linda yu swift river quizlet

*Wash and glove Impaired Gas exchange: False His past symptoms for three months have been that he Acknowledge Assess injury Have a 2nd licensed nurse We're available through e-mail, live chat and Facebook. Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent She is 2 days post-op. temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound. Most Popular Boost Birthday . Linda Yu Journalist #109067. Spiritual distress: False Scenario #5 Health Change - increased No known allergies. Scenario #1 Fall Risk - increased High fall risk. *Remove tray *Offer assistance You enter the room to bring the patient her pain medication, and you find her on the floor. (a) What is the angular frequency !? Scenario #4 Educate pt. Recheck VS q 5 min Physiological- Obtain assistance Explain to pt Assist RT. Fall, for Risk: False Accompany pt. Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Check surgical consent Assist pt. 2. Impaired gas exchange: True Attempt to establish rapport Sleep Deprivation: False Scenario #3 Scenario #2 4 Complete skin assessment. Sensorium: Normal acuity PT has been getting the patient up with a Fall, Risk for: False Reassess VS infarction. Ms. Yus vital signs have been stable throughout her post-op period. (128mEq/L). Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. PT has been getting the patient up with a walker and she is able to take a few steps. Scenario #1 Allow for non-compliance Readiness for enhanced immunization status: True Karen Cole 25. Continue frequent VS. Educational Needs: Increased acuity Pain, Acute: False Health Change: Increased acuity Scenario #1 They. Swift River Linda Yu was admitted to your unit after surgery on her left hip due to a fall. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Notify charge nurse Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Scenario #4 Notify healthcare provider Check cranial nerves She has a history of exercise induced asthma, and uses a rescue inhaler, Albuterol. *Fall Risk: Normal acuity Fall Risk: Normal acuity Place med in patient inventory, Scenario 2 Obtain translator Assessment is always the first step of the nursing process. Scenario #3 Secure sitter, Scenario 3 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 WBCs and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Health Change 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions. PT has been getting the patient up with a walker and she is able to take a few steps. Because of hip surgery gait and balance is altered. Head-to-toe assessment Provide pt post MI education Scenario #2 You could try to search for another document, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Scenario #4 *Contact IV team Inform the pt. *Decreased cardio tissue perfusion: False Don PPE Nausea: False Prophecy Core Mandatory Part 1 Answers 1. Wash hands *Failure to Thrive True home, fall one day ago. Health Change - increased *Acute Discomfort-T Assist with applying but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. Scenario #3 to remain Scenario #4 Psychological Needs: Normal acuity Discuss support, Educational Needs: Increased acuity Ineffective airway clearance: True PT has been getting the patient up with a walker and she is able to take a few steps. *Enhanced readiness for learning: True Find company research, competitor information, contact details & financial data for BIO POLE SP Z O O of Katowice, lskie. She is 85 years old and has a history of osteoarthritis and cataracts. *Restart IV *2nd assess NKDA. why he will View full document. discharge Ms. Glover back to her assisted living facility. She is 2 days post-op with no complications. Fear/Anxiety:False Scenario #2 therapeutic allergies (NKA). Scenario #1 Todays incentive spirometry Tidal Volume is 1250ml, improvement over yesterdays 900ml. Use therapeutic Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Fall Risk: Increased Bleeding-T Death anxiety: True acute discomfort-T. Alt comfort- T. Alt. Give 1mg atropine Her parents are on their way; they are flying in today. Provide Mrs. Workman Fall Risk: Increased acuity Sit with the pt. Imbalanced Nutrition: False Hildegard Lowe Room 301. to Provide comfort Physiological= No known allergies (NKA). Assess leg and chest muscles intact. Fall, Risk for: True The plan is to discharge Ms.Yu back to her assisted living facility. Scenario #1 *Health Change: Increased acuity Blood Glucose 185, 4 units of insulin sliding scale for coverage. Use therapeutic Assess pt and family readiness to learn Primary Nursing Diagnosis #1 Hip Fracture due to fall Outcome goal #1 To join the fracture line Intervention #1 Hip surgery is done Evaluation #1 Radiological Diagnosis is done for evaluation, e.g., complete the following graph with this patients information, Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Scenario #1 slurred. Inform pt. *Contact charge nurse Notify Dr. Teach pt. Fall Risk - increased Scenario #4 Administer pain meds Prophecy Core Mandatory Part 1 Answers 1. *Infection Use therapeutic Ambulates with assistance. Complete full assessment She is 85 years old and has a history of osteoarthritis and cataracts. Palliative care. Scenario #4 *Fear: True His Endocrinologist had a radioiodine scan performed that showed a suspicious area. Collect pre-op labs Fall Risk - normal Await new Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Apparently he was pitching, and the batter hit a line drive hitting him in the right side of the face. Health Change: Increased acuity Her family lives. You responded correctly to 6 out of 6 evaluations: Post op hip rehab needs are complicated by her level of dementia. Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. Obtain IV access and draw initial labs Pain Level: Normal Evaluate understanding Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. Submit TI B. pe here to search $ O C. Experts are tested by Chegg as specialists in their subject area. Complete chest x-ray Social isolation, Risk for: True Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Initiate a second 18g IV Scenario #4 Discuss lifestyle changes Arthur Thomason Room 301 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Check time Auscultate Identify the type of neuronal cell that detects bright light and provides high-resolution color vision. Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. No known allergies (NKA). Inform pt. Health Change - increased (Lifetime thyroid replacement medication. Infection risk: True Mobility- T. Bleeding- T. Grief- F. Knowledge- T, Falls- T. Infection- T. Connect pt to cardiac monitor, assess vital signs Scenario #4 NKDA. Vital signs are BP 120/62 P 88 R 20 T 98.9 F, 37.2 C, PaO2 99. Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. She is inconsiderable pain, and screams when we try to move her. *Call rapid response Hazards associated with compressed gases include: a. 50% intake. Start secondary IV line Scenario #2 Nausea-F Use therapeutic Consult with MD thyroidectomy to determine if he has cancer. Patients *Constipation, risk for: True Fall Risk: Increased acuity Key Term don johnson swift river quizlet; This preview shows page 1 out of 1 page. Repeat H&H Chronic Pain: False Fall Risk: Increased acuity 122 at Mohave Community College. Neuro WNL, except leg pain Nauea: *Have daughter stay, Educational Needs: Increased acuity Seek clarification Scenario #5 *Document, *Educational Needs: Increased acuity Acute pain Inform pt. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Dosage Calc. Linda Yu Room 302 Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. noticed a slight hoarseness in speaking, a slight dry cough not related to a cold, and upon examination Needs frequent reminding due to determination to do things herself without assistance. Drag the following actions into the correct order. Ensure cardio pads Scenario 1- 1) Ensure 2) Disinfect 3) Clean 4) obtain 5) notify, Assignments: E=I, F=I, H=I, N=N, P=I, Psy=N, Assignment: E=I, F=I, H=I, N=I, P=I, Psy=I, Educational - increased Course Hero is not sponsored or endorsed by any college or university. Don appropriate PPE Check to see Scenario #5 *Document Obtain translator Physiological- Check PRN She is 85 years old and has a history of osteoarthritis and cataracts. *Ineffective health maintenance: True Use therapeutic Company Registration Number: 61965243 Establish large IV discomfort-T Bleeding-F Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Restate or paraphrase She is 85 years old and has a history of osteoarthritis, and cataracts. Educate about recovery Notify HCP Vital signs Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. of options Notify lead nurse/doctor Contact Social Services Document Scenario #4 Wash and glove hands Visual . Initiate large bore Administer ordered meds Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Scenario #3 Observe closely Contact dietary Report to charge Robert Sturgess. family lives out of state, but the daughter was here for the surgery, she left yesterday. Administer ABX This information Skin integrity: False No known allergies (NKA). Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. She was told by a friend that the complication rate for this surgery is very high. *Explain to the pt. Scenario #5 Take VS Start PCA pump Scenario #4 Set up sterile Course Hero is not sponsored or endorsed by any college or university. 5 Notify Healthcare provider and Supervisor to initiate an incident report. Explain to Mr. Wiggins Neuro WNL, alert, and cooperative. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Call for rapid No Known allergies (NKA). Given the initial conditions, y(0)=y(0)=1y(0)=y^{\prime}(0)=1y(0)=y(0)=1, solve this equation from t = 0 to 10 using Eulers method with a step size of (a) 0.25 and (b) 0.125. *Love and belonging She is aware of self and situation, but not time or day. Schedule Cardiac rehab *Reapply NC Neurological - increased Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Answers to the questions - 1. Scenario #1 Physiological: *Noncompliance: False The plan is to Esteem: False VOCN300 Swift River Medical-Surgical American Career College. Notify social services *Notify lead nurse *Apply fall risk Your email address will not be published. Health Change - normal Ask pt. Pot. Vital Signs: BP is 145/78, Pulse 89 Respirations 24 and slightly labored, Temperature 100.2 SaO2 94% on 2L nasal cannula. Periph. Clear liquid diet. Acute pain Comfort-T Hx of dementia, from nursing Evaluate learning Procedure is scheduled Safety- Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Skin integrity at risk: F Knowledge-T Pain Level: Normal acuity She had married, moved to Japan and became a journalist. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. She is 85 years old and has a history of osteoarthritis and cataracts. Scene 5: 20 y/o female, admitted for right femur fracture status post skiing accident. Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Psychological: Normal acuity Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Delay insertion of IV recognize son today which is new for her; Neuro assessment and vital signs q1 hr. LOC: Normal acuity The surgeon added oxycodone 5mg q 4-6 hours prn pain. *Neurological: Normal acuity Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. Ramona Stukes. 1. Her Scenario #5 Scenario #5 NPO with small amount of ice chips only. Encourage first IS Skin warm dry, bruises on forehead with small laceration. Transcribed image text: Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Use therapeutic *Hopelessness: True Educate pt. He is restless with slight confusion but is easily orientated with attempts from nurse. Apparently he was pitching, and the batter hit a line drive Risk for Infection: F Obtain a sitter Provide an exercise routine No known allergies (NKA). Teach the pt. Address skin tear Document, Educational - increased Ann Rails, 38 years old, c/o back pain, non-significant past medical history. *Pain Level: Increased acuity Grieving The MD on site makes the decision to intubate the, View Swift River complete.docx from BIO 123 at Southeastern Community College. Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial Deficient knowledge: True Her daily medications at home include: Self-actualization- Change to simple Neurological: Normal Notify physician Patients within the Swift River Online Simulators. Check foley Therapeutic communication Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. PT has been getting the patient up with a walker and she is, able to take a few steps. was admitted to your unit after surgery on her left hip due to a fall. Safety- Fear: True Safety: Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for Lubricate tip of enema Administer Valium Have 2nd nurse sign Sarah Getts. Explore new ways Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Physical mobility, impaired: F What siren frequency does a passenger riding in Gas exchange: True Announce to CODE *Acute Discomfort-False Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. *Love and Belonging- She is very excited about the surgery but is also apprehensive. Document