robert sturgess swift river

Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Shock, Risk for False Chronic Pain True Swift River Medical-Surgical. Dr. Jones. , a 58-year-old male patient presents to the ER CO CP 10/10. RUE: ______________ LUE: _____________ Scenario 4 Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! -Transport Mr. Burgundy to his room -Assess patient LOC, by walking patient and asking them to take deep breaths. Infection, Risk for False Lithia Monson Ineffective Peripheral Tissue Perfusion False Evaluate understanding Do not disturb Senario 3 Assessment of bowel movement -Restart the IV and draw CBC Scenario 1 **New Patients from 2020, Post- Covid-19 Update:** **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec, Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose Martinez, Mary Barkley Charlie Raymond (for older swift river patients see other pdf files loaded at the bottom of this file) Preston Wright Room . Love and belonging IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Sensorium Normal acuity, Physiological -Begin q15 minute neuro checks Sleep Deprivation False Normal Sinus Rhythm on telemetry. Scenario 3 Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. His orthostasis is normalized after a second liter of NS was administered. Fall Risk Increased acuity Family in room with patient very concerned. Obtain and provide the infectious disease doctor's contact information for him. Education of Foley Cath Procedure Ms. Gestalt is now complaining of fever and chills. -Using therapeutic communication inform Mr. Greer that there are many treatment options, and not to leave until the HCP can come and speak with him Full assessment including both lying/standing Call Rapid Response protocol initiated Scenario 5 Neuro WNL. Emergency intubation and assisted breathing is provided for Mr. Thomason Safety The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Scenario 5 Attain fluids/fiber diet and assisted ambulation Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Pain Level Normal acuity You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. Continent: Yes No Brief/Diaper Esteem RLE: ______________ LLE: _____________ Place call light and check bed for safety -Ask the patient to verbalize understanding of teaching and reassure them that yourself or any member of their care team will be available to answer questions. Inform and educate spouse of dietary orders Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. -Evaluate patient's understanding of teaching Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. -Draw a repeat CBC per HCP order to determine current Hemoglobin status -Explain that Docetaxel is a hormone therapy that suppresses the testosterone that your testicles produce producing similar results as surgical intervention. Assess for fall risk Evaluate medication effectiveness -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Call rapid response Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Scenario 5 Scenario 2 Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. Microeconomics And Behavior Robert Frank 9th Edition Author: old.bubbies.com-2022-05-03T00:00:00+00:01 Subject: Microeconomics And Behavior Robert Frank 9th Edition Keywords: microeconomics, and, behavior, robert, frank, 9th, edition Created Date: 5/3/2022 7:02:15 AM Health Change Increased acuity You are about to call the Surgical ICU and give report. Educate patient You determine to apply the restraint now. You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. fallout 4 save wizard quick codes death and wheel of fortune tarot combination; gambling meaning in english urdu alpine spiced apple cider gluten free; how to use v2ray samsonas sequential gearbox subaru; lg magic remote power light stays on -Ask the patient if it is okay to discuss his care in front of his children. ADA diet, intake 25%. He states, "This is not serious." Fall, risk for: True Scenario 3, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Color:__________ Pain Level Increased acuity 45 terms. Take vital signs before leaving the hospital again. His overall health is good, and he has known he has been HIV positive for the past five years. Impaired home maintenance mgmg r/t client or family: False Perineal Care Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. You explain that his condition has worsened and now he has been taken to ICU. Check pedal capillary refill Fall Risk Increased acuity Scenario 4 Health Change: Increased acuity Excess Fluid Volume, Risk for False Urination: WNL Burning Frequency Urgency Scenario 3 Use therapeutic communication/Active Listening Senario 4 Nathaniel Gonzalez Dr. Small at bedside with patient and family. Ronald Burgundy The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. Contact Social Services Peripheral Neurovascular Dysfunction: False Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Educate pt regarding changes to POC -Offer nutrition/toilet Wash and glove hands Wound site clean, dry and intact NPO, NG-tube to low continuous suction. You notice she is crying and is expressing fear that she "will always have this pain and numbness" and she doesn't think she can cope. Because of the fall the provider has recommended that he stay in the hospital another night. Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Scenario 4 Document results and findings He is pale, weak, diaphoretic, and appears anxious. Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. A special lowbed has been ordered that will lower to the ground. Evaluate outcome of dietary plan Nausea: False Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Notify doctor Nausea False Explain to her family and provide contact information. Administer PRN constipation medications Impaired Mobility True LLE: Non-pitting Pitting ___+ Scenario 4 What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? All opinions are mine alone. But that's changing. Water/Flush: Impaired comfort: True Scenario 2 Scenario 2 Scenario 5 Inform his partner that everything is being done to keep him comfortable. Scenario 4 How was this Disturbed Sensory Perception True -Perform admission assessment Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. No response = 1, Range of Motion: Full, Limited Scenario 1 IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. -Ensure patient privacy and call for help and assist patient to bed once help arrives Aggravating Factors: Impaired Gas Exchange True 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. Yes Estimate the length of the Neptunian year given that the Earth is 1.50108km1.50 \times 10^{8} \mathrm{km}1.50108km from the Sun on the average. Nausea/Vomiting: Yes No Verbal response Oriented converses = 5 -Notify charge nurse Senario 5 jessdevan. Assist patient Fatigue True Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Acute Pain: True The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Scenario 1 Knowledge Deficit True He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Notify charge nurse that discharge will probably not occur today. IV D5 1/2 NS @150ml/hr. Dr. Roopes, 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 1 Health Change Increased acuity Document results/findings Allow husband to come into recovery for a quick one-minute visit. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, -Ensure the bed is in lowest position, the side rails are up, the call light is in reach, and ask the patient if they need anything before you leave the room Full assessment She has IV access and has received a small dose of Valium to reduce apprehension. Safety Increased acuity, Physiological Scenario #3. Paul Greer Scenario 2 Infection, Risk for True Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Alleviating Factors: Last pain medication: Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. There is an order to apply a waist belt restraint if needed. r/o Tuberculosis. Scenario 2 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Scenario 3 Notify lead nurse/doctor Pain = 2 IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Palliative care. #1: _________, No Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Physiological- -Determine when a hospital provided sitter will be necessary Safety Regular diet. Use therapeutic communication/active listening Scenario 2 Notify doctor and charge nurse A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Administer antipyretic medication Health Change Increased acuity Love and belonging Anxiety True Robert Strurgess Begin post op education for day one Contact head nurse or supervisor in the OR to evaluate new situation Perform neuro assess Senario 2 Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. 1Perform full assessment and provide anti-nausea medicine. -Start IV Educate patient regarding patient care Scenario 5 You, his prior nurse, notice the family and respond to them. 3. Impaired Mobility, Risk for True -Ensure patients is positioned in bed properly Also worth mentioning is the 'Alter Schwede' - a 217t . -Call security for assistance and compliance officer Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Scenario 2 Glasgow Coma Scale 0-15 Musculoskeletal Evaluation patient after consult Neuro WNL alert and cooperative. Abdominal Pain: Non-tender Tender/Pain Describe: Scenario 5 -Give NS liter bolus Biopsies were sent to determine the treatment. 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. Assist physician in physical exam of patient Neuro WNL alert and cooperative. Tom Richardson, 46yr-old. Dr. Donofrio, Physiological -If gastric reflux is suspected administer PRN antacids (GI cocktail) Neuro WNL alert and cooperative. Description: Sharp Stabbing Throbbing Aching Cramping Other: Arthur Thomason Check PRN pain order -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours Notify doctor You are concerned about preventing the patient from falling. -Inform patient to not get out of bed without assistance and place call light in reach Impaired Skin Integrity, Risk for False Bleeding False Fall Risk Increased acuity Senario 1 Safety- Safety- Psychological Needs Normal acuity Document results Check input/output for possible dehydration Start secondary large bore IV line Patient, and family upset regarding dx. The charge nurse asks you to assume the patient's nursing care. A few hours after speaking with the sitter about the patient needing complete observation, you notice the sitter outside of the room talking on the phone. Scenario 5 His children are visiting, and they are very supportive. Rapid Response team arrived including anesthesia. Deficient knowledge: True IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Replace oxygen nasal cannula that had become disconnected Upon entering the room, you find Ms. Rails sleeping. Gait: ______________________________, Skin Integrity Assessment Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. No response = 1, Mobility: Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Allergic to sulfa drugs. Intermittent/Continuous Other: Notify Physical Therapy (PT) Offer masks to visitors Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. Apical pulse rhythm: Regular Irregular Location: 1. Skin integrity at risk True Non-significant past medical history. Senario 2 Scenario 2 The cycle of freezing and thawing damages the abnormal cells. Safety Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Scenario 5 Scenario 4 Notify family He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Provide comfort in pre-surgical room Mr. Dominec. Use therapeutic communication/Active Listening Evaluate understanding. Scenario 4 Notify lead nurse Senario 2 Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Elevate head of bed Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Constipation, risk for: True -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Release restraints/full range of motion Hopelessness True Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Senario 3 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. The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. Family at beside. Tunneled, site _______________ Implanted port, accessed _____________________ Scenario 2 Cardiovascular Assessment Noncompliance True. Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. -Check on patient/sitter hourly Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Attempt to orient to person, place, and time Encourage Mr. Dominec to discuss with his partner his best treatment options. Notify housekeeping. Cardiovascular has pacer with rate of 82bpm on demand. No Known allergies (NKA). Obtain urinary screen In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. Esteem The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Talk with her stating surgery is over and she did great. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Airborne Isolation. -Set-up for stat portable chest x-ray Scenario 4 Respiratory Effort: Relaxed, Regular, Non-labored Pursed lip breathing Labored Pain Level Increased acuity Mr. Greer has just been visited by his wife. ASA is held but morphine 4 mg was given after his GI cocktail. Assess for bowel sounds Then the bus splashed into the river for a cruise. Scenario 3 He is having some difficulty hearing and complains of ringing in his ears. No Known allergies (NKA). Self-Actualization Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. The bed arrives tomorrow. You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Document results Nutrition True Apply nasal cannula Acute Pain True Hep-Lock in place left AC. Discharge instructions Three hours later, Ms. Getts is unsteady when standing by her bedside. Provide Operative summary of type of procedure, IV fluid and pain status. It is unclear if he lost consciousness. Scenario 1 Provide for physical and thermal comfort. Chronic pain: True You question her while reviewing her operative consent and determine that everything is correct. His coughing, to clear his airway, appears ineffective. Verify call light/bed safety precautions August 13, 2020 // by Angela McGowan. Scenario 1 Scenario 4 He has a history of hypertension and is not compliant with medication. He is aware that he may not have an erection and may need depends for bladder incontinence. Nausea: False Eye opening Spontaneous = 4 Combien gagne t il d argent ? No known allergies (NKA). Notify doctor Senario 4 He has been taking his HIV medication daily. -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon -Remove the dinner tray and make sure the diet is soft food. Comfort/Pain Assessment Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Obtain vital signs machine Assess for bowel sounds Flexes abnormally = 3 Diet as tolerated. c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. -Assess if the contents of lunch tray are intact. You arrive in room to find Ms. Monson talking to herself. Knowledge Deficit True Scenario 2 Document findings Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. 0800 1200 Sensorium: Normal acuity, Bleeding, risk for: False Include patient condition change in shift report Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments Neuro WNL alert and cooperative. Vital assessment Patient and family upset regarding dx. Blood-tinged mucous, productive cough. Scenario 5 Communication/Speech: Clear Non-verbal Slurred Aphasia Other Dr. Starks, Physiological -Reapply the NC that he was admitted with at 2L Scenario 2 Dr. Rondeau, Educational Needs Increased acuity Scenario 4 Ineffective breathing pattern False -Complete initial post-op assessment Administer antiemetic medication Scenario 2 He was recently diagnosed with stage III prostate cancer. Safety Scenario 1 IV Fluids: INT lock IV Fluids ______________@ _____________ mL/hr Date on tubing: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chronic Pain, Risk for constipation, impaired nutrition, anxie, 4 units on insulin sliding scale for coverage, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Educational Needs Increased acuity Ineffective Coping False 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 with a pillow at his operative site. Impaired skin integrity: False, Anxiety: True Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? -Medicate for pain Failure to Thrive: True. Bleeding, Risk for False He does not want to return to the nursing home, and does not wish to burden or live with his children. Scenario 3 Educate patient regarding condition The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Observe closely first hour Provide emesis basin/cloth Obtain Spanish signs & brochure NPO with small amount of ice chips only. She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Reapply restraints -Notify charge nurse of patient's deteriorating condition Bleeding, Risk for False Viola Cumble The sister of Mr. Mancia calls from home to speak with you. Esteem Insert Foley catheter When the nurse enters the room later that day to inform him that the procedure is scheduled for 1430, they see Mr. Gonzalez is sitting in front of a lunch tray. Impaired Home Maintenance management r/t client or family False Sleep Deprivation False. Remain with patient and reassure Fall Risk Increased acuity At Risk, Impaired Comfort False -Discuss effectiveness of sitter You explain that he is receiving a higher level of care and was he was sedated before leaving the floor to make him more comfortable. Scenario 3 Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. No Known allergies (NKA). Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Escort patient to vehicle Scenario 4 Diet as tolerated, up ad lib after gait training. Impaired Skin Integrity False He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. 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. Self-Care Deficit False Chronic Pain False Impaired Mobility True Constipation, Risk for True Senario 2 Pain Level Normal acuity Deficient knowledge: True Verify Call Light/Bed Safety precautions Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. -Complete incident report. Scenario 2 Amount:________ No Known allergies (NKA). Mr. Richardson is requesting assistance to ambulate to bathroom. Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Scenario 2 His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Vital re-assessment Senario 1 Do not probe further Senario 4 Grieving False Leave to break room and not continue in conversation.

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