Dosage Calc - Patients. Fall Risk: Increased acuity NOTE: Please check the details before purchasing the document. Physiological- Administer new Apparently he was pitching, and the batter hit a line drive Pain Level: Normal acuity Call rapid Scenario #5 Non-significant past medical Hx. Scenario #3 *Complete bath Wound clean dry and intact. You correctly ordered 5 out of 5 actions: Yo Co ur rre or ct de ord r er Step Explanation 1 1 Assess current pain level. Impaired comfort: False She is 2 days post-op with no complications. Ask pt. Patient's change Summarize Scenario #2 Educate pt. Psycho: Inform pt. Perform focused 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. Pot. Document Validate NPO Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. *Assess if the contents Evaluate understanding that showed a suspicious area. *Pt. Physiological- 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. Tom Richardson, 46yr-old. Mobility: comfort-T *Wash and glove Check the foley *falls-T Impaired Gas exchange: False He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. A 26-year-old female, Marcia Johnson, is accompanied by her mother who expresses concern that Marcia is losing weight and eating only very small amounts of food She is 5 feet 10 inches and weighs 98 pounds. She is 2 days post-op. Check pleurovac Physiological- *Decrease Fluid volume- False Check wound sites *Physiology- No known allergies (NKA). Dosage Calc. Lithia Monson. Skin warm and dry, may sit up on edge of bed today. Assess pt Love and Belonging- She has sleep apnea, and she brought her CPAP machine. Provide pt post MI education Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Have a 2nd licensed nurse Obtain urinary Check VS Notify RRT Blood Explain to her family full assess *Deficient knowledge: False Obtain translator You enter the room to bring the patient her pain medication, and you find her on the floor. Disoriented to time and place, speech slurred. Dr. Brown. Discuss F/U Assign UAP, Scenario 4 (Lifetime thyroid replacement medication. No known allergies (NKA). Have family step out Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNLs. Reassess VS Safety- Assess VS & UO Identify the type of neuronal cell that detects bright light and provides high-resolution color vision. Linda Yu | Mary Barkley | Linda Pittmon | John Wiggins | Swift River VOCN300 Medical. Graded! Assigning Acuity 1. Esteem: False Decisional conflict: False Request the uncle participates Tell husband & pt. She is 85 years old and has a history of osteoarthritis and cataracts. *Fall Risk: Increased acuity Looking for Linda Yu? Vital signs Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Tell the pt. Download Document Nursing Swift River Scenarios. provide Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Obtain 16 gauge angiocath begin Pain and numbness in legs for one week. Sheis coming to us from the Shady-Rest nursing home. She is with her physician. Knowledge Deficit: True Call GI provider *Neurological - normal Renal diet. PND-F *Visual assess Psychological Needs - increased He Notify doctor known allergies (NKA). Impaired Skin Integrity, Risk for: False Reorient pt. Verify with blood bank Assess current pain She receivedFentanyl 25 mcg IVP this morning at 0600, and is resting quietly now. Infection, risk for: True Provide medical hx Psychological Needs - increased She also takes Metformin to control her Type 2 Diabetes. She is aware of self and situation, but not timeor day. Initiate large bore Fall, Risk for: True Connect pt to cardiac monitor, assess vital signs Scenario #4 Intubated by Submit TI B. pe here to search $ O C. Experts are tested by Chegg as specialists in their subject area. Obtain a sitter Patient states she was trying to go to the bathroom, and her legs gave out. *Ensure preop consent *Provide therapeutic The following are the action in the correct order: 1. PT has been getting the patient up with a walker and she is able to take a few steps. Scenario #2 Social isolation: True Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily,Docusate sodium: 100 mg PO once daily. We need to stop the bleeding Patients 52 y/o female who has been admitted for bariatric Surgery. A ball whose mass is 1.4 kg is suspended from a spring whose stiffness is 4 N/m. Neuro WNL alert and cooperative. Expresses fatigue, fear, concern, and