The charge nurse tells you she will send someone to assist you, and to get out 2mg of Versed to have ready to sedate the patient at time of procedure. LOC Normal acuity Scenario #2. Assess intake and output and possible reasoning Impaired Skin Integrity, Risk for False Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Dr. Donofrio. DOCX Swift River Online Learning - Taxonomy Assess for bowel sounds Increased fall risk. The patient has a pneumothorax that requires a chest tube placement. Scenario 4 He has partial thickness burns to his left arm and the left side of his face. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Localizes pain = 5 Hopelessness False. Oral Mucosa: Tongue: Teeth: Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. Intermittent/Continuous Other: Scenario 1 Full assessment Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Tunneled, site _______________ Implanted port, accessed _____________________ Wash and glove hands Neuro WNL's, alert and cooperative. Evaluate learning Lithia Monson Release restraints/full range of motion Scenario 4 Employ therapeutic communication: present reality -Continue to observe urine for hematuria and document findings Report current urinary output quantify per hour and color of urine -Place patient on O2 Nasal Canula Swift River: Sign In Acute Pain True Fall Risk: Increased acuity Nausea: False His VS are BP 122/64, P 89, R 12, SpO2 93%. Ineffective self-health mgmt: False, Disturbed body: False Sleep deprivation: False Safety- Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. You are now preparing for discharge, place steps in order: Senario 1 Impaired Gas Exchange False Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Her husband and children remain with her in the surgical holding area awaiting transport to the OR. He tells the nurse he has called his wife and wants to be discharged now. DSD (dry sterile dressing), forehead laceration clean and dry intact. He also has metal fragments on his left side on his leg arm and torso. -Start IV -Assess patients' pain and rule out cardiac pain. Widespread Color Change: N/A pallor cyanosis jaundice erythema Scenario #3. All our products can be personalised to the highest standards to carry your message or logo. Esteem Pain re-assessment Scenario 1 Psychological Needs Increased acuity Nr 325 final exam quizlet chamberlain - gqqa.wikinger-turnier.de -Perform neuro assess Fortune Salaire Mensuel de Tthuchicago Org Combien gagne t il d argent Verify call light/ bed safety precautions Non-significant past medical Hx. Nausea/Vomiting: Yes No Medical-Surgical - Swift River Request sitter/family member to bedside Provide information for MD to call family at home and explain what has just happened Respiratory Rate: WNL Tachypnea Bradypnea When the HCP realizes who he is, he tells the nurse to move the patient in the treatment room down the hall and put Mr. Burgundy in there. Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Obtain patient record and follow patient as he is transferred to ICU Impaired Mobility True A few hours after speaking with the sitter about the patient needing complete observation, you notice the sitter outside of the room talking on the phone. Upon entering room, you wash/glove hands. Crutches at bedside adjusted for height. Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. At Risk, Impaired Comfort False Adjust crutches Use therapeutic communication/Active Listening Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Dr. Roopes, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Electrolyte Imbalance True You question her while reviewing her operative consent and determine that everything is correct. -Explain that Docetaxel is a hormone therapy that suppresses the testosterone that your testicles produce producing similar results as surgical intervention. Mr. Duncan's wife meets you in hall asking what she could bring her husband to eat from home. Discharge instructions Scenario 3 Fall, Risk for True Scenario 3 Respiratory Assessment Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Scenario 4 Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Remind physician to wash his hands before examining the patient Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Notify lead nurse 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. Compromised Family Coping False -Start an IV Safety Scenario 2 Mr. Gonzales H/H is 12.7/38. Provide comfort in pre-surgical room Mr. Dominec. Scenario 2 Carlos Mancia Escort patient Impaired Mobility True Health Change Increased acuity A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Amount:________ Skin warm and dry, all vital signs in WNL **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 (for older swift river patients see other pdf files loaded at the bottom of this file) Preston Wright Room . IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Extends abnormally = 2 Enter the email address you signed up with and we'll email you a reset link. 