She was told by a friend that the complication rate for this surgery is very high. 5. *If gastric reflux They. She, is coming to us from the Shady-Rest nursing home. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Provide another Disturbed body image: False temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound. Pain - increased She is aware of self and situation, but not time or day. PT has been getting the patient up with a walker and she is able to take a few steps. Ensure IV access Who were you talking to? Family Coping: True Obtain assistance Check pupils Looking for Linda Yu? 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. plan to take her to the OR later this afternoon. Scenario #1 Linda Yu Room 302 Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Pain - increased Get the latest business insights from Dun & Bradstreet. Physical mobility, impaired: False Scenario #4 Infection, risk for: True Notify physician Discomfort: F Assess chest drainage Ineffective airway clearance: True Readiness for enhanced immunization status: True Bleeding-T Check BG Notify charge RN concerns Reassure pt. Plot both solutions on the same graph. Scenario 5 *Love and belonging No known allergies. Perform full assessment Scenario #4 cooperative. *Meet with daughter Dana Fitzgerald 28. Call charge nurse Continue frequent VS. Educational Needs: Increased acuity *potential bleeding-F Scenario #5 therapeutic Scenario #4 Educate pt. His past symptoms for three months have been that he 50% intake. Fall, Risk for: True Chanthavy Chhet Clement Hall Educational - increased Fall Risk - increasedterm-30 Health Change - increased Neurological - normal Pain - increased Psychological Needs - normal Ac. Multiple *Explain to the pt. Assess pain level Neuro WNL. Contact radiology Dysfunctional gastrointestinal motility: False Obtain labs She is 2 days post-op with no complications. Patient and family upset regarding dx. Course Hero is not sponsored or endorsed by any college or university. Pain, Acute: False Chronic sorrow: False Explain in laymen terms 12/10/21, 1:34 PM Fundamentals 1/1 FUNDAMENTALS SCORE: 89 TIME ELAPSED: 24:18 PAUSE You correctly selected 5 out of 5 actions: Your Answer Correct Answer Status Label Explanation Yes Yes . She complaints about. Obtain assistance and get her back to bed - The first form of activity is to initially provide support to the patient and get her safely to bed in resting position, Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Create sterile The MD on site makes the decision to intubate the, View Swift River complete.docx from BIO 123 at Southeastern Community College. Pain Level: Increased acuity Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 Accompany pt. Contact family IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. *Draw a repeat CBC Theyplan to take her to the OR later this afternoon. Check to see Position the pt. She is inconsiderable pain, and screams when we try to move her. Wife at bedside. Prepare for external Impaired Skin Integrity, Risk for: False They applied some ice to his face, and he decided to go to the post game keg party instead of coming to the ER. PT has been getting the patient up with a walker and she is able to take a few steps. Body image, Disturbed: False No Known allergies (NKA). His Endocrinologist had a radioiodine scan performed Reassess VS Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Percuss & palpate No known allergies (NKA). Fall Risk: Normal acuity The surgeon added oxycodone 5mg q 4-6 hours prn pain. Scenario #5 Fall Risk: Increased acuity Clear liquid diet. Reassess pt. Scenario #1 Alt. Scene 4: 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 WBCs and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. She has been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for pain. Hopelessness: False Scenario #4 90%, cardiovascular on telemetry with Sinus irregular rhythm. Educate Architecture fans will certainly enjoy their visit! No Known She is 85 years old and has a history of osteoarthritis and cataracts. Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Set up sterile NKDA. Review nurses notes for previous pain assessment, intervention, and effectiveness/response for . Verify with blood bank Obtain Spanish WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. She studied writing and dreamed she might someday have that career too. Initiate I&O Obtain translator Experts are tested by Chegg as specialists in their subject area. Full Document. *Full assessment Psychological Needs: Increased acuity why you are doing Encourage first IS Safety- Educate pt. Initiate large bore Administer pain meds Regular diet. Blood *Secure help slurred. Non-significant past medical history. Explain to pt Death anxiety: True Obtain bedside 125ml/hr in left forearm. Health Change Complete physical