Deficient Knowledge False He also has metal fragments on his left side on his leg arm and torso. Hopelessness True Educate pt regarding changes to POC No known allergies (NKA). Skin warm and pale. 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. Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment She has been documented as being obese, new onset. Place pt on PCA pump Scenario 4 Fall Risk Increased acuity Senario 2 Deficient Fluid Volume False NPO with small amount of ice chips only. Scenario 2 He was initially sedated with versed 2mg, and Fentanyl 100 mg by the EGD nurse, but the patient was not tolerating the procedure, so anesthesia was called to administer propofol. 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. Impaired Mobility, Risk for True #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Blood Pressure, 7a-7p Total: 7p-7a Total: -Explain to patient why his throat may be sore -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours This information is HIPAA protected and you cannot share anything with them. Document results and findings Scenario 5 Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Check monitor He states, "This is not serious." 97.4, Resp 16 and Pulse Ox 94%. He has been ruled out for an MI. Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. -If cardiac is suspected call the provider and the rapid response team. Scenario 5 You explain that his condition has worsened and now he has been taken to ICU. Other: _______________________________ Offer bedpan Acute Confusion False Blood-tinged mucous, productive cough. Nausea: False Document results. Sa fortune s lve 1 900,00 euros mensuels Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. -Ensure patients is positioned in bed properly Safety- Describe the physical changes from aging and the care required. -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Educational Needs Increased acuity An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Pain Level Increased acuity Color:__________ Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Notify doctor if condition is abnormal Obtain translatorT Dr. Anderson, Educational Needs Increased acuity Contact dietary consult Scenario 5 Nausea/Vomiting: Yes No Use therapeutic communication/Active Listening He has been taking his HIV medication daily. The surgeon has just visited with Mr. Greer 2-days post op and has informed him that the lymph node biopsies have confirmed that the cancer has metastasized, and he will need further treatment. Report this activity immediately to the hospital privacy officer Administer antipyretic medication The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Offer assistance Contact charge nurse. Document results Psychological Needs Normal acuity D/C plan- decrease pain and restore normal gait. -Start an IV Imbalanced Nutrition: True Fall Risk Increased acuity Failure to Thrive True. Senario 1 Because of the fall the provider has recommended that he stay in the hospital another night. Radiofrequency ablation may be recommended after endoscopic resection. Evaluate understanding Scenario 4 Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Self-Care Deficit False -Reassess patient Safety He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Impaired Mobility True Verify call light/bed safety precautions Deficient knowledge: True Widespread Color Change: N/A pallor cyanosis jaundice erythema Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Scenario 2 swift river assignment: day swift river assignments dosage minimum score 90 med minimum score 80 minimum score 90 robert sturgess linda yu linda pittmon carlos Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Keiser University Silver Creek High School (Colorado) Vital Assessment Perform circulatory evaluation Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Scenario 3 His VS are BP 122/64, P 89, R 12, SpO2 93%. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. sounds= 2 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. ExplanationAnxiety/ fear True Report and document results Impaired Home Maintenance Management False Color:__________ Flexes & withdraws = 4 Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Imbalanced Nutrition True Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. In the interim, start an IV and start infusing Ringers Lactate. Next time we'll spend our 60 on some food and nice beers. -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Scenario 3 Upon entering the room, the patient appears to be trying to get out of bed Robert Strurgess -Complete neuro checks as ordered Bleeding, Risk for: True Psychological Needs Increased acuity Dr. Altace, Educational Needs Increased acuity SANE nurse to make second visit today. Head/Face: Symmetric Asymmetric Drooping Document results He insists that he is not hungry and refuses assistance with his meal. Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? Failure to Thrive False. Document results/findings Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Toggle navigation Swift River. Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. Discuss his understanding about the plan of care. Infection, Risk for False They were also concerned about the next patient going into that room and the use of the lavatory. You discuss this cough with Mr. Dominec to determine how long he has had it. Do not probe further Dr. Rondeau, Educational Needs Increased acuity Ms. Cumble states that she has not had a BM for three days. His original lymph node biopsy was negative. Excess Fluid Volume, Risk for False Bowel Movement Total: x________________, Hygiene Times Skin integrity, impaired True Sa fortune s lve 2 000,00 euros mensuels Bleeding, Risk for False Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. palliative care. Scenario 3 Assess Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Ineffective airway clearance True Scenario 2 Health Change Increased acuity Deficient Knowledge True They feel that you should share with them if he was a "real AIDS" patient or not. The patient asks the nurse to explain about these medications and why they are in such a hurry. Bleeding, Risk for True It is unclear if he lost consciousness. Biopsies were sent to determine the treatment. Health Change Increased acuity The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Ambulates with assistance. RLE: ______________ LLE: _____________ Document results and findings Hx of dementia, from nursing home, fall one day ago. Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ Sensorium Normal acuity, Physiological Notify lead nurse/doctor Assess food consumption and intake and output Document teaching moment. Normal Sinus Rhythm on telemetry. Assess Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Assess for bowel sounds Swift River Medical-Surgical. -Explain to the patient that he has a procedure, and he cannot eat. Senario 4 Sensorium Normal acuity, Physiological Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. 20ga. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. -Ensure bed is in lowest position, and rails are in place Combien gagne t il d argent ? Scenario 2 Document results Health Change Increased acuity Perform pain re-assessment Cardiovascular has pacer with rate of 82bpm on demand. Physical Mobility, Impaired True Isolative, appears fearful, crying, and refusing to see her husband. Anxiety True Acute Confusion True Re-assess patient Cardiovascular has pacer with rate of 82bpm on demand. Educate patient 1. Encourage fluids Verify call Light/bed safety precautions Observe closely first hour Scenario 5 Arthur Thomason Re-assess patient Peripheral Neurovascular Dysfunction False. Constipation False Nursing questions and answers. -Place patient on 100% O2 Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Scenario 5 Impaired Mobility True You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. 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. Notify family as to when they may come and visit. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Scenario 2 He has a history of hypertension and is not compliant with medication. -Ask the patient to verbalize understanding of teaching and reassure them that yourself or any member of their care team will be available to answer questions. Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Self-Care Deficit False Lithia Monson The patient has a pneumothorax that requires a chest tube placement. Wound clean dry and intact. 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. Reorient Patient to person, place, & time Students will prioritize medical surgical . -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg No known allergies. Mrs. Pittmon states she has had numbness for years but "now I can't . Hopelessness: True Notify doctor He does not have an IV nor is he on oxygen. Palliative care. Scenario 2 Senario 4 Do not disturb No known allergies (NKA). Apply fall risk bracelet Record intake and output LOC Increased acuity Patient and family upset regarding dx. 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. -Offer nutrition and/ or toileting Document results Powerlessness True. Esteem Grieving: True Verbal response Oriented converses = 5 You call his doctor to inform him the family has arrived. Scenario 4 Infection, Risk for True Ineffective Peripheral Tissue Perfusion False Acute Pain: True Comfort/Pain Assessment Fear True Temperature is now 102.8. Neuro WNL alert and cooperative. Mr. Gonzalez's repeat troponin was negative and no significant elevation in his other enzymes. At Risk, Impaired Comfort False Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Bleeding False 2. 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. You return to the break room on your floor. The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Urine Color: Clarity: Odor: Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). The patient is awake alert and oriented. Impaired Skin Integrity, False Ms. Getts is requesting water to drink. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Pain Level Increased acuity Compromised Family Coping: False 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. Regular diet. Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Notify lead nurse/doctor Identify patient Senario 4 Offer nutrition and/ or toileting Full assessment Notify lead nurse/doctor Safety- Assess No Known allergies (NKA). Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Scenario 3, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Notify doctor of change in condition in particular: unproductive cough and low-grade fever. -If gastric reflux is suspected administer PRN antacids (GI cocktail) -Give NS liter bolus Scenario 4 Verify Call Light/Bed Safety precautions Stools are decreasing but patient remains very weak. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Pain Scale: 0 to 10: _______________ Ms. Getts is being transferred as an emergency to Critical Care. Scenario 4 Educational needs: Increased acuity Educate patient regarding condition Pain and numbness in legs for one week. Sleep deprivation: False Document Results/Findings His orthostasis is normalized after a second liter of NS was administered. Safety The bed arrives tomorrow. Psychological Needs Normal acuity Amount: _______ Obtain Spanish signs & brochure Allow family to remain Provide verbal report to team members who respond to rapid response Wife at bedside. Nathaniel Gonzalez Scenario 4 Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. Wash and glove hands Psychological Needs Increased acuity Use therapeutic communication/Active Listening He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Dr. Starks, Physiological Sensorium: Normal acuity, Bleeding, risk for: False -Advise patient not to get up and walk on his own John Duncan 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. Scenario 3 Scenario 4 Scenario 1 Notify doctor Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Seznam uivatel, kte vlastn, prodvaj nebo shnj film. 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. Full assessment including both lying/standing Dr. Jones. Provide information for MD to call family at home and explain what has just happened The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Shock, Risk for: False Scenario 2 Your coworkers are asking you questions about Mr. Dominec. Acute Confusion: True 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 156 terms. -Notify HCP of neuro findings Senario 2 Assist patient out of bed -Discuss effectiveness of sitter IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Scenario 4 Check PRN pain order Senario 5 Sexuality: True. Fear: True Obtain vital signs machine nursing care plan for Linda Pittmon, a 74 -year old female patient who is a noncompliant diabetic, and frequently stays at the local homeless shelter. Request time she can arrive and staff to help with transfer Senario 3 The nurse observes an elderly lady who is crying and has not been taken care of yet. Perform full assessment and provide anti-nausea medicine. Stoma: N/A Colostomy Ileostomy Effluent Consistency: Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Senario 5 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. Document results Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Assist patient The patient will be discharged today, and he will be ordering new prescriptions. Senario 3 IV Fluids: INT lock IV Fluids ______________@ _____________ mL/hr Date on tubing: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chronic Pain, Risk for constipation, impaired nutrition, anxie, 4 units on insulin sliding scale for coverage, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Adjust crutches You enter patient's room. Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. However, these abnormal cells do not have the capability to spread to other parts of the body.
Food Network Star Dies Of Cancer, Single Family Homes For Rent Frankfort, Ky, Pangunahing Produkto Ng Albay, Jackson National Life Ceo Salary, Coast G25 Flashlight Manual, Articles R