Include patient condition change in shift report Swallowing: Intact Dysphagia Aspiration Precautions Disturbed Sensory Perception False Impaired Gas Exchange True Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. 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! After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. NPO with small amount of ice chips only. The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. His wife tells the nurse that he seemed very distant and did not want to talk much. Deficient Knowledge False Review pain medication order Readiness for Self-Care Enhancement True swift river assignment: day swift river assignments dosage minimum score 90 med minimum score 80 minimum score 90 robert sturgess linda yu linda pittmon carlos Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Keiser University Silver Creek High School (Colorado) Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Health Change Increased acuity Hopelessness: True Acquire daily weight and food intake You arrive in room to find Ms. Monson talking to herself. Senario 3 You return to the break room on your floor. Perform circulatory evaluation ADA diet, intake 25%. IV Assessment/ N/A This shop has been compensated by Inmar Intelligence and its advertiser. 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 Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Report current urinary output quantify per hour and color of urine Clinical 2. Notify Doctor for pain medz Wash and glove hands Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Acute Confusion True Administer protocol antidiarrheal medication Disturbed Body Image True Scenario 1 Neuro WNL's, alert and cooperative. You enter room one hour after the physician has left the patient. Evaluation patient after consult Document results and findings You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Self-Care Deficit False He is pale, weak, diaphoretic, and appears anxious. Knowledge Deficit True -Draw a repeat CBC per HCP order to determine current Hemoglobin status Mrs. Smith's surgery has now ended. The heartburn has become worse since he started treatment for his URI. Yes Productive Non-productive Describe Sputum: _______________________ Imbalanced Nutrition False 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.) . Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Bleeding: True Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Document results -Complete incident report. Bleeding False The patient is awake alert and oriented. Anxiety True Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Sit at an eye level. Senario 5 Due to this, the provider would like him to stay in the hospital for observation. Skin warm dry, bruises on forehead with small laceration. -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Diet as tolerated. Scenario 3 -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Chronic Pain True Administer antipyretic meds Educate patient/family -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Widespread Color Change: N/A pallor cyanosis jaundice erythema Scenario 2 Ineffective self-health mgmt: False, Disturbed body: False -Place patient on O2 Nasal Canula Scenario 4 Educational Needs Increased acuity She has arrived in pre-op and about to have surgery this morning. Discription, Table 4 Cross-sectional, Longitudinal, and Sequential Developmental Designs, Engagement 1 Recognizing Research Strategies, A mental health worker with a Christian worldview.docx (Auto Recovered), NPO Breakfast: __________% Lunch ______________ %, Ethics and Social Responsibility (PHIL 1404), Care of the childrearing family (nurs420), Advanced Care of the Adult/Older Adult (N566), Business Professionals In Trai (BUSINESS 2000), Microsoft Azure Architect Technologies (AZ-303), Nurs & Healthcare I: Foundations [Lec] (NURS356), Accounting Information Systems (ACCTG 333), Bachelor of Secondary Education Major in Filipino (BSED 2000, FIL 201), Methods of Structured English Immersion for Elementary Education (ESL-440N), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), C228 Task 2 Cindy - Bentonville - Passed with no revisions, Lesson 4 Modern Evidence of Shifting Continents, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, Lesson 17 Types of Lava and the Features They Form, Lesson 9 Seismic Waves; Locating Earthquakes, Analysis of meaning and relevance of History from the millennial point of view, Entrepreneurship Multiple Choice Questions, (Ybaez, Alcy B.) Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Scenario 4 Ask patient to explain to you what procedure she was expecting to have this morning. Perform neuro assess Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! PT to educate patient -Transport Mr. Burgundy to his room Allergic to sulfa drugs. Scenario 5 Urination: WNL Burning Frequency Urgency All opinions are mine alone. Notify doctor Skin warm and pale. Education of Foley Cath Procedure Scenario 3 Failure to Thrive False. Impaired Home Maintenance management r/t client or family False Dr. Altace, Educational Needs Increased acuity Where is my camera man!! Apply fall risk bracelet Provide comfort in pre-surgical room Mr. Dominec. Your response to all of them would be: Scenario 1 Failure to Thrive True. Administer antiemetic medication Blood-tinged mucous, productive cough. Evaluate understanding Provide for physical and thermal comfort. Swift River Clinical Practice Chamberlain University Expert James Moore Category: Nursing Description Full Document Jose Martinez Room 301 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. Explain to her family and provide contact information. 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. Senario 1 Acute Confusion: True Reasses temp in 1 hour. Fall, Risk for True Physiological- Scenario 3 Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Some hair on the left side of his head has been burned off, as well. Tear, Ecchymosis, Contusions, Bruising Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. ASA is held but morphine 4 mg was given after his GI cocktail. Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Health Change: Increased acuity Senario 3 -Discuss with sitter that patient needs continual observation Scenario 5 Wife at bedside. Provide emesis basin/cloth Dr. Donofrio, Physiological Document results, Care of the Patient with a Cardiovascular or, NCLEX - Care of Patient with an Immune Disord, Quiz: Chapter 54, Care of the Patient with an, Chapter 54: Care of the Patient with an Immun, Chapter 17, Section 5; Providing First Aid fo. Pain Level Increased acuity Take vital signs before leaving the hospital again. Provide a few chairs if possible for her family to also be comfortable It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Scenario 3 Fall, Risk for True Ruth Cummings Trustee Vice Chair Audit Chair . Explain that he will probably not be going home at least until his doctor sees him. Wash and glove hands He is married, and his wife is requesting to stay at his side. Psychological Needs Normal acuity -Using therapeutic communication inform Mr. Greer that there are many treatment options, and not to leave until the HCP can come and speak with him His VS are BP 122/64, P 89, R 12, SpO2 93%. **New Patients from 2020, Post- Covid-19 Update:** **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec, Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose Martinez, Mary Barkley Charlie Raymond (for older swift river patients see other pdf files loaded at the bottom of this file) Preston Wright Room . Psychological Needs Normal acuity Neuro WNL, except leg pain upon movement. -Set-up for stat portable chest x-ray Upon entering room, you wash/glove hands. Acute Confusion False Awaiting transport. Scenario 2 Remind the nursing staff that the patient is NPO. Excess Fluid Volume, Risk for False 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. High fall risk. Scenario 1 Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Failure to Thrive True. : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Obtain vital signs machine The sister of Mr. Mancia calls from home to speak with you. Increased fall risk. You escort them with you to the ICU. Educate patient regarding condition Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. Disoriented, confused = 4 Educational Needs Increased acuity Scenario 3 The charge nurse asks you to assume the patient's nursing care.
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