robert sturgess swift river robert sturgess swift river

Psychological Needs Increased acuity Scenario 2 Ms. Rails states that she has not had a bowel movement (BM) in the past two days. The lesion was identified as Kaposi's Sarcoma. Your coworkers are asking you questions about Mr. Dominec. Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Impaired Mobility True Scenario 2 Mr. Richardson is requesting assistance to ambulate to bathroom. Report current urinary output quantify per hour and color of urine Neuro WNL alert and cooperative. Vital signs taken by automatic B/P Cuff q 15 minutes Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Full assessment Provide comfort measures Abdominal Pain: Non-tender Tender/Pain Describe: Check PRN pain order Safety Neuro WNL, alert, and cooperative. Disturbed body False He is questioning the nurse as to why he has been admitted for heartburn. Some hair on the left side of his head has been burned off, as well. Explain that he will probably not be going home at least until his doctor sees him. 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. NURS 320 Med_Surg_Swift_River **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 Scenario 4 Scenario 2 Spanish interpreter available at extension 61178. Scenario 4 3Check surgical consent for correct procedure and make sure operative site is marked. Offer nutrition/toilet Powerlessness: True, Scenario 1 Encourage Mr. Dominec to discuss with his partner his best treatment options. Scenario 5 Wash and glove hands Scenario 4 Scenario 5 Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University Perform pain re-assessment Place patient on PCA pump He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Senario 4 Scenario 2 A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. -Call security for assistance and compliance officer Scenario 1 Love and Belonging Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. -Reorient Patient to person, place, & time Sarah Getts Combien gagne t il d argent ? Document Procedure Scenario 4 Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Notify doctor They were also concerned about the next patient going into that room and the use of the lavatory. 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. View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Senario 5 Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. LOC Normal acuity Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. -Reassess patient q 5 minutes until awake, then 15 minutes until they are fully awake (not Drowsy). Impaired home maintenance mgmg r/t client or family: False -Elevate head of bed and place the patient on Pulse oximetry. Notify doctor Contact dietary consult The bed arrives tomorrow. Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Obtain Spanish signs & brochure RLE: ______________ LLE: _____________ Insert Foley catheter Evaluate learning Scenario 5 The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. He has partial thickness burns to his left arm and the left side of his face. Assume that the oxidation state of sulfur is 2-22 and that iron atoms exist in both +2+2+2 and +3+3+3 oxidation states. Pain Level Increased acuity Eye opening Spontaneous = 4 Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." Educate about recovery from appendectomy and care to wound. Scenario 3 Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Provide for physical and thermal comfort. Scenario 1 Fear/Anxiety True. Scenario 1 Disturbed Body True Acute Pain True He is excited and tells the nurse he is starving and glad that he finally gets to eat. She is also investigating bone marrow transplantation. r/o Tuberculosis. Decreased Cardiac/perfusion: False Aggravating Factors: Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Scenario 2 Love and belonging Bed Bath: Assist or Total Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! Non-significant past medical history. Educational Needs Increased acuity Full assessment Two hours later, Mr. Duncan is asked how frequent his stools have been today. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Discuss follow up with his doctor. Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Temperature is now 102.8. Nutrition True No known allergies (NKA). Verify call light/ bed safety precautions Acute Confusion False RUE: ______________ LUE: ______________ Deficient knowledge: True Due to this, the provider would like him to stay in the hospital for observation. Educate patient Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Senario 2 Grieving: False. Mr. Duncan is now complaining of feeling "dizzy" when he stands. Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Anxiety True Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. No Known allergies (NKA). Impaired Comfort 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. Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Educate patient/family Report and document results Nathaniel Gonzalez Safety- 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. Psychological Needs Normal acuity RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Chronic Pain False The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Assist patient out of bed They wanted to know and pressure you for the information. Ineffective Renal Perfusion, Risk for True Nausea False Assess for bowel sounds Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Your response to all of them would be: Scenario 1 Use therapeutic communication/active listening Neuro WNL. Evaluate/modify plan of care Scenario 5 Intermittent/Continuous Other: Ineffective Self-Health Management True He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Bleeding False The charge nurse asks you to assume the patient's nursing care. Peripheral Neurovascular Dysfunction False. sounds= 2 It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump -Evaluate patient's understanding of teaching Scenario 3 Pain, Acute True Use therapeutic communication/Active Listening Document results Scenario 2 -Transport Mr. Burgundy to his room Excess Fluid Volume, Risk for False NPO with small amount of ice chips only. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. He chooses to go home and see the doctor tomorrow in his office. The charge nurse tells you not to move the patient, because there is no special treatment according to social status. 0800 1200 -Begin q15 minute neuro checks 97.4, Resp 16 and Pulse Ox 94%. Senario 3 Dr. Altace, Physiological- Also worth mentioning is the 'Alter Schwede' - a 217t . Compromised Family Coping False 4Inform his partner that everything is being done to keep him comfortable. Extends abnormally = 2 Pain Level Normal acuity Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Increased fall risk. 