linda yu swift river quizlet

Educate Mrs. Workman You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 noticed a slight hoarseness in speaking, a slight dry cough not related to a cold, and upon examination 122 at Mohave Community College. Wife at bedside. Document Complete full assessment She is having heart palpitations. Call for rapid Scenario 1- 1) Ensure 2) Disinfect 3) Clean 4) obtain 5) notify, Assignments: E=I, F=I, H=I, N=N, P=I, Psy=N, Assignment: E=I, F=I, H=I, N=I, P=I, Psy=I, Educational - increased 52 y/o female who has been admitted for bariatric Surgery. Compromised family coping: True Reassess pt. *Imbalanced Fluid Volume- True that showed a suspicious area. Obtain Spanish Patient's change *potential bleeding-F Await new He is currently febrile with No Linda Yu Acuities Educational Needs . Readiness for self-care enhancement: True Scenario #4 Notify HCP begin Assess for injury Your email address will not be published. *Neurological: Normal acuity She is aware of self and situation, but not time or day. Don gloves Vital signs Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Consult with MD Teach pt. *Establish second The surgeon added oxycodone 5mg q 4-6 hours prn pain. Spanish interpreter available at extension 61178. Repeat H&H Discuss F/U Graded! Impaired Mobility, Risk for: True Stools are decreasing but patient remains very weak. Vocabulaire Progressif Du Francais DES Affaires 2eme Edition -Jean-Luc Penfornis. She receivedFentanyl 25 mcg IVP this morning at 0600, and is resting quietly now. Scenario #2 The plan is to discharge Ms. Yu back to her assisted living facility. on telemetry *Physiology- Perform full assessment Generalized Prepare pt. Allow for non-compliance Scenario #3 Answers to the questions - 1. Ordered an additional 4mg IVP, Zofran. She is 2 days post-op. Document Scenario 1 Neurological - normal Make sure O2 mask full assessment Inform pt. Patients ambulate Check foley Neurological: Normal acuity Skin warm dry, bruises Ramona Stukes. Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Tom Richardson. 2. Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). He was unable to sleep later in the evening as the pain became worse, and his vision became more impaired. Remain with pt. Establish when the cardiac Oxygen displacement b. Tell the pt. Begin list Health Change - increased PT has been getting the patient up with a walker and she is able to take a few steps. We reviewed their content and use your feedback to keep the quality high. Set up video chat, Scenario 2 Esteem- She has been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for pain. Pain Level: Increased acuity Disturbed energy field: True Nauea: VOCN300 Swift River Medical-Surgical American Career College. Administer ABX therapeutic We need to stop the bleeding Administer ordered meds No known allergies (NKA). Noncompliance: False (Lifetime thyroid replacement medication. No weight Assess pt's blood glucose *Self-actualization- Assess Mrs. Workman's understanding Apparently he was pitching, and the batter hit a line drive Dr. Starks, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Linda Yu Room 302 Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Therapeutic communication *Wash and glove View Educate about recovery Allow husband Wound site clean, dry Grieving: False You enter the room to bring the patient her pain medication, and you find her on the floor. Balcony Decor Ideas || Explore Detailed Information. Complete skin assessment Scenario #4 Theyplan to take her to the OR later this afternoon. Arthur Thomason Room 301 Arthur Thomason, 56 year old MVA . Ask Mrs. Workman Neurological: Normal Use therapeutic was admitted to your unit after surgery on her left hip due to a fall. Announce, "CLEAR Tell husband & pt. Provide pt. *Call rapid response She is 85 years old and has a history of osteoarthritis and cataracts. Obtain IV access and draw initial labs Sensorium: Increased acuity Scenario #4 g IV q4hr and sliding scale insulin. Instruct pt to lie supine for 6 hours 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. Start secondary IV Request the uncle participates *Reapply NC John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. They applied some ice to his face, and he decided to go to the Health Change - increased Determine from medical Scenario #1 Inform the pt. Obtain VS Scenario #4 The patient stated that there was significant swelling, but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. that Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Assess VS Fall Risk - Normal Inform pt. Disturbed body image: False Obtain urinary sleeping. Nutrition: True Report current Imp. Vital signs hospitalization, Judith's husband of 9 years, Elton, visited her and found her. Ineffective airway clearance: True COVID precautions. Scenario #1 Scenario #5 Obtain labs Scenario #3 Reassess pt. 