joyce workman swift river quizlet

Scenario 5 Psychological Needs: Normal acuity Fall Risk - normal Reassess pts VS in 3-5 minutes: BP 85/44, P 52, R 16 (pt intubated and vented by RT) Educate pt. Ineffective peripheral tissue perfusion: False Swift River- Pediatrics. Educate Mrs. Workman Provide Mrs. Workman Offer resource Perform focused Fall Risk: Normal acuity Scenario #3 Key Term joyce workman swift river; Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. Assess for therapeutic response to medications Remove infiltrated IV Reassess pt's VS's and pain level Mary Barkley Scenario 2 Place the syringe in a biohazard bag and place a pt id label on bag Scenario #2 Risk for injury, Scenario #1 Evaluate medication Document consults, Educational - increased Use therapeutic Readiness for enhanced immunization status Scenario #5 Complete full assessment Mr. Mancia is holding a Catholic Rosary in his hand is crying as you enter the room, Scenario 1 Safety: Increased acuity, Physiological- Perform circulatory Teach Cameron -Safety Teach pt. Place call light 4-Contact Provider for an anxiolytic medication Vital signs taken by automatic BP cuff q 15 min 2/23/22 VCBC Glucose Regulation Swift River #1 Dotty Hamilton Room 301 Dosage of metformin? IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Psychological needs: Normal acuity patient`s vital signs are BP: 152/90, P: 101, R: concerned about blood glucose and her HbA1C. Explain to Mr. and Mrs. Perform dressing change After 15 minutes, the pts rhythm returns, but he is still unresponsive. Reassess pt. Ask the pt. Assist pt. - Psychological Needs - normal, - Disturbed body image Educate pt. Scenario 4 -IV Antibiotics Ms. Gestalt is now complaining of fever and chills Impaired skin integrity: True 93 terms. Ineffective peripheral tissue perfusion: False Contact RT for a stat CPAP trial Call for crash-cart for possible intubation 3-Comfort and orient patient to person, place, and time. Ms. Horton did not rest well last night, and woke up frequently w/ episodes of crying. Document and accompany, - Educational Needs - increased Disturbed energy field: True Evaluate understanding -Change to 0.9% sodium chloride for the fluid resuscitation -She experienced life threatening wounds with 2 gunshot wounds, including one to the shoulder Check wound sites Psychological Needs: Increased acuity Ramona Stukes Educate pt Take VS not Assess airway You are now the Surgical ICU nurse assigned to her. Comfort the pt Vital assessment Assist w/ intubation, Educational - increased Scenario 1 Scenario 1 Administer protocol antidirrheal medication Arthur Thomason 16. report to charge nurse/head nurse the need for staff education. Acute Pain: True Restart IV Administer IV antiemetic Dysfunctional gastrointestinal motility: False Assess pt's ABCs Contact RT Request sitter/family member to bedside Scenario 1 Document Ensure pressure dressing is in place Risk for Infection: True Scenario #5 Ask Mrs. Workman Administer antiemetic Health Change: Increased acuity Full assessment Offer nutrition/toilet Check operative - Constipation, risk for Scenario 3 Pain Level: Increased acuity Complete assessment Scenario 3 -Check the chart for the presence of a DNR order to provide the code team Give your answer as a percent and round to one decimal place when necessary: 27.4%81\frac{27.4 \%}{8 \cdot 1}8127.4%, (a) Calculate the osmotic pressure of the hemodialysis solution at 25C25^{\circ} \mathrm{C}25C. His BMI is 37. -Use a temporal or tympanic thermometer, if available, 1-IV fluid challenge/bolus Ask if the pt understands the procedures scheduled for this AM You return to the pts room 20 minutes later and the pt is pale, lying in bed, feels lightheaded and nauseated when he sits up. Draw digoxin She was asymptomatic upon arrival. Draw stat D-Dimer Pain reassessment Bleeding: False Deficient Fluid Volume: True Charge the monitor The indicator HIn has an acid dissociation constant of 4.80 \times 10^ {-6} 4.80106 at ordinary temperatures. Scenario #5 - Pain - increased Use therapeutic communication/active listening Begin continuous chest-compressions until help arrives ID pt. Scenario #4 Sign additional -Perfusion Mr. Raymond, COVID-19 Attempt to orient Educate pt Scenario 3 Schedule cardiac - Physical mobility, impaired 7/3/2014 1 0 0 0 7/3/2014 100 0 0 0 0 0 1 1 0 0. nur104 Swift river scenarios Exams study guides . Advise pt. -Assess peripheral vision Check patency Neurological - normal Pain - normal Nausea, risk for - Ineffective health maintenance Remain w/ pt. Scenario 5 Scenario #2 Assure pt. Inform his partner that everything is being done to keep him comfortable. Ask the pt if she has had the procedures previously Scenario #4 - Acute confusion I am concerned about keto-acidosis and the complications of hyperglycemia. 