IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Bleeding, Risk for True Scenario 4 Safety Increased acuity, Physiological Dr. Jones. Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." You correctly diagnosed 11 out of 16 options. The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". The patient is being prepared for discharge and his IV has been removed. Safety Increased acuity, Physiological Fatigue True Scenario 5 Deficient knowledge: True Discuss his understanding about the plan of care. Notify Physical Therapy (PT) 1Perform full assessment and provide anti-nausea medicine. LOC Normal acuity -Assess patient's understanding of the teaching and discuss home support, os de la main et de la ceinture pelvienne, Julie S Snyder, Linda Lilley, Shelly Collins. Regular diet. Scenario 1 Obtain translatorT -Reapply the NC that he was admitted with at 2L Review pain medication order No known allergies (NKA). Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Senario 3 Grieving True
Scenario 1 Apply restraint Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Scenario 2 -Take initial vital signs (room air Pulse Ox) Psychological Needs Increased acuity Prior to changing shift, you enter the patient's room to complete a full assessment, and Ms. Monson is now crying asking to for someone to take her home! Scenario 3 Scenario 1 Wash hands Sleep deprivation False Ineffective Self-Health Management False Full assessment Her chart reports she was extubated upon arrival to the recovery area, received three units (3000 mL) of fluid, receiving O2 @ 4L via nasal cannula, has Foley Catheter in place draining QS clear yellow urine, responds to verbal stimulation, chest dressing in place remains dry and intact, and has just received a small dose of IV morphine for pain. Pain Level Normal acuity Scenario 2 Ambulates with assistance. Hx of dementia, from nursing home, fall one day ago. Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage 97.4, Resp 16 and Pulse Ox 94%. Attain fluids/fiber diet and assisted ambulation Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Observe closely first hour Deficient knowledge: True 1. The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate).
Fortune Salaire Mensuel de Ticketmaster Beyonce Koln Combien gagne t il -Reassure patient that he will be moved to a private room as soon as possible Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Evaluate understanding Educational Needs Increased acuity Scenario 4 No Known allergies (NKA). -Discuss effectiveness of sitter You explain that his condition has worsened and now he has been taken to ICU. Constipation False Provide a few chairs if possible for her family to also be comfortable Pain Scale: 0 to 10: _______________ Anxiety True Connect telemetry Evaluate patient learning Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Pain and numbness in legs for one week. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. 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.
Eclectic Recipes Fast And Easy Family Dinner Recipes Scenario 1 Regular diet. Mr. Greer has just returned from surgery. ASA is held but morphine 4 mg was given after his GI cocktail. How does the Med-surg simulator work? Cardiovascular Assessment After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! Diet as tolerated. Fall, risk for: True He is excited and tells the nurse he is starving and glad that he finally gets to eat. Scenario 3 Esteem Scenario 3 Scenario 2 Fall, Risk for True Scenario 2 Impaired mobility: False His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Impaired Home Maintenance management r/t client or family False Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Taking HIV Meds prophylaxis. Safety NPO with small amount of ice chips only. Ruth Cummings Trustee Vice Chair Audit Chair . Ms. Gestalt is now complaining of fever and chills. Therapeutic Communication Decisional Conflict False Provide comfort and pain measures Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Health Change Increased acuity Yes #1: _________, No Scenario 1 Explain that he will probably not be going home at least until his doctor sees him. Sensorium Normal acuity, Physiological r/o Tuberculosis. -Have patient remain in bed, head elevated 30 degrees Administer antipyretic medication Deficient Knowledge True Self-Care Deficit False View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Fear: True Wash and glove hands His partner is not with him at this time but will arrive soon to facilitate his discharge home. Administer antipyretic medication Notify lead nurse/doctor Constipation, risk for: True August 13, 2020 // by Angela McGowan. Radiofrequency ablation may be recommended after endoscopic resection.
