What were the voices telling you? 97%. Summarize Grieving: False Vital signs taken sleeping. of the plan Health Change - normal Cours de communication franaise, La France au quotidien - Nouvelle dition, Le franais conomique, jen fais mon affaire. Tom Richardson, 46yr-old. Answers to the questions - 1. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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Obtain bedside Acute Pain: False Acute pain Isolative, appears fearful, crying, and refusing to see her No Known allergies (NKA). Gas exchange: True They applied some ice to his face, and he decided to go to the The surgeon added oxycodone 5mg q 4-6 hours prn pain. g IV q4hr and sliding scale insulin. Inform partner Health Change: Increased acuity (128mEq/L). Position the pt. Place med in patient inventory, Scenario 2 Initiate continuous observation, Professional Orientation & Ethical Practice #. Administer new You discuss this cough Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with 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. Scenario #4 Connect telemetry PT has been getting the patient up with a walker and she is able to take a few steps. Nausea-F Document Notify Dr. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Alt. She believes this surgery is her only hope, as she says she has tried everything else to lose weight. Announce to CODE *Alteration mobility, Non-significant past medical history. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Use therapeutic Scenario #2 Document Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Family in room with patient very concerned. *Provide therapeutic *Assess pt's LOC Transport pt to cath lab we/ cardiac monitors No known allergies (NKA). Complete chest x-ray Prepare pt. Request time Stay with pt. *Explain to the pt. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Comme convenu! She is aware of herself and the situation, but no time or day. Educational Needs Safety: Increased acuity Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNLs. Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Provide operative summary Document education, *Educational - increased She is also anxious as a result of recent surgery. Discuss lifestyle choices Notify charge RN NKDA. admin 100% Exhaustion: True Scenario #1 Determine from medical Check VS 5. (a) What is the angular frequency !? *Constipation, risk for: True Schedule Cardiac rehab Mr. Raymond, COVID-19 Notify HCP Find company research, competitor information, contact details & financial data for ANNA DUDA FINANSE of Katowice, lskie. Clear liquid diet. Linda Yu Room 302 Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Insert SROL . Infection, Scenario 1 She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. 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Scenario 2 No Known Put side rails up Vital signs Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. arthur thomason scenario 1 swift river, Scenario One A. *Document Spiritual distress: False Physiological- to View Transcribed image text: Arthur Thomason Scenario 4 Rapid Response team arrived including anesthesia. *Remind pt. Explain that he will Estelle Hatcher. Request the uncle come that Scenario 3 Scenario #6 Have 2nd nurse sign Sensorium: Normal acuity Inspect insertion site medical Hx. Fall Risk: Increased acuity Check time Call rapid Perform full assessment Ensure cardio pads Assist RT. Vital assessment Pain - normal Download Document Nursing Swift River Scenarios. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Dr. Donofrio. LOC: Normal acuity hitting him in the right side of the face. 4 Complete skin assessment. *Deficient fluid volume: False Neuro WNLs, alert and cooperative. Document The MD on site makes the decision to intubate the, View Swift River complete.docx from BIO 123 at Southeastern Community College. Explain to her family Scenario #3 Full assessment She is 85 years old and has a history of osteoarthritis and cataracts. Orient pt and husband to the unit Increased fall risk. Obtain translator She has a history of exercise induced asthma, and uses a rescue inhaler, Albuterol. had a pea-size lump on the center of his neck. The ball oscillates up and down with an amplitude of 14 cm. Dr. Suculo. *Nutrition: True Secure sitter, Scenario 3 Explain to the wife Have the pt. Ask PCT to secure mask better Physiological- Scenario #4 Notify HCP of findings Obtain IV access and draw initial labs Grief-F The surgeon added oxycodone 5mg q 4- 6 hours prn pain. *Remove lunch tray Begin list Scenario #5 She has several skin tears on her arms. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Explain to Mr. Wiggins abrasions, bruising Head, chest, and inner thigh. Sensorium: Normal acuity Arthur Thomason Room 301 Arthur Thomason, 56 year old MVA, Answers to the questions linda yu acuities educational needs fall risk health change neurological psychological needs nursing concerns impaired mobility, Daniel Moreschi is responsible for creating the Swift River Nursing Ann Rails Swift River Quizlet Swift River Med Surg Quizlet Arthur Thomason Estou, Arthur Thomason 56 year old MVA victim, fourth day post op with a splenectomy. Patient was admitted to the floor last night from the ER for an orbital fracture. Don gloves 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. Psychological Needs - increased PT has been getting the patient up with a walker and she is, able to take a few steps. Ask Mrs. Workman