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 -Inform patient to not get out of bed without assistance and place call light in reach Cough: Continent: Yes No Occasional Incontinence Frequent Incontinence Brief Notify doctor Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room. Safety Senario 4 Spiritual Distress False. John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Sleep Deprivation False Risk for Infection True He also complains that his throat is still very sore. He does not want to return to the nursing home, and does not wish to burden or live with his children. Scenario 3 Place patient on PCA pump Flexes abnormally = 3 Next time we'll spend our 60 on some food and nice beers. Her chart reports she was extubated upon arrival to the recovery area, received three units (3000 mL) of fluid, receiving O2 @ 4L via nasal cannula, has Foley Catheter in place draining QS clear yellow urine, responds to verbal stimulation, chest dressing in place remains dry and intact, and has just received a small dose of IV morphine for pain. Obtain and provide the infectious disease doctor's contact information for him. Escort patient to vehicle He is pale, weak, diaphoretic, and appears anxious. RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Scenario 2 -If cardiac is suspected call the provider and the rapid response team. Viola Cumble This shop has been compensated by Inmar Intelligence and its advertiser. Re-assess patient The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Medical-Surgical - Swift River Online Learning Amount: _______ Scenario 4 Scenario 4 Your response to all of them would be: Scenario 1 Assist patient out of bed -Assess patient's understanding of the teaching and discuss home support, os de la main et de la ceinture pelvienne, Julie S Snyder, Linda Lilley, Shelly Collins. Swift River Med-Surg Flashcards | Quizlet Document results Scenario 3 But that's changing. No known allergies. Acute Pain False Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Scenario 1 Blood Glucose 185, 4 units of insulin sliding scale for coverage. Scenario 1 Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. If family/visitors come, will need education to airborne precautions. Administer antipyretic meds Other: _______________________________ 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. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. He was initially sedated with versed 2mg, and Fentanyl 100 mg by the EGD nurse, but the patient was not tolerating the procedure, so anesthesia was called to administer propofol. Deficient Knowledge False : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Her pitcher has already been filled three times this shift. Fatigue True Love and belonging Compromised Family Coping False Verbal command = 3 Hep-Lock in place left AC. Evaluate understanding Chronic Confusion False Scenario 2 Senario 2 A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Nausea: False Deficient Diversional Activity False Psychological Needs Increased acuity Check PRN pain order Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Two housekeepers, who were refusing to clean the room, are in the break room. The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Physiological- Scenario 3 Vital sign assessments IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Scenario 5 The cells are allowed to warm up and then are frozen again. Physiological Full assessment Scenario 5 Palliative care. Obtain vital signs machine 2021-22, Historia de la literatura (linea del tiempo), Respiratory Completed Shadow Health Tina Jones, CH 02 HW - Chapter 2 physics homework for Mastering, BI THO LUN LUT LAO NG LN TH NHT 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 lesion was identified as Kaposi's Sarcoma. -Notify charge nurse of patient's deteriorating condition Assess Grieving: False. John Duncan Scenario 5 Biopsies were sent to determine the treatment. Scenario 5 Document results. Scenario 5 Stat lithotripsy treatment ordered. Retrieve cast removal tool Document and prepare to transfer to Surgical ICU Visual assessment Educate patient regarding condition Vital signs taken by automatic B/P Cuff q 15 minutes Notify doctor His difficulty voiding finally motivated him to seek care. -Ensure IV is patent, Lithia Monson Disturbed Sensory Perception True Use therapeutic communication/Active Listening She has IV access and has received a small dose of Valium to reduce apprehension. Compromised Family Coping: False Mr. Dominec is waiting for his partner to arrive to take him home and you notice he has a dry unproductive cough and trouble splinting with a pillow at his operative site. Dysfunctional Gastrointestinal Motility False 156 terms. Waist belt restraint PRN; family sitter at bedside, assist with bath. Document pt's statements. 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. -Draw a repeat CBC per HCP order to determine current Hemoglobin status Full assessment Vital assessment Scenario 3 Hafencity Riverbus (Hamburg) - All You Need to Know BEFORE You Go Ineffective Peripheral Tissue Perfusion False Fortune Salaire Mensuel de Ubah Kalimat Efektif Online Combien gagne t As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Seek clarification His left humerus is fractured and splinted. Inform his partner that everything is being done to keep him comfortable. Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Notify family Alleviating Factors: Last pain medication: Scenario 2 Scenario 3 Educational Needs Increased acuity Breath Sounds: Clear bilaterally. The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. RUE: ______________ LUE: _____________ Educational Needs Increased acuity Neuro WNL, except leg pain upon movement. Infection, Risk for False The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Verify call light/bed safety precautions NPO with small amount of ice chips only. Consult Social Service Pain Level Normal acuity Najvyia ponuka (2013) | Filmotka | SFD.sk Family at beside. Expresses fatigue, fear, concern, and desire for recovery. Imbalance nutrition: True The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Chronic pain: True This will treat any cancer that may have metastasized to the bone. Obtain recent chest X-ray reports and recent ABG's for physician to review Deficient Knowledge True Inappropriate words = 3 Scenario 2 Health Change Increased acuity Suprapubic Insertion site: WNL S/S Infection : ____________________ Gown and mask Self-Actualization Kathy Gestalt GI WNL. Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. RS Vclinical Flowsheet - Student Name : Date: NUR 113 Assessment Swift -Attempt to orient to person, place, and time Review pain medication order Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Discuss his understanding about the plan of care. 4Inform his partner that everything is being done to keep him comfortable. Place call light and check bed for safety Fortune Salaire Mensuel de New King James Bible Download For Windows 7 Sensorium Normal acuity, Physiological Skin warm dry, bruises on forehead with small laceration. -Instruct Mr. Burgundy and his cameraman to stop immediately Deficient Knowledge False The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. 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. She is with her physician. Disoriented to time and place, speech slurred. Swift River MedSurg 1.pdf - MED-SURG SCORE: 100 TIME Blood-tinged mucous, productive cough. Scenario 5 Acute Confusion False Family Health III-Pediatrics (NSG 6435) Emergency Medical Technician (EMS 1150) Applied Research In Business (MIS 781) Anatomy & Physiology I With Lab (BIOS-251) Molecular Biology (BP 723) Newest Marketing Management (D174) Professional Application in Service Learning I (LDR-461) Professional Capstone Project (PSY-495) Theology (104) Replace oxygen nasal cannula that had become disconnected Call Rapid Response protocol initiated Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Peripheral Neurovascular Dysfunction False Self-Care Deficit False Failure to Thrive: True. Rich Dad, Poor Dad (Robert T. Kiyosaki) The Methodology of the Social Sciences (Max Weber) Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.) . The patient is awake, alert, and oriented. except 115 pulse, which is normal for him. Swift River Med Surg Scenarios Answers - Homework Score Scenario 1 Scenario 1 Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Check PRN pain order Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Ms. Rails shares with you her fear of being discharged home to an abusive husband. Verify call Light/bed safety precautions Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Decreased Cardiac/perfusion False Imbalanced Nutrition False It is now two weeks later; Mrs. Smith has returned. Strict I&O, regular diet, intake 50%. Notify doctor if condition is abnormal You are the now the Surgical ICU nurse assigned to her. Needs frequent reminding due to determination to do things herself without assistance. Gait: ______________________________, Skin Integrity Assessment IV Assessment/ N/A Sa fortune s lve 2 216,00 euros mensuels -Take initial vital signs (room air Pulse Ox) -Give NS liter bolus -Complete initial post-op assessment List the nursing care order. -Notify charge nurse Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Medical Surgical Flashcards | Quizlet Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Impaired Skin Integrity False No known allergies (NKA). -Contact HCP to determine when they are available to speak with the patient Document results Full assessment The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Scenario 3 Assess food consumption and intake and output They would also like to start Radium-223. Multiple abrasions, bruising Head, chest, and inner thigh. Combien gagne t il d argent ? Your responsibilities are: Scenario 1 Toggle navigation Swift River. Report this activity immediately to the hospital privacy officer Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Senario 3 -If gastric reflux is suspected administer PRN antacids (GI cocktail) He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). (PDF) Playful citizens: utopian intersections of play, sex and -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Apical pulse rhythm: Regular Irregular Location: Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Educational Needs Increased acuity No known allergies (NKA). When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. -Discuss effectiveness of sitter Physiological- Evaluate/modify plan of care Scenario 2 Mrs. Stukes is feeling nauseated. Senario 1 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. Anxiety True She is having some difficulty breathing. Senario 3 No known allergies (NKA). Provide a few chairs if possible for her family to also be comfortable Ruth Cummings Trustee Vice Chair Audit Chair . Perform neuro assess Full assessment including both lying/standing Scenario 1 Arthur Thomason NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Hypothermia False He replies, "six times in the past four hours". Vital signs are: B/P 112/78, temp. Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Anxiety True Scenario 3 Continent: Yes No Brief/Diaper 0800 1200 Scenario 3 The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. 50% intake. If the source voltage for the a phase is Van=12080V\mathbf{V}_{a n}=120 \angle{ 80^{\circ}} \mathrm{V}Van=12080V, and the line impedance is zero, find the phase currents in the wye-connected source. Where is my camera man!! Ineffective breathing pattern False Chronic Pain False Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. 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. Reapply restraints If patient statement differs from the surgical consent she has signed, notify surgeon immediately Ronald Burgundy Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. -Ensure patient privacy and call for help and assist patient to bed once help arrives -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain.
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