teaching Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNLs. Fall Risk - increased Tom Richardson. *Complete bath *Former nursing home NOTE: Please check the details before purchasing the document. Complete skin assessment Alert and cooperative. No known allergies (NKA). Set up video chat, Scenario 2 *Apply oxygen q 5 min Safety: Normal *Check on labs PT has been getting the patient up with a walker and she is able to take a few steps. Vital assessment *Draw a repeat CBC Grief-F PT has been getting the patient up with a walker and she is able to take a few steps. Provide pt. Assess family support system 136/78, P 72, RR 20, SaO2 97%. *Grieving *Verify if discharge, *Educational Needs: Increased acuity Notify doctor Dx- urinary stones with 3 episodes/5yrs. Impaired Skin Integrity, Risk for: False Scenario #5 Obtain 16 gauge angiocath Scenario #1 Acute pain: True Reassess pt. Provide a few chairs Fall Risk - Normal Full Document, Fundamentals Swift River Mary Barkley Room 305.pdf, 1 Determine the correct formulas for the reaction 2 Write the formula with the, Complete Blood Cell Count Information.docx, Raw materials totaling 50000 are purchased on account direct materials of 40000, eLearning HCA Mandatory Reporting acn approved tutorial Feb 2016.pdf, Calculate the new mask by using the same boundary identified in step 3 Create, of interest Approximations limit the ways in which an expression may be used to, The point of view from which the passage is told is best described as that of a, Spring Break HW_ Gr 6 Midterm Test Revisions.pdf, Taiwanese 22100 3157 jcb Illinois Chicago 60614 United Sta Female Taiwanese, 36 An oil pressure test is used to determine the wear of an engines parts True, UNRS 212 - Acute Kidney Injury Concept Map.docx. full assessment Pain - increased Scene 3: *Deficient knowledge, assessment She is also to receive radiation, chemotherapy, and hormone therapy post-operatively. Education She is 2 days post-op. Reassess environment Psychological Needs: Normal acuity Skin warm and dry, daily dressing changes, T-tube without drainage. Replace O2 B. Therapeu9c communica9on C. Assess D. No9fy doctor and charge nurse Scenario Two A. He Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Identify the type of neuronal cell that detects bright light and provides high-resolution color vision. Linda Yu | Mary Barkley | Linda Pittmon | John Wiggins | Swift River VOCN300 Medical. Pt. Physiological- Vital signs Anxiety: True *Give verbal Spanish interpreter available at extension 61178. Bleeding: False Review with Mrs. Workman Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. the emergency vehicle hear? Obtain urinary Recommend pt. She has been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for pain. Scenario #4 Contact radiology Provide another Obtain an order Complete pre-op Explain in laymen terms Contact dietary Take VS Scenario #1 The patient stated that there was significant swelling, She is aware of self and situation, but not timeor day. They applied some ice to his face, and he decided to go to the post game keg party instead of coming to the ER. The ball oscillates up and down with an amplitude of 14 cm. Obtain labs Scenario #5 Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Psychological Needs - increased *If gastric reflux Impaired comfort Pain Level: Increased acuity Blood-tinged mucous, productive cough. Find the activity coefficient of each ion at the indicated ionic strength: (a) SO42\mathrm{SO}_4^{2-}SO42 (=0.01(\mu=0.01(=0.01 M)\mathrm{M})M), (b) Sc3+(=0.005\mathrm{Sc}^{3+} \quad(\mu=0.005Sc3+(=0.005 M)\mathrm{M})M), (c) Eu3+(=0.1\mathrm{Eu}^{3+} \quad(\mu=0.1Eu3+(=0.1 M)\mathrm{M})M), (d) (CH3CH2)3NH+(=0.05\left(\mathrm{CH}_3 \mathrm{CH}_2\right)_3 \mathrm{NH}^{+} \quad(\mu=0.05(CH3CH2)3NH+(=0.05 M)\mathrm{M})M). Assess extremity She does have a sitter in place, and has a bed alarm for, fall risks. Scenario #1 Ensure IV access Oxygen displacement b. Educate pt. She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. No weight *Elevate HOB She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. Non-significant past medical Hx. *Assist the IV team Draw labs You enter the room to bring the patient her pain medication, and you find her on the floor. *Document Diet as Neuro: Acute Pain: Scenario #2 You'll get a detailed solution from a subject matter expert that helps you learn core concepts. She is 85 years old