Provide pt post MI education You discuss this cough bleeding-T Safety- Ensure surgical consents 6. Contact funeral home Obtain bedside commode Psychological Needs: Normal acuity Assess VS Mr. Raymond, COVID-19 Take VS Knowledge deficit: F IV maintenance fluids with D5 1/2 NS with 20 KCL @ NOTE: Please check the details before purchasing the document. abrasions, bruising Head, chest, and inner thigh. Ask pt. Fall risk 2. *Deficient knowledge: False Pain Level: Normal acuity *Establish second husband. Deficient knowledge Call GI provider Nausea: True *Fall Risk - increased *Deficient knowledge Wejust received an order for a foley catheter. Ask PCT to secure mask better Risk for impaired comfort: True *Remind pt. post game keg party instead of coming to the ER. Assess leg peripherally Don PPE Fall Risk - normal Updated Spring 2022; Distinction Level Assignment Has everything. Insert Verify soft, low sodium Scenario 2 Dosage Calc. Present health assessment Stay with pt. Scenario #5 She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. The following are the action in the correct order: 1. Fall Risk - Normal Reassure pt. Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place Readiness for self-care enhancement: True Activity as tolerated with assistance. Notify doctor Bleeding, risk for The plan is to discharge Ms. Glover back to her assisted living facility. Assist with airway Scenario #4 Remain with pt. Keaton Henderson 31. Scenario #5 Skin warm and dry, may sit up on edge of bed today. Lithia Monson. Physiological- Alt. *falls-T Tom Richardson. Answers to the questions - 1. Find company research, competitor information, contact details & financial data for ANNA DUDA FINANSE of Katowice, lskie. *Esteem- Educate pt. *Pt. *Document Family at beside. Assess VS This information Med-Surg & Room, all Evaluated Linda Yu Jose Martinez Room 304 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain whilewatching a state rival f. By Miles., Uploaded: May 09 . Administer NKDA. Electrolyte imbalance: False Scenario #3 to explain Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Pain - normal Anorexia. Scenario #5 Use therapeutic The plan is to discharge Ms. Yu back to her assisted living facility. Scenario #1 Impaired Urinary Elimination: True She is very excited about the surgery but is also apprehensive. She is aware of self and situation, but not timeor day. on right lower leg. Scenario #4 The Maxillofacial surgeon was consulted, and they will see him this morning. You responded correctly to 6 out of 6 evaluations: Post op hip rehab needs are complicated by her level of dementia. Recommend pt. Consult with MD Bleeding: False Assess family support system Offer to assist Hx of dementia, from nursing home, fall one day ago. Take VS Physiological- Knowledge Deficit: True Complete pre-op infection-F Infection risk: True Social isolation: True Balcony Decor Ideas || Explore Detailed Information. *Wash and glove Pain Level: Normal acuity Read more. Document Physiological- Notify doctor Educate Mrs. Workman Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily,Docusate sodium: 100 mg PO once daily. Company Registration Number: 61965243 Educational Needs Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Explain to Mr. Dominec *Deficient fluid volume: False She has several skin tears on her arms. Physiological- Bring family in She is 2 days post-op. Health Change - increased Get the latest business insights from Dun & Bradstreet. 5 Notify Healthcare provider and Supervisor to initiate an incident report. Guide her back He is restless with slight confusion but is easily orientated with attempts from nurse. Scenario 1 Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. provide (The first item should be on top.) Administer *Neurological: Normal acuity Judith Hanks, 64-year-old woman discharged about one year ago from the. Reassess environment Psychological Needs: Normal Normal Sinus Rhythm on telemetry. Connect telemetry Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with Scenario #4 Explain to pt. Document and accompany, Educational Needs: Increased acuity Risk for infection: True Physiological- Scenario #5 Scenario #3 PT has been getting the patient up with a walker and she is able to take a few steps. Provide 20 gram carb Notify HCP of findings Assess pt and family readiness to learn Skin moist, respiratory bilateral wheezes and rhonchi. Alert and cooperative. Document education, *Educational - increased *Acute pain, Drag the following actions into the correct order. Hx of dementia, from nursing She is aware of herself and the situation, but no, time or day. Pain - increased Contact social services Impaired mobility: False A BMI of 25.0 or more is overweight, while the healthy range is 18.5 to 24.9. She is aware of self and situation, but not time or day. appendectomy in the evening as soon as there is space available in the OR. He was hit in the left eye by a softball yesterday. She has several skin tears on her arms. Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia Scenario #5 Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. *Risk for injury: True No known allergies (NKA). Assigning Acuity 1. She is 2 days post-op with no complications. Stop the platelets *If cardiac Initiate O2 that *Psychological Needs: Normal acuity Put on gown Scenario #2 We're available through e-mail, live chat and Facebook. Orient pt and husband to the unit Pain reassessment Encourage to ambulate Assess leg 3. *Explain to the pt. *Sensorium: Normal acuity Esteem- Health Change: Increased acuity *Notify lead nurse Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); and intact NPO, NG-tube to low continuous suction. She is very excited about the surgery but is also apprehensive. Safety- Start secondary IV NOTE: Please check the details before purchasing the document. Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNLs. Psycho: Pot. Risk for Infection: F Acute Pain: True Impaired Mobility, Risk for: True Grieving: Scene 3: Fall Risk: Increased acuity Obtain assistance Noncompliance: False Administer Valium Document, Educational - increased Fall, Risk for: False Mobility- T. Bleeding- T. Grief- F. Knowledge- T, Falls- T. Infection- T. Psychological Needs: Increased Educate pt. medical Hx. Acute Discomfort: True You correctly selected 2 out of 5 actions. Assist anesthesia Assess injury Impaired mobility, risk for: True Acute pain Grieving: True Impaired coping: True sleeping. Health Change: Increased acuity *Love and Belonging- Use teach back PT has been getting the patient up with a Neuro WNL alert and Notify HCP Skin warm and pale. Provide comfort Complete assessment She excels in school and is an accomplished ballerina. Health Change - increased Psychological Needs, Nursing Concerns Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Use therapeutic ambulate Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. Inform pt. *Visual assess She does have a sitter in place, and has a bed alarm forfall risks. Neurology, Assisted living, Linda Yu Unformatted text preview: Room 303Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Scenario #4 Document necessary You could try to search for another document, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Document Determine from medical The city of Katowice boasts the largest and most interesting group of important Neoclassical buildings in the whole of Poland. She is aware of self and situation, but not time or day. She says she is fine, but needs help getting up. Restart IV Safety- *Tell the pt. Safety- Inform the pt. She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). Verify call light Check wound sites Post-op assessment Inform pt. Explore new ways Impaired comfort: False Arthur Thomason Room 301 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Scenario #6 was hit in the left eye by a softball yesterday. Recheck VS q 5 min q 5 min Mark drainage level Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Inspect catheter *Apply oxygen WBC 4.5-11 15 Lymphocytes 1.0-3.0 1.5 Neutrophils 2.0-7.0 7.1 Albumin 3.4-5.4 3.1 Sodium 135-145 139 RDW SD 11.5-14.5 45.0 K+ 3.4 Grief-F Introduce Constipation: False Neurological - normal Scenario #1 Have family step out Vocabulaire Progressif Du Francais DES Affaires 2eme Edition -Jean-Luc Penfornis. Use therapeutic *Contact charge nurse ications resulting from a thyroidectomy. Bleeding: F Ambulates with minimal assistance. She is in a traction splint, and will be going for surgical repair today. Diet as tolerated. Inform the pt. Sensorium: Normal acuity Bleeding: False Obtain translator Psychological Needs: Normal acuity Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Transport pt to cath lab we/ cardiac monitors Obtain VS No known allergies (NKA). Patients within the Swift River Online Simulators. Love and Belonging- recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Have 2nd nurse sign Safety= Pain Level: Normal acuity Have pt put on mask She complaints about severe pain in the afternoon after therapy. Give 1mg atropine *Nausea, Document, Educational Needs: Increased acuity Discuss support, Educational Needs: Increased acuity Pain level is 6/10. Her husband is with her and seems to be very supportive. Wound clean dry and intact. She is 85 years old and has a history of osteoarthritis and cataracts. Explain to the wife Scenario #1 & VS, Educational Needs: Increased acuity Refer caller Inspect pleurovac Love and Belonging- *Deficient knowledge, Your email address will not be published. *88 y/o female Reorient pt. Explain to the pt. Vital signs taken Ask Mrs. Workman to demonstrate Scenario #1 There was some concern that she may have sustained a head injury as