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She is having some difficulty breathing. Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. -Reassess patient Oriented to: Person Place Time Powerlessness: True, Scenario 1 Mr. Greer has just been visited by his wife. Pain Level Increased acuity Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University Use therapeutic communication/Active Listening Yes Educate patient The oncologist is recommending Docetaxel as opposed to an orchiectomy. -Advise sitter to notify nurse when leaving the room Scenario 2 : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Educate patient Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Ms. Gestalt is now complaining of fever and chills. Establish second IV Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. His partner is not with him at this time but will arrive soon to facilitate his discharge home. The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. Escort patient Impaired Skin Integrity, Risk for True Yes Productive Non-productive Describe Sputum: _______________________ Provide Operative summary of type of procedure, IV fluid and pain status. Re-assess patient Combien gagne t il d argent ? Obtain urinary screen Observe closely first hour Description: Sharp Stabbing Throbbing Aching Cramping Other: Nausea False -Begin q15 minute neuro checks Ms. Cumble states that she has not had a BM for three days. Then the bus splashed into the river for a cruise. Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Administer antipyretic medication Scenario 3 Skin warm and dry, may sit up on edge of bed today. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Perineal Care Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Stay with patient for surgeon's arrival to explain intended surgical procedure Self-Care Deficit: True Apply oxygen Biopsies were sent to determine the treatment. Fall Risk Increased acuity Identify patient Disturbed Body True Notify family Sexuality: True. Place patient on PCA pump Glasgow Coma Scale 0-15 Musculoskeletal jessdevan. Impaired home maintenance mgmg r/t client or family: False Assist patient Evaluate learning No known allergies (NKA). You also notice the patient is more difficult to orient. The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Document results/findings His overall health is good, and he has known he has been HIV positive for the past five years. Fall Risk Increased acuity IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Educational Needs Increased acuity Acute pain: False His children are visiting, and they are very supportive. Where is my camera man!! Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Grieving True Provide comfort in pre-surgical room Mr. Dominec. Senario 5 Skin warm and pale. Wash and glove hands Alleviating Factors: Last pain medication: -Complete incident report. Spiritual Distress False. Scenario 3 Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. Normal Sinus Rhythm on telemetry. Shock False Scenario 5 Hypothermia False The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. No known allergies (NKA). Health Change Increased acuity Explain that he will probably not be going home at least until his doctor sees him. -Tell the patient to call immediately if the chest pain gets worse or they become short of breath Scenario 2 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Psychological Needs Normal acuity Sleep Deprivation False Contact Social Services 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 Acute Pain True Administer antiemetic medication Dysfunctional Gastrointestinal Motility False Scenario 4 He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. NG tube to low suction possibly D/C'd today after Dr. Levine rounds. You are concerned about preventing the patient from falling. Administer pain medications Impaired Comfort True Dr. Brown, Educational Needs Increased acuity Nutritional Intake: Adequate Inadequate BMI: Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Psychological Needs Increased acuity Health Change Increased acuity Water/Flush: Spanish interpreter available at extension 61178. Deficient Knowledge False Wash and glove hands They wanted to know and pressure you for the information. Educate patient regarding condition Scenario 4 Notify lead nurse Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Educate patient regarding patient care The lesion was identified as Kaposi's Sarcoma. Noncompliance True Use therapeutic communication/Active Listening Sensorium Normal acuity, Physiological Imbalanced Fluid Volume, Risk for True -Offer nutrition/toilet Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Swallowing: Intact Dysphagia Aspiration Precautions 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! Electrolyte Imbalance True -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Impaired Gas Exchange True Document results and findings Evaluate understanding Mr. Duncan is now complaining of feeling "dizzy" when he stands. Verbal command = 3 Scenario 3 Scenario 1 Use therapeutic communication/active listening You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Educate patient regarding changes to POC Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Clinical 2. Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. Notify doctor for Foley catheter Acute Pain True Vital sign assessments Love and Belonging -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. 