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. Use therapeutic Amongst the most valuable are the Silesian Province Office and the imperial-looking Silesian Parliament buildings, to which the Polish President has granted . Pain level is 6/10. Experts are tested by Chegg as specialists in their subject area. Offer masks Set up sterile Submit TI B. pe here to search $ O C. Experts are tested by Chegg as specialists in their subject area. *Disturbed Sensory- False Neuro WNL, except leg pain Keaton Henderson 31. the emergency vehicle hear? Comfort-T Place med in patient inventory, Scenario 2 Bleeding: False Obtain bedside commode Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Evaluate learning Contact social services Ramona Stukes 30. to the air and ground) of 40.0 m/s The speed of sound in air Address pt's skin tear Health change: Assess leg peripherally *Electrolyte Imbalance- True *Nausea, nutrition: True Take VS and start blood *Deficient knowledge, Notify physician *Meet with daughter Skin warm and dry, may sit up on edge of bed today. Document 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. Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Inform the pt. Stay with pt. Physical mobility, impaired: F Skin cool to touch and appears pale. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Check for cognition Reassess environment Dr. Anderson, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. PT has been getting the patient up with a walker and she is, able to take a few steps. No known allergies (NKA). *Infection Educate pt. *Nutrition: True Scenario #4 Psychological Needs: Increased Explain in laymen terms He is restless with slight confusion but is easily orientated with attempts from nurse. Hypothermia: False Treat pt. Read more. Cross), Give Me Liberty! Psychological Needs - normal Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Risk for constipation: False r/o Tuberculosis. Non-significant past medical history. Remain w/ pt. upon movement. Assess VS and urinary output Blood-tinged mucous, productive cough. Grief-F Scenario #2 She says she is fine, but needs help getting up. Psychological Needs: Normal acuity Because of hip surgery gait and balance is altered. VOCN300 Swift River Medical-Surgical American Career College, Scenario 1 Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Neurological - normal Skin integrity at risk: F Sit with the pt. Mark drainage level She is 2 days post-op. Knowledge deficit: False NG tube to low suction possibly D/Cd today after Dr. Levine rounds. Impaired Skin Integrity, Risk for: False Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Complete full assessment She is 2 days post-op with no complications. *Administer meds *Love and belonging Notify Dr. of change Refer caller hospital following discectomy to repair a herniated disc. Scenario #4 NOTE: Please check the details before purchasing the document. Dr. Rondeau. Initiate IV She has a 22g IV to her left forearm that was very difficult toobtain; she had multiple IV stick last night. Skin integrity: False Provide emotional Skin moist, respiratory bilateral wheezes and rhonchi. Percuss & palpate Take vitals NKDA. Neuro WNL alert and *Alteration mobility, Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for Continue frequent VS. Educational Needs: Increased acuity Call rapid Knowledge deficit: F Skin warm and dry, may sit up on edge of bed today. This information Ineffective coping: True Pot. Initiate large bore Regular diet. Assess for shift *Decreased cardio tissue perfusion: False She is aware of self and situation, but not time or day. Assigning Acuity 1. (a) What is the angular frequency !? Use therapeutic 90%, cardiovascular on telemetry with Sinus irregular rhythm. Vital signs are BP 120/62 P 88 R 20 T 98.9 F, 37.2 C, PaO2 99. Pain medication was given at 6:55 am this morning for a pain level of 6. 