robert sturgess swift river

Tap patient and ask, "Are you okay?" Scenario 1 Swift River Medical-Surgical. Impaired Comfort True Family arrive one hour after event to his prior room and find Mr. Thomason's room is empty and have no idea of the events that have just occurred. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. ASA is held but morphine 4 mg was given after his GI cocktail. Scenario 3 Impaired comfort: True Explain to physician what interventions you have recently initiated She is also to receive radiation, chemotherapy, and hormone therapy post operatively. Offer masks to visitors Construct dietary consult (plan) Remain with patient 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. Scenario 4 Validate NPO Status He tells the nurse he has called his wife and wants to be discharged now. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Discharge instructions Combien gagne t il d argent ? Apply nasal cannula Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. Scenario 3 Evaluate understanding Electrolyte Imbalance, Risk for True You arrive in room to find Ms. Monson talking to herself. Sensorium Normal acuity, Physiological All opinions are mine alone. Lithia Monson Scenario 3 Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Document results Color:__________ Check PRN pain order NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. Fatigue True Scenario 3 Provide comfort and pain measures Document results and findings Powerlessness: True, Scenario 1 The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Sensorium Normal acuity, Physiological -Remind patient to call for help is he need to get up and provide patient with a urinal. The Physician tells you to have everything ready including a 22 French chest tube, and he will be in shortly to position the chest tube. Dr. Altace, Physiological- Scenario 1 Visual assessment Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Assess Obtain translator You return to the break room on your floor. -Offer nutrition/toilet Non-significant past medical history. Administer antiemetic medication Ruth Cummings Trustee Vice Chair Audit Chair . Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. The pain makes him short of breath. Multiple abrasions, bruising Head, chest, and inner thigh. Imbalanced Nutrition True Chronic Confusion False Wash and glove hands Describe the physical changes from aging and the care required. Escort patient Risk for Infection True Apical pulse rhythm: Regular Irregular Location: Assist patient They would also like to start Radium-223. -Reassess patient q 5 minutes until awake, then 15 minutes until they are fully awake (not Drowsy). Nathaniel Gonzalez Nausea False Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Insert Foley catheter -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Esteem 3Check surgical consent for correct procedure and make sure operative site is marked. 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! Neuro WNL alert and cooperative. Scenario 2 Scenario 1 Disoriented, confused = 4 The charge nurse asks you to assume the patient's nursing care. Yes Imbalanced Fluid Volume, Risk for True Mrs. Pittmon states she has had numbness for years but "now I can't . -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Scenario 1 Therapeutic communication Assist physician in physical exam of patient Evaluate medication effectiveness Cardiovascular has pacer with rate of 82bpm on demand. You enter patient's room. Ms. Getts is being transferred as an emergency to Critical Care. Impaired Skin Integrity, Risk for False Scenario 5 Allow husband to come into recovery for a quick one-minute visit. Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Disturbed Body True What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Document results Safety Scenario #2. Stay with patient for surgeon's arrival to explain intended surgical procedure Head/Face: Symmetric Asymmetric Drooping Waist belt restraint PRN; family sitter at bedside, assist with bath. Scenario 2 Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Love and belonging- Notify doctor if condition is abnormal She has just been transported from recovery. Use therapeutic communication/Active Listening Swallowing: Intact Dysphagia Aspiration Precautions Ms. Rails shares with you her fear of being discharged home to an abusive husband. Acute Pain False -Advise sitter to notify nurse when leaving the room Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Renal diet. : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Reasses temp in 1 hour. -Assess patient LOC, by walking patient and asking them to take deep breaths. Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Several hours later, Mr. Duncan is now complaining of nausea. Scenario 1 Senario 3 Constipation, Risk for True Nausea: False Vital signs- Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Strict I&O, regular diet, intake 50%. Nausea: False Safety- Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. You also notice the patient is more difficult to orient. 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. Use therapeutic communication/active listening Impaired skin integrity: False, Anxiety: True Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. SANE nurse to make second visit today. Bladder distention Pelvic pain Low back/flank pain There is an order to apply a waist belt restraint if needed. Pupils PERRLA, eyes clear. Scenario 1 Ambulates with minimal assistance. His VS are BP 122/64, P 89, R 12, SpO2 93%. Social worker with patient this morning. Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only GI WNL. Psychological Needs Normal acuity Love and belonging An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Employ therapeutic communication: present reality -Ensure patients is positioned in bed properly Mrs. Smith's surgery has now ended. Nausea False His left humerus is fractured and splinted. Combien gagne t il d argent ? Health Change Increased acuity Non-significant past medical Hx. Notify doctor He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. Imbalanced Nutrition False Vital signs are to be taken BID, and it is now time. Dr. Donofrio. Ineffective breathing pattern False Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. 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. -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Shock, Risk for: False Document results Scenario 1 He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Family at beside. -Ensure there is suction in the room, and check Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Report to charge nurse/ head nurse the need for staff education. Notify Doctor for pain medz Assessment of bowel movement Spanish interpreter available at extension 61178. How does the Med-surg simulator work? Notify family -Tell the patient that they are being admitted to r/o any cardiac issues RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Senario 4 Safety But that's changing. Scenario 5 Include patient condition change in shift report Nausea/Vomiting: Yes No Notify doctor Scenario 2 Document results There is an initial triage provider written set of orders at her bedside for a STAT Chest X-ray, IV with NS, O2 NC, and STAT CBC and Chemistry. Neuro WNL, alert, and cooperative. Pain Level: Increased acuity Scenario 4 -Attempt to orient to person, place, and time Mr. Dominec had his surgical procedure and is doing great. Document results Diet as tolerated, up ad lib after gait training. Senario 3 Fall, Risk for True They were also concerned about the next patient going into that room and the use of the lavatory. Dx- urinary stones with 3 episodes/5yrs. Palliative care. At Risk, Impaired Comfort False Disoriented to time and place, speech slurred. The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Senario 3 Sarah Getts Respirations Safety Document and prepare to transfer to Surgical ICU Perform circulatory evaluation You correctly diagnosed 11 out of 16 options. The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. Airborne Isolation. Hopelessness: True Full assessment Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Ineffective self-health mgmt: False, Disturbed body: False Pain Level Increased acuity Urine Color: Clarity: Odor: Deficient Knowledge True Educate patient He has been ruled out for an MI. jessdevan. Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. I need to be reporting!" -Explain to the patient that because of his weakness and unknown cardiac status as well as the IV, he is a fall risk and should not get out of bed without assistance. is a 57 y/o who has been admitted for a radical prostatectomy. Pain Scale: 0 to 10: _______________ -Ensure bed is in lowest position, and rails are in place Ms. Gestalt is now complaining of fever and chills. 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. Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. -Restart the IV and draw CBC Perform pain reassessment The patient asks the nurse to explain about these medications and why they are in such a hurry. -Medicate for pain Alleviating Factors: Last pain medication: Kathy Gestalt Scenario 3 The heartburn has become worse since he started treatment for his URI. Ann Rails Palliative care. Ronald Burgundy -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Therapeutic communicationT Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. His original lymph node biopsy was negative. Document results and findings He has been taking his HIV medication daily. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. They wanted to know and pressure you for the information. Deficient knowledge: True Bowel Movement Total: x________________, Hygiene Times Allow for non-compliance of request The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. Discuss follow up with his doctor. Scenario 2 Safety Peripheral Neurovascular Dysfunction: False Offer nutrition and/ or toileting fallout 4 save wizard quick codes death and wheel of fortune tarot combination; gambling meaning in english urdu alpine spiced apple cider gluten free; how to use v2ray samsonas sequential gearbox subaru; lg magic remote power light stays on Acute Pain True Mr. Sturgess does not have a living will or durable power of care completed. Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. You enter room one hour after the physician has left the patient. Scenario 1 Wash hands Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Acute Pain True Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. Knowledge Deficit True Verify call light/ bed safety precautions Senario 2 Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Report current urinary output quantify per hour and color of urine Administer pain medications Increased fall risk. Bleeding: True Three hours later, Ms. Getts is unsteady when standing by her bedside. Scenario 1 IV D5 1/2 NS @150ml/hr. Arthur Thomason Scenario 5 Impaired Home Maintenance Management False Your responsibilities are: Scenario 1 Scenario 3 The oncologist is insistent that the treatment begin immediately. Fall, risk for: True Assess pain Assess Robert Domenic You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Need frequent reminder to stay in room and maintain mask precautions. Evaluate understanding 97.4, Resp 16 and Pulse Ox 94%. Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Senario 4 Scenario 2 -Document and contact nursing supervisor/Charge nurse Educate patient This information is HIPAA protected and you cannot share anything with them. Aggravating Factors: Amount: _______ Scenario 3 Scenario 5 Love and belonging Apply oxygen -Start IV Robert Strurgess Scenario 1 ADA diet, intake, 25%. -Perform admission assessment Tom Richardson Educational Needs Increased acuity Provide emotional support. Listen to patient concerns Fall Risk Increased acuity It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Nutrition True Full assessment including both lying/standing Senario 1 Constipation, risk for: True No response = 1, Muscle Strength: WNL, Flaccid, Contracted When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Other: _______________________________ The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Safety- Scenario 2 Waist belt restraint PRN; family sitter at bedside, assist with bath. Scenario #3. Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles The lesion was identified as Kaposi's Sarcoma. Pulses: Strength & Symmetry Edema: Don Personal Protective Equipment Senario 1 Sa fortune s lve 2 000,00 euros mensuels Urostomy: N/A Urostomy/Ileal conduit Scenario 4 Scenario 2 Dr. Jones. Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. Attempt to orient to person, place, and time Scenario 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. RUE: ______________ LUE: _____________ 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. -Offer nutrition and/ or toileting Full assessment of patient. Administer PRN constipation medications ADA diet, intake 25%. She has been documented as being obese, new onset. Acute pain: False Retrieve cast removal tool Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Ms. Cumble states that she has not had a BM for three days. -Complete initial post-op assessment Scenario 5 Diet as tolerated. Evaluate understanding Encourage fluids and fiber diet Upon entering the room, you find Ms. Rails sleeping. Peripheral Neurovascular Dysfunction False Tunneled, site _______________ Implanted port, accessed _____________________ Reassure patient of options Notify family as to when they may come and visit. Infection, Risk for False Refer call to contact health department Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Scenario 4 High fall risk. Perform pain re-assessment Pain Level Normal acuity Psychological Needs Increased acuity -Give NS liter bolus His orthostasis is normalized after a second liter of NS was administered. Sit at an eye level. -Use therapeutic communication/active listening Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Check surgical consent for correct procedure and make sure operative site in marked. 2Provide comfort in pre-surgical room Mr. Dominec. Administer protocol antidiarrheal medication Chronic Pain False Educational needs: Increased acuity Read PT report Verbal response Oriented converses = 5 Scenario 4 DSD (dry sterile dressing), forehead laceration clean and dry intact. You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. The oncologist is recommending Docetaxel as opposed to an orchiectomy. Esteem Skin warm and dry, all vital signs in WNL Eye opening Spontaneous = 4 Place patient on PCA pump -Notify charge nurse The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. She is also investigating bone marrow transplantation. Document results Educational Needs Increased acuity -Set-up for stat portable chest x-ray Temp He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Mr. Greer has just been visited by his wife. Vital assessment -Reapply the NC that he was admitted with at 2L Scenario 4 You, his prior nurse, notice the family and respond to them. Bleeding, Risk for False Place pt on PCA pump Full assessment Compromised Family Coping: False Dr. Donofrio, Physiological Scenario 1 Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Scenario 5 The patient is asking you where her son is, the last place she saw him was right before the explosion. Scenario 4 Safety- Suprapubic Insertion site: WNL S/S Infection : ____________________ Full assessment Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. He is pale, weak, diaphoretic, and appears anxious. Senario 5 She shares concern about patient's wife who is now coughing and having night sweats. Replace oxygen nasal cannula that had become disconnected Skin cool to touch and appears pale. Scenario 3 Scenario 5 Check physician orders Impaired Gas Exchange False Use therapeutic communication/Active Listening -Inform patient to not get out of bed without assistance and place call light in reach Deficient Diversional Activity False Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. A special lowbed has been ordered that will lower to the ground. Esteem Radiofrequency ablation may be recommended after endoscopic resection. He states, "This is not serious." -Place patient on O2 Nasal Canula When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Anxiety True Verify call Light/bed safety precautions Assess for bowel sounds 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Fall, Risk for False He also states he is feeling weak. Allow family to remain Remain with patient Ineffective Airway Clearance True Call Rapid Response protocol