-Attempt to orient to person, place, and time Bladder distention Pelvic pain Low back/flank pain Sleep Deprivation False. Arthur Thomason Psychological Needs Increased acuity Anxiety True Noncompliance True. Determine from medical record if partner is aware of his recent AIDS diagnosis. Dr. Small at bedside with patient and family. Sa fortune s lve 10 000,00 euros mensuels He replies, "six times in the past four hours". Sleep Deprivation False The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. VS: BP 158/90, HR 89, R 18, T 97.8 F. Elevate head of bed Full assessment Document results/findings Bowel Movement Total: x________________, Hygiene Times -Remove the lunch tray and ensure pre-operative consent has been signed. Flexes abnormally = 3 Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Impaired skin integrity: False, Anxiety: True ASA is held but morphine 4 mg was given after his GI cocktail. 20ga. Acute Pain: True Swift River Nursing Simulation - Homework Writing Services The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. -Have patient remain in bed, head elevated 30 degrees Pain re-assessment Notify lead nurse/doctor Constipation False Monitor and evaluate fluid intake Neuro WNL's, alert and cooperative. -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Wash and glove hands He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Pain Level Increased acuity Grieving True Notify doctor Scenario 3 Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Scenario 5 It is now the second day post op and he is given discharge information. Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. She is having some difficulty breathing. The patient is awake alert and oriented. Administer antipyretic medication Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. Fatigue True Educate patient/family Scenario 1 Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. They were also concerned about the next patient going into that room and the use of the lavatory. Too bad the cruise area was a very unatractive part of the River Elbe. Assess toe movement and capillary refilling Senario 3 Noncompliance: False No known allergies. However, he quit three years ago when he remarried; he and his wife have a nine-month-old baby. Scenario 2 Scenario 3 Bleeding False You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. Skin cool to touch and appears pale. The patient has a pneumothorax that requires a chest tube placement. -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Health Change Increased acuity Contact charge nurse. When the HCP realizes who he is, he tells the nurse to move the patient in the treatment room down the hall and put Mr. Burgundy in there. Capillary Refill: _________ seconds 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. Senario 2 Scenario 4 -Continue to observe urine for hematuria and document findings No Known allergies (NKA). 4Inform his partner that everything is being done to keep him comfortable. At Risk, Impaired Comfort False Impaired Urinary Elimination True Perform pain reassessment Urostomy: N/A Urostomy/Ileal conduit Dr. Anderson, Educational Needs Increased acuity Document results. Apply restraint Self-Care Deficit False Description: Sharp Stabbing Throbbing Aching Cramping Other: -Offer nutrition and/ or toileting 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. Pain Level Increased acuity Use therapeutic communication/active listening Don Personal Protective Equipment Deficient Diversional Activity False Blood Pressure, 7a-7p Total: 7p-7a Total: 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. Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Notify Physical Therapy (PT) Swift River Reflection Questions 1 - Swift River - Course Hero 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. -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 Nutrition True Full assessment (PDF) Playful citizens: utopian intersections of play, sex and Scenario 4 You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Fall Risk Increased acuity RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Safety Increased acuity, Physiological Disturbed Sensory Perception True Notify lead nurse/doctor Psychological Needs Normal acuity Senario 5 Your responsibilities are: Scenario 1 Scenario 3 Mr. Greer has just been visited by his wife. Hypothermia False Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. palliative care. 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 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. The charge nurse asks you to assume the patient's nursing care. Skin warm and dry, all vital signs in WNL Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Vital assessment Urination: WNL Burning Frequency Urgency -Explain to the patient that he has a procedure, and he cannot eat. Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ -If cardiac is suspected call the provider and the rapid response team. Apply nasal cannula Scenario 5 Flexes & withdraws = 4 Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Vital sign assessments Encourage Mr. Dominec to discuss with his partner his best treatment options. You enter room one hour after the physician has left the patient. Communication/Speech: Clear Non-verbal Slurred Aphasia Other Evaluate understanding -Determine when a hospital provided sitter will be necessary Wash and glove hands You arrive in room to find Ms. Monson talking to herself. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Document Results/Findings The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Discuss his understanding about the plan of care. Physical Mobility, Impaired True Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Gait: ______________________________, Skin Integrity Assessment Educate patient regarding condition The patient asks the nurse to explain about these medications and why they are in such a hurry. Ambulates with assistance. Swift River Med-Surg Flashcards | Quizlet Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Respiratory Assessment Assist physician in physical exam of patient List the nursing care order. Widespread Color Change: N/A pallor cyanosis jaundice erythema Notify lead nurse/doctor He has partial thickness burns to his left arm and the left side of his face. Ineffective Renal Perfusion, Risk for True Health Change Increased acuity Perform circulatory evaluation Employ therapeutic communication: present reality When completing the shift change neuro check, you notice the patient's left pupil is sluggish. Infection, Risk for False Dx- urinary stones with 3 episodes/5yrs. No known allergies (NKA). Sensorium Normal acuity, Physiological Robert Sturgess Scenarios Swift River.docx - Course Hero Scenario 3 Sit at an eye level. Tap patient and ask, "Are you okay?" Scenario 1 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". There is an order to apply a waist belt restraint if needed. Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Chronic Pain True Educate patient regarding changes to POC Perform pain re-assessment Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. ADA diet, intake 25%. She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Attempt to orient to person, place, and time They feel that you should share with them if he was a "real AIDS" patient or not. Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy Ineffective self-health mgmt: False, Disturbed body: False Renal diet. Najvyia ponuka (2013) | Filmotka | SFD.sk You explain that his condition has worsened and now he has been taken to ICU. Safety Constipation False Scenario 4 Visual assess 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. Scenario 4 Document conversation Lithia Monson 1Perform full assessment and provide anti-nausea medicine. Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored Dr. Starks, Physiological Mrs. Smith's surgery has now ended. Notify doctor Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Hx of dementia, from nursing home, fall one day ago. Perineal Care Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. Bleeding: True Identify patient Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Assess intake and output and possible reasoning -Tell the patient that they are being admitted to r/o any cardiac issues -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon sounds= 2 Oral Care 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. Ms. Getts is being transferred as an emergency to Critical Care. Therapeutic communication Self-Care Deficit False SANE nurse to make second visit today. Explain that he will probably not be going home at least until his doctor sees him. Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage -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. Provide emotional support. Peripheral Neurovascular Dysfunction True. Because of the fall the provider has recommended that he stay in the hospital another night. Scenario 3 John Duncan Notify doctor and charge nurse Offer assistance Wash and glove hands Assist patient out of bed Senario 2 Shock False Senario 3 -Assess patient's ABC (airway, breathing, circulation) His original lymph node biopsy was negative. Anterior: ___________________________________ Posterior: ____________________________________ Deficient Knowledge True Lung sounds are worse. A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Scenario 1 Robert Strurgess Combien gagne t il d argent ? What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? -Discuss effectiveness of sitter Ineffective Airway Clearance True Report to charge nurse/ head nurse the need for staff education. -Assess patients' pain and rule out cardiac pain. Anxiety True Scenario 1 Health Change Increased acuity He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. Senario 4 Patient, and family upset regarding dx. Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Educate pt regarding changes to POC Scenario 1 -Assess patient LOC, by walking patient and asking them to take deep breaths. Scenario 4 Obtain translator Abdominal Pain: Non-tender Tender/Pain Describe: Fall, Risk for True Nausea: False Waist belt restraint PRN; family sitter at bedside, assist with bath. Risk for Infection True High fall risk. -Place patient on 100% O2 Report this activity immediately to the hospital privacy officer Knowledge Deficit True Scenario 1 Remind the nursing staff that the patient is NPO. Scenario 3 Diet as tolerated. Esteem He has a 20-year one pack history of smoking. Validate NPO Status Senario 5 Assess You question her while reviewing her operative consent and determine that everything is correct. Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Scenario 1 Paul Greer Scenario 3 -Begin q15 minute neuro checks Inform patient about the progression and risk a PCP infection has for a patient with AIDS. The Elbe River - hamburg.com Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Chronic Sorrow False Cough: Scenario 3 Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Scenario 5 Genitourinary Assessment The sister of Mr. Mancia calls from home to speak with you. Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Educational Needs Increased acuity He is a local TV news reporter that was filming an event at the county fair when there was an explosion. She has been admitted to the floor with complaints of numbness in her right foot and ankle. 1. -Obtain chest tube tray and set-up pleurovac 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. Ineffective Self-Health Management True Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. He is pale, weak, diaphoretic, and appears anxious. Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Cardiovascular has pacer with rate of 82bpm on demand. Document pt's statements. Sensorium Increased acuity, Physiological Physiological- August 13, 2020 // by Angela McGowan. Imbalanced Nutrition: True Evaluate patient understanding Perform full assessment and provide anti-nausea medicine. Senario 1 Dr. Rondeau, Educational Needs Increased acuity His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients Estimate the length of the Neptunian year given that the Earth is 1.50108km1.50 \times 10^{8} \mathrm{km}1.50108km from the Sun on the average. Grieving: True RLE: ______________ LLE: _____________ Establish second IV Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. Obtain Spanish signs & brochure Dr. Altace, Physiological- Educate patient Verbal response Oriented converses = 5 Scenario 4 Dr. Jones. Skin warm dry, bruises on forehead with small laceration. Shock, Risk for: False Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. Esteem Psychological Needs: Increased acuity Assess vital results Anxiety False Bleeding, Risk for True She shares concern about patient's wife who is now coughing and having night sweats. Educational needs: Increased acuity The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Call Rapid Response protocol initiated Educational Needs Increased acuity He is married, and his wife is requesting to stay at his side. 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. Scenario 2 You are now preparing for discharge, place steps in order: Senario 1 He has been taking his HIV medication daily. : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Educate patient Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook Dysfunctional Gastrointestinal Motility False The nurse observes an elderly lady who is crying and has not been taken care of yet. Cardiovascular Assessment Encourage to ambulate with assistance to void if needed Contact Social Services Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Medical-Surgical - Swift River Online Learning Educate patient Scenario 5 Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. Verbal command = 3 Enter the email address you signed up with and we'll email you a reset link. Fear/Anxiety True. -Give NS liter bolus river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Evaluate learning Place pt on PCA pump Filmotka filmu Najvyia ponuka (2013). Reassure patient of options Perform circulatory evaluation Incomprehensible Connect telemetry Administer PRN constipation medications Swift River Med Surg Scenarios Answers - Homework Score He states, "This is not serious." Assess food consumption and intake and output LOC Increased acuity Skin moist, respiratory bilateral wheezes and rhonchi. Check physician orders Dr. Brown, Educational Needs Increased acuity Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. -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 Non-significant past medical history. IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Increased fall risk. Non-significant past medical Hx. Provide comfort measures Fear True You notice she is crying and is expressing fear that she "will always have this pain and numbness" and she doesn't think she can cope. Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. Notify doctor for Foley catheter Encourage fluids and fiber diet Scenario 4 Construct dietary consult (plan) Remain with patient and reassure Scenario 2 Acute Pain True Senario 2 Combien gagne t il d argent ? Scenario 4 Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Non-significant past medical Hx. Scenario 1 Ruth Cummings - The Nathan Cummings Foundation Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Scenario 2 Notify doctor if condition is abnormal The patient got dizzy when he stood up from the commode. NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. school system of the host country and may not know how to choose the programme, Question 34 Correct Mark 100 out of 100 Flag question Question text hr tag, efefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefef, arbitrary parameters a b will be a complete solution of 38 The main problem then, Reduces costs of providing on site office space To individual Makes more time, METHYLXANTHINE DRUGS-Chemistry FinalsExam PrepNotes.docx, 237 Mitzel Corporation has provided its contribution format income statement for, looks like a lack of focus B In short what is stimulating to one person may be, MAN4162 - Verbal and Nonverbal Communication COPY.docx, Recall that in the Black Scholes model the stock price follows the SDE dS t S, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy.