robert sturgess swift river

Senario 3 Bladder distention Pelvic pain Low back/flank pain VS: BP 158/90, HR 89, R 18, T 97.8 F. Scenario 4 Tom Richardson You notify the charge nurse that you have never taken part in inserting a chest tube. Scenario 3 c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. The charge nurse asks you to assume the patient's nursing care. Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Scenario 1 The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. -Complete initial post-op assessment No Known allergies (NKA). Place patient on PCA pump Psychological Needs Increased acuity Safety Increased acuity, Physiological -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Scenario 2 Stat lithotripsy treatment ordered. 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Monitor and evaluate fluid intake It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Mrs. Pittmon states she has had numbness for years but "now I can't . NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Scenario 5 Do not disturb Acute Pain True Visual assess Scenario 4 Today's weight 226. Administer antipyretic medication -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Obtain and provide the infectious disease doctor's contact information for him. Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Scenario 1 How does the Med-surg simulator work? Scenario 3 Notify family Pain Scale: 0 to 10: _______________ Mr. Dominec had his surgical procedure and is doing great. Scenario 3 Oriented to: Person Place Time Impaired comfort: True Use therapeutic communication/Active Listening Fall Risk Increased acuity Clear liquid diet. Microeconomics And Behavior Robert Frank 9th Edition Author: old.bubbies.com-2022-05-03T00:00:00+00:01 Subject: Microeconomics And Behavior Robert Frank 9th Edition Keywords: microeconomics, and, behavior, robert, frank, 9th, edition Created Date: 5/3/2022 7:02:15 AM Palliative care. 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) Wash and glove hands Scenario 5 Scenario 2 -Explain procedure to the patient They would also like to start Radium-223. Evaluate learning Neuro WNL alert and cooperative. Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. -Assess patients' pain and rule out cardiac pain. Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. The pathology report shows no cancerous lesions. 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. Scenario 3 Sa fortune s lve 2 216,00 euros mensuels -Continue to observe urine for hematuria and document findings Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Suprapubic Insertion site: WNL S/S Infection : ____________________ Document teaching moment. NPO with small amount of ice chips only. The patient asks the nurse to explain about these medications and why they are in such a hurry. Scenario 2 Scenario 5 Several hours later, Mr. Duncan is now complaining of nausea. Sa fortune s lve 1 900,00 euros mensuels Dr. Small at bedside with patient and family. Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Wash and glove hands Place call light and check bed for safety 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. 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. Document results. His orthostasis is normalized after a second liter of NS was administered. He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Ineffective Peripheral Tissue Perfusion False Physical Mobility, Impaired True He was recently diagnosed with stage III prostate cancer. You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. He does not have an IV nor is he on oxygen. You enter room one hour after the physician has left the patient. Deficient Fluid Volume False Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Educate patient Scenario 3 Impaired Skin Integrity False Comfort/Pain Assessment Senario 2 Wash and glove hands Blood Glucose 185, 4 units of insulin sliding scale for coverage. The patient describes this pain as a heavy pressure with intermittent stabbing. His children are visiting, and they are very supportive. Temp Scenario 2 Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Notify Doctor for pain medz Mr. Duncan is now complaining of feeling "dizzy" when he stands. -Discuss and determine sitter availability Senario 5 Encourage fluids/fiber/ambulation Health Change Increased acuity He is having some difficulty hearing and complains of ringing in his ears. Scenario 3 Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Ruth Cummings Trustee Vice Chair Audit Chair . Scenario 2 Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. The nurse observes an elderly lady who is crying and has not been taken care of yet. Acute Confusion: True Safety Impaired Mobility False Acute Pain True You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Extends abnormally = 2 Health Change Increased acuity No Known allergies (NKA). Document results and findings Wash and glove hands 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. Assess food consumption and intake and output Dr. Brown, Educational Needs Increased acuity Wife at bedside. Deficient knowledge: True -If cardiac is suspected call the provider and the rapid response team. Explain that he will probably not be going home at least until his doctor sees him. Senario 4 Check physician orders No Verbal command = 3 Assess toe movement and capillary refilling Impaired comfort: True Administer PRN constipation medications Teach patient about safety when getting out of bed Ms. Getts is requesting water to drink. You, his prior nurse, notice the family and respond to them. Powerlessness True. -Assess for fall risk He also states he is feeling weak. He tells the nurse he has called his wife and wants to be discharged now. Reassure patient and help explain any new orders from physician to patient Obtain recent chest X-ray reports and recent ABG's for physician to review They wanted to know and pressure you for the information. DSD (dry sterile dressing), forehead laceration clean and dry intact. No Known allergies (NKA). Swift River Medical-Surgical. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Bleeding False The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Esteem Provide comfort measures No known allergies. Scenario 3 Assist physician in physical exam of patient Peripheral Neurovascular Dysfunction False. Notify doctor and charge nurse RUE: ______________ LUE: ______________ Combien gagne t il d argent ? Therapeutic communication. Assess for bowel sounds Hopelessness: True Nathaniel Gonzalez Scenario 2 Scenario 1 Verify call Light/bed safety precautions Electrolyte Imbalance False No known allergies (NKA). Deficient Knowledge False Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Document results/findings Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Esteem -Inform patient to not get out of bed without assistance and place call light in reach Educate patient/family Acute Pain True Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. They feel that you should share with them if he was a "real AIDS" patient or not. Senario 2 Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Scenario 1 Psychological Needs Increased acuity Use therapeutic communication/active listening Failure to Thrive True. Check PRN pain order LOC Normal acuity Evaluate understanding Perform circulatory evaluation 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. Disturbed Body Image True Scenario 4 Sensorium: Normal acuity, Bleeding, risk for: False Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Vital re-assessment Description: Sharp Stabbing Throbbing Aching Cramping Other: Self-Care Deficit True IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. LOC Increased acuity Impaired Skin Integrity, Risk for False Scenario 2 The patient will be discharged today, and he will be ordering new prescriptions. Respiratory Assessment GI WNL. Taking HIV Meds prophylaxis. Remain with patient Physiological Pupils PERRLA, eyes clear. -Explain that Docetaxel is a hormone therapy that suppresses the testosterone that your testicles produce producing similar results as surgical intervention. Document results Scenario 5 Pregnancy and labor and delivery are not typically associated with the concept of cellular regulation, Patient: Donald Lyles,52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Re-assess patient Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Swallowing: Intact Dysphagia Aspiration Precautions Imbalanced Nutrition: True Notify Physical Therapy (PT) Contact Social Services Self-Care Deficit False Amount: _______ Urine Color: Clarity: Odor: Ms. Gestalt is now complaining of fever and chills. High fall risk. Deficient Knowledge True She has been documented as being obese, new onset. 1. Neuro WNL alert and cooperative. Need frequent reminder to stay in room and maintain mask precautions. Ann Rails Chronic Pain False Color:__________ Scenario 4 Document conversation Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. Due to this, the provider would like him to stay in the hospital for observation. Waist belt restraint PRN; family sitter at bedside, assist with bath. Therapeutic communicationT Two hours later, Mr. Duncan is asked how frequent his stools have been today. Wash and glove hands Refer call to contact health department He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Pain and numbness in legs for one week. 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. He has been ruled out for an MI. Full assessment You call his doctor to inform him the family has arrived. Spanish interpreter available at extension 61178. Insert Foley catheter Acute Confusion True Check pedal capillary refill The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. -Reorient Patient to person, place, & time Scenario 1 Because of the fall the provider has recommended that he stay in the hospital another night. Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook Remain with patient and reassure He also complains that his throat is still very sore. His VS are BP 122/64, P 89, R 12, SpO2 93%. You correctly diagnosed 11 out of 16 options. Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Urostomy: N/A Urostomy/Ileal conduit Her husband and two grown children are also with her as she is prepared with gown and head cap awaiting transport to the operating room. Senario 4 Love and belonging Fall, Risk for True Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Her husband and children remain with her in the surgical holding area awaiting transport to the OR. 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. PT to educate patient Scenario 2 Senario 5 Alert and cooperative. Impaired Home Maintenance management r/t client or family False Imbalanced Fluid Volume, Risk for True SANE nurse to make second visit today. Infection, Risk for False Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Breath Sounds: Clear bilaterally. Sensorium Increased acuit, Physiological -Complete full assessment, to include neuro -Complete head-to-toe assessment while patient is on the floor. Educational Needs Increased acuity Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. Pain Level Increased acuity Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Noncompliance False Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. Document Results, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Self-Care Deficit False #1: _________, No Palliative care. August 13, 2020 // by Angela McGowan. Notify housekeeping. Health Change Increased acuity except 115 pulse, which is normal for him. Fall, risk for: True 20ga. Sexuality: True. Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Nausea: False -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. Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. 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. Evaluate patient learning Scenario 2 NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. 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. Begin post op education for day one Temperature is now 102.8. John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Provide emotional support. Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. It is now two weeks later; Mrs. Smith has returned. The oncologist is recommending Docetaxel as opposed to an orchiectomy. Report current urinary output quantify per hour and color of urine Full assessment You escort them with you to the ICU. Constipation, Risk for True 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. Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Health Change Increased acuity Upon entering room, you wash/glove hands. He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Mr. Gonzales H/H is 12.7/38. Impaired Home Maintenance Management r/t Client or Family False Senario 5 The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. 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. Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Safety- -Tell the patient that they are being admitted to r/o any cardiac issues Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin When completing the shift change neuro check, you notice the patient's left pupil is sluggish. Scenario 3 Scenario 4 Fatigue True Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Lung sounds are worse. No response = 1, Muscle Strength: WNL, Flaccid, Contracted Seek clarification This shop has been compensated by Inmar Intelligence and its advertiser. Notify doctor for Foley catheter He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Scenario 2 Assess for bowel sounds : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Administer antiemetic medication Scenario 3 No known allergies (NKA). Consult Social Service -Reassure patient that he will be moved to a private room as soon as possible Esteem Scenario 4 Dr. Suculo, Physiological The cycle of freezing and thawing damages the abnormal cells. Deficient knowledge: True Color:__________ Encourage to ambulate with assistance to void if needed Scenario 1 The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Disoriented to time and place, speech slurred. Scenario 2 Ms. Rails shares with you her fear of being discharged home to an abusive husband. Flexes & withdraws = 4 Scenario 5 Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Retrieve cast removal tool Senario 1 It is unclear if he lost consciousness. Dr. Altace, Educational Needs Increased acuity IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Talk with her stating surgery is over and she did great. Constipation False What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Gastrointestinal Assessment Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Wound clean dry and intact. Explain reason for assessment and procedure His overall health is good, and he has known he has been HIV positive for the past five years. Palliative care. : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. -Reapply the NC that he was admitted with at 2L Do not probe further Biopsies were sent to determine the treatment. Scenario 1 ADA diet, intake 25%. Pain Level Increased acuity Nutritional Intake: Adequate Inadequate BMI: -Discuss with family sitter if there are any other family members who can help with monitoring Lithia -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. You enter room and find Ms. Gestalt crying because she has just learned her medical insurance has lapsed and she is already two months behind on her car payments. Skin integrity at risk True Grieving: True No Known allergies (NKA). Scenario #3. Dr. Roopes, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. 156 terms. -Offer nutrition/toilet He has partial thickness burns to his left arm and the left side of his face. Scenario 2 Failure to Thrive False. List the nursing care order. Scenario 3 Determine from medical record if partner is aware of his recent AIDS diagnosis. Dx- urinary stones with 3 episodes/5yrs. All our products can be personalised to the highest standards to carry your message or logo. DSD (dry sterile dressing), forehead laceration clean and dry intact. She has IV access and has received a small dose of Valium to reduce apprehension. Skin warm dry, bruises on forehead with small laceration. The lesion was identified as Kaposi's Sarcoma. Students will prioritize medical surgical . Verify call light/ bed safety precautions Upon entering the room with a translator to admit him to the hospital, he is asked for address and phone number but refuses to comply. Skin integrity, impaired True Continent: Yes No Occasional Incontinence Frequent Incontinence Brief Rich Dad, Poor Dad (Robert T. Kiyosaki) The Methodology of the Social Sciences (Max Weber) Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.) . Scenario 5 Safety Your response to all of them would be: Scenario 1 Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Week #7 Assignment - Incentive Spriometer . Perform pain reassessment Scenario 4 -Medicate for pain