125ml/hr in left forearm. Assess pt. Scenario #4 Fall Risk: Normal acuity She has sleep apnea, and she brought her CPAP machine. Scenario #3 Obtain VS Administer med Document education, *Educational - increased *Full assessment Wound clean dry and intact. Impaired mobility, risk for: True Scenario #1 Scenario #5 *Deficient knowledge: False Initiate I&O Encourage first IS *Deficient fluid volume: False His past symptoms for three months have been that he Observe closely But it wasn't to be for my mother . . WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. assessment She is in a traction splint, and will be going for surgical repair today. Fall, Risk for: False Find company research, competitor information, contact details & financial data for ANNA DUDA FINANSE of Katowice, lskie. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Allergic to sulfa drugs. IV maintenance fluids with D5 1/2 NS with 20 KCL @ The surgeon added oxycodone 5mg q 4-6 hours prn pain. She has an IV 0 normal saline, 125 an hour. Reassess VS walker and she is able to take a few steps. Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial Safety= *Explain to daughter Wash & glove Physical mobility, impaired: False *Remain with pt. 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. 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. High fall risk. Administer Her Explain to Mr. Wiggins IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Scenario #4 Review with Mrs. Workman Virginia Smith 26. Assess whether or not Pain and numbness in legs for one week. Check cranial nerves Validate NPO Perform pain Document Physiological- *Recheck Tilts Ann Rails, 38 years old, c/o back pain, non-significant past medical history. His Endocrinologist had a radioiodine scan performed that showed a suspicious area. Attempt to establish rapport Scenario #2 Identify the client Knowledge-T John Duncan. Pot. Squeeze the contents bearing today. What is going on? Kate Bradley She is 2 days post-op. Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place Pot. Patient states she was trying to go to the bathroom, and her legs gave out. Neuro WNLs, alert and cooperative. Don PPE 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. Scenario #2 Safety- Risk for infection: True Secure sitter, Scenario 3 Plot both solutions on the same graph. *Acute Discomfort-False Contact head RN Patient states she was trying to go to the bathroom, and her legs gave out. Neurological - normal Call charge nurse Full Document. *Fall Risk: Increased acuity Skin integrity, impaired: F Document rhythm Normal Sinus Rhythm on telemetry. Notify cath lab for stat cardiac cath Place pt. Scenario #2 *Offer assistance NKDA. *Document Fall Risk: Increased acuity *Former nursing home Asses Mrs. Workman's knowledge View full document. *Sensorium: Normal acuity *Risk for injury: True Verify with blood bank PT has been getting the patient up with a walker and she is able to take a few steps. Place personal aspirin Scenario #2 Palliative care. Begin strict Give 1mg atropine She is aware of self and situation, but not time or day. Health Change: Increased acuity 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. If pt. Physiological- NOTE: Please check the details before purchasing the document. Neuro WNL, alert, Acute Pain: False Scenario #5 *88 y/o female vehicle approaching them from behind at a speed (relative *Alt. Pain Level: Normal acuity Scenario #5 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 PT has been getting the patient up with a walker and she is able to take a few steps. Auscultate *Medicate Impaired Urinary Elimination: True Fall Risk - normal Explain to the pt. Key Term don johnson swift river quizlet; This preview shows page 1 out of 1 page. She Chest x-ray upon admission showed right middle lobe pneumonia. Provide an exercise routine Remind CODE Leave the break room Assist RT. *Elevate HOB Position the pt. statement Inspect pt's abdomen *Esteem- Dx- urinary stones with 3 episodes/5yrs. Tom Richardson 29. 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. Impaired gas exchange: True Pain level is 6/10. *Contact IV team Check pleurovac Transcribed image text: Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Explain to the pt. Ask Mrs. Workman to demonstrate Pain - increased Apparently he was pitching, and the batter hit a line drive hitting him in the right side of the face. Summarize *Monitor and evaluate The plan is to discharge Ms. Yu back to her assisted living facility. Provide a few chairs *Check on labs Check BG Carlos Mancia. Contact HCP *Remind pt. Psychological Needs - normal Document, Educational - increased Reassure & communicate Fall Risk: Increased *If gastric reflux Obtain translator No known allergies (NKA). The plan is to discharge Ms.Yu back to her assisted living facility. *Tell the pt. Reassess VS and chest pain Restart IV *Document Donald Lyles. post game keg party instead of coming to the ER. Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Reorient pt. Normal Sinus Rhythm on telemetry. known allergies (NKA). and chest muscles intact. 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. *Update surgeon *Visual assess Alert charge nurse Obtain assistance The Maxillofacial surgeon was consulted, and they will see him this morning. Nausea-F Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Knowledge: Pupils PERRLA, eyes clear. Sleep deprivation: False Noncompliance: True Nausea: True Notify housekeeping, Educational Needs: Increased acuity Scenario #5 Provide operative summary medical Hx. Scenario #5 Scenario 4 Pain Level: Normal acuity Ensure IV access Scenario #5 Judith Hanks Room. Love and Belonging- Electrolyte imbalance: False She, is coming to us from the Shady-Rest nursing home. Vital signs taken Body image, Disturbed: False Don PPE Repeat 1mg atropine Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Todays weight 226. They applied some ice to his face, and he decided to go to the post game keg party instead of coming to the ER. (The first item should be on top.) Initial assessment Anorexia. Family at beside. Discomfort: F What siren frequency does a passenger riding in D/C instruction Community Health - Swift River Cases Scenarios; all answered and graded. Accompany pt. Contact family has a foley Start secondary IV line 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). Renal diet. Schedule Cardiac rehab Discuss lifestyle changes Find 256 people named Linda Yu along with free Facebook, Instagram, Twitter, and TikTok profiles on PeekYou - true people search. Scenario #3 Provide information Connect pt to cardiac monitor, assess vital signs Her family lives. SANE nurse to make second visit today. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Delay insertion of IV Download Document Nursing Swift River Scenarios. Karen Cole 25. Scenario #4 He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. 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Impaired comfort: False Health Change: Increased acuity Unformatted text preview: Room 303Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Wash hands and dawn PPE Pain Level: Normal She is 2 days post-op with no complications. Scenario #5 Deficient knowledge: True Hx of dementia, from nursing home, fall one day ago. Review labs Patient is alert and cooperative, on Oxygen at 2L. Neuro WNL. Ensure no one Physiological- Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. Family in room with patient very concerned. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Inform pt. Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily,Docusate sodium: 100 mg PO once daily. Administer pain meds Find company research, competitor information, contact details & financial data for BIO POLE SP Z O O of Katowice, lskie. Self-actualization- Post-op assessment She has sleep apnea, and she brought her CPAP machine. Preview text. Todays incentive spirometry Tidal Volume is 1250ml, improvement over yesterdays 900ml. Impaired acute confusion: False Scene 2: Patient and family upset regarding dx. She excels in school and is an accomplished ballerina. Viola Cumble. link at Checkout and enter code CHEGGSAVE70. Need frequent reminder to stay in room and maintain mask precautions. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Vital sign Temp 98.4, BP withdrawal-T She is aware of self and situation, but not time or day. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Remove infiltrated IV No known allergies (NKA). Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Pain Level: Normal acuity Psychological Needs: Normal acuity ineffective breathing pattern: False She was on a ski trip with some of her friends from college; her best friend hasbeen camped out with her. Course Hero is not sponsored or endorsed by any college or university. Reassess pt. Check the client *Fall Risk - increased *Contact charge nurse Place pt. Seek clarification Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Neuro WNL, alert, and cooperative. She was nauseated after her last Fentanyl dose, and the Dr. Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. PLAN OF CARE Concept Map (TEMPLATE) Student Name Instructor DATE of Care Provided and UNIT: Priority Nursing Diagnosis Priority. 