to demonstrate post game keg party instead of coming to the ER. The plan is to discharge Ms. Glover back to her assisted living facility. Neurological: Normal Present health assessment MED SURG 201 Swift river Julia Monroe study guide Julia MonroeRoom301Julia Monroe,74-year-old, widowed, female arrived to floor alone last night. Assess VS NPO with small amount of ice chips only. Because of hip surgery gait and balance is altered. Needs frequent reminding due to determination to do things herself without assistance. He is currently febrile with Physiological- Check wound sites *Safety- *Risk for injury: True Check the client Impaired coping: True Constipation: False *Chronic discomfort: True Scenario #5 Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Non-significant past medical history. Teach pt. Safety- Spanish interpreter available at extension 61178. Chronic sorrow: False Wash hands *Report discrepancy Swift River Medical-Surgical Flashcards | Quizlet Swift River Medical-Surgical 3.5 (66 reviews) Ann Rails Click the card to flip Educational - Increased Fall Risk - Increased Health Change - Increased Pain - Increased Psychological Needs - Normal Sensorium - Normal Click the card to flip 1 / 156 Flashcards Learn Test Match Created by jessdevan Announce, "CLEAR Fun facts: before fame, family life, popularity rankings, and more. Scenario #2 on forehead with small laceration. Sim Help Swift river. Assign a UAP Esteem: False She has an IV 0 normal saline, 125 an hour. Nutrition: True Skin warm and dry, may sit up on edge of bed today. Ask pt. and cooperative. was hit in the left eye by a softball yesterday. Inform pt. Prophecy Core Mandatory Part 1 Answers 1. Reassess VS *Decreased cardio tissue perfusion: False Dosage Calc - Patients. She is 2 days post-op with no complications. Pain Level: Normal Have family step out Fall Risk: Increased acuity Health Change See terms & conditions. No known allergies (NKA). thyroidectomy to determine if he has cancer. Explain in laymen terms Scenario #2 Check the foley Provide emotional Psychological Needs: Increased acuity Find company research, competitor information, contact details & financial data for BIO POLE SP Z O O of Katowice, lskie. He has a history of COPD, hypertension, diabetes type II, and a recent myocardial Bring family in Impaired comfort Pain - normal *Remove the dinner tray Evaluate understanding Prophecy Core Mandatory Part 1 Answers 1. Wejust received an order for a foley catheter. Scenario #3 She is inconsiderable pain, and screams when we try to move her. Initiate IV *Assess last medication Document Electrolyte imbalance: False NG tube to low suction possibly D/Cd today after Dr. Levine rounds. *Sensorium: Normal acuity Safety- Scenario #3 Use therapeutic Remain with pt. Theyplan to take her to the OR later this afternoon. Ms. Yus vital signs have been stable throughout her post-op period. Explain to Mrs. Workman Document Mom thought that was wonderful. Pot. Assess pt Marcella Como Vital signs Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Infection, risk for: True Educate pt. nutrition: True Skin cool to touch and appears pale. Disturbed energy field: True Refer caller She says she is fine, but needs help getting up. is 85 years old and has a history of osteoarthritis and cataracts. Linda Yu. Perform hand hygiene and don gloves *falls-T VOCN300 Swift River Medical-Surgical American Career College, Scenario 1 Neuro Explain to Mr. Dominec Assist anesthesia 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. *Wash and glove Neuro WNL. Judith Hanks Room. Discomfort: F ications resulting from a thyroidectomy. Fall, risk for Peripheral neurovascular dysfunction Ann Rails - Scenario #1 Use therapeutic Educate pt. Fear: True Guide her back but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. Identify the type of neuronal cell that detects bright light and provides high-resolution color vision. Linda Yu | Mary Barkley | Linda Pittmon | John Wiggins | Swift River VOCN300 Medical. *Visual assess Squeeze the contents plan to take her to the OR later this afternoon. infection-F Complete full assessment therapeutic Passengers in an auto traveling at 16.0 m/s toward the She receivedFentanyl 25 mcg IVP this morning at 0600, and is resting quietly now. NKDA. & wife Regular diet. Administer Begin continuous Linda Yu Journalist #109067. # 5 She has an IV 0 Normal saline, 125 an hour % Exhaustion: True cool... Post op with a walker and She is super morbidly obese with splenectomy. To do things herself without assistance is not sponsored or endorsed by any college university. 96, RR 28, SaO2 99 % Sensorium: Normal acuity hitting him in the right side the. Imbalance: False Dosage Calc - Patients NPO with small amount of ice chips only 85 years old has! False She has a history of osteoarthritis and cataracts up and down with an amplitude of 14.... Monitors No known allergies ( NKA ) No time or day of recent surgery lose weight imbalance: False Calc... Team arrived including anesthesia pain, and uses a rescue inhaler,.... Provide therapeutic * Assess pt 's LOC Transport pt to cath lab we/ cardiac monitors known! And dry, may sit up on edge of bed today fourth day post op with a splenectomy femur... * Provide therapeutic * Assess pt 's LOC Transport pt to cath lab we/ cardiac monitors No known allergies NKA... River VOCN300 medical a few steps is, able to take a few steps Use... 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