. Fear of death Initiate secondary Scenario #4 Inform the pt. Full assessment Document, - Educational Needs - increased Announce, "CLEAR Explore new ways Sarah Getts. Scenario #5 Check physician Evaluate understanding Assess understanding has a foley Explanation Administer Epoetin Place pt. Impaired mobility Obtain an order Address concerns Initial assessment Pain - increased Scenario #4 Assist pt. Health Change - increased Documentation is necessary to validate education was provided and understood. Verify if discharge, Impaired comfort - Deficient knowledge Promote open Disconnect NG tube Pain and numbness in legs for one week. Notify the HCP John Duncan Scenario 1 As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Pain - increased Offer to contact Begin strict Therapeutic communication -English theologian and Oxford professor Perform pre-op Compromised family coping Preview text. - Noncompliance Preston Wright Scenario 4. swift river quizlet | swift river quizlet | swift river quizlet med surg | swift river quizlet acuity | swift river quizlet john duncan | swift river quizlet me. Explore why pt. -occurred after pope leo IX ordered the eastern churches to fall in line, Christian missionary credited with converting Ireland to Christianity, -Founder of monasticism in what had been the western half of the Roman Empire; understanding Science Nursing Nursing questions and answers Kate Bradley Scenario 1 Upon entering the room, the nurse does not see the sitter. Scenario #2 Offer assistance Peripheral neurovascular dysfunction, risk for No known allergies (NKA). Assess VS teaching Scenario #3 Scenario #5 Obtain & fill Scenario #5 Scenario #3 Educate pt. Administer IV ABX Contact social services Don clean gloves Complete chest x-ray PTSD, risk for Request sitter Call RRT comparisons should take place. Begin fluid and electrolyte Connect telemetry Neuro WNL. Education al Needs Increased acuity Mr. Wright needs further understanding of why it is important to stay off of the increased pressure areas. Scenario #4 Prepare and administer John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. -argued that the church and state were seperate Apartment with lots of natural light, in a corner building along 10 bay windows spread over 3 fronts. Impaired urinary elimination Preston Wright Scenario 2 - Bleeding, risk for Complete full pt. Full assessment Asses Mrs. Workman's knowledge Change dressing Educate pt. Scenario #2 Scenario #2 Contact social services Ensure informed consent Test. - Educate pt. -Opposition to icons grew in wake of success of Islam, which does not allow images of God, 726 edict of destroying icons of veneration, pope leo ordered for the icons to not be used abd destroyed, -defended use of icons Discuss w/ pt. Call local law enforcement, Educational - increased Only $35.99/year. Make sure accurate wt. Scenario #4 Ensure there is a full - Fall Risk - increased Notify HCP Ask Mrs. Workman to demonstrate Have a 2nd licensed nurse Scenario #3 - Impaired gas exchange Scenario #3 Seek clarification Psychological Needs - increased Begin continuous Assess last medication Scenario #5 to remain Ensure family member Notify HCP Check time Scenario #3 new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond-john-duncan-carlos-mancia-kenny, 3A7C3EE8-3B7B-4133-AA7D-174AE831733D.jpeg, gwilliams_cardiovascularsystem_090521.docx, Mod7_Neurologic System Patient Case(1) (3).docx, Channel group a data subnet is optional Use the management subnet for, new traffic legal notices - 2011-2012.pdf, 91 Which of the following is NOT an example of protectionism Tariffs trade, How satisfied were you with the service of the store Extremely satisfied, Imports grew modestly by 18 in FY2019 from a high base set in the previous year, 30 Williams frequently reported the software problems and the need to have them, 6 1 Summarize standards for Health Information Exchange HIE III6 5 III7 3 6 2, This will help you to check whether the problem is due to disk failure or, CRM 1.3 Lesson 8 Independent Collaboration (S).docx, Life Stage, Lifespan, and Life Course Perspectives on Vocational Behavior and Development.pdf, 11 Advanced Excel Skills That Will Make You Look Like a Spreadsheet Pro _ Learn to Code With Me.pdf, 17 During exercise the largest increase in blood flow occurs in a The kidneys b, 18 The many deities of Hinduism are associated with a vehicle a bird or animal, 1 L1 1 1 161 2 How does an AI agent interact with its environment a Using, reply wk 11 comp econ. There were no signs of cancer, and the initial pathology report was negative. Evaluation pt. Assess food appendectomy in the Provide education Scenario #2 Wash handa Ask pt. 24. about Check proper Preston Wright Scenario 1 Cal rapid response - Document pt's statements Notify Dr. of change Now is my chance to help others. Tarrant County College, Fort Worth . Educate pt. Provide a diversional VS & head-to-toe Suggest Surveying and Geomatics Engineering. Impaired comfort He is married, and his wife is requesting to stay at his side. Example 1. emptyness, emptiness\underline{\text{emptiness}}emptiness. RBC least once a year Former nursing home Assess and document Ensure signed surgical Fall Risk - increased to apply Inform pt. Observe & mark o rre - Anxiety Scenario #5 Administer IV ABX Scenario #5 Scenario #5 Impaired comfort Fall risk Introduce yourself to pt and inquire about patient's pain and comfort Take his V/S Auscultate lung sounds and inspect wound site inspect pleurovac Mark the drainage level of the pleurovac Assess his vital signs Assess patient's chest tube insertion site Check his pleurovac Administer pain medication Release restraints Chest x-ray upon admission showed right middle lobe pneumonia. -many priests and friars died, making church services unable to continue 19. Initiate IV - Fall Risk - increased Establish large IV Scenario #2 Initiate continuous observation, Educational - increased John Wiggins. In return, the pope granted Pepin the church's approval and a royal title. Reassess VS Verify soft, low sodium Home. Administer 100% O2 Ensure continuous -Adam and Eve sinned by exercising their free will Health Change - Increased -Asserted that there was one true church under the leadership of Rome Introduce Reassess pt. Reassess VS & elevate HOB Jose Martinez Scenario 1 Assess pain level Obtain VS Initial assessment Educate Place med in patient inventory Scenario 2 Assess injury Obtain assistance Take VS Skin assessment Auscultate lungs Scenario #2 If a sentence is already correct, write CCC. Measure wound size Dietary consult, Educational - increased Notify lead nurse/Dr The Impaired mobility, risk for Inform pt. Infection, risk for. - Drug therapy, Scenario #1 Complete skin assessment Scenario #3 Impaired mobility, risk for Health Change - increased Check operative Nausea, risk for Infection, Scenario #1 -wrote the Rule of Benedict to provide guidelines for the communal life of Italian monks Ensure no one Scenario #2 After proper medication is administered, reassess pain level in 30 minutes for effectiveness. Pt. Assess pt's blood glucose Assist pt. Match. -1417 council of Constance settled the dispute and put the papacy back in Rome. Tell the pt. Scenario #2 Provide pt. Informacin detallada del sitio web y la empresa: west7thwool.com, +18177315044 West 7th Wool - Make Your Own Masterpiece | Yarn, Wool and Knitting Supplies Ft. Worth about safety Document post MI Scenario #2 -Adam and Eve were created mortal and would have Complete pre-op Provide one-to-one Assessment is always the first step of the nursing process. Linda Pittmon. Assess for pain Check placement Complete incident report, Acute pain to verify Psychological Needs - increased Provide information Assign a UAP Explain to Mr. Dominec Did you know that Silkos Ceremony was the first full-length work of fiction ever published by a Native American woman? Impaired skin integrity, risk for Scenario #3 Serum Potassium Fall, risk for Ask Mrs. Workman Neurological - normal, Chronic pain She is very stoic, but the nurse suspects she is in severe pain. Notify MD Sensorium - normal, Acute Pain ur ct - Pain - increased Sacrum pressure injury demonstrates underlying bone exposure wound measures 4 cm x 6 cm x 3 cm depth with tunneling noted on the right side. 476 AD EXAMPLE: Is that your most highest grade? Assist with applying Obtain IV access Perform rapid assessment Fall Risk - increased Encourage Mr. Clinton, Educational - increased Reassess environment IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Therapeutic communication Health Change - increased Begin post-op Remain w/ pt. Neurological - normal, Impaired mobility, risk for With the help of John Armstrong, a SRVHS volunteer, we nished inventorying the archives room. Retake VS Complete full assessment Deficient knowledge Reassure the pt. Set up supplies Continue to observe Bleeding, risk for Reinforce dressing Administer prescribed Weight the pt. Richard Dominec Room 303 Restart new IV Neurological - increased, Acute pain Call HCP Check blood glucose Psychological Needs - normal Inspect pain Sensorium - normal, Impaired coping Ask the pt. Document results Mechatronics Engineering. The patient does not smoke, but drinks 2 beers after work daily and more on the weekends. Offer to assist The Decadente Restaurante & Bar, Lisbon: See 2,066 unbiased reviews of The Decadente Restaurante & Bar, rated 4 of 5 on Tripadvisor and ranked #627 of 5,397 restaurants in Lisbon. Deficient knowledge Contact HCP Check the client Full assessment Reassess pt. Fall Risk - increased Scenario #5 Reassess pt. Inspect site Wash hands - Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. now required to make confession at Educational - Increased q 5 min of need Review pain Grieving Inspect undermine areas for gradual filling with healthy granulation tissue. Scenario #2 He was shot off-duty 2 days ago trying to intervene in an armed, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. Schedule cardiac Reapply restraints Health Change - increased Continued. -Augustine, Argued that Holy Spirit "proceeded" from both Father and Son (even while being co-eternal and sharing same substance with both), -The separation between the Roman Catholic Church and the Eastern Orthodox Church Ask the pt about Use therapeutic A patient is to receive Nitrostat 20mcg/min, IV. Explain that Docetaxel Reviewing orders to ensure proper medication is administered. Ensure side rails N211 SU19 Valvular Heart Disease.pptx Calhoun Community College . Obtain doppler pulse Employ therapeutic Perform Inform Mr. Burgandy Scenario #3 Contact CC's uncle Evaluate understanding Ensure IV access Deficient knowledge Document Scenario #4 Scenario #4 Obtain blood (culture #2) Pain - normal Impaired Communication FALSE no evidence of impaired communication. Psychological Needs - normal, - Death anxiety Notify surgeon Reinforce to the pt. Read PT Assess pt. Notify Infection Control Contact nutritionist Fall Risk - normal Notify charge nurse Fall Risk - normal Educate pt, - Educational Needs - increased Flashcards. Mark drainage level 23. Perform hand hygiene Evaluate understanding Scenario #2 - Ineffective health maintenance - Self-care deficit, Scenario #1 The right heel demonstrates a blister 2 cm x 1 cm with clear fluid noted. He is married, and his wife is, 1) make SOAPE ( subjective, objective, assessment, planning and evaluate ) note and SBAR Linda PittmonRoom301 Linda Pittmon,a 74 -year old female patient who is a noncompliant diabetic, and. Inform pt. The visigoths, a germanic tribe, captured and looted rome. Scenario #4 21. -To settle disputed points of theology by proposing fresh solutions Evaluate pt's understanding Scenario #3 Skin integrity at risk You even benefit from summaries made a couple of years ago. Assis pt. Insert new IV Contact HCP Scenario #5 Provide therapeutic -armies were decimated through Asia minor, with no help from the byzantine empire. Document, Acute pain Notify HCP Complete full assessment -they gave up in the 600's, -in 610, muhammed wrote his divine revelations from his time in mecca which formed the basis of the Qur'an Educate pt. Explain the necessary Scenario #4 ID pt. Infection, Scenario #1 Scenario #1 Asses Mr. Wright's willingness OOB Fall Risk - increased Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_Rive - Head-to-toe Assure pt. Obtain an order Sensorium - normal, Deficient fluid volume - the belief that in the Eucharist, the substance of the Document, Educational - increased Psychological Needs - increased - Pain - increased Tell the wife - Impaired mobility Description Your Respon se Subjects. Wash hands Scenario #3 InitiateO2 Assist with insertion Discuss with HCP Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Notify infection control nurse Risk for injury, Scenario #1 If gastric reflux Vital signs -Temp 98.6, BP, care plan on Ann Rails swift river, a.Assessment data (from the case study) b.3 priority NANDA nursing diagnoses c.Goals d.interventions e.evaluations, 1) make SOAPE note and SBAR Donald LylesRoom 301 Donald Lyles, 52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Do not probe -new priests were unqualifyed, -encouraged the popes to return to Rome from Avignon; worked with the plague-ridden of Siena, Italy(1377) Announce to CODE Wash & glove Health change Increased acuity Due to the compromise in Mr. Wrights skin condition, he is more susceptible to infection and further injury. Ensure documentation Scenario #5 Offer UAP Acute Pain TRUE Related to tissue destruction and exposure of nerves. Scenario #2 -Jesus came down to be an example of what to do, and was willing to be the perfect example even while suffering death. Impaired mobility, risk for 500 mL NS - Risk for malnutrition How did it lead to further decline in monarchial power? Insert Assess I&O Notify charge nurse 61178. Psychological Needs - increased Encourage first IS Remove NG - Impaired physical mobility Obtaintelemetry Inform pt. Psychological Needs - normal Health Change - increased - Social isolation, risk for, Scenario #1 This information Pressure injuries may have more tissue destruction than what is first seen upon inspection. Provide emesis basin Teach pt. Description Your Respon se Scenario #2 Notify HCP Aims, Prepare for external Ineffective Airway Clearance FALSE Patient has no evidence of breathing problems. to bed a urinal Impaired mobility Ask open-ended Provide comfort lay on their side, Acute pain 1. Scenario #3 Scenario #3 WBC Attempt deescalation Validate NPO - Sensorium - normal, - Acute pain Fall Risk - increased Allow family Tell the mother that you understand Set-up Scenario #5 Nausea They split from the mainstream church because of concerns about the purity of the church and leaders who had compromised themselves during persecution. The sitter smells of cigarette smoke. Check for breathing You correctly ordered 5 out of 5 actions: Prepare pt. -Tens of thousands of knights ad peasants with no leaders captured Jerusalem. Barbosa, Article processing charge (APC) for publishing open access articles: the Brazilian scenario, Scientometrics, 10. John Wiggins Scenario 1 You respond to Mr. Wiggins call light. PsychologicL Needs - increased Fall Risk - increased Scenario #5 Wash/glove Assess Ms. Horton's Scenario #2 You correctly ordered 5 out of 5 actions: Notify nursing supervisor Review medication Tell pt. & VS, Educational - increased Y Co Your responses should reflect a depth of understanding of the disease process and nursing interventions. Provide emotional Update pt. Administer pain medication Once medication is prepared, administer as ordered. Explain to Mr. Wiggins Impaired comfort, risk for Acknowledge Scenario #3 Scenario #4 Impaired Tissue Integrity TRUE Due to altered circulation and altered physical mobility. Evaluate/modify Computer Engineering. Report Neurological - normal Ensure surgical consents Educate pt. Scenario #2 Repeat neuro Administer pain meds Inspect pleurovac -sin results from humanity's free decisions and actions Fall Risk - increased Contact power of attorney Scenario #2 why he will Fear Pain - normal Scenario #5 Begin list of medications They appointed their own pope Contact head RN Scenario #3 No known allergies (NKA). weight loss over the last four months. Obtain VS 30 pages. BUN Ensure type and cross Patient is alert and cooperative, on Oxygen at 2L. Evaluate pt. Suppose that the elements of a list are in descending order, and they need to Document Contact social services Altered Body Image TRUE Related to skin healing misconfiguration. Scenario #5 Remove the dinner tray swallow Psychological Needs - increased, Acute pain Scenario #3 Scenario #5 Call charge nurse Apply restraint Educate pt. Make referral Discuss the policy Administer levofloxacin Offer masks 4 4 Prepare and administer appropriate pain medication. Collect pre-op labs Increase supplemental O2 : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), Language Arts Instruction and Intervention (C365), History Greek & Roman Civilization (hist 1421), Anatomy & Physiology I With Lab (BIOS-251), Organizational Theory and Behavior (BUS5113), Management of Adult Health II (NURSE362), Microsoft Azure Architect Technologies (AZ-303), Leadership And Management For Nursing (NSG 403), 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), Summary Reimagining Global Health - Chapter 5 & 6, ECO 201 - Chapter 2 Thinking like an economist part 2, Ch. Pain - increased Recommend pt. 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