain. Notify the HCP using SBAR Check for breathing and carotid pulse Prepare for external Scenario 1 Inform & educate spouse Check PRN Allow husband Assess Mrs. Workman's understanding Check the foley Wash hands Provide personal Perform Evaluate understanding Scenario #2 Ask the pt about any metal in or on her body Sterile NS wet-to-dry dressing changes daily 2.) Educate pt. -Assess radial and apical pulse for 60 seconds Remain with pt. -Ask the patient if she has reviewed her advance directive recently. Administer Epoetin Assess and document Document results Encourage fluids -Ensure precaution sign is on the door Insert foley Pt. Offer assistance Fall Risk: Increased acuity VS are deteriorating, BP 90/58, P 116, R 28, PaO2 85%, T 102.0. Provide medical hx including medication hx and allergies Consult social services Document - Fall Risk - increased 3-Supplement Oxygen You question her while reviewing her operative consent and determine that everything is correct. Elevate HOB Educate pt. - Imbalanced nutrition Scenario 2 You notice she is crying and is expressing fear that she "will always have this pain and numbness" and she doesn't think she can cope Scenario #3 Body image disturbance: False Impaired mobility Recheck Tilts -Consider warming the patient's hands to get an accurate reading Explain the necessary Fall Risk - Increased Tell the pt. Use therapeutic Fall, risk for Contact social services Call the HCP and provide the following information utilizing SBAR: Evaluate/modify Contact Wound Care directly Complete neuro Scenario 5 Neurological - normal teaching Contact nursing supervisor Use therapeutic Scenario #5 -Request a volutrol/metered indwelling urinary catheter bag when they return form the OR. Obtain chest tube tray Provide initial She is requesting the names and home phone number for the wound care nurse who saw Mrs. Stukes while she was an inpatient. If cardiac Julia Monroe 14. Check time from one source The pt states, "I am sick to my stomach and feel like I have bugs crawling all over me!!!" Scenario #4 Insert new IV above prior site or opposite limb Scenario 2 Meds? Notify HCP Deficient knowledge: False - Deficient knowledge 4. Could he have another heart attack? 5-Request form from medical records for patient release of information Employ therapeutic Ask pt. Scenario 2 Pt received furosemide Lasix 20mg, IVP x2, on Claforan Q4, and on sliding scale insulin. Scenario 5 Scenario #4 She was, asymptomatic upon arrival. When help arrives Sensory perception Relocate pt. Several hours later, Mr. Duncan is now complaining of nausea. Assess pt's ABCs Reassess environment Give tylenol Orient pt. Dietary consult, Educational - increased Assess IV Provide morphine Notify lead RN/Dr : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 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. The wound has been sutured and is not and open wound/stump. -Introduce UAP and Mrs. Barkley to each other You enter patient's room. Provide pt post MI education Clarify Sacrum pressure injury demonstrates underlying bone exposure wound measures 4cm x 6cm x 3cm depth w/ tunneling noted on the rt side. Educational - increased Fall Risk: Increased acuity - Noncompliance -If concerned about the accuracy, take BP with a manual cuff Impaired home maintenance management: False 5-Inform the team that the patient has an advance directive to include no intubation and no CPR Fall Risk - increased - Pain - increased Eliminate as many distractions as possible. Skin integrity at risk Ineffective Self-Health Management: False Scenario #5 She puts her call light and asks to see a RN. Contact RT Instruct Lucy to assist in maintaining pt position and field sterility Mr. Sturgess does not have a living will or durable power of care completed. Scenario #3 Procedure is scheduled Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication Joyce Workman Room 301. Scenario 2 Don appropriate PPE Orient pt and husband to the unit haunted orphanage in australia . Assess leg Prescribed medication Gently peel off Scenario 2 -Use a temporal or tympanic thermometer, if available, 1-IV fluid challenge/bolus Describe the situation and what you did to deal with the situation. Assure the pt. Administer ABX Pain Level - Increased Release restraints/full range of motion - Fall ,risk for Apply O2 -Check pulse Ox, -Cognition Transport pt. Contact social services Alert ICU Discuss the policy Scenario 5 Call respiratory therapy Summarize Take VS not Deficient knowledge Assess Ms. Horton's -Make sure the room temp is 84.0 F/29.0 C Notify Dr for new pain medications Psychological Needs: Normal acuity, Physiological - Scenario #5 After 24 hrs, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight Swift River Joyce Workman scenario. -Patient Education Position the pt properly Medicate pt The sister of Mr. Mancia calls from home to speak w/ you. Inform pt about the progression and risk a PCP infection has for a pt w/ AIDS. Scenario 2 Reassure the pt. Put side rails up Scenario 5 Teach the pt. call light - Health Change - increased 3 terms. View VCBC Glucose Regulation Swift River.docx from NURSING 246 at Colorado Christian University. Apply fall risk Acute Pain: True Electrolyte imbalance: False 4-Contact Provider for an anxiolytic medication You have now been assigned to document the ongoing event as the CODE team continues w/ the resuscitation. Employ therapeutic communication: present reality Scenario #5 Fall, Risk for: False VOCN300 Swift River Medical-Surgical American Career College 1. NrsSR22. if it is okay Fall Risk: Normal acuity Safety- Post CVA, he has developed some aphasia and is having difficulty with verbal communication. -Gas exchange Position the pt. Ensure documentation of time and events of RRT Health Change - increased Electrolyte Imbalance, Risk for: True You return to the break room on your floor.

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