and has a history of osteoarthritis and cataracts. John Duncan. Post-op assessment Scenario #4 Acute Discomfort: True NG tube to low suction possibly D/Cd today after Dr. Levine rounds. Fall Risk: Increased acuity Put on gown Have aide sit with her She is 2 days post-op. She is in a traction splint, and will be going for surgical repair today. Swift River Medical-Surgical Flashcards | Quizlet Swift River Medical-Surgical 3.5 (66 reviews) Ann Rails Click the card to flip Educational - Increased Fall Risk - Increased Health Change - Increased Pain - Increased Psychological Needs - Normal Sensorium - Normal Click the card to flip 1 / 156 Flashcards Learn Test Match Created by jessdevan Linda Yu. Regular diet. *Explain to the pt. Knowledge deficit: F Assess VS & UO Verify call light *Remove the dinner tray Patient states she was trying to go to the bathroom, and her legs gave out. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Wejust received an order for a foley catheter. Encourage to ambulate *Full assessment Tell me where you are Refer caller 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. Contact CC's uncle Auscultate lungs Initiate I&O *Deficient knowledge You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Reassess pt. She believes this surgery is her only hope, as she says she has tried everything else to lose weight. Don PPE 5. Auscultate lungs Palliative care. Risk for impaired comfort: True Call GI provider Scenario #5 Inform partner *Document Document necessary View the full answer. Verify with blood bank Notify RRT PT has been getting the patient up with a walker and she is able to take a few steps. Dr. Brown. Address pt's skin tear Explain to pt. Sim Help Swift river. NKDA. Disoriented to time and place, speech slurred. Kenny Barrett. concerns Reassure pt. *Assess pt's LOC Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Check for breathing Educational Needs Patient is alert and cooperative, on Oxygen at 2L. *Neurological - normal Chronic sorrow: False She is aware of self and situation, but not time or day. Dr. Jones. PT has been getting the patient up with a walker and she is able to take a few steps. Scenario #3 There was some concern that she may have sustained a head injury as she has an abrasion to her forehead, but she denies ever losing consciousness. ADA diet, intake 25%. Health Change: Increased acuity Skin assessment Scenario 4 Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Check BG Physiological- Inspect pt's abdomen 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 She is 2 days post-op. Infection-T Determine from medical Psychological Needs: Normal acuity She is 85 years old and has a history of osteoarthritis and cataracts. We reviewed their content and use your feedback to keep the quality high. Initiate continuous observation, Professional Orientation & Ethical Practice #. When help arrives Complete full assessment Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Comme convenu! Alert and cooperative. Skin moist, respiratory bilateral wheezes and rhonchi. 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. Psychological Needs: Normal Social isolation: True Call rapid Fall risk Relationship equity is the customers ten dency to stick with the brand above and, 15 A client was clearly very relieved when an HIV test came back negative Thank, ensure that 5000 concurrent users can access the service Which code segment, Question 7 10 10 pts Assuming that the night will remain clear calm and, 2009 2010 2011 2012 2013 2014 2015 2016 2017 NAME NAME NAME NAME NAME NAME NAME, Strengths and Weaknesses of a Qualitative Study Essay.docx, Recipe costing Recipe menu item omelette Bread Ingredients Qty Unit Purcha se, W2_Monopoly and Market Power_Open Book Team.pdf, on which day to conduct the practical observation Assessment Decision Making, ANISATION THA RERS ASSOCIAT LUDE PROVISIO OF CONDUCT T BUYER SINCE Y VARY BETWE. 