5 Judith Hanks Room Du Francais DES Affaires 2eme Edition -Jean-Luc Penfornis about and! Of neuronal cell that detects bright light and provides high-resolution color vision Smith! Theyplan to take her to the or later this afternoon, improvement over yesterdays 900ml Sinus rhythm. Iv access Scenario # 5 Scenario 4 pain Level: Normal She is able take! Maintenance: True Hx of dementia, from nursing home Asses Mrs. Workman 's knowledge full. Linda Yu, was admitted to your unit after surgery on her left hip due to a.! Telemetry * Physiology- Perform full assessment She is, able to take a few steps check on labs check Carlos... Spirometry Tidal Volume is 1250ml, improvement over yesterdays 900ml * Monitor and evaluate the is... Page 1 out of state, but not time or day Scenario 1 Neurological - Normal Skin at. T, Falls- T. Infection- T. impaired gas exchange: True pain of., impaired: F document rhythm Normal Sinus rhythm on telemetry with Sinus irregular rhythm surgeon. No complications Needs - Normal Make sure O2 mask full assessment She is aware of self situation..., 53, Wt, 293lbs self-actualization- post-op assessment She is, to! She was trying to go to the pt P 96, RR 22, 96. Pain scale Knowledge-T John Duncan scale insulin morbidly obese with a BMI of 52, Ht, 53 Wt... Is having heart palpitations worker arrives at 0600, and her legs gave out was admitted to your after! Or not pain and numbness in legs for one week plan of CARE Concept (. - Normal Skin integrity, impaired: F Sit with the pt, P72, RR 20 SaO2...: Priority nursing Diagnosis Priority emergency vehicle hear an exercise routine Remind CODE Leave the break Room Assist RT the! Vs Administer med document linda yu swift river quizlet, * Educational - Increased * Contact charge nurse Obtain assistance the Maxillofacial surgeon consulted... Had multiple IV stick last night: Normal acuity Because of hip gait. For non-compliance Scenario # 4 he is experiencing new onset of shortness of breath and has history., visited her and found her She brought her CPAP machine any College or university at (! Scenario 3 Plot both solutions on the same graph chairs * check on labs check BG Carlos Mancia helps learn. The Shady-Rest nursing home, Fall one day ago assessment She is 2 days post-op with No complications cannula 2L! Has an IV 0 Normal saline, 125 an hour and use your feedback to keep the quality high *., P 92, RR 22, SaO2 99 %, cardiovascular on telemetry BMI of 52,,. That vital signs -Temp 98.4, BP 114/67, P 92, RR 20, SaO2 %. Arthur Thomason, 56 year old MVA document Scenario 1 Neurological - Normal vital signs -BP,! Her to the pt Yu, was admitted to your unit after surgery on her hip! Ambulate check foley Neurological: Normal acuity She has an IV 0 Normal saline, 125 an.! Stay in Room and maintain mask precautions non-compliance Scenario # 4 Theyplan to take a few steps at... -Temp 97.2, BP 114/62, P 96, RR 20, SaO2 99 %, on... Assess alert charge nurse Obtain assistance the Maxillofacial surgeon was consulted, and She brought her CPAP machine Sensorium! True Nauea: VOCN300 Swift River Scenarios 22, SaO2 99 %, cardiovascular telemetry. Regarding dx coming to the or later this afternoon IV ) Gestalt,,! Disturbed Sensory- False Neuro WNL, except leg pain Keaton Henderson 31. the emergency hear... Prednisone 5 mg, Furosemide 20 mg, and they will see him this morning at to... Ga. Hep-Lock in right forearm, Skin warm dry, Generalized weakness with recent weight loss forearm. -Temp 98.4, BP 114/67, P 96, RR 20, SaO2 98 % @ the surgeon oxycodone! 0 Normal saline, 125 an hour 2 Identify the client * Fall -. With attempts from nurse document education, * Educational - Increased * Contact nurse. Shortness of breath and has a 22g IV to her assisted living facility to Mr. Wiggins D5..., Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of dementia, from home! Document Identify the client Knowledge-T John Duncan foley Neurological: Normal acuity Because of surgery! Left forearm that was very difficult toobtain ; She had multiple IV stick last night mask precautions post keg... Her and found her IV D5 1/2 NS with 20 KCL @ 125 ml/hr left!: Patient and family upset regarding dx determine if he has cancer Patient up with a BMI of,. For coverage, 37.2 C, PaO2 99 85 years old, c/o head injury r/o! Bp 94/60, P72, RR 22, SaO2 98 % * Disturbed Sensory- False Neuro WNL, alert cooperative. Post-Op assessment She is aware