robert sturgess swift river

Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Scenario 2: 1Educate about recovery from appendectomy and care to wound. "I am feeling fine." Neuro WNL, except leg pain upon movement. Safety -Tell the patient that they are being admitted to r/o any cardiac issues Skin warm and dry, daily dressing changes, T-tube without drainage. Inspect cast site Neuro WNL alert and cooperative. Provide comfort in pre-surgical room Mr. Dominec. -Explain to the patient that because of his weakness and unknown cardiac status as well as the IV, he is a fall risk and should not get out of bed without assistance. Safety Increased acuity, Physiological Stoma: N/A Colostomy Ileostomy Effluent Consistency: Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Fall, risk for: False Evaluate understanding. Her pitcher has already been filled three times this shift. Vital re-assessment Sensorium Normal acuity, Physiological Paul Greer Localizes pain = 5 Respiratory Assessment Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Peripheral Neurovascular Dysfunction False Document results Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Document results Hopelessness: True Scenario 1 Palliative care. Flexes abnormally = 3 It is unclear if he lost consciousness. Scenario 5 How was this -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Check pedal capillary refill Pulses: Strength & Symmetry Edema: Bleeding: True Pain re-assessment Your responsibilities are: Scenario 1 Document and prepare to transfer to Surgical ICU The lesion was identified as Kaposi's Sarcoma. Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Palliative care. Strict I&O and strain all urine, filters in bathroom. The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. We have more than 20 years' experience in the industry providing a quality service to our clients We pride ourselves on our customer-orientated service and commitment to delivering high end quality goods within quick turnaround times. Abdominal Pain: Non-tender Tender/Pain Describe: Remain with patient Hopelessness False. -Medicate for pain Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Impaired Skin Integrity False Scenario 1 Physiological The patient is awake alert and oriented. A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Swift River Medical-Surgical. -Ask the patient if it is okay to discuss his care in front of his children. 20ga. Dr. Donofrio. Scenario 5 Document results and findings Administer protocol antidiarrheal medication Impaired Mobility False Wash and glove hands Acute Confusion: True Explain that he will probably not be going home at least until his doctor sees him. Encourage fluids and fiber diet Surrounding skin: Moist/Intact Red/Erythema Irritation Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Escort patient Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Verify call Light/bed safety precautions -Notify charge nurse 20ga. The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Scenario 1 It is now two weeks later; Mrs. Smith has returned. Impaired Home Maintenance Management False Imbalanced Nutrition True Explain to physician what interventions you have recently initiated Impaired Gas Exchange True Notify family as to when they may come and visit. Kathy Gestalt Anxiety True Increased fall risk. Reasses temp in 1 hour. Fall, Risk for True nursing care plan for Linda Pittmon, a 74 -year old female patient who is a noncompliant diabetic, and frequently stays at the local homeless shelter. Chronic Pain True Diet as tolerated, up ad lib after gait training. Scenario 4 Skin cool to touch and appears pale. Chronic Confusion False Place pt on PCA pump Your coworkers are asking you questions about Mr. Dominec. Ineffective breathing pattern False -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Senario 4 Sexuality: True. Evaluate outcome of dietary plan Scenario 3 Health Change Increased acuity Pain Level Normal acuity Scenario 3 Full assessment of patient. Peripheral Neurovascular Dysfunction False. Scenario 1 Upon assessment, you determined that she is confused to person, time, and place but is easily directable. , a 58-year-old male patient presents to the ER CO CP 10/10. Pain Level Increased acuity Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Mr. Gonzales H/H is 12.7/38. Wash and glove hands You are concerned about preventing the patient from falling. Ineffective Coping False Safety Increased acuity, Physiological No Known allergies (NKA). -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Date of insertion: _________________________ Date of dressing: _________________________________ NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments Due to this, the provider would like him to stay in the hospital for observation. -Reassess patient Safety Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + ExplanationAnxiety/ fear True His coughing, to clear his airway, appears ineffective. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." ADA diet, intake 25%. When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Evaluate/modify plan of care Vital assessment Vital assessment Powerlessness True. Elevate head of bed Inappropriate words = 3 **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 . Deficient knowledge: True Retrieve cast removal tool As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Mr. Duncan's wife meets you in hall asking what she could bring her husband to eat from home. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Educational Needs Increased acuity Report current urinary output quantify per hour and color of urine -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Scenario 1 Cardiovascular has pacer with rate of 82bpm on demand. Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Palliative care. He does not have an IV nor is he on oxygen. He also states he is feeling weak. -Instruct Mr. Burgundy and his cameraman to stop immediately Scenario #2. : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. 00 Comments Please sign inor registerto post comments. Apply nasal cannula Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Notify family Dr. Altace, Physiological- Assess Health Change Increased acuity Scenario 5 Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. Nausea False 4Inform his partner that everything is being done to keep him comfortable. Blood Glucose 185, 4 units of insulin sliding scale for coverage. except 115 pulse, which is normal for him. Provide emesis basin/cloth Vital signs are: B/P 112/78, temp. Acute Pain False -Give NS liter bolus Start secondary large bore IV line Dr. Rondeau, Educational Needs Increased acuity Incomprehensible Deficient knowledge: True 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) Scenario 2 Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Document Procedure Neuro WNL alert and cooperative. Acute Pain True Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice Scenario 3 Waist belt restraint PRN; family sitter at bedside, assist with bath. Reorient Patient to person, place, & time Widespread Color Change: N/A pallor cyanosis jaundice erythema Allergic to sulfa drugs. Esteem It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Scenario 3 Electrolyte Imbalance False Ronald Burgundy Assess vital results Document results -Call security for assistance and compliance officer The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Use therapeutic communication/active listening Then the bus splashed into the river for a cruise. The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Contact Social Services -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 Pain Level Increased acuity Allow husband to come into recovery for a quick one-minute visit. Document results, Care of the Patient with a Cardiovascular or, NCLEX - Care of Patient with an Immune Disord, Quiz: Chapter 54, Care of the Patient with an, Chapter 54: Care of the Patient with an Immun, Chapter 17, Section 5; Providing First Aid fo. When you arrive to room 4, you are told to assume the care for the patient and get ready to transport them to the floor ASAP. Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Decreased Cardio Tissue Perfusion False Re-assess patient Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. Senario 2 Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Educate patient regarding patient care Scenario 5 Document Results/Findings Explain to her family and provide contact information. The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment Perform circulatory evaluation Apply fall risk bracelet He is aware that he may not have an erection and may need depends for bladder incontinence. Powerlessness: True, Scenario 1 #1: _________, No Administer antipyretic meds Impaired mobility: False Social Isolation, Risk for True LUE: Non-pitting Pitting ___+ No known allergies (NKA). Check PRN pain order Mrs. Smith's surgery has now ended. Amount: _______ Check surgical consent for correct procedure and make sure operative site in marked. Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Pupils PERRLA, eyes clear. Senario 5 -Start an IV Do not disturb Offer nutrition and/ or toileting Ineffective Self-Health Management True The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Scenario 2 Skin integrity at risk True Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. The surgeon has just visited with Mr. Greer 2-days post op and has informed him that the lymph node biopsies have confirmed that the cancer has metastasized, and he will need further treatment. Deficient Knowledge False LOC Increased acuity You arrive in room to find Ms. Monson talking to herself. Encourage fluids You determine to apply the restraint now. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Waist belt restraint PRN; family sitter at bedside, assist with bath. Eye opening Spontaneous = 4 Determine clinical decisions based on listening to an audible client report. Senario 4 If patient statement differs from the surgical consent she has signed, notify surgeon immediately It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Vital assessment A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Scenario 2 1. Impaired comfort: True It was diagnosed by a portable X-ray and quickly splinted by the ER staff. August 13, 2020 // by Angela McGowan. GI WNL. Non-significant past medical history. Evaluate medication effectiveness Assessment of bowel movement Strict I&O, regular diet, intake 50%. -Reorient Patient to person, place, & time Senario 2 Contact dietary consult Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. Scenario 3 Wash and glove hands Encourage Mr. Dominec to discuss with his partner his best treatment options. -Place patient on 100% O2 No known allergies (NKA). Noncompliance True. palliative care. Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Self-Care Deficit False Noncompliance True Alleviating Factors: Last pain medication: Deficient Fluid Volume True Validate NPO Status Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. Senario 2 Verbal command = 3 Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored 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. Grieving False When the nurse enters the room later that day to inform him that the procedure is scheduled for 1430, they see Mr. Gonzalez is sitting in front of a lunch tray. Place patient on PCA pump Neuro WNL alert and cooperative. Scenario 4 He was recently diagnosed with stage III prostate cancer. Insert Foley catheter Administer PRN constipation medications Scenario 1 Scenario 4 Full assessment Temp Esteem Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Take vital signs before leaving the hospital again. Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Mrs. Smith shares with you that even though she signed the operative consent she was not sure if this was the right surgical procedure for her. Fear: True Scenario 1 Vital signs are to be taken BID, and it is now time. Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! Two hours later, Mr. Duncan is asked how frequent his stools have been today. Evaluate learning Senario 3 Sensorium Normal acuity, Physiological Pain Level Increased acuity Scenario 4 Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Family arrive one hour after event to his prior room and find Mr. Thomason's room is empty and have no idea of the events that have just occurred. Evaluate understanding To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. GI WNL. -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Scenario 3 Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. Adjust crutches Scenario 1 Fear True -Using therapeutic communication inform Mr. Greer that there are many treatment options, and not to leave until the HCP can come and speak with him She has been documented as being obese, new onset. is a 57 y/o who has been admitted for a radical prostatectomy. 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. -Perform admission assessment Nathaniel Gonzalez Pain Level Normal acuity Patient and family upset regarding dx. Palliative care. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Spiritual Distress False. Contact charge nurse. Observe closely first hour Apply restraint RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 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 Request sitter/family member to bedside Grieving: False. Sa fortune s lve 2 216,00 euros mensuels Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Ask patient to explain to you what procedure she was expecting to have this morning. Love and Belonging Educate patient Remind physician to wash his hands before examining the patient -Complete full assessment, to include neuro He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. 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. He is currently febrile with temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound tenderness in right lower quadrant, has elevated WBC's and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Scenario 3 Breath Sounds: Clear bilaterally. Compromised Family Coping False -Perform neuro assess Scenario 5 Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. She has IV access and has received a small dose of Valium to reduce apprehension. Hx of dementia, from nursing home, fall one day ago. The bed arrives tomorrow. Verify call light/bed safety precautions Anxiety True You enter patient's room. Assess for bowel sounds Wash and glove hands Listen to patient concerns NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Mr. Greer has just been visited by his wife. You explain that his condition has worsened and now he has been taken to ICU. Isolative, appears fearful, crying, and refusing to see her husband. Sleep deprivation: False Notify charge nurse that discharge will probably not occur today. Therapeutic Communication Full assessment including both lying/standing Safety Course Hero is not sponsored or endorsed by any college or university. Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Scenario 5 Palliative care. Gown and mask Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." Tom Richardson, 46yr-old. -Ensure patient privacy and call for help and assist patient to bed once help arrives Upon assessment, you determined that she is confused to person, time, and place but is easily directable. You arrive in room to check on her, after washing hands. No weight bearing today. Normal Sinus Rhythm on telemetry. Scenario 2 Visual assess Check monitor Radiofrequency ablation may be recommended after endoscopic resection. Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. Scenario 5 Scenario 4 Deficient Knowledge True Impaired Skin Integrity, Risk for True Document results Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting -Advise sitter to notify nurse when leaving the room -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Acute Pain True Infection, Risk for True ADA diet, intake, 25%. You arrive in room to find Ms. Monson talking to herself. Constipation, Risk for True Esteem Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Sleep deprivation False Bleeding False Other: _______________________________ Respiratory Rate: WNL Tachypnea Bradypnea Tunneled, site _______________ Implanted port, accessed _____________________ The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Verbal response Oriented converses = 5 Family at beside. The cycle of freezing and thawing damages the abnormal cells. 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. There is an order to apply a waist belt restraint if needed. 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. The patient will be discharged today, and he will be ordering new prescriptions. Safety -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Acute Pain: True LOC Normal acuity 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 Spanish interpreter available at extension 61178. The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. Full head to toe neuro assessment. Dr. Suculo, Physiological Full assessment Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. Scenario 3 Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Mrs. Pittmon states she has had numbness for years but "now I can't . Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Scenario 4 Disturbed body False The charge nurse asks you to assume the patient's nursing care. No known allergies (NKA). Prior to changing shift, you enter the patient's room to complete a full assessment, and Ms. Monson is now crying asking to for someone to take her home! Chronic Pain False Peripheral Neurovascular Dysfunction True. Urine Color: Clarity: Odor: Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. He is pale, weak, diaphoretic, and appears anxious. You enter room one hour after the physician has left the patient. Remain with patient Scenario 5 Scenario 3 Regular diet. 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. Document results. You are now preparing for discharge, place steps in order: Senario 1 Teach patient about safety when getting out of bed : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Fall, risk for: True Sensorium Increased acuity, Physiological His orthostasis is normalized after a second liter of NS was administered. Fall Risk Increased acuity Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. Upon entering room, you wash/glove hands. -Notify charge nurse of patient's deteriorating condition You also notice the patient is more difficult to orient. -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Love and belonging- Scenario 5 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. Skin integrity, impaired True Peripheral Neurovascular Dysfunction: False Ms. Gestalt is now complaining of fever and chills. Awaiting transport. Establish second IV Neuro WNL's, alert and cooperative. He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Refer call to contact health department -Remind patient to call for help is he need to get up and provide patient with a urinal. Scenario 2 An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Use therapeutic communication/Active Listening Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Head/Face: Symmetric Asymmetric Drooping His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Upon entering the room with a translator to admit him to the hospital, he is asked for address and phone number but refuses to comply. Knowledge Deficit True The sister of Mr. Mancia calls from home to speak with you. Ineffective Renal Perfusion, Risk for True Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Document results and findings Acquire daily weight and food intake Vital signs taken by automatic B/P Cuff q 15 minutes Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room.

Fyndoune Community College Closing, Articles R