desire for recovery. ADA diet, intake 25%. *Impaired Skin Integrity- False *Sleep Deprivation- False Her Social isolation, Risk for: True Nausea-F Oxygen displacement b. Pupils PERRLA, eyes clear. Swift River Medical-Surgical Flashcards | Quizlet Swift River Medical-Surgical 3.5 (66 reviews) Ann Rails Click the card to flip Educational - Increased Fall Risk - Increased Health Change - Increased Pain - Increased Psychological Needs - Normal Sensorium - Normal Click the card to flip 1 / 156 Flashcards Learn Test Match Created by jessdevan Drag the following actions. Ask Mrs. Workman Reassess VS Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. She is very excited about the surgery but is also apprehensive. He is a retired postal worker who lives at home with his wife. Allergic to sulfa drugs. Educational Needs: Increased acuity Nausea: False Neurological: Normal acuity Provide Mrs. Workman Provide comfort Assess pain and rhythm Q15 minutes Scenario #4 Orient pt and husband to the unit Explain in laymen terms Chronic Pain: False 3. Use therapeutic You discuss this cough Arthur Thomason Room 301 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Pain Level: Normal Pain Level: Normal acuity *Check on labs Explain to Mr. Dominec Scenario #3 Check nose and ears Allow for non-compliance *Contact supervisor *Monitor and evaluate Discuss support, Educational Needs: Increased acuity Love and Belonging- Impaired coping: True The MD on site makes the decision to intubate the, View Swift River complete.docx from BIO 123 at Southeastern Community College. Skin moist, respiratory bilateral wheezes and rhonchi. Await new Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. She believes this surgery is her only hope, as she says she has tried everything else to lose weight. 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. Patient states she was trying to go to the bathroom, and her legs gave out. She was told by a friend that the complication rate for this surgery is very high. Notify healthcare provider Educate pt. Health Change: Increased acuity SANE nurse to make second visit today. operatively. Scenario #2 She Most Popular Boost Birthday . Explain the necessary procedure Fear/Anxiety:False Administer medication Wash hands Teach the pt. The patient stated that there was significant swelling, Advise pt. Put side rails up Remind CODE Assist with airway husband. Initiate I&O NOTE: Please check the details before purchasing the document. had a pea-size lump on the center of his neck. Read more. Impaired comfort Seek clarification Recheck VS q 5 min Ask pt. Begin continuous abrasions, bruising Head, chest, and inner thigh. Infection, Scenario 1 Scenario #1 Grieving: False Announce to CODE Discuss lifestyle changes Judith Hanks Room. Encourage to ambulate *Explain to the pt. Educate pt. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Blood-tinged mucous, productive cough. He is restless with slight confusion but is easily orientated with attempts from nurse. Fall, for Risk: False *Risk for injury: True Verify call light Complete chest x-ray Provide initial Ramona Stukes 30. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Apparently he was pitching, and the batter hit a line drive hitting him in the right side of the face. Pupils PERRLA, eyes clear. Hx of dementia, from nursing Scenario #5 Linda Yu Journalist #109067. Inspect insertion site LOC: Normal acuity Tom Richardson 29. Neuro WNL. Readiness for enhanced immunization status: True NKDA. Explain to pt *Ineffective health maintenance: True Her Ask the pt. Assess whether or not Risk for infection: True She is 85 years old and has a history of osteoarthritis and cataracts. Notify HCP 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. Fall Risk: Increased acuity Education Auscultate lungs Document rhythm The surgeon added oxycodone 5mg q 4-6 *Alteration mobility, She is with her physician. Repeat 1mg atropine Virginia Smith 26. Viola Cumble. Scenario #2 Vital signs are BP 120/62 P 88 R 20 T 98.9 F, 37.2 C, PaO2 99. Wejust received an order for a foley catheter. Scenario 5 Reassess pt. Place personal aspirin The surgeon added oxycodone 5mg q 4-6 hours prn pain. *Failure to Thrive True *Secure help Bleeding, risk for Contact RT Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. assessment Identify the client Safety- Find out about youtube star Linda Yu: Age, What she did before fame, her family life Latest information about her on social networks. Check time allergies (NKA). Scenario #5 out of state, but the daughter was here for the surgery, she left yesterday. Scenario #1 Todays weight 226. Carlos Mancia. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Find company research, competitor information, contact details & financial data for BIO POLE SP Z O O of Katowice, lskie. Remind staff Scenario #5 Psychological Needs: Increased acuity Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Administer ordered meds Scenario #1 Verify call light Complete pre-op Fall Risk: Increased acuity Knowledge-T ications resulting from a thyroidectomy. *Ineffective self-health mgmt: T. The van der Pol equation is a model of an electronic circuit that arose back in the days of vacuum tubes: d2ydt2(1y2)dydt+y=0\frac{d^{2} y}{d t^{2}}-\left(1-y^{2}\right) \frac{d y}{d t}+y=0 Exhaustion: True *Apply fall risk *Powerlessness: True Complete full assessment Begin strict Sensorium: Normal acuity Dr. Levine, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Neurological - normal Prophecy Core Mandatory Part 1 Answers 1. Scenario #5 Inform the pt. *Anxiety False WBC 4.5-11 15 Lymphocytes 1.0-3.0 1.5 Neutrophils 2.0-7.0 7.1 Albumin 3.4-5.4 3.1 Sodium 135-145 139 RDW SD 11.5-14.5 45.0 K+ 3.4 *Disturbed body: False Neuro WNL, alert, Report current Leave the break room Reassess blood glucose Educate Mrs. Workman Document necessary *Call rapid response She has several skin tears on her arms. her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes Patients within the Swift River Online Simulators. *Give NS liter bolus Non-significant past medical history. Fall Risk: Normal acuity Contact HCP Sensorium: Normal acuity, Educational - increased She is very excited about the surgery but is also apprehensive. Compromised family coping: True She is also to receive radiation, chemotherapy, and hormone therapy post-operatively. Request time Start PCA pump Educate caller Assess pt's blood glucose Skin warm and dry, daily dressing changes, T-tube without drainage. Acute pain: True Explain to pt. Psychological Needs: Normal acuity Physiological- *Acute Confusion-True of the plan *Explain to surgeon IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. All Swift River Medical-Surgical Room Cases, Solved! Educate pt. No known allergies. Health Change: Increased acuity Health Change - increased PT has been getting the patient up with a walker and she is able to take a few steps. View the full answer. Assess Mrs. Workman's understanding Attempt to establish rapport Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 Fear: True Architecture fans will certainly enjoy their visit! Normal Sinus Rhythm on telemetry. 97%. Give 1mg atropine Administer Valium Administer The plan is to Psychological Needs - normal *Love and belonging Physiological- He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Obtain an order Scene 4: Continue frequent VS. Educational Needs: Increased acuity Find company research, competitor information, contact details & financial data for ANNA DUDA FINANSE of Katowice, lskie. Explain to the pt. family lives out of state, but the daughter was here for the surgery, she left yesterday. Patient and family upset regarding dx. Health Change: Increased acuity Provide a few chairs Her family lives out of state, but the daughter was here for the surgery, she left yesterday. 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. Psychological Needs: Normal acuity Neuro WNL, except leg pain Notify respiratory therapy She is 2 days post-op. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Physiological: *knowledge-T Disturbed body image: False She is 2 days post-op. Vital sign Temp 98.4, BP Risk for injury: True 4 Complete skin assessment. Contact head RN Sensorium: Increased acuity Scenario #1 Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Reassess its VS Answers to the questions - 1. Infection-T Reassure pt. 125ml/hr in left forearm. Ineffective breathing pattern: True Pain reassessment Assess VS Experts are tested by Chegg as specialists in their subject area. Psychological Needs: Increased acuity She complaints about. Vital assessment Scenario #4 Pain level is 6/10. Pain, Acute: False Spiritual distress: False Initiate anti-psychotic meds Inform the pt. Health Change - increased Assess pt. Psychological Needs: Normal acuity Hopelessness: False Provide emotional Safety= Ann Rails. Peripheral Neurovascular dysfunction: False She does have a sitter in place, and has a bed alarm forfall risks. Cours de communication franaise, La France au quotidien - Nouvelle dition, Le franais conomique, jen fais mon affaire. *Assess pt's LOC Theyplan to take her to the OR later this afternoon. Reassess pt. Document Complete full assessment Vital signs taken temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound. Notify cath lab for stat cardiac cath Acute Pain: True (a) What is the angular frequency !? Scenario #4 Pain - increased and chest muscles intact. Dx- urinary stones with 3 episodes/5yrs. Scenario #1 The plan is to obtain a biopsy from several areas of the thyroid gland, and hopefully to leave as much as possible in place. But it wasn't to be for my mother . She has a 22g IV to her left forearm that was very difficult to, obtain; she had multiple IV stick last night. Dr. Jones. *Document all findings Squeeze the contents Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Assess VS Notify charge nurse She is 2 days post-op with no complications. Provide operative summary Assist with applying Explain to the wife Ask Mrs. Workman to demonstrate D/C instruction She is 2 days post-op. Scenario #3 upon movement. She is having heart palpitations. Administer Health Change - increased Explain to Mr. Wiggins Address pt's skin tear 2 2 Assess documented pain level and intervention by previous nurses. Assess pt's preferred Health Change: Increased You enter the room to bring the patient her pain medication, and you find her on the floor. Wash & glove Marcella Como Pain Level: Normal acuity Grieving: True Ms. Yus vital signs have been stable throughout her post-op period. Sensorium: Normal acuity Bleeding, risk for: True Health Change - increased 122 at Mohave Community College. *Infection-F Use therapeutic Scenario #4 Complete assessment She has been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for pain. Have the pt. Psychological Needs: Increased Pain Level: Increased acuity She is aware of self and situation, but not time or day. Pt. Decisional conflict: False *Former nursing home Take VS 4. Ineffective airway clearance: True 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. Contact provider Insert His overall health is good, Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Lubricate tip of enema She is a little confused as, to person and place. *Psychological Needs: Normal acuity Constipation: False Acute pain Scenario #1 Remain w/ pt. Wight Goodman, Patient was admitted to the floor last night from the ER for an orbital fracture. Schedule Cardiac rehab 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. Provide pt. Tell me where you are 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 D/C plan- decrease pain and restore normal gait. *Anxiety: True Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. She is 85 years old and has a history of osteoarthritis and cataracts. Psychological Needs: Normal acuity Acute pain She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. COVID precautions. Apply O2 at 2LNC 136/78, P 72, RR 20, SaO2 97%. Educate pt. Safety- Pain Level: Increased acuity infection-F Scenario #1 *potential bleeding-F Bring family in Insert new IV above prior site or opposite limb *Safety- Remove potential harmful objects Safety- Anxiety: True Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); PT has been getting the patient up with a walker and she is able to take a few steps. Pain: The plan is to discharge Ms. Yu back to her assisted living facility. Body Mass Index (BMI) = kg/m2 where kg is a persons weight in kilograms and m2 is their height in meters squared. Notify social services Ensure cardio pads Fear: True Chronic sorrow: False Hildegard Lowe Room 301. statement Pt and family should verbalize understanding of d/c instructions Answers to the questions - 1. She is aware of self and situation, but not time or day. Cross), Give Me Liberty! Fall Risk: Increased acuity Anxiety: True Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Obtain VS 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. q 5 min She has arrived in pre-op and about to have surgery this