Physiological- Scenario 3 -Reassess patient q 5 minutes until awake, then 15 minutes until they are fully awake (not Drowsy). Bleeding: True He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Scenario 5 Nausea/Vomiting: Yes No LOC Normal acuity Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. The Swift River Nursing Simulation involves artificially representing real-world processes with sufficient fidelity to enable learning through immersion, practice, reflection, and feedback without facing the risks inherent in a similar real-life situation. No known allergies (NKA). Document results Imbalanced Nutrition: True Scenario 3 Scenario 4 Scenario 2 Scenario 2 Diet as tolerated. -Contact HCP to determine when they are available to speak with the patient Ronald Burgundy Senario 4 Dysfunctional Gastrointestinal Motility False -Ensure the bed is in lowest position, the side rails are up, the call light is in reach, and ask the patient if they need anything before you leave the room Discuss his understanding about the plan of care. Encourage to ambulate with assistance to void if needed Educational Needs Increased acuity The Swift River is one of the most unique and popular trout fishing destinations in Massachusetts, yet the dynamics of this exceptional fishery have not been well understood. Call rapid response Educate patient/family Provide information for MD to call family at home and explain what has just happened Obtain urinary screen Fear True Determine clinical decisions based on listening to an audible client report. At Risk, Impaired Comfort False No known allergies. Grieving: False Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. You explain that his condition has worsened and now he has been taken to ICU. c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. His original lymph node biopsy was negative. Notify doctor if condition is abnormal except 115 pulse, which is normal for him. Acute pain: False Cough: Amount: _______ Evaluate medication effectiveness Fall Risk Increased acuity Scenario 2 -Ask the patient if it is okay to discuss his care in front of his children. Discuss follow up with his doctor. Document results Flexes & withdraws = 4 Senario 2 Widespread Color Change: N/A pallor cyanosis jaundice erythema Assume role in response team of documenter You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Provide Operative summary of type of procedure, IV fluid and pain status. Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Neuro WNL alert and cooperative. Neuro WNL, except leg pain upon movement. Scenario 3 Scenario 1 -Begin q15 minute neuro checks Disturbed Body Image True You explain that he is receiving a higher level of care and was he was sedated before leaving the floor to make him more comfortable. ASA is held but morphine 4 mg was given after his GI cocktail. Place patient on PCA pump IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. 4Inform his partner that everything is being done to keep him comfortable. Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." You escort them with you to the ICU. jessdevan. Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Imbalanced Fluid Volume, Risk for True Radiofrequency ablation may be recommended after endoscopic resection. ADA diet, intake 25%. Pain Level Increased acuity Excess Fluid Volume, Risk for False Scenario 3 His difficulty voiding finally motivated him to seek care. Continent: Yes No Brief/Diaper Localizes pain = 5 Scenario 2 No known allergies (NKA). Course Hero is not sponsored or endorsed by any college or university. The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Scenario 1 Scenario 2 Place pt on PCA pump Use therapeutic communication/Active Listening Hopelessness True Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook Decisional Conflict False Mr. Gonzales H/H is 12.7/38. Temperature is now 102.8. Nausea: False His, Joyce Workman Room 303 Joyce Workman Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Assist patient Nathaniel Gonzalez Check monitor Scenario 3 He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Teach Cameron. Allergic to sulfa drugs. Pregnancy and labor and delivery are not typically associated with the concept of cellular regulation, Patient: Donald Lyles,52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. 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. jasmine . He also states he is feeling weak. Verify Call Light/Bed Safety precautions Provide a few chairs if possible for her family to also be comfortable Wash and glove hands Evaluate caller understanding Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. She has arrived in pre-op and about to have surgery this morning. The patient got dizzy when he stood up from the commode. He is excited and tells the nurse he is starving and glad that he finally gets to eat. Evaluate understanding. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Scenario 1 Pain and numbness in legs for one week. Explain reason for assessment and procedure Dr. Suculo, Physiological Lithia Monson The patient is asking you where her son is, the last place she saw him was right before the explosion. Vital signs- Evaluate/modify plan of care Document teaching moment. Scenario 1 -Assess if the contents of lunch tray are intact. 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) Inform and educate spouse of dietary orders You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Evaluate learning No response = 1, Mobility: Peripheral Neurovascular Dysfunction False. Inappropriate words = 3 Pupils PERRLA, eyes clear. Replace oxygen nasal cannula that had become disconnected Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. -Reassess patient's physical status prior to leaving him in the hallway Remain with patient 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Deficient knowledge: False Combien gagne t il d argent ? Document results and findings Remind the nursing staff that the patient is NPO. -Call security for assistance and compliance officer : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Failure to Thrive True. Safety Ambulates with minimal assistance. He was recently diagnosed with stage III prostate cancer. Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. She is also investigating bone marrow transplantation. Senario 4 Scenario 3 Bed Bath: Assist or Total Assist patient out of bed Safety- Evaluate understanding Obtain translator Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Document results and findings Senario 2 Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Wash and glove hands 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. Assessment of bowel movement -Take initial vital signs (room air Pulse Ox) Dr. Anderson, Educational Needs Increased acuity Health Change Increased acuity Alert and cooperative. The pathology report shows no cancerous lesions. It is now third day post-op, the order is for Ms. Cumble to stand by bedside on both legs for 5 minutes, three times a day. Wash and glove hands Self-Care Deficit: True Scenario 3 Perform pain re-assessment Psychological Needs Normal acuity Full assessment Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Administer antipyretic medication When a physician makes an incision into a body cavity just superior to the diaphragm and inferior to the neck, what body cavity will be exposed? 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. 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He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Scenario 2 Psychological Needs: Increased acuity Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Suprapubic Insertion site: WNL S/S Infection : ____________________ You are concerned about preventing the patient from falling. Communication/Speech: Clear Non-verbal Slurred Aphasia Other Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Scenario 4 Use therapeutic communication/active listening -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Scenario 1 -Document and contact nursing supervisor/Charge nurse Anxiety False Therapeutic communication Patient, and family upset regarding dx. Senario 4 His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Scenario 2 Esteem Assess pain Assume that the oxidation state of sulfur is 2-22 and that iron atoms exist in both +2+2+2 and +3+3+3 oxidation states. He is married, and his wife is requesting to stay at his side. Impaired Mobility True Contact Social Services Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Fall Risk Increased acuity Talk with her stating surgery is over and she did great. The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Then the bus splashed into the river for a cruise. Bleeding, Risk for: True Ineffective Peripheral Tissue Perfusion False -Check on patient/sitter hourly Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. Disturbed Sensory Perception False Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Check pedal capillary refill Anxiety True The cells are allowed to warm up and then are frozen again. Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Spiritual Distress False. Senario 1 Impaired Home Maintenance Management False Palliative care. Apical pulse rhythm: Regular Irregular Location: Dr. Donofrio, Physiological Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. is a 57 y/o who has been admitted for a radical prostatectomy. Dx- urinary stones with 3 episodes/5yrs. Acute Pain True -Medicate for pain Noncompliance False Chronic Pain True Retrieve cast removal tool 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 Senario 2 Deficient knowledge: True Love and belonging Nausea: False Waist belt restraint PRN; family sitter at bedside, assist with bath. Psychological Needs Normal acuity Assess -Continue to observe urine for hematuria and document findings Infection, Risk for False Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Health Change Increased acuity Isolative, appears fearful, crying, and refusing to see her husband. Safety Increased acuity, Physiological Hypothermia False Offer nutrition/toilet Vital signs are: B/P 112/78, temp. Fall, Risk for True Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging 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! Decreased Cardio Tissue Perfusion False #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Fatigue True Scenario 2 Wife at bedside. Nathaniel Gonzalez IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. Esteem He replies, "six times in the past four hours". Report this activity immediately to the hospital privacy officer Ms. Rails shares with you her fear of being discharged home to an abusive husband. Discharge instructions Adjust crutches Scenario 2 Full assessment including both lying/standing Fall Risk Increased acuity Stat lithotripsy treatment ordered. The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Administer antipyretic meds The patient is being prepared for discharge and his IV has been removed. Attempt to orient to person, place, and time Assess food consumption and intake and output Full assessment Social worker with patient this morning. -Reapply the NC that he was admitted with at 2L RUE: ______________ LUE: ______________ Full assessment Scenario 2 Respirations Skin cool to touch and appears pale. Document results. Palliative care. Non-significant past medical Hx. He has a 20-year one pack history of smoking. Stools are decreasing but patient remains very weak. Fall, risk for: True Document results Encourage Mr. Dominec to discuss with his partner his best treatment options. Impaired Gas Exchange True No weight bearing today. Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. Pain Level Increased acuity Vital signs -Temp 98.6, BP, Erma Willis, a 65-year-old woman with a history of adenocarcinoma and multiple past episodes of related secondary infections, was admitted to the medical-surgical unit this morning with a diagnosis, Reflective Journal VCBC Post work Cellular Regulation VCBC Post Work Start Assignment Due No Due Date Points 10 Submitting a file upload Please submit your post work to Canvas within 48 hours of, Typically the concept of cellular regulation Involves the study of cancer and related diagnoses. Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Peripheral Neurovascular Dysfunction True. Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Assess for fall risk Impaired Mobility, Risk for True Ineffective Airway Clearance True Esteem Imbalance nutrition: True Use therapeutic communication/active listening Vital assessment Hep-Lock in place left AC. You also notice the patient is more difficult to orient. Sensorium Increased acuity, Physiological Increased fall risk. 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