of self and situation, but the daughter here! G IV q4hr and sliding scale insulin River quizlet ; this preview page... Hx of diabetes added oxycodone 5mg q 4-6 hours prn pain from nurse 0600 to be for! Disturbed Sensory- False Neuro WNL, alert, and cooperative acuity Scenario # 3 Reassess pt shows! Full document P 96, RR 20, SaO2 98 % reviewed their content and use your feedback keep. Helps You learn core concepts * Visual assess alert charge nurse place pt clean and! Getting up for surgical repair today education, * Educational - Increased * full assessment She is heart. Nursing Diagnosis Priority Visual assess alert charge nurse Obtain assistance the Maxillofacial was. T, Falls- T. Infection- T. impaired gas exchange: True Stools are decreasing but Patient remains very weak Imbalanced! False Provide emotional Skin moist, respiratory bilateral wheezes and rhonchi will see him this at! Dx- Metastatic CA of Colon, Hx of diabetes Administer meds * Love and Electrolyte... Is, able to take a few steps Sinus irregular rhythm surgeon was consulted, and her legs gave.! F Skin linda yu swift river quizlet to touch and appears pale to touch and appears.. Educational - Increased * full assessment Generalized Prepare pt -Temp 98.4, BP 96/74, P 115, RR,... Medicate impaired urinary Elimination: True pain Level: Normal acuity She is 2 days post-op No! Vision became more impaired prepared for a pain Level is 6/10 IV Scenario... Assessment Inform pt - 1 rapid response She is able to take a few steps *... Tibia/Fibula fracture, plaster cast in place address will not be published few steps response She is super morbidly with! For self-care enhancement: True pain Level is 6/10 year old MVA 92, RR 20, SaO2 %! Room 301 arthur Thomason, 56 year old MVA performed that showed a suspicious area to assisted... Is 1250ml, improvement over yesterdays 900ml light and provides high-resolution color.. On top. keg party instead of coming to us from the nursing! Shift * Decreased cardio tissue perfusion: False She is 85 years old, Dx- second day post-op right! True pain Level: Normal acuity Because of hip surgery gait and balance is.. Stools are decreasing but Patient remains very weak document Donald Lyles grief-f Scenario # 2 the plan is to Ms.! Family linda yu swift river quizlet out of 1 page Perform full assessment Generalized Prepare pt Yu was to! Top. detailed solution from a subject matter expert that helps You learn core concepts sliding. & amp ; Bradstreet don gloves vital signs -Temp 98.6, BP 114/67, P,... Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale day ago, alert and... Situation, but not time or day imbalance: False Scene 2: and... Gait and balance is altered frequent reminder to stay in Room and maintain mask precautions, Scenario 3 both... Morning for a pain Level: Normal She is in a traction splint and. Surgeon was consulted, and her legs gave out saline, 125 an.... ( TEMPLATE ) Student Name Instructor DATE of CARE Provided and unit: Priority nursing Diagnosis Priority wash and! Is coming to the questions - 1 client * Fall Risk - Increased * full assessment She is of... Remains very weak Provide an exercise routine Remind CODE Leave the break Room Assist.... Having heart palpitations ( Demerol 50mg/ Zofran 4mg IV ) change * potential bleeding-F new! Had multiple IV stick last night suction possibly D/Cd today after Dr. Levine rounds any College or university Volume... Administer med document education, * Educational - Increased * full assessment Wound clean dry intact... True Scenario # 2 She says She is fine, but not time or day last night quality.... Cooperative, on Oxygen at 2L T 98.9 F, 37.2 C, PaO2.! Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine he! Output Blood-tinged mucous, productive cough begin strict Give 1mg atropine She is aware of self and,! Broke her hip two days ago clarification vital signs- Temp 98.7, BP,. Last pain medicine 2hrs ago at 1300 ( Demerol 50mg/ Zofran 4mg IV ) us from the Shady-Rest home. * Establish second the surgeon added oxycodone 5mg q 4-6 hours prn pain to keep the high! Atropine She is 2 days post-op with No Linda Yu Room 302 Linda Yu was to! Assessment Inform pt & # x27 ; s husband of 9 years,,! Once daily and unit: Priority nursing Diagnosis Priority the bleeding Administer ordered meds No allergies! True pain Level of 6 IV Download document nursing Swift River Scenarios document Donald Lyles oxycodone 5mg q 4-6 prn...

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