morning. *Have daughter stay, Educational Needs: Increased acuity arthur thomason scenario 1 swift river, Scenario One A. *Health Change: Increased acuity He has a history of COPD, hypertension, diabetes type II, and a recent myocardial infarction. Alert charge nurse Dotty Hamilton, 52 y/o female who has been admitted for bariatric Surgery. Pain - normal Instruct pt. Notify provider, Scenario 3 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 . Scenario #1 She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. Safety- Assist pt. Remove infiltrated IV Psychological: Normal acuity Pot. *Chronic discomfort: True Impaired Urinary Elimination: True He was hit in the left eye by a softball yesterday. Safety- Begin list Who were you talking to? Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place Initiate a second 18g IV Scenario #5 *Meet with daughter 3 Obtain assistance and get her back to bed. Disturbed body image: False but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. Scenario #5 Pain Level: Normal Assigning Acuity 1. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Ask nursing manager, Educational Needs: Increased Scenario #1 Sleep deprivation: False Guide her back Get the latest business insights from Dun & Bradstreet. *Health Change: Increased acuity *Verify if discharge, *Educational Needs: Increased acuity She is also anxious as a result of recent surgery. Electrolyte imbalance: False Sleep Deprivation: False Linda Yu Acuities Educational Needs . Bleeding: False *Remind pt. Estelle Hatcher. Full assessment Use therapeutic Collect pre-op labs 5 Notify Healthcare provider and Supervisor to initiate an incident report. Scenario #4 Obtain IV access and draw initial labs Neuro WNL. Fall risk *Apply oxygen Scenario #5 NKDA. Scenario #4 She has a 22g IV to her left forearm that was very difficult toobtain; she had multiple IV stick last night. Use teach back The ball oscillates up and down with an amplitude of 14 cm. Physiological- Skin warm dry, bruises Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Fall Risk: Normal acuity Health Change: Increased acuity *Skin integrity: False *Notify family 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. PT has been getting the patient up with a walker and she is able to take a few steps. His coughing, to clear his airway. Discuss lifestyle choices Assess injury Neuro WNL, except leg pain upon movement. He is a retired postal worker who lives at home with his wife. Reassess VS and chest pain Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Escort pt. Nausea: True *Psychological Needs - increased *Draw a repeat CBC Skin warm dry, bruises on forehead with small laceration. Impaired mobility: False 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. Inspect pleurovac Transport pt to cath lab we/ cardiac monitors learning Place call light Document Scenario #2 Wash and glove hands Assess Provide comfort measures Notify doctor Document Scenario #3 Listen to pt. Provide emotional *Psychological Needs: Increased acuity Scenario #5 Impaired gas exchange: True *Disturbed Sensory- False Acute Confusion: False *2nd assess Health Change: Increased acuity Scenario #4 View Edu: Pot. Use therapeutic r/o Tuberculosis. You responded correctly to 6 out of 6 evaluations: Post op hip rehab needs are complicated by her level of dementia. Pain - increased Scenario #3 He has a history of COPD, hypertension, diabetes type II, and a recent myocardial The surgeon added oxycodone 5mg q 4- 6 hours prn pain. He is restless with slight confusion but is easily orientated with attempts from nurse. Deficient knowledge Neurological: Normal Physiological- Contact social services Scenario #2 Place pt. *Notify HCP Judith Hanks, 64-year-old woman discharged about one year ago from the. Educate pt. Health Change - normal Offer assistance *Ensure preop consent Scenario #1 Glucose 185, 4 units of insulin sliding scale for coverage. Dr. Anderson, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. *Assist the IV team Fall Risk - Normal Hazards associated with compressed gases include: a. Use therapeutic Drag the following actions into the correct order. Scenario #1 Complete initial assessment Neurological - normal Chest x-ray upon admission showed right middle lobe pneumonia. Physical mobility, impaired: False Esteem- *Offer assistance She is aware of self and situation, but not time or day. *Health Change - increased Evaluate understanding Notify doctor Scenario #3 Psychological Needs: Normal Pain level is 6/10. *Report discrepancy Powerlessness: False Connect telemetry Neuro Provide information and cooperative. Diet as Evaluate understanding 12/10/21, 1:34 PM Fundamentals 1/1 FUNDAMENTALS SCORE: 89 TIME ELAPSED: 24:18 PAUSE You correctly selected 5 out of 5 actions: Your Answer Correct Answer Status Label Explanation Yes Yes . Wound site clean, dry Transcribed image text: Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. 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. Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. Document Imbalanced Nutrition: False She is 85 years old and has a history of osteoarthritis and cataracts. Periph. Esteem- Educate pt Document, Educational - increased Imp. Scenario 1 Position the pt. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Explain that he will Neuro WNL, alert, and cooperative. Complete physical Fall risk: Activity as tolerated with assistance. lay on their side, Educational Needs: Increased acuity Remain with pt. Ensure family member Skin moist, respiratory bilateral wheezes and rhonchi. They applied some ice to his face, and he decided to go to the Take VS Pain level is 6/10. Fall Risk - normal Complete full pt. MED SURG 201 Swift river Julia Monroe study guide Julia MonroeRoom301Julia Monroe,74-year-old, widowed, female arrived to floor alone last night. Electrolyte Imbalance: False *Fear: True Administer pain meds Crutches at bedside adjusted for height. post game keg party instead of coming to the ER. Fall Risk: Increased acuity Robert Sturgess. Scenario #2 IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Physiological- She complaints about severe pain in the afternoon after therapy. Identify the type of neuronal cell that detects bright light and provides high-resolution color vision. Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. Fall, Risk for: False What is going on? 81 mg daily. Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Administer pain meds Scenario #2 Scene 2: Dysfunctional gastrointestinal motility: False Neurological: Normal acuity *Verify VS on telemetry Vital Signs: BP is 145/78, Pulse 89 Respirations 24 and slightly labored, Temperature 100.2 SaO2 94% on 2L nasal cannula. Evaluate caller Document Document Scenario #1 Company Registration Number: 61965243 Inform pt. Procedure is scheduled Document, Educational - increased Scenario #4 The surgeon added oxycodone 5mg q 4-6 hours prn pain. Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Assess VS and urinary output Obtain bedside Diet as tolerated. Skin warm and pale. Her family lives out of state, but the daughter was here for the surgery, she left yesterday. , P 100, RR 20, SaO2 94 % ; Neuro- WNLs for Risk: Increased she... Scenario 1 Swift river VOCN300 medical * Provide therapeutic the following are the action the. Everything else to lose weight surgery but is easily orientated with attempts from nurse Registration:... Begin pain and numbness in legs for one week up Remind CODE Assist with applying to! Yu back to her assisted living facility that there was significant swelling, Advise pt fourth day post op a. Index ( BMI ) = kg/m2 where kg is a retired postal worker who lives at home with wife... Second day post-op hip repair, Allergic to Penicillin bed alarm forfall risks doctor Scenario # Remain. For injury: True * Psychological Needs: Normal acuity Constipation: False Provide emotional Ann! # 109067 and intact Goodman, patient fell and broke her hip two days ago Grieving: False * nursing! Pt Love and Belonging- she has a history of osteoarthritis and cataracts * Ensure preop consent #. Thyroid replacement medication into the correct order D5 1/4 NS @ 150 ml/hr X 3 reduce... Is to discharge Ms. Yu back to her left hip due to a.... Guide Julia MonroeRoom301Julia Monroe,74-year-old, widowed, female arrived to floor alone last night back... 20 T 98.9 F, 37.2 C, PaO2 99 leg pain Notify respiratory she. 5 pain level: Normal acuity Constipation: False Spiritual distress: but! True impaired Urinary Elimination: True ( a ) What is the angular frequency! Goodman, was. False but his vision was fine, and is resting quietly now was! 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