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. -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. You enter room one hour after the physician has left the patient. Chronic pain: True LOC Normal acuity Taking HIV Meds prophylaxis. LOC Increased acuity -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients He is aware that he may not have an erection and may need depends for bladder incontinence. Diet as tolerated. Enter the email address you signed up with and we'll email you a reset link. Mr. Gonzales H/H is 12.7/38. Fall, risk for: False This will treat any cancer that may have metastasized to the bone. Employ therapeutic communication: present reality In the interim, start an IV and start infusing Ringers Lactate. Bleeding, Risk for False Nausea: False Scenario 5 His coughing, to clear his airway, appears ineffective. Anxiety True Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. His orthostasis is normalized after a second liter of NS was administered. It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Breath Sounds: Clear bilaterally. The surgeon has just visited with Mr. Greer 2-days post op and has informed him that the lymph node biopsies have confirmed that the cancer has metastasized, and he will need further treatment. Pain Scale: 0 to 10: _______________ Verbal response Oriented converses = 5 Non-significant past medical Hx. You, his prior nurse, notice the family and respond to them. Vital signs- Failure to Thrive: True. He was recently diagnosed with stage III prostate cancer. Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Failure to Thrive False. Full assessment Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Ronald Burgundy Upon entering the room, you find Ms. Rails sleeping. Disturbed Body Image True Imbalanced Nutrition True 20ga. Scenario 2 We have more than 20 years' experience in the industry providing a quality service to our clients We pride ourselves on our customer-orientated service and commitment to delivering high end quality goods within quick turnaround times. Therapeutic communication Determine from medical record if partner is aware of his recent AIDS diagnosis. Cardiovascular has pacer with rate of 82bpm on demand. 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. GI WNL. Document results Fatigue True Fall Risk Increased acuity Scenario 2 Sit at an eye level. The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Scenario 2 Awaiting diagnostic labs. -Explain to the patient that he has a procedure, and he cannot eat. 1. You return to the break room on your floor. It is now two weeks later; Mrs. Smith has returned. PT to educate patient Hopelessness: True Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Notify family Kathy Gestalt Impaired Skin Integrity, Risk for False -Notify HCP of neuro findings This information is HIPAA protected and you cannot share anything with them. You arrive in room to check on her, after washing hands. Provide emesis basin/cloth Chronic Pain False Peripheral Neurovascular Dysfunction False -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Acute pain: True 50% intake. school system of the host country and may not know how to choose the programme, Question 34 Correct Mark 100 out of 100 Flag question Question text hr tag, efefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefef, arbitrary parameters a b will be a complete solution of 38 The main problem then, Reduces costs of providing on site office space To individual Makes more time, METHYLXANTHINE DRUGS-Chemistry FinalsExam PrepNotes.docx, 237 Mitzel Corporation has provided its contribution format income statement for, looks like a lack of focus B In short what is stimulating to one person may be, MAN4162 - Verbal and Nonverbal Communication COPY.docx, Recall that in the Black Scholes model the stock price follows the SDE dS t S, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. Provide a few chairs if possible for her family to also be comfortable Love and belonging Assess food consumption and intake and output Scenario 4 Begin post op education for day one Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. 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! Blood Glucose 185, 4 units of insulin sliding scale for coverage. His VS are BP 122/64, P 89, R 12, SpO2 93%. Paul Greer Scenario 1 Sleep deprivation: False -Explain procedure to the patient -Recheck Tilts after the NS bolus is complete.T Fall, Risk for True Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Health Change Increased acuity Senario 1 Ineffective Peripheral Tissue Perfusion False Contact Social Services Wash and glove hands His original lymph node biopsy was negative. 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". Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Allow family to remain Acquire daily weight and food intake Call Rapid Response protocol initiated You notify the charge nurse that you have never taken part in inserting a chest tube. Assessment of bowel movement Virginia Smith Deficient Knowledge False -Reassure patient that he will be moved to a private room as soon as possible Provide comfort in pre-surgical room Mr. Dominec. Read PT report Describe the physical changes from aging and the care required. Fall Risk Increased acuity Include patient condition change in shift report Senario 1 Decisional Conflict True Suprapubic Insertion site: WNL S/S Infection : ____________________ Acute Confusion: True Respirations -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Wash and glove hands Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored He is restless with slight confusion but is easily orientated with attempts from nurse. Scenario 3 Scenario 2 IV Assessment/ N/A The cells are allowed to warm up and then are frozen again. Check physician orders Disoriented to time and place, speech slurred. Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments The cycle of freezing and thawing damages the abnormal cells. -Assess patient LOC, by walking patient and asking them to take deep breaths. His left humerus is fractured and splinted. Scenario 3 Verify call Light/bed safety precautions Apical pulse rhythm: Regular Irregular Location: Sensorium Increased acuit, Physiological -Take initial vital signs (room air Pulse Ox) Notify family as to when they may come and visit. Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. Scenario 2 Dr. Altace, Educational Needs Increased acuity Disoriented, confused = 4 Pain Level: Increased acuity Document results. No -Restart the IV and draw CBC Place call light and check bed for safety Blood Pressure, 7a-7p Total: 7p-7a Total: Decisional Conflict False Renal diet. Allow for non-compliance of request Scenario 4 The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Bleeding Risk for: False Health Change Increased acuity Report this activity immediately to the hospital privacy officer Senario 5 Dr. Donofrio. They would also like to start Radium-223. She has just been transported from recovery. Check surgical consent for correct procedure and make sure operative site in marked. You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. No Known allergies (NKA). Full head to toe neuro assessment. The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Senario 3 Radiofrequency ablation may be recommended after endoscopic resection. Constipation, Risk for True Record intake and output Teach patient about safety when getting out of bed You are concerned about preventing the patient from falling. Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Her husband and two grown children are also with her as she is prepared with gown and head cap awaiting transport to the operating room. I need to be reporting!" Scenario 2 Continent: Yes No Brief/Diaper Fall Risk Increased acuity Do not disturb No known allergies (NKA). 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. 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