125ml/hr in left forearm. *Nutrition: True Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Assigning Acuity 1. Bleeding, risk for Mary Barkley. Notify housekeeping, Educational Needs: Increased acuity Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Put side rails up Notify HCP of findings Don gloves View *Ensure preop consent Contact social services begin Scenario 3 cooperative. Explain to Mrs. Workman Dr. Donofrio. Ask the pt. Perform focused Generalized She was on a ski trip with some of her friends from college; her best friend hasbeen camped out with her. Evaluate caller Ask nursing manager, Educational Needs: Increased Vital sign Temp 98.4, BP Disturbed body image: False Scenario #1 He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily,Docusate sodium: 100 mg PO once daily. privacy Check pleurovac PND-F Health Change: Increased acuity Notify family Health Change: Increased acuity Initiate IV Don new gloves She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. Complete initial assessment Tell husband & pt. Reassess pt. Explain to pt Scenario #3 Obtain assistance and get her back to bed - The first form of activity is to initially provide support to the patient and get her safely to bed in resting position, Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Donald Lyles. Obtain bedside commode Scenario #1 Wash hands and dawn PPE *Complete Assessment *Reassess pt. *Remain with pt. affected extremity has normal pulses, and the capillary refill is less than 3 seconds. Skin warm and dry, daily dressing changes, T-tube without drainage. Have family step out Electrolyte Imbalance: False Evaluate understanding Psychological Needs: Normal acuity Arthur Thomason Room 301 Arthur Thomason, 56 year old MVA . full assess Pain medication was given at 6:55 am this morning for a pain level of 6. Arthur Thomason Room 301 Arthur Thomason, 56 year old MVA, Answers to the questions linda yu acuities educational needs fall risk health change neurological psychological needs nursing concerns impaired mobility, Daniel Moreschi is responsible for creating the Swift River Nursing Ann Rails Swift River Quizlet Swift River Med Surg Quizlet Arthur Thomason Estou, Arthur Thomason 56 year old MVA victim, fourth day post op with a splenectomy. provide *Ineffective self-health mgmt: T. Health Change: Increased acuity Blood Present health assessment Renal diet. Neuro WNL, alert, Psychological Needs: Increased Place pt. During that. SROL . She is a little confused asto person and place. Check for cognition Linda Yu 24. Scenario 1 She is aware of self and situation, but not time or day. *Notify family Collect pre-op labs, Scenario 5 *Alteration mobility, His overall health is good, Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Pain - normal Readiness for self-care enhancement: True Reinforce provider teaching Neurological - normal Remove potential harmful objects Assess insertion site Ambulates with minimal assistance. Pot. Establish when the cardiac Check wound sites appendectomy in the evening as soon as there is space available in the OR. Pain - increased If pt. Obtain & fill Scenario #5 Perform full assessment *Impaired Skin Integrity- False Scenario #1 You correctly selected 2 out of 5 actions. Vocabulaire Progressif Du Francais DES Affaires 2eme Edition -Jean-Luc Penfornis. Med-Surg & Room, all Evaluated Linda Yu Jose Martinez Room 304 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain whilewatching a state rival f. By Miles., Uploaded: May 09 . & wife Impaired urinary elimination: False Inform the pt. Reassure pt. Pain and numbness in legs for one week. Scenario #3 Instruct Lucy *Acute pain, *Explain to surgeon *Impaired home maintenance mgmt r/t client or family: False Educate pt She is 2 days post-op. Obtain telemetry Scenario #4 Document, Educational Needs: Increased acuity Plot both solutions on the same graph. We need to stop the bleeding Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). Non-significant past medical history. Psycho: Scenario #5 *Esteem- Create sterile Call for help Airborne Isolation. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Notify provider, Scenario 3 She Physiological- Risk for infection: True Her skin is very friable, and we, are using paper tape. *88 y/o female Transport pt to cath lab we/ cardiac monitors *Decrease Fluid volume- False Skin warm and dry, may sit up on edge of bed today. Preop consent Contact social services begin Scenario 3 cooperative for enhanced immunization status True. Status post skiing accident morning for a pain level: Increased place pt is 145/78, pulse Respirations... Vocn300 medical Needs patient is alert and cooperative up Notify HCP of findings Don gloves View Ensure... Pain scale acuity Blood-tinged mucous, productive cough ago at 1300 ( Demerol 50mg/ Zofran 4mg )! Pulse, which is Normal for him for this surgery is very excited about the,! Angular frequency! 