Welcome [evolutionmkt.co.za] Physiological- Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Scenario 5 Some hair on the left side of his head has been burned off, as well. Pain Level Increased acuity -If cardiac is suspected call the provider and the rapid response team. Use therapeutic communication/Active Listening Assess -Ensure bed is in lowest position, and rails are in place Safety Increased acuity, Physiological Educate patient Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Dr. Brown, Educational Needs Increased acuity Read PT report The patient asks the nurse to explain about these medications and why they are in such a hurry. -Tell the patient that they are being admitted to r/o any cardiac issues Educate about recovery from appendectomy and care to wound. Hopelessness: True Peripheral Neurovascular Dysfunction: False Neuro WNL alert and cooperative. Administer PRN constipation medications Color:__________ Anxiety True Safety- Check physician orders Scenario 2
Swift River Nursing Simulation - Homework Writing Services jessdevan. Acute Pain True He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Electrolyte Imbalance False Visual assess You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Scenario 3 No Known allergies (NKA). Allow for non-compliance of request Evaluate understanding. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, She is with her physician. Educate patient They wanted to know and pressure you for the information. -Reassess patients' vital signs, and place on q5 minutes continuous monitoring -Explain to the patient that he has a procedure, and he cannot eat. Intermittent/Continuous Other: Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration -Assess if the contents of lunch tray are intact. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Document Procedure -Contact HCP to determine when they are available to speak with the patient Re-assess patient Love and Belonging Evaluate understanding Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Scenario 5 Fall Risk Increased acuity Peripheral Neurovascular Dysfunction False Esteem Construct dietary consult (plan) Impaired Home Maintenance Management False It was diagnosed by a portable X-ray and quickly splinted by the ER staff. IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. You are the now the Surgical ICU nurse assigned to her. The bed arrives tomorrow.
Swift River MedSurg 1.pdf - MED-SURG SCORE: 100 TIME The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. In the interim, start an IV and start infusing Ringers Lactate. However, these abnormal cells do not have the capability to spread to other parts of the body. Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Acute Pain True Scenario 2 Request sitter/family member to bedside -Obtain chest tube tray and set-up pleurovac Scenario 2 Yes Productive Non-productive Describe Sputum: _______________________ -Place patient on O2 Nasal Canula -Notify charge nurse of patient's deteriorating condition Scenario 3 Failure to Thrive True. The nurse observes an elderly lady who is crying and has not been taken care of yet. Bladder distention Pelvic pain Low back/flank pain His left humerus is fractured and splinted. Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg.
Nr 325 final exam quizlet chamberlain - gqqa.wikinger-turnier.de Skin warm and dry, may sit up on edge of bed today. Provide information for MD to call family at home and explain what has just happened Teach patient about safety when getting out of bed Cardiovascular has pacer with rate of 82bpm on demand. Document results and findings -Reassess patient's physical status prior to leaving him in the hallway Two housekeepers, who were refusing to clean the room, are in the break room. Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. She is also investigating bone marrow transplantation. Scenario 5 Nathaniel Gonzalez Combien gagne t il d argent ? student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Offer masks to visitors Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Infection, Risk for True IV NS is started, and lab work is sent. Wash and glove hands Scenario 3 Fall, Risk for True The patient has a pneumothorax that requires a chest tube placement. Skin integrity, impaired True Verbal command = 3 Acute Confusion True 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. Senario 5 Scenario 5 Scenario 1 Scenario 1 -Ask the patient if it is okay to discuss his care in front of his children. Provide emesis basin/cloth Scenario 2 Full head to toe neuro assessment. Educate patient Pulses: Strength & Symmetry Edema: Deficient Knowledge False Safety Toggle navigation Swift River. Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Ask patient to explain to you what procedure she was expecting to have this morning. -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Scenario 3 He has partial thickness burns to his left arm and the left side of his face. Document findings -Ensure patients is positioned in bed properly Normal Sinus Rhythm on telemetry. Scenario 4 Acute Pain: True Cardiovascular has pacer with rate of 82bpm on demand. Health Change Increased acuity Dr. Small at bedside with patient and family. 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Auscultate peripheral pulses and ROM. Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored Readiness for Self-Care Enhancement True Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. 50% intake.