initiated Grieving False RLE: ______________ LLE: _____________ Dysfunctional Gastrointestinal Motility False Flexes & withdraws = 4 Self-Care Deficit True Full assessment Scenario 3 -Reorient Patient to person, place, & time Scenario 5 -Advise patient not to get up and walk on his own Grieving True Prior to changing shift, you enter the patient's room to complete a full assessment, and Ms. Monson is now crying asking to for someone to take her home! Skin warm and dry, may sit up on edge of bed today. Scenario 2 Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Educate pt regarding changes to POC Teach patient about safety when getting out of bed Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Document results Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! Encourage Mr. Dominec to discuss with his partner his best treatment options. Scenario 5 -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Document Results, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. The sister of Mr. Mancia calls from home to speak with you. Evaluate caller understanding Skin integrity, impaired True The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Dr. Altace, Educational Needs Increased acuity His coughing, to clear his airway, appears ineffective. Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Apply fall risk bracelet Skin integrity at risk True Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Request time she can arrive and staff to help with transfer Obtain patient record and follow patient as he is transferred to ICU Family in room with patient very concerned. Explain to her family and provide contact information. Sa fortune s lve 2 216,00 euros mensuels Hopelessness True Fear True Failure to Thrive True. Peripheral Neurovascular Dysfunction True. Extends abnormally = 2 Patient and family upset regarding dx. The patient is awake, alert, and oriented. Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Scenario 3 Senario 2 The patient has a pneumothorax that requires a chest tube placement. 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. Surrounding skin: Moist/Intact Red/Erythema Irritation Health Change Increased acuity Disturbed Body Image True It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Fall Risk Increased acuity Document results Physiological- Anxiety True Scenario 1 Patient demonstrates urine strain procedure. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Educate patient Acute Confusion True 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. The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Activity as tolerated with assistance. 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". Self-Care Deficit: True Provide comfort measures Administer antipyretic medication Senario 5 Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Scenario 5 Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Impaired Skin Integrity False -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients D/C plan- decrease pain and restore normal gait. Hx of dementia, from nursing home, fall one day ago. Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. List the nursing care order. Dr. Anderson, Educational Needs Increased acuity Electrolyte Imbalance True Scenario 5 View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Flexes abnormally = 3 Scenario 2 Ambulates with assistance. Therapeutic communication. Fall Risk: Increased acuity Too bad the cruise area was a very unatractive part of the River Elbe. Sa fortune s lve 10 000,00 euros mensuels Procedure is canceled for the day and rescheduled later allowing for new consent. Ms. Rails states that she has not had a bowel movement (BM) in the past two days. 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. Notify doctor and charge nurse Deficient Fluid Volume False Vital signs are: B/P 112/78, temp. Health Change Increased acuity The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Paul Greer You question her while reviewing her operative consent and determine that everything is correct. 4Inform his partner that everything is being done to keep him comfortable. -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Nutritional Intake: Adequate Inadequate BMI: Scenario 2 Decreased Cardiac/perfusion: False Scenario 5 No known allergies (NKA). Fear: True Bleeding, Risk for True Assess vital results They feel that you should share with them if he was a "real AIDS" patient or not. No known allergies (NKA). -Notify HCP of fall, complete incident report Notify doctor Continent: Yes No Brief/Diaper Deficient Fluid Volume True Seek clarification Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. Use therapeutic communication/Active Listening palliative care. Evaluate patient understanding Senario 3 Scenario 2 He has a 20-year one pack history of smoking. Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Document conversation Powerlessness True. -Tell the patient to call immediately if the chest pain gets worse or they become short of breath Carlos Mancia Lung sounds are worse. His overall health is good, and he has known he has been HIV positive for the past five years. Fear True Take vital signs before leaving the hospital again. Scenario 4 Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Sleep deprivation: False Pain, Acute True Scenario 5 Senario 2 -Complete head-to-toe assessment while patient is on the floor. Notify lead nurse -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Health Change Increased acuity Patient, and family upset regarding dx. Document results