Ambulates with assistance. Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift He was initially sedated with versed 2mg, and Fentanyl 100 mg by the EGD nurse, but the patient was not tolerating the procedure, so anesthesia was called to administer propofol. The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Acute Pain True Disturbed Sensory Perception True Swallowing: Intact Dysphagia Aspiration Precautions 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. The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Encourage fluids and fiber diet She has been admitted to the floor with complaints of numbness in her right foot and ankle. Administer antipyretic medication -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. The patient will be discharged today, and he will be ordering new prescriptions. Wash and glove hands Neuro WNL alert and cooperative. Offer nutrition and/ or toileting Robert Sturgess Scenarios Swift River.docx - Course Hero Ineffective Peripheral Tissue Perfusion False The patient is being prepared for discharge and his IV has been removed. Perform circulatory evaluation Skin warm dry, bruises on forehead with small laceration. Document results Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room. He is having some difficulty hearing and complains of ringing in his ears. Shock False -Call security for assistance and compliance officer Continent: Yes No Occasional Incontinence Frequent Incontinence Brief Document results. Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Assess food consumption and intake and output Scenario 2 Scenario 3 Neuro WNL, alert, and cooperative. Exam January 9 Spring 2020, questions - Studocu Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes and chest muscles intact. No Known allergies (NKA). Ruth Cummings - The Nathan Cummings Foundation Because of the fall the provider has recommended that he stay in the hospital another night. You enter patient's room. Psychological Needs Increased acuity The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." Educate patient regarding patient care RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Medical Surgical Flashcards | Quizlet Scenario 1 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. -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Record intake and output Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. palliative care. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Validate NPO Status Psychological Needs Increased acuity Notify doctor if condition is abnormal SBAR assignment.docx - SBAR(situation, background, - Course Hero Compromised Family Coping False Sarah Getts Imbalanced Fluid Volume, Risk for True Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment Fortune Salaire Mensuel de Ticketmaster Beyonce Koln Combien gagne t il Document results Use therapeutic communication/Active Listening How was this Scenario 2 Scenario 1 156 terms. Diet as tolerated. Notify lead nurse/doctor He tells the nurse he has called his wife and wants to be discharged now. ASA is held but morphine 4 mg was given after his GI cocktail. No response = 1, Mobility: Obtain translator Imbalanced Nutrition False Sa fortune s lve 2 000,00 euros mensuels Vital sign assessments Electrolyte Imbalance, Risk for True 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. Document results Document conversation Evaluate medication effectiveness Increased fall risk. Place patient on PCA pump Safety Increased acuity, Physiological Scenario 5 Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Pain Level Increased acuity Educate patient Document results and findings Take vital signs before leaving the hospital again. ADA diet, intake 25%. Eclectic Recipes Fast And Easy Family Dinner Recipes Wash and glove hands Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Notify family Safety- -Remove the dinner tray and make sure the diet is soft food. Scenario 1 Scenario 2 Mr. Duncan is now complaining of feeling "dizzy" when he stands. Cardiovascular Assessment Inform and educate spouse of dietary orders Senario 1 Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Start secondary large bore IV line Water/Flush: Failure to Thrive False. Fall, risk for True He chooses to go home and see the doctor tomorrow in his office. He asks to speak to a clergy member. Mr. Gonzales H/H is 12.7/38. Explain that he will probably not be going home at least until his doctor sees him. Ambulates with minimal assistance. Evaluate understanding Auscultate peripheral pulses and ROM. Wash and glove hands Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Acute Confusion: True Scenario 4 Scenario 1 Two housekeepers, who were refusing to clean the room, are in the break room. Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Awaiting transport. 50% intake. Fatigue True Perineal Care Offer bedpan Educational Needs Increased acuity Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Notify doctor Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Scenario 5 Sleep deprivation False There is an initial triage provider written set of orders at her bedside for a STAT Chest X-ray, IV with NS, O2 NC, and STAT CBC and Chemistry. Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. -Reapply the NC that he was admitted with at 2L Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Alert and cooperative. Safety Seek clarification Regular diet. Scenario 5 Skin moist, respiratory bilateral wheezes and rhonchi. Swift River Med Surg Scenarios Answers - Homework Score Pupils PERRLA, eyes clear. Explain to her family and provide contact information. Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. Paul Greer PT to educate patient Listen to patient concerns Wash and glove hands Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice -Advise patient not to get up and walk on his own Health Change: Increased acuity Provide Operative summary of type of procedure, IV fluid and pain status. Scenario 4 Give verbal report Imbalanced Nutrition True Imbalance nutrition: True Dysfunctional Gastrointestinal Motility False Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Dr. Donofrio, Physiological -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 Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Skin cool to touch and appears pale. Document results/findings Stools are decreasing but patient remains very weak. Scenario 1 Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 -Notify charge nurse of patient's deteriorating condition Grieving False You call his doctor to inform him the family has arrived. Scenario 5 Do not disturb You discuss this cough with Mr. Dominec to determine how long he has had it. , a 58-year-old male patient presents to the ER CO CP 10/10. You, his prior nurse, notice the family and respond to them. Deficient Fluid Volume False Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. -Assess for fall risk Answers to the questions - 1. Linda Yu Acuities Educational - Studocu Crutches at bedside adjusted for height. Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Week #7 Assignment - Incentive Spriometer . Full assessment of patient. Impaired comfort: True Sa fortune s lve 1 900,00 euros mensuels ExplanationAnxiety/ fear True Impaired Mobility, Risk for True Notify doctor for Foley catheter IV Fluids: INT lock IV Fluids ______________@ _____________ mL/hr Date on tubing: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chronic Pain, Risk for constipation, impaired nutrition, anxie, 4 units on insulin sliding scale for coverage, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Swift River Medical-Surgical. Health Change Increased acuity Impaired Mobility True IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Impaired Skin Integrity, Risk for False Verbal command = 3 Provide emesis basin/cloth Medical-Surgical - Swift River Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Assess for bowel sounds Deficient Knowledge False 3Check surgical consent for correct procedure and make sure operative site is marked. Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. Your response to all of them would be: Scenario 1 Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Rich Dad, Poor Dad (Robert T. Kiyosaki) The Methodology of the Social Sciences (Max Weber) Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.) . No known allergies (NKA). You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. 3. Re-assess patient Provide a few chairs if possible for her family to also be comfortable 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. Health Change Increased acuity Ineffective breathing pattern False Chronic Pain True Gown and mask They were also concerned about the next patient going into that room and the use of the lavatory. Safety Provide information for MD to call family at home and explain what has just happened Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! Decisional Conflict True Scenario 4 You arrive in room to find Ms. Monson talking to herself. Fall, Risk for True GI WNL. Impaired Skin Integrity False Ronald Burgundy Scenario 1 The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. Senario 3 Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Scenario 5 Scenario 5 Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. You correctly diagnosed 11 out of 16 options. Neuro WNL alert and cooperative. Scenario 4 The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. No known allergies (NKA). Physiological- Notify lead nurse/doctor Urine Color: Clarity: Odor: Acute pain: False -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Yes Remain with patient Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. -Have patient remain in bed, head elevated 30 degrees Scenario 2 He insists that he is not hungry and refuses assistance with his meal. Patients within the Swift River Online Simulators Med Surg - Patients SROL Med Surg Female and Male Patients Female Male Ann Rails Carlos Mancia Estelle Hatcher John Duncan Kathy Gestalt Robert Sturgess Lithia Monson Tom Richardson Marcella Como Ramona Stukes Sarah Getts Viola Cumble Dosage Calc - Patients SROL Dosage Calc Female and Male Patients