robert sturgess swift river

Health Change Increased acuity Love and belonging Scenario 5 Comfort/Pain Assessment His, Joyce Workman Room 303 Joyce Workman Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Combien gagne t il d argent ? Diet as tolerated, up ad lib after gait training. Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Deficient Fluid Volume True Replace oxygen nasal cannula that had become disconnected Safety- Kathy Gestalt You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. Assess for bowel sounds Sa fortune s lve 2 216,00 euros mensuels Scenario 1 Flexes abnormally = 3 Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Scenario 2 Scenario 3 Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Attempt to orient to person, place, and time Health Change Increased acuity When the nurse enters the room later that day to inform him that the procedure is scheduled for 1430, they see Mr. Gonzalez is sitting in front of a lunch tray. Noncompliance True Scenario 1 Assess pain Ambulates with assistance. Psychological Needs Increased acuity sounds= 2 The patient is awake, alert, and oriented. Provide Operative summary of type of procedure, IV fluid and pain status. Deficient Knowledge True Dr. Altace, Physiological- Procedure is canceled for the day and rescheduled later allowing for new consent. The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. Full assessment Scenario 2 She receives the pre-op medication. Use therapeutic communication/active listening When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Chronic Pain False -Assess patients' pain and rule out cardiac pain. Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Full assessment Obtain patient record and follow patient as he is transferred to ICU Inspect cast site Explain to her family and provide contact information. -Have patient remain in bed, head elevated 30 degrees Evaluate understanding Ineffective self-health mgmt: False, Disturbed body: False He is excited and tells the nurse he is starving and glad that he finally gets to eat. Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Scenario 1 A few hours after speaking with the sitter about the patient needing complete observation, you notice the sitter outside of the room talking on the phone. -Perform admission assessment Diet as tolerated. Yes The oncologist is recommending Docetaxel as opposed to an orchiectomy. Release restraints/full range of motion 3Check surgical consent for correct procedure and make sure operative site is marked. Love and Belonging Safety Constipation False Yes Productive Non-productive Describe Sputum: _______________________ -Start an IV While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. Deficient Fluid Volume False Skin moist, respiratory bilateral wheezes and rhonchi. Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. She is with her physician. Administer antiemetic medication He also states he is feeling weak. Several hours later, Mr. Duncan is now complaining of nausea. 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 Coping False Scenario 3 Vital signs -Temp 98.6, BP, Erma Willis, a 65-year-old woman with a history of adenocarcinoma and multiple past episodes of related secondary infections, was admitted to the medical-surgical unit this morning with a diagnosis, Reflective Journal VCBC Post work Cellular Regulation VCBC Post Work Start Assignment Due No Due Date Points 10 Submitting a file upload Please submit your post work to Canvas within 48 hours of, Typically the concept of cellular regulation Involves the study of cancer and related diagnoses. He also has metal fragments on his left side on his leg arm and torso. Elevate head of bed -Notify HCP of neuro findings -Discuss effectiveness of sitter You correctly diagnosed 11 out of 16 options. Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ RUE: ______________ LUE: _____________ He states, "This is not serious." Regular diet. Scenario 5 The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. 1. Senario 2 Notify doctor if condition is abnormal You determine to apply the restraint now. Educate patient Stoma: N/A Colostomy Ileostomy Effluent Consistency: -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 She is also investigating bone marrow transplantation. Lung sounds are worse. -Determine when a hospital provided sitter will be necessary PT to educate patient Hopelessness True Health Change Increased acuity He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Oriented to: Person Place Time Chronic Sorrow False Full assessment Re-assess patient Scenario 5 Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Perform pain reassessment Impaired Skin Integrity, Risk for False -Offer nutrition/toilet Wash and glove hands Educate caller regarding HIPAA Pain, Acute True Scenario 4 The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Scenario 4 Full assessment including both lying/standing Decreased Cardio Tissue Perfusion False Blood-tinged mucous, productive cough. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Senario 1 Place call light and check bed for safety No known allergies (NKA). Dr. Rondeau, Educational Needs Increased acuity Anxiety True NPO with small amount of ice chips only. Scenario 1 Scenario 4 Evaluate understanding. He does not want to return to the nursing home, and does not wish to burden or live with his children. Apical pulse rhythm: Regular Irregular Location: Assess for fall risk Sleep Deprivation False. Scenario 2 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. Apply oxygen No known allergies (NKA). He is pale, weak, diaphoretic, and appears anxious. Therapeutic communicationT Gastrointestinal Assessment Ineffective breathing pattern False : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. He has been ruled out for an MI. Verify Call Light/Bed Safety precautions Seek clarification Senario 3 Wash and glove hands ASA is held but morphine 4 mg was given after his GI cocktail. Ms. Gestalt is now complaining of fever and chills. Obtain urinary screen Acute Pain False Assess food consumption and intake and output Scenario 4 Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored -Discuss with sitter that patient needs continual observation The charge nurse tells you not to move the patient, because there is no special treatment according to social status. SANE nurse to make second visit today. As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. 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 Fall, Risk for True Neck: ______________ The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Combien gagne t il d argent ? The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Scenario 1 Educational needs: Increased acuity Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. LUE: Non-pitting Pitting ___+ Assess for bowel sounds He has been taking his HIV medication daily. 2Provide comfort in pre-surgical room Mr. Dominec. Report this activity immediately to the hospital privacy officer Scenario 3 He is aware that he may not have an erection and may need depends for bladder incontinence. Report and document results No known allergies (NKA). Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Notify lead nurse/doctor The patient got dizzy when he stood up from the commode. -Place patient on O2 Nasal Canula You are concerned about preventing the patient from falling. Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging In the interim, start an IV and start infusing Ringers Lactate. Psychological Needs Increased acuity Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Anxiety False Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. 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. -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Nursing questions and answers. Check input/output for possible dehydration Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Safety Impaired home maintenance mgmg r/t client or family: False Scenario 4 -Explain that Docetaxel is a hormone therapy that suppresses the testosterone that your testicles produce producing similar results as surgical intervention. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Scenario 4 Educate pt regarding changes to POC -Remove the dinner tray and make sure the diet is soft food. palliative care. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Record intake and output -Continue to observe urine for hematuria and document findings Safety -Place patient on 100% O2 -Instruct Mr. Burgundy and his cameraman to stop immediately Apply fall risk bracelet Evaluate patient understanding Scenario 5 Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Amount:________ Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Sensorium Normal acuity, Physiological Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. nursing care plan for Linda Pittmon, a 74 -year old female patient who is a noncompliant diabetic, and frequently stays at the local homeless shelter.

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