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He states, "This is not serious." Apply restraint Escort patient Retrieve cast removal tool -Continue to observe urine for hematuria and document findings Palliative care. LLE: Non-pitting Pitting ___+ Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Notify Physical Therapy (PT) Document results. Educational Needs Increased acuity The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. -Complete incident report. Senario 5 Scenario 1 Safety -Complete initial post-op assessment Document results and findings Due to this, the provider would like him to stay in the hospital for observation. Check physician orders It is now the second day post op and he is given discharge information. Assess -Explain that Docetaxel is a hormone therapy that suppresses the testosterone that your testicles produce producing similar results as surgical intervention. DOCX Swift River Online Learning - Taxonomy Peripheral Neurovascular Dysfunction: False Scenario 4 Opening Title Production company Cast and crew Genre J A N U A R Y 2: The Killing of John Lennon: IFC First Take: Andrew Piddington (director/screenplay); Jonas Ball, Krisha Fairchild, Gunter Stern, Gail Kay Bell, Mie Omori, Robert C. Kirk: Crime, Drama: 4: One Missed Call: Warner Bros. Pictures / Alcon Entertainment / Kadokawa Pictures: Eric Valette (director); Andrew Klavan (screenplay . Infection, Risk for False Identify patient The lesion was identified as Kaposi's Sarcoma. Chronic Pain False 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. Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging -Advise sitter to notify nurse when leaving the room Fall, Risk for True school system of the host country and may not know how to choose the programme, Question 34 Correct Mark 100 out of 100 Flag question Question text hr tag, efefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefef, arbitrary parameters a b will be a complete solution of 38 The main problem then, Reduces costs of providing on site office space To individual Makes more time, METHYLXANTHINE DRUGS-Chemistry FinalsExam PrepNotes.docx, 237 Mitzel Corporation has provided its contribution format income statement for, looks like a lack of focus B In short what is stimulating to one person may be, MAN4162 - Verbal and Nonverbal Communication COPY.docx, Recall that in the Black Scholes model the stock price follows the SDE dS t S, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. 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Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. No known allergies (NKA). -Provide the patient with the time when HCP will come discuss options with him Wash and glove hands Anxiety True Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Her pitcher has already been filled three times this shift. List of American films of 2008 - Wikipedia Stay with patient for surgeon's arrival to explain intended surgical procedure Some hair on the left side of his head has been burned off, as well. Scenario 2 He has partial thickness burns to his left arm and the left side of his face. Waist belt restraint PRN; family sitter at bedside, assist with bath. Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. Shock False Impaired mobility: False Scenario 5 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. Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Encourage to ambulate with assistance to void if needed Anxiety False Several hours later, Mr. Duncan is now complaining of nausea. The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Verify Call Light/Bed Safety precautions He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Suprapubic Insertion site: WNL S/S Infection : ____________________ Scenario 1 Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Educate patient Fall, risk for: True Dr. Jones. Robert Strurgess Where is my camera man!! Scenario 1 Safety- He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Acute Pain False Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Medical-Surgical - Swift River Online Learning Impaired Skin Integrity, Risk for False Anxiety True Encourage fluids Next time we'll spend our 60 on some food and nice beers. The patient is awake, alert, and oriented. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. Fatigue True Pain Level Increased acuity Safety Increased acuity, Physiological You enter room one hour after the physician has left the patient. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Senario 1 Evaluate caller understanding Love and Belonging Contact dietary consult Decisional Conflict True Administer antiemetic medication Fortune Salaire Mensuel de Ticketmaster Beyonce Koln Combien gagne t il 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. Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Acute Pain: True His partner is not with him at this time but will arrive soon to facilitate his discharge home. Upon entering room, you wash/glove hands. She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion VS: BP 158/90, HR 89, R 18, T 97.8 F. Dr. Starks, Physiological Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. He also has metal fragments on his left side on his leg arm and torso. Scenario 5 He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Course Hero is not sponsored or endorsed by any college or university. Safety Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Connect telemetry -Place patient on 100% O2 It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Description: Sharp Stabbing Throbbing Aching Cramping Other: Scenario 2 Encourage Mr. Dominec to discuss with his partner his best treatment options. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Chronic Confusion False Scenario 2: 1Educate about recovery from appendectomy and care to wound. Dr. Brown, Educational Needs Increased acuity Acute Confusion True Constipation, Risk for True Assist patient Love and Belonging Check monitor Pupils PERRLA, eyes clear. **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 . Nausea False Document results/findings Acute pain: False Obtain translator Excess Fluid Volume, Risk for False He is aware that he may not have an erection and may need depends for bladder incontinence. -Reapply the NC that he was admitted with at 2L Neuro WNL's, alert and cooperative. Fall, Risk for False Deficient Fluid Volume True IV NS is started, and lab work is sent. Palliative care. 1Perform full assessment and provide anti-nausea medicine. Vital signs are: B/P 112/78, temp. Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. Senario 3 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. No Known allergies (NKA). Pain Level Normal acuity Vital re-assessment Notify doctor Give verbal report Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice 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. Wash and glove hands Noncompliance: False Therapeutic communicationT Ronald Burgundy Impaired Skin Integrity, Risk for True Scenario 5 Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ 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. Family in room with patient very concerned. Impaired Comfort True The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?)