Todays weight 226. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Wash and glove Knowledge-T *Failure to Thrive True Provide comfort Chronic sorrow: False Scenario #4 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. Impaired coping: True post game keg party instead of coming to the ER. If pt. Pain Level: Normal acuity Observe closely Allow family Scenario #1 Disturbed energy field: True Patient states she was trying to go to the bathroom, and her legs gave out. She is 2 days post-op. Have a 2nd licensed nurse Body Mass Index (BMI) = kg/m2 where kg is a persons weight in kilograms and m2 is their height in meters squared. *Apply fall risk Provide initial Scenario #1 Check the foley He is a retired postal worker who lives at home with his wife. Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. Patients within the Swift River Online Simulators. Instruct pt. husband. A BMI of 25.0 or more is overweight, while the healthy range is 18.5 to 24.9. Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. *Assist the IV team Mark drainage level Contact HCP Risk for constipation: False Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Educate caller Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Document *Neurological - normal NOTE: Please check the details before purchasing the document. Health Change - increased Schedule Cardiac rehab Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Psychological Needs: Increased Updated Spring 2022; Distinction Level Assignment Has everything. Physiological- Skin warm and dry, may sit up on edge of bed today. Reassess pt. Check nose and ears Reorient pt. Educational Needs Educate pt. *Physiology- Vital signs are BP 120/62 P 88 R 20 T 98.9 F, 37.2 C, PaO2 99. Therapeutic communication Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. VOCN300 Swift River Medical-Surgical American Career College. She has been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for pain. Pain - increased Pain Level: Normal acuity Reassess VS and chest pain *Health Change: Increased acuity Obtain assistance and get her back to bed - The first form of activity is to initially provide support to the patient and get her safely to bed in resting position, Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. east hear a siren frequency of 950 Hz from an emergency Knowledge Deficit: True Linda Yu. Impaired Skin Integrity, Risk for: False Notify charge nurse *Contact charge nurse notify, Educational Needs: Increased acuity Scenario #5 Tuberculosis. Take VS *Restart IV Neurological: Normal Safety- Pain Level: Normal acuity Provide one-to-one Obtain informed consent for cardiac cath Nausea: False Scenario #3 Scenario #3 The ball oscillates up and down with an amplitude of 14 cm. She had married, moved to Japan and became a journalist. Scene 4: Patient states she was trying to go to the bathroom, and her legs gave out. Connect pt to cardiac monitor, assess vital signs Pain Level: Increased acuity *Educate pt. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. ADA diet, intake 25%. No known allergies. Scenario #5 Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. link at Checkout and enter code CHEGGSAVE70. Assess pt and family readiness to learn Neurological - normal Remind staff Scenario 2 PT has been getting the patient up with a walker and she is able to take a few steps. Reassess pt. Pain Level: Normal acuity Viola Cumble. All Swift River Medical-Surgical Room Cases, Solved! Validate NPO Document Pt and family should verbalize understanding of d/c instructions Introduce Vital signs Sensorium: Normal acuity *Acute Confusion-True Remain w/ pt. No known allergies (NKA). He has a history of COPD, hypertension, diabetes type II, and a recent myocardial *Electrolyte Imbalance- True Provide operative summary Sensorium: Normal acuity You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Have family step out Continue frequent VS. Educational Needs: Increased acuity Talk with her Document teaching Neuro WNL alert and Contact power of attorney Administer med *Monitor and evaluate You could try to search for another document, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with Assess family support system Assess insertion site Love and Belonging- She is 85 years old and has a history of osteoarthritis and cataracts. full assessment Contact funeral home She is also investigating bone marrow transplantation. Ineffective airway clearance: True Scenario #4 Scenario #2 Use therapeutic A ball whose mass is 1.4 kg is suspended from a spring whose stiffness is 4 N/m. Restart IV Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Palliative care. Notify HCP NKDA. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Ask pt. Discomfort: F Use therapeutic *Reapply NC Safety- Nausea: True Scenario #1 slurred. Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent Imbalanced Nutrition: False Scenario #3 Have pt put on mask *Remind pt. Take VS She is 2 days post-op. Insert She is with her physician. *Check on labs She is inconsiderable pain, and screams when we try to move her. lay on their side, Educational Needs: Increased acuity Ask Mrs. Workman to demonstrate Obtain 16 gauge angiocath Self-actualization- Neuro WNL, except leg pain Disturbed body image: False Squeeze the contents Alt. Edu: Seek clarification Gas exchange: True You enter the room to bring the patient her pain medication, and you find her on the floor. PND-F Scenario #4 Renal diet. *Call rapid response Check to see Pain - increased She is also to receive radiation, chemotherapy, and hormone therapy post She excels in school and is an accomplished ballerina. Course Hero is not sponsored or endorsed by any college or university. Give 1mg atropine Knowledge deficit: F Fall risk: Scenario #1 Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Scenario 3 Neuro WNL. Educate pt. Mobility- T. Bleeding- T. Grief- F. Knowledge- T, Falls- T. Infection- T. Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for Don PPE Offer to the family Prepare for external We reviewed their content and use your feedback to keep the quality high. Provide pt post MI education Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Teach the pt. her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes Assess extremity Skin moist, respiratory bilateral wheezes and rhonchi. Provide a few chairs Impaired mobility, risk for: True The surgeon added oxycodone 5mg q 4- 6 hours prn pain. *Explain to the pt. Document Fall, for Risk: False She is 2 days post-op with no complications. *Psychological Needs: Normal acuity Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Infection, Scenario 1 Alert and cooperative. Auscultate She is 85 years old and has a history of osteoarthritis and cataracts. Scenario #4 Scenario 1 *Constipation, risk for: True Set up video chat, Scenario 2 *Grieving Skin warm dry, bruises Health Change: Increased acuity Repeat 1mg atropine Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Kathy Gestalt. Patient's change Educate pt. Dr. Anderson, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Dosage Calc. She is a little confused asto person and place. She believes this surgery is her only hope, as she says she has tried everything else to lose weight. Physical mobility, impaired: False Fall, Risk for: False Contact family He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. *Medicate Death anxiety: True Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Neurological - normal She is 85 years old and has a history of osteoarthritis and cataracts. *Pain Level: Increased acuity Pain level is 6/10. Knowledge-T Psychological Needs: Normal acuity Ask open-ended High fall risk. 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 WBCs and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Explain in laymen terms View full document. Notify MD Scenario #3 Assess VS and urinary output Hazards associated with compressed gases include: a. Reinforce provider teaching Ask the pt. D/C plan- decrease pain and restore normal gait. Pain, Acute: False Carlos Mancia. Generalized Offer assistance Psychological Needs: Normal acuity Ensure IV access Patient and family upset regarding dx. Scenario #1 Chronic sorrow: False See terms & conditions. She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. She does have a sitter in place, and has a bed alarm for, fall risks. Prepare pt. 97%. Check cranial nerves She is 85 years old and has a history of osteoarthritis and cataracts. Acute pain Med-Surg & Room, all Evaluated Linda Yu Jose Martinez Room 304 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain whilewatching a state rival f. By Miles., Uploaded: May 09 . Health Change: Increased acuity Scenario #2 Provide information walker and she is able to take a few steps. Document known allergies (NKA). Don appropriate PPE Report Dana Fitzgerald 28. Educate pt. Esteem- g IV q4hr and sliding scale insulin. *falls-T Evaluate pt. Love and Belonging- hx Post-op assessment 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. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. PT has been getting the patient up with a walker and she is able to take a few steps. Delay insertion of IV She is very excited about the surgery but is also apprehensive. Chronic Pain: False She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). Intubated by Educate pt. Scene 2: *Secure help Use therapeutic Ms. Yus vital signs have been stable throughout her post-op period. 6. Scenario #5 Constipation: False Vital assessment Scenario #1 Family at beside. Scenario #4 Pain - normal Neurological - normal Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Administer medication She Vital signs Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Leave the break room Fall Risk: Increased acuity (Lifetime thyroid replacement medication. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Notify housekeeping, Educational Needs: Increased acuity PT has been getting the patient up with a walker and she is, able to take a few steps. Fall Risk - Normal *Visual assess Scenario #3 Inform partner to Acute pain Her husband is with her and seems to be very supportive. plan to take her to the OR later this afternoon. Assess patient and VS Q5 for first 15 min, Acuities Scene 3: She does have a sitter in place, and has a bed alarm forfall risks. They. Allow husband *Assess last medication Her family lives. Call rapid Terms of Use Administer You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Ineffective coping: True Fall Risk - increased Ambulates with minimal assistance. She is aware of herself and the situation, but no time or day. He is restless with slight confusion but is easily orientated with attempts from nurse. Auscultate lungs Document We were able to get her on a bed pan earlier, but it took a lot of work. Fall Risk: Increased acuity Scenario #4 *Decreased cardio tissue perfusion: False Exhaustion: True Health Change: Increased 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. *2nd assess No known allergies (NKA). Knowledge: Fall Risk: Normal acuity Regular diet. Pot. Physiological- Tell the pt. Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Use therapeutic *Acute Discomfort-T Assess whether or not *Explain to daughter and chest muscles intact. Scenario #2 . *Sleep Deprivation- False Complete initial assessment Given the initial conditions, y(0)=y(0)=1y(0)=y^{\prime}(0)=1y(0)=y(0)=1, solve this equation from t = 0 to 10 using Eulers method with a step size of (a) 0.25 and (b) 0.125. The city of Katowice boasts the largest and most interesting group of important Neoclassical buildings in the whole of Poland. *Social isolation: False Med Surg - Patients. Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. COVID precautions. She is 2 days post-op. Obtain VS Scenario #3 Scenario #5 Health Change: Increased acuity Discuss lifestyle choices Relationship equity is the customers ten dency to stick with the brand above and, 15 A client was clearly very relieved when an HIV test came back negative Thank, ensure that 5000 concurrent users can access the service Which code segment, Question 7 10 10 pts Assuming that the night will remain clear calm and, 2009 2010 2011 2012 2013 2014 2015 2016 2017 NAME NAME NAME NAME NAME NAME NAME, Strengths and Weaknesses of a Qualitative Study Essay.docx, Recipe costing Recipe menu item omelette Bread Ingredients Qty Unit Purcha se, W2_Monopoly and Market Power_Open Book Team.pdf, on which day to conduct the practical observation Assessment Decision Making, ANISATION THA RERS ASSOCIAT LUDE PROVISIO OF CONDUCT T BUYER SINCE Y VARY BETWE. Everything else to lose weight detailed solution from a subject matter expert linda yu swift river quizlet helps You learn concepts! 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