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Sa fortune s lve 10 000,00 euros mensuels Diet as tolerated. Self-Care Deficit: True Educational needs: Increased acuity -Inform patient to not get out of bed without assistance and place call light in reach Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Noncompliance True. Mr. Greer has returned from the radiology where a CT scan was done after his fall and while no injuries were noted there were some suspicious areas noted making concern that the cancer may have spread to the bone. Acute Pain True Scenario 1 Chronic Confusion False Request time she can arrive and staff to help with transfer Abdominal Pain: Non-tender Tender/Pain Describe: -Explain to patient why his throat may be sore Mr. Duncan is now complaining of feeling "dizzy" when he stands. Senario 3 Powerlessness True. Scenario 4 Scenario 4 Nausea False Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Pain Level Increased acuity -Check on patient/sitter hourly -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Tom Richardson, 46yr-old. : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Pain and numbness in legs for one week. Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Ineffective self-health mgmt: False, Disturbed body: False His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Temperature is now 102.8. Evaluate caller understanding The oncologist is recommending Docetaxel as opposed to an orchiectomy. 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. Discuss his understanding about the plan of care. Scenario 5 Lithia Monson Swift River fisheries research | Mass.gov Notify charge nurse that discharge will probably not occur today. Mrs. Smith's surgery has now ended. Perform circulatory evaluation Today's weight 226. Educational Needs Increased acuity Use therapeutic communication/Active Listening Evaluate outcome of dietary plan Evaluate understanding Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Pain Level Normal acuity Scenario 4 The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. You also notice the patient is more difficult to orient. -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients -Explain to the patient that he has a procedure, and he cannot eat. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Scenario 4 Scenario 1 We have more than 20 years' experience in the industry providing a quality service to our clients We pride ourselves on our customer-orientated service and commitment to delivering high end quality goods within quick turnaround times. 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. Acute Pain True Today, clubs like Hamburg City Beach Club, Lago Bay, Hamburg del Mar and StrandPauli provide a relaxed summer atmosphere with a view over the Elbe. He has a 20-year one pack history of smoking. Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Educate patient Notify lead nurse/doctor No response = 1, Range of Motion: Full, Limited palliative care. Check pedal capillary refill Ineffective Peripheral Tissue Perfusion False Senario 2 You arrive in room to find Ms. Monson talking to herself. Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? Sleep deprivation False Safety Scenario 2 All opinions are mine alone. -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Evaluate medication effectiveness The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Fall, Risk for True Scenario 4 Assess Document results Failure to Thrive: True. -Draw a repeat CBC per HCP order to determine current Hemoglobin status His overall health is good, and he has known he has been HIV positive for the past five years. Fall, Risk for True Bleeding: True Wife at bedside. Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Provide comfort and pain measures Vital Assessment 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. Robert Strurgess Psychological Needs Normal acuity Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Observe closely first hour Obtain recent chest X-ray reports and recent ABG's for physician to review Impaired Home Maintenance Management False Obtain translator Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Fear True 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 WBC's and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Obtain Spanish signs & brochure The pain makes him short of breath. No known allergies (NKA). Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration Evaluate understanding Scenario 5 Palliative care. Vital assessment Scenario 2 Nausea: False The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. He does not want to return to the nursing home, and does not wish to burden or live with his children. Document results/findings Notify lead nurse/doctor Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Enter the email address you signed up with and we'll email you a reset link. You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. His partner is not with him at this time but will arrive soon to facilitate his discharge home. Inspect cast site Disturbed Body True Contact head nurse or supervisor in the OR to evaluate new situation Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. 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. No known allergies (NKA). -Assess for fall risk An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Acute pain: True Strict I&O, regular diet, intake 50%. Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. Infection, risk for: False. This will treat any cancer that may have metastasized to the bone. Impaired home maintenance mgmg r/t client or family: False Scenario 2: 1Educate about recovery from appendectomy and care to wound. Notify doctor 4Inform his partner that everything is being done to keep him comfortable. Two hours later, Mr. Duncan is asked how frequent his stools have been today. Bleeding False Neuro WNL alert and cooperative. -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 -Instruct Mr. Burgundy and his cameraman to stop immediately Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Senario 5 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. Insert Foley catheter Re-assess patient -Remove the dinner tray and make sure the diet is soft food. Scenario 3 Acute Confusion True Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Pain Level Increased acuity Perineal Care Pain Level Normal acuity Fall, risk for: True Document results Impaired Gas Exchange False Safety Document conversation Dr. Donofrio. Impaired Home Maintenance Management r/t Client or Family False -Reapply the NC that he was admitted with at 2L Need frequent reminder to stay in room and maintain mask precautions. The 'Strandperle' (lit. Health Change Increased acuity Scenario 1 Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room. Upon entering the room, you find Ms. Rails sleeping. Senario 1 Scenario 5 Fortune Salaire Mensuel de Nba 2k23 Pc Review Combien gagne t il d Acute Pain: True Scenario 5 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Hep-Lock in place left AC. Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ No known allergies (NKA). Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device The cycle of freezing and thawing damages the abnormal cells. It is unclear if he lost consciousness. Allow husband to come into recovery for a quick one-minute visit. This information is HIPAA protected and you cannot share anything with them. No known allergies (NKA). Color:__________ Visual assess Escort patient Ann Rails Regular diet. Neuro WNL, alert, and cooperative. Procedure is canceled for the day and rescheduled later allowing for new consent. Request sitter/family member to bedside Notify doctor Respiratory Rate: WNL Tachypnea Bradypnea Skin warm and dry, may sit up on edge of bed today. Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Scenario 3 Document results The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. Senario 2 You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Family Health III-Pediatrics (NSG 6435) Emergency Medical Technician (EMS 1150) Applied Research In Business (MIS 781) Anatomy & Physiology I With Lab (BIOS-251) Molecular Biology (BP 723) Newest Marketing Management (D174) Professional Application in Service Learning I (LDR-461) Professional Capstone Project (PSY-495) Theology (104) Document results Sensorium Normal acuity, Physiological Senario 4 Wound clean dry and intact. -Document and contact nursing supervisor/Charge nurse Non-significant past medical Hx. 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. His coughing, to clear his airway, appears ineffective. Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Fall, risk for True Nausea False Esteem Document Procedure It is now third day post-op, the order is for Ms. Cumble to stand by bedside on both legs for 5 minutes, three times a day. Report current urinary output quantify per hour and color of urine Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. ASA is held but morphine 4 mg was given after his GI cocktail. Deficient Knowledge False Bed Bath: Assist or Total Impaired Skin Integrity, False Obtain vital signs machine Offer nutrition/toilet He also complains that his throat is still very sore. Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Your responsibilities are: Scenario 1 Anxiety True Psychological Needs Increased acuity He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Gastrointestinal Assessment Vital sign assessments Patient, and family upset regarding dx. -Notify HCP of neuro findings Scenario 2 Reorient Patient to person, place, & time GI WNL. -If gastric reflux is suspected administer PRN antacids (GI cocktail) The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Radiofrequency ablation may be recommended after endoscopic resection. Vital signs are to be taken BID, and it is now time. Assess intake and output and possible reasoning Fall Risk Increased acuity Dr. Brown, Educational Needs Increased acuity The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. NURS 320 Med_Surg_Swift_River **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 Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! Ms. Rails shares with you her fear of being discharged home to an abusive husband. Document results Pain Level Increased acuity Sensorium Increased acuity, Physiological Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Provide comfort in pre-surgical room Mr. Dominec. Pain, Acute True Notify doctor and charge nurse He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. Senario 1 Swift River: Sign In Psychological Needs Increased acuity Bleeding, Risk for True Scenario 2 Administer antipyretic medication You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. His original lymph node biopsy was negative. Wash and glove hands Shock, Risk for: False Impaired Home Maintenance management r/t client or family False Patient and family upset regarding dx. Scenario 2 Mrs. Stukes is feeling nauseated. Imbalance nutrition: True Increased fall risk. Senario 4 Comfort/Pain Assessment Social Isolation, Risk for True Blood Glucose 185, 4 units of insulin sliding scale for coverage. The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Strict I&O, regular diet, intake 50%. The oncologist is insistent that the treatment begin immediately. Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Renal diet. Establish second IV -Give NS liter bolus student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. jessdevan. Scenario 1 Use therapeutic communication/Active Listening Escort patient to vehicle Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Needs frequent reminding due to determination to do things herself without assistance. No Known allergies (NKA). Scenario 1 Self-Care Deficit False 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. Re-assess patient Senario 4 The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Dr. Rondeau, Educational Needs Increased acuity Allow for non-compliance of request Scenario 2 Notify doctor for Foley catheter Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Scenario 3 Because of the fall the provider has recommended that he stay in the hospital another night. Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Skin warm and dry, daily dressing changes, T-tube without drainage. Scenario 4 Scenario 2 He is restless with slight confusion but is easily orientated with attempts from nurse. Sa fortune s lve 2 216,00 euros mensuels Pain Level Increased acuity Safety 3. As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Urostomy: N/A Urostomy/Ileal conduit Airborne Isolation. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Diet as tolerated. 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. Deficient Diversional Activity False Consult Social Service Full assessment Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Document results and findings Physiological- They feel that you should share with them if he was a "real AIDS" patient or not. She is also investigating bone marrow transplantation. Scenario 5 Health Change Increased acuity Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Administer antipyretic meds Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. -Perform neuro assess Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Hx of dementia, from nursing home, fall one day ago. Skin integrity at risk True
robert sturgess swift river
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