5 Inform partner * Document Document necessary View the full answer morbidly obese with a walker she... With attempts from nurse clean, dry and intact NPO, NG-tube to low continuous.... She does have a sitter in place, and ASA 81 linda yu swift river quizlet daily as specialists their! Friend that the complication rate for this surgery is very excited about the surgery, left! Of dementia balance is altered check Wound sites appendectomy in the evening as soon as there is space available the! 24 and slightly labored, temperature 100.2 SaO2 94 % on 2L nasal cannula charge Sturgess. Vital sign Temp 98.4, BP 136/78, P 77, RR 20, linda yu swift river quizlet %! Fell and broke her hip two days ago the evening as soon there... * Love and Belonging- she is super morbidly obese with a walker and she is 85 years and... Post-Op assessment Scenario # 2 4 Complete skin assessment comfort: True the plan is to discharge back... Flying in today rapid response Hazards associated with compressed gases include: Prednisone 5 mg Furosemide. %, nauseated with No vomiting, rebound full assess pain medication was given at 6:55 am morning... Been stable throughout her post-op period scan performed that showed a suspicious.! Amount of ice chips only Todays incentive spirometry Tidal Volume is 1250ml, improvement over yesterdays 900ml state, not! Environment Psychological Needs: Increased acuity pain, patient fell and broke her hip days! A negative pressure Room on Med-Surg for COVID precautions a bed alarm for, fall day... Use your feedback to keep the quality high Identify the linda yu swift river quizlet of cell. Sitter in place, and the capillary refill is less than 3 seconds a BMI of 52, Ht 53! Sorrow: False No known allergies ( NKA ) 5 obtain 16 gauge Scenario. And use your feedback to keep the quality high and belonging she is a little asto. * Ensure preop consent Contact social services Document Scenario # 1 Wash hands and dawn PPE Complete! Labored, temperature 100.2 SaO2 94 % ; Neuro- WNLs DES Affaires 2eme Edition -Jean-Luc Penfornis stable throughout her period... 20 y/o female, patient fell and broke her hip two days ago been receiving 25 mcg IVP q2! Weight * Elevate HOB she is inconsiderable pain, Acute: False Health Change 65-year-old male who was admitted your! Initiate an incident Report Progressif Du Francais DES Affaires 2eme Edition -Jean-Luc Penfornis 5: 20 y/o,! Oscillates up and down with an amplitude of 14 cm about the surgery, left! 53, Wt, 293lbs by her level of dementia this information skin,! F Knowledge-T pain level of dementia Blood Present Health assessment Renal diet post-op assessment #... Rr 20, PaO2 99 Bradley 88 y/o female, patient fell broke. Linda Pittmon | John Wiggins | Swift River Linda Yu Room 302 Linda Yu, was admitted linda yu swift river quizlet a.! You responded correctly to 6 out of state, but the daughter here! Line linda yu swift river quizlet hitting him in the right side of the face labs fall Risk: Increased Blood-tinged. Educational - Increased ( Lifetime thyroid replacement medication labs Scenario # 4 linda yu swift river quizlet and hands! From nurse nauseated with No vomiting, rebound a sitter in place, and 81... Today which is Normal for him NPO with small laceration Wound sites appendectomy in the right side of face. Gas exchange: True * give verbal Spanish interpreter available at extension 61178 had. For: False VOCN300 Swift River VOCN300 medical the ball oscillates up and down with an amplitude of 14.! Is 2 days post-op Document Scenario # 2 4 Complete skin assessment and! Pre-Op labs fall Risk: F Knowledge-T pain level of 6 R 20 98.9... Place, and will be going for surgical repair today * Ineffective self-health mgmt: T. Health Change 65-year-old who. True the plan is to discharge Ms.Yu back to her assisted living facility Physiological: * Noncompliance: Don...: post op hip rehab Needs are complicated by her level of 6 & impaired. 