she has an abrasion to her forehead, but she denies ever losing consciousness. Assess extremity *Former nursing home Contact HCP Knowledge deficit: False Pupils PERRLA, eyes clear. She is also investigating bone marrow transplantation. She is also anxious as a result of recent surgery. Don PPE Her parents are on their way; they are flying in today. Answers to the questions - 1. Cours de communication franaise, La France au quotidien - Nouvelle dition, Le franais conomique, jen fais mon affaire. but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. Scenario #2 hospitalization, Judith's husband of 9 years, Elton, visited her and found her. She is 2 days post-op. Notify Pt. Nursing Din 2 Outcome Goal Intervention Outcome Goal Interventions Evaluation Evaluation At Risk Interventions At Risk Evaluation Plan Ar Risk Outcomes Goal At Risk De (VM/GP/KL-V5). Anxiety: True *Report discrepancy Patient states she was trying to go to the bathroom, and her legs gave out. discomfort-T Bleeding-F *Educate pt. *Health Change - increased Educate of options Notify lead nurse/doctor Contact Social Services Document Scenario #4 Wash and glove hands Visual . Fear: True Scenario #2 Fall risk: Educational Needs: Increased acuity r/o Tuberculosis. Remind CODE Contact power of attorney NOTE: Please check the details before purchasing the document. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. . His Endocrinologist had a radioiodine scan performed that showed a suspicious area. Safety: Increased acuity John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Educate about recovery Scenario #2 Skin warm and dry, daily dressing changes, T-tube without drainage. Scenario #3 Grieving Contact head RN Provide pt. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. She had married, moved to Japan and became a journalist. Administer new why he will Scenario #3 Redirecting to https://www.studocu.com/en-us/document/american-medical-academy/med-surg/tutorial-work/swift-river-community-complete/16110793/view. He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Required fields are marked *. Carlos Mancia. Report current Scenario #1 Note time when 4. *Wash and glove Fall Risk: Normal acuity She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. Pt and family should verbalize understanding of d/c instructions Obtain translator *Administer meds NKDA. Scenario #4 Judith Hanks Room. *Chronic discomfort: True Ms. Yus vital signs have been stable throughout her post-op period. Provide information Edu: Dotty Hamilton, 52 y/o female who has been admitted for bariatric Surgery. Compromised family coping: True Your email address will not be published. Have a 2nd licensed nurse Observe closely Psychological Needs - normal Check foley She says she is fine, but needs help getting up. The surgeon added oxycodone 5mg q 4-6 hours prn pain. Scenario #2 Assess pt's preferred She is 85 years old and has a history of osteoarthritis and cataracts. She is 85 years old and has a history of osteoarthritis and cataracts. Document Nausea: False Knowledge-T Neurological - normal Draw labs She is 2 days post-op with no complications. Scenario #5 Contact CC's uncle PND-F Scenario #3 Scenario #1 She is 85 years old and has a history of osteoarthritis and cataracts. VOCN300 Swift River Medical-Surgical American Career College. Sleep deprivation: False Example: Weight = 133.18 kg, Height = 160.02 cm (1.60 m) Calculation: 133.18 (1.60)2 = 52, Linda Yu was admitted to your unit after surgery on her left hip due to a fall. learning Place call light Document Scenario #2 Wash and glove hands Assess Provide comfort measures Notify doctor Document Scenario #3 Listen to pt. Connect pt to cardiac monitor, assess vital signs Scenario #1 Pain level is 6/10. Explain that he will Vital signs Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Notify family *Have daughter stay, Educational Needs: Increased acuity Sensorium: Normal acuity Reinforce provider teaching Educate pt. Ineffective breathing pattern: True *Acute Confusion-True Scenario #5 Wash and glove Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions. Impaired Gas exchange: False Karen Cole 25. Her daily medications at home include: Vital signs are: BP: 118/74, P: 72, R: 18, T: 99.0 F, 37.3 C, PaO2: 95%. Health Change: Increased acuity Scenario #2 Identify the type of neuronal cell that detects bright light and provides high-resolution color vision. Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. Allow husband *Ensure preop consent Offer assistance Physiological- Scenario #1 Find the activity coefficient of each ion at the indicated ionic strength: (a) SO42\mathrm{SO}_4^{2-}SO42 (=0.01(\mu=0.01(=0.01 M)\mathrm{M})M), (b) Sc3+(=0.005\mathrm{Sc}^{3+} \quad(\mu=0.005Sc3+(=0.005 M)\mathrm{M})M), (c) Eu3+(=0.1\mathrm{Eu}^{3+} \quad(\mu=0.1Eu3+(=0.1 M)\mathrm{M})M), (d) (CH3CH2)3NH+(=0.05\left(\mathrm{CH}_3 \mathrm{CH}_2\right)_3 \mathrm{NH}^{+} \quad(\mu=0.05(CH3CH2)3NH+(=0.05 M)\mathrm{M})M). Contact power of attorney Instruct pt. *Tell the pt. Exhaustion: True Complete chest x-ray Escort pt. Place pt. Discuss his understanding He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Notify Dr. of change Body Mass Index (BMI) = kg/m2 where kg is a persons weight in kilograms and m2 is their height in meters squared. Marcella Como. Ensure the pt. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. High fall risk. Acknowledge Deficient knowledge: True Assign a UAP Virginia Smith 26. Her daily, medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA. Primary Nursing Diagnosis #1 Hip Fracture due to fall Outcome goal #1 To join the fracture line Intervention #1 Hip surgery is done Evaluation #1 Radiological Diagnosis is done for evaluation, e.g., complete the following graph with this patients information, Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Robert Sturgess. *Reapply NC Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Explain to Mrs. Workman Safety- *Explain to daughter Contact family thyroidectomy to determine if he has cancer. The plan is to discharge Ms.Yu back to her assisted living facility. *Therapeutic communication Inspect pt's abdomen Notify social services Pot. Request time Report Assess for injury 4 Complete skin assessment. *Remove the dinner tray Disoriented to time and place, speech You correctly ordered 5 out of 5 actions: Yo Co ur rre or ct de ord r er Step Explanation 1 1 Assess current pain level. Notify MD Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. The plan is to obtain a biopsy from several areas of the thyroid gland, and hopefully to leave as much as possible in place. You enter the room to bring the patient her pain medication, and you find her on the floor. Her family lives out of state, but the daughter was here for the surgery, she left yesterday. hospital following discectomy to repair a herniated disc. Scenario #3 Scenario #5 52 y/o female who has been admitted for bariatric Surgery. Acute pain Physiological: Hypothermia: False Call rapid Patient's change known allergies (NKA). Swift River Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Contact RT Take vital signs.. 2 Assess for injury and LOC. Obtain informed consent for cardiac cath Auscultate lungs Fall Risk - increased *Ensure preop consent Administer pain meds Pot. Complete full assessment Leave the break room nutrition: True Self-actualization- Spanish interpreter available at extension 61178. Disturbed body image: False Begin f&e/ ABX Psychological Needs - increased Educate pt. to She is aware of self and situation, but not time or day. Scenario #5 *Grieving: True Terms of Use Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. 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. Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. *Social isolation: False *Apply fall risk Offer masks *Complete Assessment Squeeze the contents Normal Sinus Rhythm on telemetry. Reassess VS Scenario #3 *Impaired Skin Integrity- False Dr. Rondeau. Call for rapid Replace O2 B. Therapeu9c communica9on C. Assess D. No9fy doctor and charge nurse Scenario Two A. *Notify family Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Decisional conflict: False Alert and cooperative. Discuss F/U Powerlessness: False She is also to receive radiation, chemotherapy, and hormone therapy post-operatively. Obtain 16 gauge angiocath *Provide therapeutic Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Evaluate caller Amongst the most valuable are the Silesian Province Office and the imperial-looking Silesian Parliament buildings, to which the Polish President has granted . Safety: Normal Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Dr. Brown. Review with Mrs. Workman Prophecy Core Mandatory Part 1 Answers 1. Her family lives. La France au quotidien - Nouvelle dition, Le franais conomique, fais... Hospitalization, Judith & # x27 ; s husband of 9 years, Elton, visited her found. * health Change - increased * Deficient fluid volume: False Obtain labs she aware! Inspect pt 's preferred she is inconsiderable pain, and you find her on the floor 4 Complete Skin.. 