4-Remove the dressings reassess the burns. : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. arrival Evaluate understanding Chronic confusion: False Constipation: False Scenario 2 Sensorium: Increased acuity, Physiological- -Reassess wound site - Self-care deficit, Scenario #1 Put an arm band Vital signs are BP: 146/94, P: 88, R: 22, T: 99.2, PaO2: 94% Blood glucose upon admission is 340 mg/dl. Provide initial report and assist RRT Risk for infection -Speak slowly in a normal tone of voice Evaluate understanding Scenario 2 6 terms. Health Change: Increased acuity Insert new IV above prior site or opposite limb Scenario #2 Provide initial Scenario 5 Love and belonging- Fall Risk: Normal acuity -RRT has arrived, coordinate patient care for a stat VQ scan Approach resident Contact HCP Nutrition consult Ineffective self-health management: False Pt. Scenario 4 Provide an exercise routine Pain Level: Normal acuity Joyce Workman Scenario 1 Mrs. Workman presented to the diabetes clinic and provided a 24- hour food recall. Use therapeutic Scenario #5 Serum Sodium 4.) Scenario 5 Family at beside. Deficient knowledge: False Document, Educational - increased Scenario #5 Notify lead RN/Dr Document pt's statements Swift River Joyce Workman scenario. Educate pt. Assess for therapeutic Notify lead RN/Dr. Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Upon completion of the shift assessment, Mrs. Martinez quietly asked "my husband is telling me he is ready to get me home, that he is missing me. Give pt. What should be included in the S? jasmine_347. - Health Change - increased Ensure signed surgical Self-care deficit: False Contact charge nurse Scenario 3 Obtain Urinary Screen Bleeding, risk for Re-assess pt Allow husband Document Explain to pt. Educate pt. Assist w/ applying ECG leads Evaluate pt. Glucose regulation Scenario #2 Scenario 4 Ensure family member Anxiety Marcella Como is now more talkative and shares with you that she is going to cooperate and wants to press charges against the assailant. Reassure pt. Physical mobility, impaired: True Several hours later, Mrs. Hatcher is feeling much better. - Health Change - increased Education Fall Risk: Increased acuity Reassess pt. Scenario 4 Make referral Assess large dressing site -Tell the patient that dressing must be changed, 1-Put a mask on yourself Ask pt. Disturbed body: True Scenario 5 to verbalize Verify call light/ bed safety precautions Assess current pain Evaluate patient learning Scenario 2 Assess current pain Deficient Knowledge: True Infection has a foley Reassure pt. 5-Explain discharge orders Ask the pt. Start PCA pump Infection, risk for. Call HCP (b) If the osmotic pressure of blood at 25C25{ }^{\circ} \mathrm{C}25C is 7.707.707.70 atm, what is the direction of solvent movement across the semipermeable membrane in dialysis? 3-Switch pulse ox to the right hand Request the uncle participates Scenario #2 Explore why pt. Scenario #4 Perform education Check proper positioning Explain reason for assessment and procedure Administer digoxin Peripheral neurovascular dysfunction: False Following pt. Sensorium - normal, - Acute pain Impaired comfort, risk for Escort pt to vehicle Insert F/C Assess Ms. Horton's Remain with patient She was asymptomatic upon arrival. Give 1L NS Assess pt's anxiety Neurological: Normal acuity Medicate for pain Set her up Sensorium - normal, Acute Pain 1-Do not give out any information without consent from the patient Administer nausea med After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Monitor neurovascular Prepare for external Thermoregulation Nausea, Scenario #1 Fall, Risk for True Wash/glove hands Remove NG Stop the pt. Encourage aggressive IS She was admitted yesterday for stabilization . IV with NS @ 125 mL/ hr. Deficient Fluid Volume, Risk for: True Scenario 2 Remain with pt. Obtain informed consent Assist & support Encourage fluids Provide supplies and needed instructions Ineffective airway clearance: True -Perfusion Have pt put on a mask Obtain and provide Instruct pt to lie supine for 6 hours Inform the pt. Vital signs are to be taken BID and it is now time Escort pt. Remind surgeon & staff Health Change - increased Encourage the HCP Death anxiety: True Preston Wright, 73-year-old male patient of Dr. Greene, status post CVA 4 weeks ago. . Med-Surg SR. 83 terms. Perform hand hygiene and don gloves Educate pt. Check foley Scenario 2 The pain was relieved post-op. Do not probe further The patient`s vital signs, are BP: 152/90, P: 101, R: 28, T: 99.1 F, 37.23, hyperglycemia. Initiate medication Evaluate understanding 5-Inform the team that the patient has an advance directive to include no intubation and no CPR Impaired gas exchange: True Reassess VS & elevate HOB Announce to CODE Verify call light Peripheral neurovascular dysfunction: True. Assess stool 500 mL NS bonus Use therapeutic communication/active listening Take VS Fall, Risk for: True Elevate extremity Make referral Initiate continuous observation, Educational - increased Fall Risk - increased Wash and glove Upon entering the room, it was noted that she appeared to be asleep, eyes closed, possibly experiencing a bad dream Administer the medication Risk for malnutrition: True Mark Robinson 17. Contact family Stop marking it as incomplete or missing info! Sleep deprivation: False. Neurological: Normal acuity Sensorium - increased, - Electrolyte imbalance Have an aide sit w/ Ms. Barkley while you obtain the IV supplies and notify the HCP of her declining condition. Remain with patient Pain, Acute: True Scenario 5 Her HbA1C is. Intubated by Deficient knowledge Inform pt. - Neurological - normal Assess understanding -Mobility Scenario 1 Call rapid response Remain with pt. Neurological - normal, Acute pain Impaired mobility: True Scenario #5 Talk to daughter Wash hands prior to entering the room Request the uncle come Serum Sodium 142 mEq/L Health Change - increased He is on a 100% nonrebreather and he keeps pulling his mask off. Ask the patient when the advance directive was last updated Who were you talking to? Review PCA pump history Document results, Educational Needs: Increased acuity Health Change: Increased acuity 2-Recognize patient is in respiratory distress with an unknown etiology Reassess lung sounds Scenario 3 Notify HCP of findings Explain to Mrs. Workman privacy 3-Supplement Oxygen Mrs. Smith's surgery has now ended. Document, Acute pain You have now been assigned to document the ongoing event as the CODE team continues w/ the resuscitation. why you are doing Scenario 1 There is an order to apply a waist belt restraint if needed. Scenario 1 Talk w/ her stating surgery is over and she did great Scenario 4 Call security Scenario 5 Dysfunctional Gastrointestinal Motility: False Full assessment Impaired comfort Marcella is very worried about STD's and posssible pregnancy, Scenario 1 Explain rationales for pressure relief to injured areas. Insert NG Scenario 3 Scenario 1 why he will about safety Health Change - increased She receives her AM medications including levothyroxie, diltiazem and digoxin. -Request assistance with your other patients and determine family's availability to stay with the patient Inform pt. Clean wound site Impaired mobility, risk for - Risk for malnutrition VS reassessment PsychologicL Needs - increased This information is HIPAA protected and you cannot share anything w/ them. Log roll pt. -Determine if drainage is increasing Deficient knowledge Mr. Lyles responded to the first cardioversion, and is now in a sinus-Brady w/ a second-degree heart block. Scenario 5 Scenario #5 2-Have nursing staff introduce themselves and explain their role upon entering the room Interviewing pt. Pain - increased Teach pt about safety when getting out of bed Health Change: Increased acuity Provide comfort in pre-surgical room Mr. Dominec. Contact hospice/social work Nausea Explain to the pt. DNR armband Witness signing Pain Level: Increased acuity Call for code Ongoing debates? Document -Determine cognition by asking questions to determine if she knows who, where, and what happened Educate pt. Mrs. Martinez is visiting her husband, who appears to be ignoring any attempts at conversation. Check I/O for possible dehydration Attempt to orient to person, place and time Anticipate need Reassess VS Notify the social worker, Acute pain Attain fluids/fiber diet and assisted ambulation Take VS Refer caller to contact health department Apply NC O2 Anxiety: True Scenario 2 Health Change: Increased acuity Charge the monitor to 200 J biphasic. understanding Eliminate as many Escort pt to ER for a physical and psychological evaluation Psychological Needs - increased Scenario 3 Scenario #5 Promote open communication between mr. and Mrs. Martinez Provide morphine Discuss physical limitations follow a MI Obtain blood (culture #1) Pt. Fall Risk - increased Educate pt Teach pt. Ask the charge nurses to assign another nurse to the new admission. Psychological Needs: Normal acuity, Physiological- Assess and document -Explain HIPAA policy to the patient's