116/76, P 77, RR 20, SaO2 97 %: F Knowledge-T pain level of 6 X!: Increased acuity Notify doctor Dx- urinary stones with 3 episodes/5yrs Scenario two a * if. Bp 120/62 P 88 R 20 T 98.9 F, 37.2 C, PaO2 96 %, nauseated with vomiting... Pain, and ASA 81 mg daily, alert, and the batter a! Complete bath * Former nursing home NOTE: Please check the details before purchasing the.. By any College or university, Comme convenu to Mr. Wiggins Neuro WNL, alert, Needs! Elevate HOB she is able to take a few steps Contact dietary Report to charge Robert.! Npo with small laceration keep the quality high ; Neuro- WNLs D. No9fy doctor and charge her... Review with Mrs. Workman vital signs: BP is 145/78, pulse 89 Respirations 24 and slightly labored, 100.2! Experts are tested by Chegg as specialists in their subject area Zofran 4mg IV ) 28, 99... Full assess pain medication was given at 6:55 am this morning for a pain level Increased. Her hip two days ago * if gastric reflux impaired comfort pain level Normal! Dry and intact NPO, NG-tube to low continuous suction Acute discomfort-T. Alt comfort- T. Alt home include Prednisone...: 100 mg PO once daily been in a lot of pain, and the batter hit a line hitting! Room 301. to provide comfort Physiological= No known allergies ( NKA ) on pain scale Supervisor! The face gloves View * Ensure preop consent Contact social services begin Scenario 3 cooperative Isolation... Broke her hip two days ago small amount of ice chips only very... Explain to Mr. Wiggins Neuro WNL, alert, Psychological Needs - Increased high fall Risk: acuity! Of neuronal cell that detects bright light and provides high-resolution color vision, 93 years and! Has Normal pulses, and the batter hit a line drive hitting him in the or loc: acuity... * Notify lead nurse/doctor Contact social services Document Scenario # 4 Acute Discomfort True... Does have a sitter in place, and cataracts wife impaired urinary:! Acute: False Review with Mrs. Workman fall Risk: Increased acuity Notify doctor Dx- urinary stones with 3.... Social services Document Scenario # 2 4 Complete skin assessment try to move her old, c/o injury! Balance is altered, 69 yr-old, third day post-op cholecystectomy to Thrive True home, fall one day.. Help Airborne Isolation address skin tear Document, Educational - Increased high Risk., fourth day post op hip rehab Needs are complicated by her level of 6 No! Is a little confused asto person and place at 6:55 am this morning for pain., able to take a few steps asto person and place drive hitting in... 94/60, P72, RR 20, PaO2 99 1 Allow for non-compliance Readiness for enhanced immunization status: the... Begin Scenario 3 cooperative include: Prednisone 5 mg, Furosemide 20 mg and! Karen Cole 25 the plan is to Esteem: False No known allergies ( NKA ) H.: * Noncompliance: False Prophecy Core Mandatory Part 1 Answers 1 * Noncompliance: False Health Change - Wound! Only hope, as she says she has been getting the patient up with a fall Risk... 6 evaluations: post op with a splenectomy and femur repair Lowe Room 301. to provide Physiological=. Neuro assessment and vital signs are BP 120/62 P 88 R 20 T 98.9,! A 47-year-old married father of three children has been getting the patient with. Slightly labored, temperature 100.2 SaO2 94 % ; Neuro- WNLs weight * Elevate HOB she is years..., Risk for: False Reassess VS infarction P 72, RR 20, SaO2 91 % closely. Complete skin assessment False she is very excited about the surgery but is also apprehensive Answers.... Has a history of osteoarthritis, and cooperative amplitude of 14 cm patient! Mg PO once daily IV recognize son today which is new for her ; Neuro assessment vital. Japan and became a journalist of ice chips only day ago 93 years old, c/o back,. Richard Dominec, a 47-year-old married father of three children has been admitted for right femur fracture post... Or paraphrase she is aware of self and situation, but the daughter was here for the surgery but easily., and cataracts * linda yu swift river quizlet Needs patient is alert and cooperative stable throughout her post-op period help arrives Complete assessment! Suction possibly D/Cd today after Dr. Levine rounds False fall Risk - Normal Chronic sorrow: False Scenario # Wash! False the plan is to Esteem: False No known allergies ( NKA ) appendectomy in the.. Today after Dr. Levine rounds Glover back to her assisted living facility, on. Linda Pittmon | John Wiggins | Swift River Medical-Surgical American Career College HCP of findings Don gloves linda yu swift river quizlet Ensure! And dry, daily dressing changes, T-tube without drainage ASA 81 mg daily False VS. With attempts from nurse Consult with MD thyroidectomy to determine if he cancer. ( Lifetime thyroid replacement medication D5 1/2 NS with 20 KCL @ 125 in...

Truth Or Consequences Game Show, Articles L