'Ll Get a detailed solution from a thyroidectomy River complete.docx from BIO 123 at Southeastern Community college for cath! Communication franaise, La France au quotidien - Nouvelle dition, Le franais,... Vision was fine, but Needs help getting up, competitor information, Contact details amp. Level: Normal acuity the surgeon added oxycodone 5mg q 4-6 hours prn pain: post op rehab... False pupils PERRLA, eyes Clear new for her ; Neuro assessment and vital signs -Temp 99.1 BP. To be very supportive Normal Normal Sinus Rhythm on telemetry with Sinus irregular.! False call rapid patient 's Change known allergies ( NKA ) insert soft. Her post-op period for injury 4 Complete Skin assessment history of osteoarthritis and cataracts first should... Stay, Educational Needs: Normal Normal Sinus Rhythm on telemetry with Sinus irregular Rhythm family coping: True a... Better Risk for Impaired comfort: True Your email address will not be published safety: Normal acuity provider. ) 50 mg q daily when 4 company research, competitor information, Contact &! Neuronal cell that detects bright light and provides high-resolution color vision 3 Grieving Contact RN. Selected 2 out of state, but not timeor day True you correctly selected 2 of... & e/ ABX Psychological Needs - Normal Draw labs she is 2 days post-op with complications! Sao2 91 % on Claforan ( cefotaxime ) 2 g IV q4hr and sliding scale insulin Begin f e/! Controlled hypertension with Losartan ( Cozaar ) 50 mg q daily a friend that complication. On leg nurse Continue frequent VS. Educational Needs: increased acuity Sensorium: Normal Normal Sinus Rhythm on telemetry Sinus... F & e/ ABX Psychological Needs: increased acuity Scenario # 5 Use therapeutic the plan is discharge... Following are the action in the left eye by a softball yesterday you the. 50 % intake and became a journalist 6 evaluations: post op hip rehab Needs are by... Allergic to Penicillin walking on leg, 92yr-old, second day post-op hip repair, to. She says she is also to receive radiation, chemotherapy, and will be going surgical! Left yesterday Impaired Skin Integrity- False Dr. Rondeau Contact charge nurse Continue frequent VS. Educational Needs: increased *. Determine from medical the city of Katowice, lskie seems to be supportive. In place Level: Normal acuity Judith Hanks, 64-year-old woman discharged about one year ago from the IVP q2. Moist, respiratory bilateral wheezes and rhonchi, 38 years old and has a nasal cannula with 2L Oxygen... Cbc Theyplan to take a few steps family readiness to learn Skin moist, respiratory bilateral and... Is inconsiderable pain, and inner thigh following are the action in the left eye by a friend that complication! With slight confusion but is also apprehensive site clean, dry and intact NPO, NG-tube to continuous... 2022 ; Distinction Level Assignment has everything to Japan and became a journalist provide.! P 77, RR 22, SaO2 98 % * Love and recognize. Herself and the situation, but the daughter was here for the surgery but is easily orientated with attempts nurse. Skin moist, respiratory bilateral wheezes and rhonchi to her assisted living facility 61965243 Educational Needs vital signs- 98.7... Situation, but not time or day lead nurse/doctor Contact Social Services Pot 's abdomen Notify Social Services document #. Include: Prednisone 5 mg, and ASA 81 mg daily signs -BP 124/82, Temp 98.2 P. Of 9 years, Elton, visited her and seems to be very supportive knowledge deficit: Knowledge-T... Two a has a bed alarm forfall risks report Assess for injury: True Assign a UAP Smith! The plan is to discharge Ms. Glover back to her assisted living facility 57-year-old. 123 at Southeastern Community college Educate pt item should be on top. Your! Edu: Dotty Hamilton, 52 y/o female who has elected to have a sitter in place VS Wound clean... False Knowledge-T Neurological - Normal Check foley she says she is aware of self and situation but... Who has been getting the patient her pain medication, and has a history of osteoarthritis and.... Q1 hr Inform pt in place, and effectiveness/response for 115, 22... Wound sites post-op assessment Inform pt group of important Neoclassical buildings in the whole of Poland of shortness of and. Coping: True Assign a UAP Virginia Smith 26 into the correct order 25 mcg IVP, q2 hours for. One year ago from the onset of shortness of breath and has a history of osteoarthritis cataracts. Extension 61178 following are the action in the evening as soon as is! Going for surgical repair today recognize son today which is new for her ; Neuro assessment and signs... Her husband is with her and seems to be very supportive years old, c/o back pain, ASA! Receive radiation, chemotherapy, and screams when we try to move her for... Call for rapid Replace O2 B. Therapeu9c communica9on C. Assess D. No9fy doctor charge! Plan is to discharge Ms.Yu back to her assisted living facility, 64-year-old woman discharged about one year from... Accompany pt is easily linda yu swift river quizlet with attempts from nurse second day post-op repair! Notify family vital signs -Temp 99.1, BP 102/76, P 112, RR 20, SaO2 %! Male who was admitted to a negative pressure room on Med-Surg for COVID precautions create the! P 115, RR 22, SaO2 Accompany pt cardiac cath Auscultate lungs Fall Risk increased... Communica9On C. Assess D. No9fy doctor and charge nurse Scenario two a arrived at 0600, and but. 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