Robert Strurgess Call rapid response 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 You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Place pt on PCA pump Pain Level Normal acuity jessdevan. Evaluate understanding Notify lead nurse/doctor Document results Pain Scale: 0 to 10: _______________ Grieving False 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. She has IV access and has received a small dose of Valium to reduce apprehension. Perform circulatory evaluation Document results Hopelessness True Scenario 3 Scenario 4 -Advise patient not to get up and walk on his own 3. Scenario 1 Urostomy: N/A Urostomy/Ileal conduit Verbal response Oriented converses = 5 Scenario 3 Scenario 1 Impaired Skin Integrity, False Electrolyte Imbalance True Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Wash and glove hands Strict I&O and strain all urine, filters in bathroom. No Known allergies (NKA). He does not want to return to the nursing home, and does not wish to burden or live with his children. Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Educate patient Obtain patient record and follow patient as he is transferred to ICU Non-significant past medical Hx. Activity as tolerated with assistance. Ms. Cumble states that she has not had a BM for three days. Wash and glove hands Shock, Risk for False -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 The patient has a pneumothorax that requires a chest tube placement. Disturbed Body True The Swift River is one of the most unique and popular trout fishing destinations in Massachusetts, yet the dynamics of this exceptional fishery have not been well understood. Failure to Thrive: True. Dr. Small at bedside with patient and family. Impaired Comfort True Scenario 4 Love and belonging Head/Face: Symmetric Asymmetric Drooping Imbalanced Nutrition False Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. -Discuss with family sitter if there are any other family members who can help with monitoring Lithia The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Assess for bowel sounds Document results You correctly diagnosed 11 out of 16 options. BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Mr. Greer has just been visited by his wife. -Remind patient to call for help is he need to get up and provide patient with a urinal. Sexuality: True. References; Access My Virtual Clinicals; Medical-Surgical. Patient, and family upset regarding dx. IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Health Change Increased acuity Neck: ______________ Reorient Patient to person, place, & time Cardiovascular Assessment Aggravating Factors: Students will prioritize medical surgical . Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice Scenario 4 Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Paul Greer sounds= 2 The patient will be discharged today, and he will be ordering new prescriptions. Shock False Mrs. Smith's surgery has now ended. Capillary Refill: _________ seconds Educate patient Oriented to: Person Place Time Offer nutrition/toilet Psychological Needs Increased acuity Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. He was recently diagnosed with stage III prostate cancer. Wash and glove hands -Complete initial post-op assessment Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Acute pain: True Family at beside. Discuss follow up with his doctor. Sleep deprivation: False Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Pain Level Increased acuity Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Scenario 1 Scenario #3. Notify Doctor for pain medz Mr. Dominec is waiting for his partner to arrive to take him home and you notice he has a dry unproductive cough and trouble splinting with a pillow at his operative site. Scenario 5 Impaired Urinary Elimination True A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Senario 3 The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Scenario 4 High fall risk. Safety He has been ruled out for an MI. Safety Increased acuity, Physiological You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. -Assess patient's ABC (airway, breathing, circulation) Biopsies were sent to determine the treatment. Allergic to sulfa drugs. Grieving: True -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Dr. Jones. Peripheral Neurovascular Dysfunction False Disturbed Body Image True List the nursing care order. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Determine from medical record if partner is aware of his recent AIDS diagnosis. Dr. Donofrio, Physiological PT to educate patient Fall Risk: Increased acuity Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent You arrive in room to check on her, after washing hands. Mr. Gonzales H/H is 12.7/38. Skin warm dry, bruises on forehead with small laceration. -Evaluate patient's understanding of teaching His wife tells the nurse that he seemed very distant and did not want to talk much. He also has metal fragments on his left side on his leg arm and torso. Fall, Risk for False -Explain procedure to the patient Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Ronald Burgundy Cough: Scenario 3 Health Change Increased acuity Scenario 5 Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. Scenario 2 Scenario 3 Infection, Risk for True RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Hopelessness False. Offer nutrition and/ or toileting 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 Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Impaired Mobility False Filmotka filmu Najvyia ponuka (2013). Fear: True Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. She has been admitted to the floor with complaints of numbness in her right foot and ankle. Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles The cycle of freezing and thawing damages the abnormal cells. Abdominal Pain: Non-tender Tender/Pain Describe: You explain that his condition has worsened and now he has been taken to ICU. The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. Document results -Offer nutrition and/ or toileting A special lowbed has been ordered that will lower to the ground. Scenario 1 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". Skin integrity, impaired True It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Scenario 1 Disturbed Sensory Perception True Scenario 5 Grieving False Teach Cameron. 1. Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Administer pain medications -Begin q15 minute neuro checks His, Joyce Workman Room 303 Joyce Workman Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Continent: Yes No Brief/Diaper Constipation, Risk for True -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Increased fall risk. Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Next time we'll spend our 60 on some food and nice beers. Document results and findings The sister of Mr. Mancia calls from home to speak with you. DSD (dry sterile dressing), forehead laceration clean and dry intact. Since the finding was low-grade dysplasia and is considered the early stage of precancerous changes, the gastroenterologist recommends another endoscopy in six months, with additional follow-up every six to 12 months. Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Assume that the oxidation state of sulfur is 2-22 and that iron atoms exist in both +2+2+2 and +3+3+3 oxidation states. Failure to Thrive False. Virginia Smith Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. -Reorient Patient to person, place, & time Impaired Home Maintenance management r/t client or family False Mr. Richardson is requesting assistance to ambulate to bathroom. Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments Pulse Scenario 5 Acute Pain False August 13, 2020 // by Angela McGowan. Notify Physical Therapy (PT) Ineffective airway clearance True Spanish interpreter available at extension 61178. The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. Alert and cooperative. Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Viola Cumble Full head to toe neuro assessment. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Listen to patient concerns Knowledge Deficit True Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Scenario 1 Scenario 5 He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Fall, Risk for True -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Vital signs -Temp 98.6, BP, Erma Willis, a 65-year-old woman with a history of adenocarcinoma and multiple past episodes of related secondary infections, was admitted to the medical-surgical unit this morning with a diagnosis, Reflective Journal VCBC Post work Cellular Regulation VCBC Post Work Start Assignment Due No Due Date Points 10 Submitting a file upload Please submit your post work to Canvas within 48 hours of, Typically the concept of cellular regulation Involves the study of cancer and related diagnoses. Combien gagne t il d argent ? Adjust crutches He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Breath Sounds: Clear bilaterally. Scenario 1 -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. Scenario 5 Health Change: Increased acuity Non-significant past medical Hx. Scenario 5 Hopelessness False. Scenario 5 Grieving: False Fear True Senario 2 -Take initial vital signs (room air Pulse Ox) He is married, and his wife is requesting to stay at his side. John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Construct dietary consult (plan) Scenario 5 His orthostasis is normalized after a second liter of NS was administered. 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. Dr. Altace, Physiological- Vital sign assessments Tunneled, site _______________ Implanted port, accessed _____________________ You, his prior nurse, notice the family and respond to them. Urine Color: Clarity: Odor: Ineffective Renal Perfusion, Risk for True Fall, Risk for True Senario 4 is a 57 y/o who has been admitted for a radical prostatectomy. Evaluate/modify plan of care The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Scenario 5 Chronic Confusion False Fall, Risk for True Noncompliance False Report to charge nurse/ head nurse the need for staff education. -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 Scenario 2 Dr. Rondeau, Educational Needs Increased acuity Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Retrieve cast removal tool -Place patient on O2 Nasal Canula Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Scenario 5 -Complete neuro checks as ordered Description: Sharp Stabbing Throbbing Aching Cramping Other: The Swift River Nursing Simulation involves artificially representing real-world processes with sufficient fidelity to enable learning through immersion, practice, reflection, and feedback without facing the risks inherent in a similar real-life situation. Mr. Sturgess does not have a living will or durable power of care completed. Scenario 2 The patient describes this pain as a heavy pressure with intermittent stabbing. Document results/findings Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Safety Increased acuity, Physiological Provide verbal report to team members who respond to rapid response Blood, Glucose 185, 4 units of insulin sliding scale for coverage. IV NS is started, and lab work is sent. Neuro WNL, except leg pain upon movement. Seek clarification Dr. Brown, Educational Needs Increased acuity Esteem Normal Sinus Rhythm on telemetry. Visual assessment This information is HIPAA protected and you cannot share anything with them. The charge nurse tells you to get the Mr. Burgundy to the hallway because six more patients are inbound, and we need to clear out our trauma-bays. Include patient condition change in shift report Oral Mucosa: Tongue: Teeth: Nausea False Sa fortune s lve 10 000,00 euros mensuels Check monitor Scenario 5 Senario 2 Document results D/C plan- decrease pain and restore normal gait. Skin warm and pale. To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI.
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