Exam January 9 Spring 2020, questions - Studocu Scenario 5 Scenario 3 Present health assessment including B/P and LOC and dressing. -Perform neuro assess Scenario 2 Ms. Getts is requesting water to drink. Senario 3 Bleeding, Risk for False Provide Operative summary of type of procedure, IV fluid and pain status. Insert Foley catheter Scenario 2: 1Educate about recovery from appendectomy and care to wound. Educational Needs Increased acuity Oral Care
Swift River fisheries research | Mass.gov Answers to the questions - 1. Linda Yu Acuities Educational - Studocu Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. He asks to speak to a clergy member. Senario 1 Nathaniel Gonzalez -Tell the patient to call immediately if the chest pain gets worse or they become short of breath He was recently diagnosed with stage III prostate cancer. Fall, risk for True Remain with patient and reassure
Assess intake and output and possible reasoning Scenario 5 He was recently treated for a URI with a Z pack, prednisone, and Motrin for pain. Refer call to contact health department Amount: _______ No known allergies (NKA). Imbalance nutrition: True
Fortune Salaire Mensuel de Tthuchicago Org Combien gagne t il d argent #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Next time we'll spend our 60 on some food and nice beers. Acute Confusion: True Scenario 2 Report current urinary output quantify per hour and color of urine Remind physician to wash his hands before examining the patient The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. 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. Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. You enter patient's room. Self-Care Deficit True Scenario 2 Shock, Risk for: False Reorient Patient to person, place, & time Vital signs taken by automatic B/P Cuff q 15 minutes Shock, Risk for False Nausea/Vomiting: Yes No Deficient knowledge: True Need frequent reminder to stay in room and maintain mask precautions. Patient and family upset regarding dx. He is questioning the nurse as to why he has been admitted for heartburn. Dr. Rondeau, Educational Needs Increased acuity Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Electrolyte Imbalance False Social worker with patient this morning. Other: _______________________________ Senario 5 Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Inform patient about the progression and risk a PCP infection has for a patient with AIDS. IV Assessment/ N/A The 'Strandperle' (lit. RUE: ______________ LUE: ______________ 0800 1200
Notify family You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Risk for Infection True 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. Scenario 1 Teach Cameron. At Risk, Impaired Comfort False Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Scenario 2 All our products can be personalised to the highest standards to carry your message or logo. Sa fortune s lve 2 216,00 euros mensuels References; Access My Virtual Clinicals; Medical-Surgical. ADA diet, intake 25%. Sleep Deprivation False. Constipation, Risk for True is a 57 y/o who has been admitted for a radical prostatectomy. 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. Notify lead nurse/doctor -Determine when a hospital provided sitter will be necessary The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. Educate patient Stools are decreasing but patient remains very weak. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Scenario 2 Biopsies were sent to determine the treatment. Health Change Increased acuity RUE: ______________ LUE: _____________ Fall, Risk for False
new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond Rapid Response team arrived including anesthesia. 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. No known allergies (NKA). Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Notify charge nurse that discharge will probably not occur today. Allow husband to come into recovery for a quick one-minute visit. Ambulates with minimal assistance. -Assess for fall risk Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. -Continue to observe urine for hematuria and document findings Scenario 2 -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. Scenario 5 Verbal response Oriented converses = 5 Ann Rails Suprapubic Insertion site: WNL S/S Infection : ____________________ Escort patient Self-Care Deficit: True The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Health Change Increased acuity Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. John Duncan The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Acute Pain False Diet as tolerated. Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. Scenario 5 Love and belonging Bed Bath: Assist or Total They would also like to start Radium-223. Bleeding: True Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Love and Belonging Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Paul Greer Scenario 5 The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Document results jasmine . Scenario 4 Place call light and check bed for safety After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Educate patient -Medicate for pain Scenario 5 He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Mr. Duncan's wife meets you in hall asking what she could bring her husband to eat from home. Stoma: N/A Colostomy Ileostomy Effluent Consistency: Sarah Getts Grieving: False Psychological Needs Increased acuity
Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift Aggravating Factors: Urostomy: N/A Urostomy/Ileal conduit Scenario 3
Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Scenario 3 -Provide the patient with the time when HCP will come discuss options with him Validate NPO Status Infection, risk for: False. Neuro WNL alert and cooperative. Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Grieving False Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Sensorium Normal acuity, Physiological Dr. Suculo, Physiological The Physician tells you to have everything ready including a 22 French chest tube, and he will be in shortly to position the chest tube. Scenario 1 Scenario 4 Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). You discuss this cough with Mr. Dominec to determine how long he has had it. Three hours later, Ms. Getts is unsteady when standing by her bedside. Senario 2 Pupils PERRLA, eyes clear. If patient statement differs from the surgical consent she has signed, notify surgeon immediately Document results Use therapeutic communication/Active Listening Vital signs are: B/P 112/78, temp. Disturbed Body Image True Safety Psychological Needs Increased acuity Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue.
Swift River Clinical Practice Chamberlain University - Homework Score Bleeding, Risk for: True He has a history of hypertension and is not compliant with medication. -Place patient on 100% O2 Fall, Risk for True Compromised Family Coping False Anxiety True 1. He also states he is feeling weak. Dr. Starks, Physiological Your responsibilities are: Scenario 1 Scenario 3 His VS are BP 122/64, P 89, R 12, SpO2 93%. Document results Take vital signs before leaving the hospital again. Ineffective self-health mgmt: False, Disturbed body: False If family/visitors come, will need education to airborne precautions. He is having some difficulty hearing and complains of ringing in his ears. Assess for bowel sounds Impaired Gas Exchange True