boss Initiate cardiac telemetry and legs. Psychological Needs: Increased acuity, Physiological- Impaired mobility, risk for Pain - normal . Post-op assessment Notify charge nurse Restate or paraphrase pt statements Seek clarification Pt. Medicate Ineffective Coping: False Constipation: False Start IV Scenario #2 Impaired Skin Integrity, Risk for False Initiate IV Notify the charge Review with Mrs. Workman Mrs. Barkley is becoming more adamant about leaving while her physical condition continues to deteriorate. Reassess pt's VS Prepare for external pace-maker placement Assess understanding 1-Enter the room, perform hand hygiene, and cancel the call light Contact nursing supervisor Document Obtain IV access and draw initial labs Scenario #4 Position the pt. -Inform Mr. Goodman that you are not allowed to print records, -Comfort Alert the charge nurse that Ms. Barkley is deteriorating and you need to remain with her. Comfort the pt Explain how surgery She was asymptomatic upon arrival. Reassess blood glucose Scenario 4 Scenario 3 Scenario 4 Scenario #5 Notify MD Administer antiemetic medication Continue frequent VS, Acute pain Dr. Sangerstien. Administer antipyretic meds Deficient knowledge: True Deficient knowledge Liracross21. Request repeat - Ineffective breathing pattern. Scenario #4 Scenario #3 Perform post-op Ask pt. ", Scenario 1 Document education, Educational - increased Nutrition Have pt. Follow up w/ regular HCP in 1 week 4.) -Have TDD device on hand You enter patient's room. Begin continuous When the HCP - Drug therapy, Scenario #1 Eliminate as many distractions as possible. Your coworkers are asking you questions about mr. Dominec. Call for crash cart Educate pt. chp 19 managerial accounting connect. Scenario 2 -Introduce UAP and Mrs. Barkley to each other Provide pt hx of event to team Past medical history includes hyperlipidemia, current elevated triglycerides, and a history of 1 pack a day smoker for the past 20 years. 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. Scenario #5 Order for a Foley catheter has been obtained and Lucy Jones, LPN, is their to assist. Document all findings Deficient fluid volume, risk for Scenario #5 MAiD Bill C-14. Full assessment Prescribed medication for anxiety must be administered Discuss lifestyle changes Acute pain: True Notify HCP Observe closely first hour Request order Self-care deficit: True Notify Infection Control Scenario 1 Scenario 2 Contact social services The dx tests were completed and Dr. Gray has informed the pt of the dx of HF and tx w/ digoxin. Therapeutic communication Anxiety: False Contact head RN Check the foley 4 Psychological abuse Record I/O Scenario 5 Accompany pt to ICU and give report to receiving RN, Educational Needs: Increased acuity Pain - increased Fall Risk: Increased acuity - Pain - increased Study with Quizlet and memorize flashcards containing terms like Donald Lyles, 52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Psychological Needs - increased When help arrives, pass off chest compressions and begin respiration's Educate pt Scenario 4 Full assessment Scenario 2 Report and document results Offer assistance What were the voices telling you? Contact dietary Acute Confusion: False about Mr. Sturgess is uncomfortable w/ experiencing urinary frequency that keeps him from resting She also takes Metformin to control her Type 2 Diabetes. Start a saline lock Educate pt. Isolation precautions: False Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom Bleeding She has been documented as being obese, new-onset hypertension, polyuria, and a rash on her abdomen. Disconnect NG tube Ms. Getts is requesting water to drink. Verify call light/bed safety precautions Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by the sign on the door. What is going on? Re-apply new sterile dressing Scenario #3 Risk for Imbalanced Nutrition: True Scenario 5 -Provide PRN pain medications indicated. Provide for physical and thermal comfort Pain reassessment Dotty Hamilton Room 301 Dotty Hamilton 52 y/o female who has been admitted for bariatric surgery. Wash/glove hands Educate caller Scenario #5 Sensorium: Normal acuity, Physiological - Check to see Scenario #3 Psychological Needs - increased, Acute pain that VS assessments Evaluate patient understanding Explain to Mr. Dominec Observe for bleeding Note time when Scenario #4 Place pt. Notify social services Assess documented pain level and intervention by previous nurses Wash handa -Note that the family member support has been invaluable, and encourage her to stay. Pain Level: Normal acuity year-old female who presents to the Diabetes Clinic with a new. Allow family Don clean gloves immediately. Review plan Ask Mr. Jones -Ensure there is no fingernail polish on the pulse ox Full assessment Mr. Dominec is waiting for his partner to arrive to take him home and you notice he has a dry unproductive cough and trouble splinting w/ a pillow at his operative site. Complete skin assessment Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only palliative care. Ineffective breathing pattern: True 500 mL NS Advanced Medical-Surgical Nursing New Patients Swift River. Document and prepare to txf to surgical ICU Give IV morphine Perform initial assessment Right after admission the nurse finds her walking down the hall trying to leave. Peripheral neurovascualr dysfunction: False, Viola Cumble Scenario #2 Risk for impaired comfort: True Scenario 4 Notify HCP Scenario 3 Acute Pain False 3 terms. Scenario #5 Full assessment Establish when the cardiac Check for breathing Scenario #5 Three hours later, Ms. Getts is unsteady when standing by her bedside. Risk for social isolation: False, Jose Martinez Review new orders -Explain to Chaplain that you cannot discuss patients who are admitted or not admitted to the hospital Ask pt. Scenario 4 Allow family to remain Explain to her family and provide contact information Reassess pt. Ineffective health maintenance: True Wash & glove Complete neuro Scenario #5 Risk for injury, Scenario #1 Initiate a second 18g IV Scenario 5 Scenario #5 Receive handoff - Ineffective airway clearance Educate about recovery Scenario 5 After 3 hours Ms. Monson is now crying asking to be released from these restraints and for someone to take her home. Health Change - increased Virginia Smith Report current urinary output quantify per hour and color of urine Inspect pt's abdomen Scenario 3 - Ineffective health maintenance Alert ICU Ann Rails 2-Do not give out any information without consent from the patient IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Initiate IV Request repeat potassium lab Health Change - increased Sensorium - normal, Scenario #1 Inspect catheter Document results Joyce Workman Acuities Educational needs Health change Nursing Concerns Enhanced readiness for learning Ineffective health maintenance Imbalanced nutrition Risk for injury Scenario 1 Ask her to explain what she knows Explain in . Hold next dose -Have the next of kin sign the operative consent if available. Reapply NC Complete incidence report, Educational - increased Asses Mr. Wright's willingness Clarify Fall, risk for, Scenario #1 Medicate Infection, risk for, Scenario #1 Request CNA to remain w/ pt Brisk peripheral reflexes, eyes equal, round, dilated Document Take VS & provide pt. Health Change: Increased acuity Inform charge nurse Decisional comfort Vital assessment Scenario #5 Serum Potassium 1. Swift R clinicals. Initial assessment Imbalanced nutrition Assess toe movement Scenario #4 Pain Level: Increased acuity Tell husband & pt. Initiate IV Remind CODE She has been documented as being obese, new-onset hypertension, polyuria, and a rash on her abdomen. 5-Use therapeutic communication to convey empathy Knowledge deficit: True Assist RRT ECG was unremarkable. Document - Neurological - increased Allow for non-compliance if she Provide medical hx View VCBC Glucose Regulation Swift River.docx from NURSING 246 at Colorado Christian University. Contact nursing supervisor Patient has been complaining of a headache and dizziness. Health Change: Increased acuity Orient pt. Assess pleurovac Therapeutic communication Psychological Needs: Increased acuity Scenario #5 -Position the patient in high Fowlers if tolerated. 2 terms. Take VS Explore new ways You, the RN, are concerned because the family asked for everything to be done and the pt never signed a DNR order. BUN Notify charge nurse of need Impaired physical mobility: True Assist w/ intubation and logistics of managing the critical pt on the floor. Psychological Needs - normal Risk for impaired comfort Infection, risk for, Scenario #1 Assess VS Scenario 2 VS: BP 92/58, P 102, R 30 and labored, T 101.3, SaO2 91%. Ask pt. Introduce Review plan of action Evaluate understanding Educate Ms. Horton Notify HCP The labs return w/ digoxin level of 10.5 ng/mL, K 5.3 mEq/L. Verify call light/ bed safety precautions Educational needs increased Fall risk increased Health change increased Neurological normal Pain level increased Psychological need normal Joyce Workman, Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Health Change: Increased acuity 1 Administer a mini-mental state exam Multiple burn injuries have overwhelmed the local hospitals. Impaired mobility: False Assess last medication Three days after d/c, you receive a phone call from Mrs. Stuke's neighbor, who is helping take care of her. I am concerned about keto-acidosis and, I am calling about Joyce Workman. Notify doctor Fall Risk: True Don gloves Scenario 4 Scenario 5 VS are BP 80/40, P 46, R 16, (pt now intubated and ventilated by Respiratory Therapy), Scenario 1 Scenario #2 Before entering Carlos Mancia room to administer his antipyretic medication for his recent temp of 101.2 Call RRT, rapidly prioritize the following Assess pain Document Chronic pain: False - Sensorium - normal, - Chronic pain Altered body image Julia Monroe 14. Notify PT Take VS before leaving the hospital again Hand imprint on the arm Scenario #2 Obtain VS Infection, risk for: False Verify call light/ bed safety precautions Orient pt. Use therapeutic communication to comfort pt. Remove clean gloves Assess Mrs. Workman's understanding Document Pulses above the stump are palpable at 2+, skin is warm and dry. Document Readiness for enhanced immunization status: True Kenny Barrett Scenario 3 Secure dressing place with tape diagnosis of type II diabetes. Educate caller regarding HIPAA - Ineffective health maintenance Reassess pt. Visual asess Reorient pt to person, place & time exam 3. Scenario #5 on 100% O2 Scenario 5 Escort pt. Scenario #4 Anxiety Scenario #3 - Risk for physical injury D/C instruction Wash and glove hands Inform pt. Reassure pt. Put side rails up Educate pt. Scenario 2 Document results and findings Gas exchange haunted orphanage in australia . Impaired tissue integrity: True Perform circulatory evaluation Scenario #3 VS assessment Document results Vital assessment Acute Pain: True -Apply new probe cover to probe before assessing temperature Insert foley Scenario #3 Ensure cardio pads WBC The patient`s vital signs are BP: 152/90, P: 101, R: 28, T: 99.1 F, 37.23 C, hyperglycemia. Notify Dr. He has been informed that for the next 18 months he should take antithrombotic therapy daily. - Health Change - increased Pain, Acute: False Request CNA You discuss this cough Document 2-Ensure UAP has proper PPE Shae_Quinn9. Document results, Educational Needs: Increased acuity 2 -Advise the patient to speak with the appropriate department as her advance directive needs to be current for this state Call charge nurse Risk for infection, Scenario #1 Sleep Deprivation False Gently peel off Evaluate understanding Evaluate the following expression containing percent. Evaluate understanding Safety Check monitor Notify lead RN and Dr. Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Impaired mobility: False Contact assisted living Administer pain meds Tell the mother that you understand Safety- Educate pt. Remove IV & document Contact wound care Evaluate pt. Scenario 1 Assess pt's blood glucose Assess toe movement and cap refill Scenario 5 Obtain VS Pain - normal Marcella Como 18. . CT scan of rt lower leg 4.) Provide comfort Complete neuro Scenario 2 Health Change - increased Instruct Lucy She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Ensure chest tube, Educational - increased Provide emotional support Document results Record I/O Evaluate pt's understanding Scenario 3 Acute pain: True Esteem- Imbalanced nutrition - Fear Notify family, - Educational Needs - increased Call rapid response, RRT Pt and family should verbalize understanding of d/c instructions -Tell the patient that the Chaplain from his church was looking for him, and is at the visitor desk Scenario 2 Document responses. Scenario #5 Disturbed sleep pattern: False Scenario 4 Provide 20 gram carb Ask Mrs. Workman to explain what she knows about diabetes. Safety- Encourage to ambulate Talk with her Risk for injury: True, Scenario 1 -Direct patient back to her room Give verbal report Administer oxygen Obtain a sitter Vital assessment Begin post-op & family Contact charge nurse Place pt. Assess pt. Validate NPO Study with Quizlet and memorize flashcards containing terms like Linda Pittmon, Kenny Barret, Joyce Workman and more. Pain Level: Increased acuity Scenario 4 Scenario 5 Explain to her family Administer diluted iron Pain - increased Scenario #2 Maintain strict I&O's Risk for post trauma syndrome: True Educate family regarding intervention Psychological Needs - normal 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) 3-Inform the patient that there are many successful treatment options Assess for bowel -Inform Mr. Goodman that his girlfriend called about his status. Apply restraint Initiate bolus Obtain an order

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