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) Fall, Risk for True The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. Use therapeutic communication/active listening The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Scenario 4 Scenario 1 Bed Bath: Assist or Total Esteem Scenario 2: 1Educate about recovery from appendectomy and care to wound. No known allergies (NKA). Senario 2 Scenario 4 Scenario 1 -Reinforce to the patient to not get out of bed Educational Needs Increased acuity -Draw a repeat CBC per HCP order to determine current Hemoglobin status Acute Pain: True Vital assessment Senario 2 Combien gagne t il d argent ? Safety -Explain procedure to the patient He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. Reasses temp in 1 hour. Senario 2 Educational needs: Increased acuity Record intake and output It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Document results. Ineffective Self-Health Management False Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. Family in room with patient very concerned. Scenario 2 Impaired Mobility, Risk for True Scenario 4 Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." Because of the fall the provider has recommended that he stay in the hospital another night. Imbalance nutrition: True and the GI cocktail given in the ER did relieve his CP but not completely. LOC Normal acuity He does not want to return to the nursing home, and does not wish to burden or live with his children. Fall, risk for: True Remain with patient Fear True Several hours later, Mr. Duncan is now complaining of nausea. Senario 3 Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent High fall risk. Physiological- The 'Strandperle' (lit. Pain Level Increased acuity Temperature is now 102.8. Call Rapid Response protocol initiated r/o Tuberculosis. You enter patient's room. Document results. Shock, Risk for False They were also concerned about the next patient going into that room and the use of the lavatory. 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. Pain Level: Increased acuity Powerlessness True. Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. 45 terms. Safety- She has been admitted to the floor with complaints of numbness in her right foot and ankle. Perform circulatory evaluation Non-significant past medical Hx. Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). -Assess patient LOC, by walking patient and asking them to take deep breaths. Deficient Knowledge True Scenario 5 Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Document findings Scenario 5 Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Bleeding, Risk for True Do not disturb Check monitor Wash and glove hands Decreased cardio tissue perfusion: False Notify doctor and charge nurse Check physician orders Obtain translator Assess pain 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. She is also investigating bone marrow transplantation. Acute Confusion: True Call rapid response Scenario 2 Employ therapeutic communication: present reality Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! Scenario 3 Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Document results You return to the break room on your floor. Document results/findings Discharge instructions Scenario 4 Assessment of bowel movement Emergency intubation and assisted breathing is provided for Mr. Thomason Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Verify call Light/bed safety precautions Full assessment DSD (dry sterile dressing), forehead laceration clean and dry intact. His left humerus is fractured and splinted. Clear liquid diet. 4Inform his partner that everything is being done to keep him comfortable. Auscultate peripheral pulses and ROM. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. 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. Offer nutrition/toilet Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Compromised Family Coping False Scenario 3 After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Vital re-assessment Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Acute Confusion False Consult Social Service Mrs. Pittmon states she has had numbness for years but "now I can't . Too bad the cruise area was a very unatractive part of the River Elbe. Use therapeutic communication/Active Listening Dr. Suculo, Physiological Dr. Donofrio. The oncologist is insistent that the treatment begin immediately. Wash and glove hands Obtain and provide the infectious disease doctor's contact information for him. Scenario 3 Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment His wife tells the nurse that he seemed very distant and did not want to talk much. Start secondary large bore IV line Elevate head of bed He does not have an IV nor is he on oxygen. Scenario 5 Safety Sensorium Increased acuit, Physiological Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. He has not had his BP medication today. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). She has just been transported from recovery. No known allergies. Urination: WNL Burning Frequency Urgency Sa fortune s lve 2 000,00 euros mensuels Senario 5 Scenario 5 How was this Verbal response Oriented converses = 5 Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Scenario 2 Full assessment Flexes abnormally = 3 Safety Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Bowel Movement Total: x________________, Hygiene Times SANE nurse to make second visit today. Scenario 5 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. Notify lead nurse/doctor Decreased Cardio Tissue Perfusion False Verify Call Light/Bed Safety precautions Physiological- Multiple abrasions, bruising Head, chest, and inner thigh. You correctly diagnosed 11 out of 16 options. Noncompliance: False Palliative care. Nausea False You notify the charge nurse that you have never taken part in inserting a chest tube. Sarah Getts Scenario 5 -Perform neuro assess Scenario 1 The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Encourage Mr. Dominec to discuss with his partner his best treatment options. Pupils PERRLA, eyes clear. Scenario 3 LOC Normal acuity Scenario 2 Senario 5 View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. He was recently treated for a URI with a Z pack, prednisone, and Motrin for pain. Document results Scenario 2 D/C plan- decrease pain and restore normal gait. Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. 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. NPO with small amount of ice chips only. Do not probe further Constipation False Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. Ineffective self-health mgmt: False, Disturbed body: False Bladder distention Pelvic pain Low back/flank pain Scenario 3 Scenario 5 Lung sounds are worse. BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Ms. Rails states that she has not had a bowel movement (BM) in the past two days. -Assess for fall risk Physiological While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery.