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Head/Face: Symmetric Asymmetric Drooping 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. Verify call light/bed safety precautions Impaired mobility: False Senario 5 She has IV access and has received a small dose of Valium to reduce apprehension. Remind the nursing staff that the patient is NPO. Diet as tolerated. Encourage Mr. Dominec to discuss with his partner his best treatment options. Full assessment The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Provide a few chairs if possible for her family to also be comfortable Pupils PERRLA, eyes clear. Fear True You enter room one hour after the physician has left the patient. Cardiovascular has pacer with rate of 82bpm on demand. Ms. Getts is being transferred as an emergency to Critical Care. -Reassess patients' vital signs, and place on q5 minutes continuous monitoring He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. This shop has been compensated by Inmar Intelligence and its advertiser. Scenario 3 The patient will be discharged today, and he will be ordering new prescriptions. Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. Mr. Gonzales H/H is 12.7/38. 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. He has not had his BP medication today. Scenario 2 Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. Continent: Yes No Occasional Incontinence Frequent Incontinence Brief He is restless with slight confusion but is easily orientated with attempts from nurse. Virginia Smith Use therapeutic communication/Active Listening Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Provide comfort and pain measures Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Two hours later, Mr. Duncan is asked how frequent his stools have been today. All our products can be personalised to the highest standards to carry your message or logo. 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It is now two weeks later; Mrs. Smith has returned. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Health Change Increased acuity Document results Disturbed body False John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Temp Scenario 5 Educate patient Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Also worth mentioning is the 'Alter Schwede' - a 217t . Sarah Getts Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Evaluate medication effectiveness Combien gagne t il d argent ? Document Results, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Visual assessment Fall Risk Increased acuity Bleeding: True Physical Mobility, Impaired True Notify Physical Therapy (PT) Diet as tolerated, up ad lib after gait training. BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Scenario 3 Palliative care. Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. But that's changing. Psychological Needs Increased acuity Document results The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Non-significant past medical history. Stools are decreasing but patient remains very weak. Perform circulatory evaluation Discuss his understanding about the plan of care. Acute Pain True Decisional Conflict False Respiratory Assessment Sleep Deprivation False Hafencity Riverbus (Hamburg) - All You Need to Know BEFORE You Go Failure to Thrive True. -Determine when a hospital provided sitter will be necessary The patient is asking you where her son is, the last place she saw him was right before the explosion. Teach patient about safety when getting out of bed Expresses fatigue, fear, concern, and desire for recovery. Scenario 1 Chronic pain: True Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. -Discuss with sitter that patient needs continual observation Senario 5 Fall Risk Increased acuity Vital signs are: B/P 112/78, temp. Gastrointestinal Assessment jasmine . Use therapeutic communication/Active Listening Ineffective Renal Perfusion, Risk for True Impaired Gas Exchange True -Reorient Patient to person, place, & time Scenario 3 Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Document Results/Findings Pulse Wash and glove hands Wash and glove hands -Assess patient's ABC (airway, breathing, circulation) He is married, and his wife is requesting to stay at his side. Scenario 4 Assess vital results Seek clarification Scenario 2 Monitor and evaluate fluid intake Bleeding, Risk for True Scenario 5 Esteem 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. Strict I&O, regular diet, intake 50%. Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Shock False Impaired Mobility True Check pedal capillary refill Scenario 3 -Discuss effectiveness of sitter Love and Belonging Review pain medication order Scenario 4 Robert Strurgess -Explain procedure to the patient You enter patient's room. List the nursing care order. Release restraints/full range of motion Physiological- GI WNL. Chronic Pain True The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Encourage fluids/fiber/ambulation Reassure patient and help explain any new orders from physician to patient 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. -Ensure patient privacy and call for help and assist patient to bed once help arrives Robert Sturgess - Swift River - Robert Sturgess Educational needs Scenario 1 Fear True Scenario 3 Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Document results. Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Auscultate peripheral pulses and ROM. -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. -Reapply the NC that he was admitted with at 2L Tom Richardson You arrive in room to find Ms. Monson talking to herself. Senario 3 Fall Risk Increased acuity Scenario 4 Pulses: Strength & Symmetry Edema: Mrs. Smith's surgery has now ended. Vital assessment -Place patient on 100% O2 Offer nutrition and/ or toileting They feel that you should share with them if he was a "real AIDS" patient or not. Provide comfort in pre-surgical room Mr. Dominec. Notify charge nurse that discharge will probably not occur today. Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. You are now preparing for discharge, place steps in order: Senario 1 You determine to apply the restraint now. Bleeding, Risk for False #1: _________, No Encourage fluids Sit at an eye level. The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Ruth Cummings Trustee Vice Chair Audit Chair . Document results Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Fatigue True Scenario 4 Evaluate caller understanding Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Sensorium Increased acuity, Physiological Yes Productive Non-productive Describe Sputum: _______________________ Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Scenario 2 LOC Increased acuity Deficient Knowledge True Allow husband to come into recovery for a quick one-minute visit. Fall, Risk for True No known allergies (NKA). Oral Mucosa: Tongue: Teeth: Deficient Diversional Activity False She has been documented as being obese, new onset. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Tap patient and ask, "Are you okay?" It was diagnosed by a portable X-ray and quickly splinted by the ER staff. 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. Evaluate/modify plan of care -Recheck Tilts after the NS bolus is complete.T You also notice the patient is more difficult to orient. Airborne Isolation. Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Scenario 5 Diet as tolerated. The cells are allowed to warm up and then are frozen again. Discharge instructions -Start an IV Evaluate understanding -Inform patient to not get out of bed without assistance and place call light in reach Assess for bowel sounds Evaluate understanding Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. Fortune Salaire Mensuel de Ticketmaster Beyonce Koln Combien gagne t il Blood Glucose 185, 4 units of insulin sliding scale for coverage. Notify family 156 terms. -Give NS liter bolus Document results. Flexes & withdraws = 4 Impaired comfort: True He states, "This is not serious." You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Scenario 1 Enter the email address you signed up with and we'll email you a reset link. Provide information for MD to call family at home and explain what has just happened Sensorium Increased acuit, Physiological Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Peripheral Neurovascular Dysfunction False Knowledge Deficit True Scenario 5 Clinical 2 Flashcards | Quizlet Deficient knowledge: True Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Pain Level Increased acuity Bleeding False sounds= 2 Chronic Sorrow False Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. Scenario 2 Educate patient/family Remain with patient Educate caller regarding HIPAA No Known allergies (NKA). 2Provide comfort in pre-surgical room Mr. Dominec. Senario 3 He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Document results and findings Failure to Thrive: True. Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Education of Foley Cath Procedure The pain makes him short of breath. Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Notify doctor if condition is abnormal Wash and glove hands "I am feeling fine." Ineffective self-health mgmt: False, Disturbed body: False RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Administer antipyretic medication 1. The oncologist is recommending Docetaxel as opposed to an orchiectomy. He does not want to return to the nursing home, and does not wish to burden or live with his children. Home - Swift River Verify Call Light/Bed Safety precautions Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ 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. Educate patient No Known allergies (NKA). Fortune Salaire Mensuel de Nba 2k23 Pc Review Combien gagne t il d Robert Domenic Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Scenario 2 -Ensure bed is in lowest position, and rails are in place Scenario 4 Verify call light/bed safety precautions Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Full assessment including both lying/standing Therapeutic communication Scenario #2. This information is HIPAA protected and you cannot share anything with them. Grieving False Acute Confusion False 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. jessdevan. Obtain translator Leave to break room and not continue in conversation. He also states he is feeling weak. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. Crutches at bedside adjusted for height. IV Fluids: INT lock IV Fluids ______________@ _____________ mL/hr Date on tubing: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chronic Pain, Risk for constipation, impaired nutrition, anxie, 4 units on insulin sliding scale for coverage, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Evaluate understanding Biopsies were sent to determine the treatment. Scenario 2 Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Knowledge Deficit True Pain = 2 Safety Vital signs taken by automatic B/P Cuff q 15 minutes Linen Change Activity as tolerated with assistance. It is now the second day post op and he is given discharge information. Upon entering room, you wash/glove hands. Hopelessness False. Clinical 2. Scenario 3 Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg The 'Strandperle' (lit. Scenario 1 Notify Doctor for pain medz Health Change Increased acuity You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. Observe closely first hour Apply fall risk bracelet Scenario 5 Constipation False -Ensure IV is patent, Lithia Monson Acute Confusion True -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Remain with patient and reassure Fall, risk for: True Acute pain: True Inform his partner that everything is being done to keep him comfortable.