Najvyia ponuka (2013) | Filmotka | SFD.sk Hopelessness False. Scenario 2 -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Explain reason for assessment and procedure Medical-Surgical - Swift River Online Learning Fear True Ambulates with minimal assistance. Senario 4 -Complete initial post-op assessment -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Scenario 5 Pain Level Increased acuity Therapeutic Communication Verbal response Oriented converses = 5 Senario 2 Acute Confusion: True Pain, Acute True Scenario 3 This will treat any cancer that may have metastasized to the bone. Nausea/Vomiting: Yes No Scenario 5 Scenario 2 Verify call Light/bed safety precautions All opinions are mine alone. Document findings Bleeding False 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! Deficient Knowledge True : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. NG tube to low suction possibly D/C'd today after Dr. Levine rounds. -Reassess patient Safety Increased acuity, Physiological Administer new pain medz Remind physician to wash his hands before examining the patient Hopelessness False. Assess intake and output and possible reasoning Wound clean dry and intact. 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. -Evaluate patient's understanding of teaching The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. RS Flashcards | Quizlet -Restart the IV and draw CBC 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 Combien gagne t il d argent ? Document results Scenario 2 Constipation, risk for: True -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours Excess Fluid Volume, Risk for False Use therapeutic communication/Active Listening Palliative care. -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Emergency intubation and assisted breathing is provided for Mr. Thomason Scenario 4 Abdominal Pain: Non-tender Tender/Pain Describe: No Known allergies (NKA). Opening Title Production company Cast and crew Genre J A N U A R Y 2: The Killing of John Lennon: IFC First Take: Andrew Piddington (director/screenplay); Jonas Ball, Krisha Fairchild, Gunter Stern, Gail Kay Bell, Mie Omori, Robert C. Kirk: Crime, Drama: 4: One Missed Call: Warner Bros. Pictures / Alcon Entertainment / Kadokawa Pictures: Eric Valette (director); Andrew Klavan (screenplay . Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. Acquire daily weight and food intake Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. The patient is awake, alert, and oriented. Self-Care Deficit False The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Respirations Notify Physical Therapy (PT) Allergic to sulfa drugs. -Reorient Patient to person, place, & time Scenario 4 Home - Swift River -Ensure patients is positioned in bed properly Strict I&O, regular diet, intake 50%. Eye opening Spontaneous = 4 Scenario 4 Educate patient/family Scenario 5 Shock, Risk for False Bladder distention Pelvic pain Low back/flank pain Love and belonging- Evaluate outcome of dietary plan He also complains that his throat is still very sore. Assume role in response team of documenter Remain with patient Assess vital results Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. Esteem Check input/output for possible dehydration Employ therapeutic communication: present reality Fall, Risk for True Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Safety Increased acuity, Physiological Scenario 2 Mrs. Stukes is feeling nauseated. Notify doctor and charge nurse Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only swift river assignment: day swift river assignments dosage minimum score 90 med minimum score 80 minimum score 90 robert sturgess linda yu linda pittmon carlos Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Keiser University Silver Creek High School (Colorado) When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Medical-Surgical - Swift River Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." Deficient Knowledge False Explain that he will probably not be going home at least until his doctor sees him. Temp Self-Care Deficit False Scenario 2: 1Educate about recovery from appendectomy and care to wound. The charge nurse tells you to get the Mr. Burgundy to the hallway because six more patients are inbound, and we need to clear out our trauma-bays. Scenario 1 Perform circulatory evaluation Replace oxygen nasal cannula that had become disconnected Our Swift River Simulations are designed to help students and practicing nurses master their skills of Prioritization, Delegation, and Sequential thinkingwithout the requirement of being onsiteor even having to download software. Document results/findings After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. Remain with patient and reassure Dr. Donofrio, Physiological What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? The patient is awake alert and oriented. Evaluate patient learning 50% intake. Next time we'll spend our 60 on some food and nice beers. Hep-Lock in place left AC. Apply oxygen -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients Impaired Comfort True Scenario 4 Document results. Patient, and family upset regarding dx. Psychological Needs Increased acuity The pathology report shows no cancerous lesions. Acute Confusion False -Place patient on O2 Nasal Canula At Risk, Impaired Comfort False Scenario 1 Impaired Gas Exchange True Senario 5 IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. He is restless with slight confusion but is easily orientated with attempts from nurse. Place call light and check bed for safety Notify doctor Ann Rails Wash and glove hands Dr. Rondeau, Educational Needs Increased acuity Head/Face: Symmetric Asymmetric Drooping Auscultate peripheral pulses and ROM. Educational Needs Increased acuity Scenario 4 You explain that his condition has worsened and now he has been taken to ICU. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Palliative care. No known allergies (NKA). Sensorium: Normal acuity, Bleeding, risk for: False Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Because of the fall the provider has recommended that he stay in the hospital another night. No known allergies. Ronald Burgundy Vital signs are: B/P 112/78, temp. Determine from medical record if partner is aware of his recent AIDS diagnosis. Sleep Deprivation False. Use therapeutic communication/active listening Start secondary large bore IV line Microeconomics And Behavior Robert Frank 9th Edition Author: old.bubbies.com-2022-05-03T00:00:00+00:01 Subject: Microeconomics And Behavior Robert Frank 9th Edition Keywords: microeconomics, and, behavior, robert, frank, 9th, edition Created Date: 5/3/2022 7:02:15 AM Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). Senario 2 The patient has a pneumothorax that requires a chest tube placement. Scenario 3 Pain re-assessment Awaiting transport. Radiofrequency ablation may be recommended after endoscopic resection. -Attempt to orient to person, place, and time Escort patient Scenario 2 DSD (dry sterile dressing), forehead laceration clean and dry intact. Dr. Altace, Physiological- Blood Pressure, 7a-7p Total: 7p-7a Total: Educate patient regarding condition Her husband and children remain with her in the surgical holding area awaiting transport to the OR. Deficient knowledge: True Scenario 2 Senario 5 Swift River Clinical Practice Chamberlain University - Homework Score Skin warm dry, bruises on forehead with small laceration. Grieving: False. Health Change Increased acuity Cough: The patient describes this pain as a heavy pressure with intermittent stabbing. Include patient condition change in shift report Ms. Getts is being transferred as an emergency to Critical Care. Senario 1 But that's changing. : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Evaluate understanding Safety- There is an initial triage provider written set of orders at her bedside for a STAT Chest X-ray, IV with NS, O2 NC, and STAT CBC and Chemistry. Ineffective Peripheral Tissue Perfusion False Scenario 4 Full assessment Release restraints/full range of motion Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Fall Risk: Increased acuity Noncompliance False #1: _________, No Do not disturb He asks to speak to a clergy member. Encourage fluids/fiber/ambulation The cells are allowed to warm up and then are frozen again. Oriented to: Person Place Time Encourage fluids Odor: __________, No -Complete incident report. Swift River Nursing Simulation - Homework Writing Services -Reassess patient's physical status prior to leaving him in the hallway Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). -Reinforce to the patient to not get out of bed His difficulty voiding finally motivated him to seek care. Inspect cast site Scenario 3 Localizes pain = 5 Acute Pain True Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Date of insertion: _________________________ Date of dressing: _________________________________ Health Change Increased acuity Sa fortune s lve 2 216,00 euros mensuels Neuro WNL's, alert and cooperative. You, his prior nurse, notice the family and respond to them. Safety Obtain Spanish signs & brochure Senario 3 John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Perform circulatory evaluation Reassure patient and help explain any new orders from physician to patient Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Reassure patient of options Fall, risk for: True Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Other: _______________________________ The oncologist is insistent that the treatment begin immediately. No known allergies (NKA). The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. He tells the nurse he has called his wife and wants to be discharged now. Waist belt restraint PRN; family sitter at bedside, assist with bath. Provide information for MD to call family at home and explain what has just happened John Duncan 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. Scenario 5 The Physician tells you to have everything ready including a 22 French chest tube, and he will be in shortly to position the chest tube. Scenario 2 This information is HIPAA protected and you cannot share anything with them. Notify lead nurse/doctor Infection, Risk for True ADA diet, intake 25%. He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Medical Surgical Flashcards | Quizlet Acute Pain True Scenario 1 He chooses to go home and see the doctor tomorrow in his office. Comfort/Pain Assessment Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Water/Flush: Compromised Family Coping False Scenario 1 It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Impaired home maintenance mgmg r/t client or family: False Full assessment Impaired Home Maintenance Management False Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg Biopsies were sent to determine the treatment. -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Nausea False Exam January 9 Spring 2020, questions - Studocu 20ga. Compromised Family Coping False His children are visiting, and they are very supportive. -Explain procedure to the patient Psychological Needs Normal acuity No known allergies (NKA). The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. -Complete head-to-toe assessment while patient is on the floor. Scenario 1 How does the Med-surg simulator work? Skin moist, respiratory bilateral wheezes and rhonchi. Combien gagne t il d argent ? Psychological Needs Increased acuity Diet as tolerated, up ad lib after gait training. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Mark Klimek Blue Book Study Guide, 200 pages, Perspectives in the Natural Sciences (SCI100), Principles of Business Management (BUS 1101), Electrical Machines and Power Electronic Drives (E E 452), Methods of Structured English Immersion for Elementary Education (ESL-440N), Pre service firefighter education and training (FSC-1106), Advanced Medical-Surgical Nursing (NUR2212), 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), Chapter 1 - Summary International Business, Death Penalty Research Paper - Can Capital Punishment Ever Be Justified, Skomer Casey, BIO 140 - Cellular Respiration Case Study, English 123- 3-4 Assignment Submission- Annotating Your Sources, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Greek god program by alex eubank pdf free, Logica proposicional ejercicios resueltos, 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. Ms. Rails shares with you her fear of being discharged home to an abusive husband. Suprapubic Insertion site: WNL S/S Infection : ____________________ Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Too bad the cruise area was a very unatractive part of the River Elbe. Use therapeutic communication/Active Listening -Document and contact nursing supervisor/Charge nurse Lithia Monson Scenario 1 Wash and glove hands Provide emotional support. After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! Perform circulatory evaluation His original lymph node biopsy was negative. Senario 1 Take vital signs before leaving the hospital again. Evaluate understanding Swift River Medical-Surgical. Wash and glove hands Temperature is now 102.8. Sensorium Normal acuity, Physiological Scenario 5 Senario 3 Bleeding, Risk for: True Scenario 3 Apply fall risk bracelet No response = 1, Range of Motion: Full, Limited Document results/findings Sensorium Normal acuity, Physiological Vital sign assessments He has been taking his HIV medication daily. -Notify charge nurse of patient's deteriorating condition Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Record intake and output Clear liquid diet. Impaired comfort: True Scenario 2 Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Fall Risk Increased acuity Acute Confusion False Chronic pain: True Remain with patient Noncompliance True. -Start IV Explain to her family and provide contact information. Scenario 3 Scenario 2 Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? Chronic Pain False Scenario 3 You call his doctor to inform him the family has arrived. Notify doctor Scenario 5 You correctly diagnosed 11 out of 16 options. Document results and findings Administer protocol antidiarrheal medication Evaluation patient after consult Imbalanced Nutrition True Call rapid response Anxiety True Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Non-significant past medical history. Scenario 2 Neuro WNL alert and cooperative. Document results. Ask patient to explain to you what procedure she was expecting to have this morning. He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. Scenario 2 Today's weight 226. student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Tap patient and ask, "Are you okay?" You escort them with you to the ICU. Perform pain re-assessment Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Senario 5 Skin warm dry, bruises on forehead with small laceration. Swift River Clinical Practice Chamberlain University Expert James Moore Category: Nursing Description Full Document Jose Martinez Room 301 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Sa fortune s lve 1 900,00 euros mensuels Yes -Notify HCP of neuro findings No Known allergies (NKA). Breath Sounds: Clear bilaterally. Neuro WNL, alert, and cooperative. Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Fall, Risk for True When completing the shift change neuro check, you notice the patient's left pupil is sluggish. No known allergies (NKA). The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Pain Level Normal acuity Fear: True Perform pain reassessment Psychological Needs Increased acuity Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Review pain medication order Patients within the Swift River Online Simulators Med Surg - Patients SROL Med Surg Female and Male Patients Female Male Ann Rails Carlos Mancia Estelle Hatcher John Duncan Kathy Gestalt Robert Sturgess Lithia Monson Tom Richardson Marcella Como Ramona Stukes Sarah Getts Viola Cumble Dosage Calc - Patients SROL Dosage Calc Female and Male Patients The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Upon entering the room, the patient appears to be trying to get out of bed Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Fall, Risk for True -Begin q15 minute neuro checks Allow for non-compliance of request Hep-Lock in place left AC. Pain Level Increased acuity Blood Glucose 185, 4 units of insulin sliding scale for coverage. Educate patient Lithia Monson Senario 5 The charge nurse asks you to assume the patient's nursing care. Scenario 5 Needs frequent reminding due to determination to do things herself without assistance. Electrolyte Imbalance False You arrive in room to find Ms. Monson talking to herself. Capillary Refill: _________ seconds Mr. Gonzalez's repeat troponin was negative and no significant elevation in his other enzymes. 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. -Take initial vital signs (room air Pulse Ox) Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. -Medicate for pain -Set-up for stat portable chest x-ray Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. -Provide the patient with the time when HCP will come discuss options with him She has just been transported from recovery. Imbalanced Nutrition True Encourage to ambulate with assistance to void if needed Deficient Fluid Volume False -Tell the patient to call immediately if the chest pain gets worse or they become short of breath Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A Diet as tolerated. Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. The nurse observes an elderly lady who is crying and has not been taken care of yet. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Tom Richardson, 46yr-old. Pulses: Strength & Symmetry Edema: -Complete neuro checks as ordered Verify call light/ bed safety precautions Senario 1 Kathy Gestalt Scenario 3 Contact dietary consult Report to charge nurse/ head nurse the need for staff education. Combien gagne t il d argent ? Contact Social Services Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Tom Richardson Increased fall risk. Seek clarification Attain fluids/fiber diet and assisted ambulation
Tax Collector Concealed Weapons Permit Near Me, Lifestraw Home Dispenser Leaking, Articles R