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His original lymph node biopsy was negative. Neuro WNL alert and cooperative. The patient has a pneumothorax that requires a chest tube placement. -Check on patient/sitter hourly Infection, Risk for True Scenario 5 Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Senario 3 Evaluate medication effectiveness Scenario 5 2Provide comfort in pre-surgical room Mr. Dominec. -Give NS liter bolus Offer nutrition and/ or toileting Evaluate outcome of dietary plan Encourage fluids and fiber diet Wash and glove hands The oncologist is insistent that the treatment begin immediately. Anxiety True Allow for non-compliance of request Therapeutic communication Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Senario 2 Allow husband to come into recovery for a quick one-minute visit. You arrive in room to find Ms. Monson talking to herself. August 13, 2020 // by Angela McGowan. Peripheral Neurovascular Dysfunction False. Upon entering the room, the patient appears to be trying to get out of bed Date of insertion: _________________________ Date of dressing: _________________________________ Place patient on PCA pump -Determine when a hospital provided sitter will be necessary Hx of dementia, from nursing home, fall one day ago. Shock, Risk for False -Ensure patients is positioned in bed properly Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Bleeding False The heartburn has become worse since he started treatment for his URI. Blood Glucose 185, 4 units of insulin sliding scale for coverage. IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Contact Social Services He has been taking his HIV medication daily. 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. Dr. Rondeau, Educational Needs Increased acuity Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Where is my camera man!! Scenario 2 Scenario 1 No known allergies (NKA). 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. Self-Care Deficit: True Palliative care. You arrive in room to find Ms. Monson talking to herself. -Start IV Safety -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Scenario 2: 1Educate about recovery from appendectomy and care to wound. -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Nausea: False Evaluate understanding Swallowing: Intact Dysphagia Aspiration Precautions His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Due to this, the provider would like him to stay in the hospital for observation. Administer antipyretic medication Neuro WNL alert and cooperative. Fall, Risk for True Scenario 1 Talk with her stating surgery is over and she did great. Evaluate understanding -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Esteem Flexes abnormally = 3 Obtain and provide the infectious disease doctor's contact information for him. Scenario 4 Scenario 4 -Recheck Tilts after the NS bolus is complete.T Refer call to contact health department While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Spanish interpreter available at extension 61178. Provide comfort and pain measures Read PT report Continent: Yes No Occasional Incontinence Frequent Incontinence Brief Wound clean dry and intact. jessdevan. No Assist patient -Reassure patient that he will be moved to a private room as soon as possible Dr. Suculo, Physiological Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ The lesion was identified as Kaposi's Sarcoma. Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. -Offer nutrition and/ or toileting Sa fortune s lve 1 900,00 euros mensuels No weight bearing today. Scenario 5 His children are visiting, and they are very supportive. Safety Dr. Altace, Educational Needs Increased acuity Urination: WNL Burning Frequency Urgency Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Provide emesis basin/cloth Tear, Ecchymosis, Contusions, Bruising Bed Bath: Assist or Total Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Scenario 1 Scenario 4 Perform circulatory evaluation 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! #1: _________, No Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. The patient will be discharged today, and he will be ordering new prescriptions. Mrs. Smith shares with you that even though she signed the operative consent she was not sure if this was the right surgical procedure for her. NPO with small amount of ice chips only. Dr. Starks, Physiological Hopelessness False. Check pedal capillary refill Safety Widespread Color Change: N/A pallor cyanosis jaundice erythema Awaiting diagnostic labs. Contact charge nurse. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Filmotka filmu Najvyia ponuka (2013). Senario 1 -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon -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 His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Family in room with patient very concerned. Scenario 2 LOC Normal acuity river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Scenario 3 Notify lead nurse/doctor 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. Pain and numbness in legs for one week. Failure to Thrive: True. Color:__________ Ann Rails Ineffective Peripheral Tissue Perfusion False Skin warm and dry, may sit up on edge of bed today. Scenario 5 Grieving: True 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. They would also like to start Radium-223. Mr. Greer has just returned from surgery. Blood Pressure, 7a-7p Total: 7p-7a Total: Combien gagne t il d argent ? She shares concern about patient's wife who is now coughing and having night sweats. Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room. Scenario 5 Fall Risk Increased acuity Check PRN pain order 50% intake. Neuro WNL's, alert and cooperative. Call Rapid Response protocol initiated He has been ruled out for an MI. Scenario 1 Evaluation patient after consult She has arrived in pre-op and about to have surgery this morning. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Call rapid response Bleeding, Risk for: True Imbalanced Nutrition True ASA is held but morphine 4 mg was given after his GI cocktail. Skin cool to touch and appears pale. Respiratory Assessment Safety Increased acuity, Physiological Perform neuro assess Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. -Assess patients' pain and rule out cardiac pain. Deficient knowledge: True No response = 1, Mobility: -Obtain chest tube tray and set-up pleurovac No Known allergies (NKA). Vital signs- Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Document Procedure -Ensure patient privacy and call for help and assist patient to bed once help arrives Document findings Determine from medical record if partner is aware of his recent AIDS diagnosis. Contact Social Services The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Biopsies were sent to determine the treatment. Alert and cooperative. Validate NPO Status Scenario 2 Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Fall, risk for: True Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). He is pale, weak, diaphoretic, and appears anxious. Notify doctor if condition is abnormal No response = 1, Muscle Strength: WNL, Flaccid, Contracted Fall Risk Increased acuity Comfort/Pain Assessment Stools are decreasing but patient remains very weak. Elevate Extremity Scenario 1 Impaired Skin Integrity, False Senario 1 Insert Foley catheter Peripheral Neurovascular Dysfunction: False He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). Request sitter/family member to bedside -Perform admission assessment Wash and glove hands Bleeding, Risk for True Students will prioritize medical surgical . Constipation, Risk for True She has been admitted to the floor with complaints of numbness in her right foot and ankle.