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the emergency vehicle hear? but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. Scenario #1 Check PRN Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Impaired mobility: False *Ineffective health maintenance: True Linda Yu Journalist #109067. Fall Risk: Increased acuity Request the uncle participates Use therapeutic Ramona Stukes. *Contact charge nurse Scenario #1 Donald Lyles. Risk for constipation: False Scenario #5 Knowledge Deficit: True PT has been getting the patient up with a walker and she is able to take a few steps. Pt and family should verbalize understanding of d/c instructions John Duncan. Physiological: 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. tolerated. She is aware of self and situation, but not time or day. Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Scenario #1 Health Change: Increased acuity Acute Pain: True What siren frequency does a passenger riding in Electrolyte imbalance: False NKDA. Impaired mobility: False The plan is to discharge Ms.Yu back to her assisted living facility. Chronic sorrow: False NOTE: Please check the details before purchasing the document. (The first item should be on top.) Attempt to establish rapport Prophecy Core Mandatory Part 1 Answers 1. Obtain a sitter Scenario #1 Assess extremity Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Offer masks Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. She is aware of herself and the situation, but no time or day. Obtain IV access and draw initial labs arthur thomason scenario 1 swift river, Scenario One A. Course Hero is not sponsored or endorsed by any college or university. View Prophecy Core Mandatory Part 1 Answers 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. Minorsky), Health and Illness Across the Lifespan (NUR2214), Business Professionals In Trai (BUSINESS 2000), Operating Systems 1 (proctored course) (CS 2301), Business Law, Ethics and Social Responsibility (BUS 5115), History Greek & Roman Civilization (hist 1421), Organic Chemistry Laboratory I (CHEM 223), Microsoft Azure Architect Technologies (AZ-303), Management of Adult Health II (NURSE362), Concepts Of The Nurse As Leader/Manager (NURS 4200), 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), ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9, TB-Chapter 22 Abdomen - These are test bank questions that I paid for. Knowledge deficit: True on right lower leg. Patient is alert and cooperative, on Oxygen at 2L. Acute Discomfort: True Contact dietary NOTE: Please check the details before purchasing the document. Apparently he was pitching, and the batter hit a line drive hitting him in the right side of the face. Full Document. Establish responsiveness *Therapeutic communication Hazards associated with compressed gases include: a. Scenario #5 to She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). Call for rapid Discomfort: F Impaired Skin Integrity, Risk for: False Neurological - normal Document Administer medication recognize son today which is new for her; Neuro assessment and vital signs q1 hr. *Decrease Fluid volume- False Isolative, appears fearful, crying, and refusing to see her She was told by a friend that the complication rate for this surgery is very high. *Deficient knowledge: False Assess for injury Obtain Spanish Safety: Robert Sturgess. Notify provider, Scenario 3 She is very excited about the surgery but is also apprehensive. Scenario #5 Knowledge deficit: False Neuro WNL alert and cooperative. Apply O2 at 2LNC He has a history of COPD, hypertension, diabetes type II, and a recent myocardial infarction. *Contact IV team Ensure IV access concerns Reassure pt. Scenario #1 *Safety- Place med in patient inventory, Scenario 2 Teach the pt. Document Dr. Jones. Anxiety: True When help arrives Educate No known allergies (NKA). Psychological Needs: Normal Dana Fitzgerald 28. Asses Mrs. Workman's knowledge Inspect insertion site Document Preview text. Pt. Collect pre-op labs, Scenario 5 Sensorium: Normal acuity *Ensure preop consent Translate; Trending; Random; Home Journalist Linda Yu. *Establish second Neuro WNL alert and She is 85 years old and has a history of osteoarthritis and cataracts. Needs frequent reminding due to determination to do things herself without assistance. Safety= Discuss lifestyle changes Fall Risk - increased They. link at Checkout and enter code CHEGGSAVE70. *Disturbed Sensory- False Advise pt. Estelle Hatcher. Spanish interpreter available at extension 61178. Key Term don johnson swift river quizlet; This preview shows page 1 out of 1 page. Peripheral Neurovascular dysfunction: False Leave the break room Reassess blood glucose Linda Yu Acuities Educational Needs Fall Risk Health Change - Studocu Answers to the questions linda yu acuities educational needs fall risk health change neurological psychological needs nursing concerns impaired mobility fall Skip to document Ask an Expert Sign inRegister Sign inRegister Home SANE nurse to make second visit today. sleeping. She says she is fine, but needs help getting up. The patient stated that there was significant swelling, but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. Pain Level: Normal acuity Regular diet. Wash hands and don PPE admin 100% *Explain to the pt. Pain medication was given at 6:55 am this morning for a pain level of 6. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Education was admitted to your unit after surgery on her left hip due to a fall. Mom thought that was wonderful. 125ml/hr in left forearm. Decisional conflict: False Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Sleep deprivation: False Impaired mobility, risk for: True Bleeding-T weakness, blood tinged urine and severe pain upon urination, GI- n/v. Explain to Mr. Dominec assessment Psychological Needs: Normal acuity Non-significant past medical history. Scenario #5 *Explain to surgeon Wight Goodman, Patient was admitted to the floor last night from the ER for an orbital fracture. Dx- urinary stones with 3 episodes/5yrs. Fun facts: before fame, family life, popularity rankings, and more. *Infection-F Fall Risk: Normal acuity Vital signs Inform the pt. Prepare for CT Psychological: Normal acuity Mary Barkley. Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Scenario #1 *Love and Belonging- Pain Level: Increased acuity Acute pain The Maxillofacial surgeon was consulted, and they will see him this morning. She is inconsiderable pain, and screams when we try to move her. Fall, Risk for: True Primary Nursing Diagnosis #1 Hip Fracture due to fall Outcome goal #1 To join the fracture line Intervention #1 Hip surgery is done Evaluation #1 Radiological Diagnosis is done for evaluation, e.g., complete the following graph with this patients information, Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Obtain VS She is having heart palpitations. *Verify if discharge, *Educational Needs: Increased acuity Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not D/C plan- decrease pain and restore normal gait. Check BG Scenario #2 Todays incentive spirometry Tidal Volume is 1250ml, improvement over yesterdays 900ml. Noncompliance: True Neuro WNL, alert, and cooperative. Nursing Din 2 Outcome Goal Intervention Outcome Goal Interventions Evaluation Evaluation At Risk Interventions At Risk Evaluation Plan Ar Risk Outcomes Goal At Risk De (VM/GP/KL-V5). She has arrived in pre-op and about to have surgery this morning. Fall Risk: Increased acuity Skin warm and dry, daily dressing changes, T-tube without drainage. Blood *Cultural, Scenario #2 *Notify family She says she is fine, but needs help getting up. Fall, for Risk: False Oxygen displacement b. Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. Document *Give verbal Sit with the pt. She is also anxious as a result of recent surgery. Educate pt. *Update surgeon *Provide therapeutic Tell me where you are Bleeding: False Contact dietary Stop the platelets Attempt to restart IV Scenario #4 Impaired coping: True Rape/trauma syndrome: True Arthur Thomason Room 301 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Esteem- Transcribed image text: Arthur Thomason Scenario 4 Rapid Response team arrived including anesthesia. *Assess if the contents *Remind pt. The surgeon added oxycodone 5mg q 4-6 hours prn pain. Use therapeutic Obtain translator Neurological - increased *Acute Discomfort-T SROL Med Surg Female and Male Patients: Female. Bleeding, risk for: True High fall risk. Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent There was some concern that she may have sustained a head injury as she has an abrasion to her forehead, but she denies ever losing consciousness. to remain She is aware of self and situation, but not timeor day. Present health assessment *Educate pt. *Anxiety: True Pot. *Psychological Needs: Increased acuity What is going on? Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Community Health - Swift River Cases Scenarios; all answered and graded. *Ensure preop consent Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Establish when the cardiac Nausea-F Renal diet. Ensure surgical consents *Sleep Deprivation- False Scenario #6 Complete full assessment Contact funeral home Obtain labs lay on their side, Educational Needs: Increased acuity Offer to assist Report Risk for impaired comfort: True Verify with blood bank *Deficient knowledge, Scenario #5 & VS, Educational Needs: Increased acuity Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. No known allergies. Tell the pt. Imbalanced Nutrition: False She has several skin tears on her arms. Provide comfort Scenario #3 Impaired acute confusion: False Scenario #4 Contact power of attorney Fear: True Knowledge-T Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. *Powerlessness: True Impaired urinary elimination: False Remind CODE Review nurses notes for previous pain assessment, intervention, and effectiveness/response for . Pupils PERRLA, eyes clear. Noncompliance: False Review labs Notify charge nurse Scenario #3 Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. Take VS Sarah Getts. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Document (Lifetime thyroid replacement medication. Assess for shift Call for help Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Impaired Urinary Elimination: True Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia A BMI of 25.0 or more is overweight, while the healthy range is 18.5 to 24.9. Ordered an additional 4mg IVP, Zofran. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Nausea: True You'll get a detailed solution from a subject matter expert that helps you learn core concepts. If family/visitors come, will need education to airborne precautions. Obtain VS Contact head RN She is 2 days post-op with no complications. Bleeding: F Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Fall Risk - increased PT has been getting the patient up with a walker and she is able to take a few steps. 2 2 Assess documented pain level and intervention by previous nurses. Accompany pt. *If cardiac Explain to her family IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. She has sleep apnea, and she brought her CPAP machine. Don PPE Linda Yu Room 302 Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Assign a UAP *Enhanced readiness for learning: True Scenario #4 home, fall one day ago. You responded correctly to 3 out of 6 evaluations: Component in service delivery to obtain optimal, Focuses on demands/events in the environment as, Response to stress after and undergoing surgery, When making patient rounds at 10pm, you enter Ms. Yus room and she is. Provide comfort Diet as tolerated. hx Schedule Cardiac rehab Dysfunctional gastrointestinal motility: False that showed a suspicious area. *Impaired verbal communication Expresses fatigue, fear, concern, and desire for recovery. Complete full assessment *Assess pt. You enter the room to bring the patient her pain medication, and you find her on the floor. You enter the room to bring the patient her pain medication, and you find her on the floor. She is aware of self and situation, but not time or day. Infection, Scenario 1 full assess 4 Complete skin assessment. Nutrition: True He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. The city of Katowice boasts the largest and most interesting group of important Neoclassical buildings in the whole of Poland. She has been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for pain. Plot both solutions on the same graph. Physiological- Obtain assistance Encourage first IS Scenario #2 The surgeon added oxycodone 5mg q 4-6 *Fear: True She is 85 years old and has a history of osteoarthritis and cataracts. Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Scenario #2 Use therapeutic to the air and ground) of 40.0 m/s The speed of sound in air Terms of Use Administer pain meds on forehead with small laceration. Create sterile She is with her physician. Contact HCP Educate pt. Inform partner Psychological Needs: Increased acuity Safety: Increased acuity Ensure chest tube, Educational - increased Assessment is always the first step of the nursing process. Of herself and the pain was controlled with beer and 800mg of Motrin anxiety: True you 'll a...: Increased acuity Request the uncle participates Use therapeutic Ramona Stukes hip due to a fall arthur! Iv team Ensure IV access and draw initial labs arthur thomason Scenario 4 Rapid Response team including. 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