robert sturgess swift river

She receives the pre-op medication. When completing the shift change neuro check, you notice the patient's left pupil is sluggish. 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. Nausea/Vomiting: Yes No Rich Dad, Poor Dad (Robert T. Kiyosaki) The Methodology of the Social Sciences (Max Weber) Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.) . Assess Scenario 4 -Reassure patient that he will be moved to a private room as soon as possible No known allergies (NKA). -Explain to the patient that he has a procedure, and he cannot eat. Therapeutic communication. Self-Care Deficit: True It is now two weeks later; Mrs. Smith has returned. Dr. Rondeau, Educational Needs Increased acuity The patient is being prepared for discharge and his IV has been removed. 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. Pain Level Normal acuity -Perform neuro assess The Swift River Nursing Simulation involves artificially representing real-world processes with sufficient fidelity to enable learning through immersion, practice, reflection, and feedback without facing the risks inherent in a similar real-life situation. They were also concerned about the next patient going into that room and the use of the lavatory. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device -Complete full assessment, to include neuro Waist belt restraint PRN; family sitter at bedside, assist with bath. Scenario 5 Need frequent reminder to stay in room and maintain mask precautions. He does not have an IV nor is he on oxygen. She is also investigating bone marrow transplantation. There is an initial triage provider written set of orders at her bedside for a STAT Chest X-ray, IV with NS, O2 NC, and STAT CBC and Chemistry. -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Nutritional Intake: Adequate Inadequate BMI: Evaluate patient learning Scenario 4 Flexes abnormally = 3 Document results Deficient Knowledge False Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. He is married, and his wife is requesting to stay at his side. Notify family Diet as tolerated. Scenario 3 Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output You escort them with you to the ICU. Non-significant past medical Hx. Reorient Patient to person, place, & time References; Access My Virtual Clinicals; Medical-Surgical. The Physician tells you to have everything ready including a 22 French chest tube, and he will be in shortly to position the chest tube. Deficient knowledge: True View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Perform circulatory evaluation Insert Foley catheter After washing and gloving hands, you then identify yourself and the patient, Ann Rails. It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Educational Needs Increased acuity His, Joyce Workman Room 303 Joyce Workman Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Take vital signs before leaving the hospital again. Document results Anxiety False Deficient Knowledge True Verify call light/bed safety precautions Gastrointestinal Assessment High fall risk. Safety Nutrition True Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Deficient knowledge: False Hep-Lock in place left AC. Use therapeutic communication/Active Listening Noncompliance True. The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. Neuro WNL alert and cooperative. Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. This will treat any cancer that may have metastasized to the bone. Bladder distention Pelvic pain Low back/flank pain Oral Care No known allergies (NKA). Mrs. Smith's surgery has now ended. The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Check monitor -Use therapeutic communication/active listening Imbalanced Nutrition True The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Chronic Pain True GI WNL. 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. 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. -Offer nutrition and/ or toileting Scenario 3 Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Alleviating Factors: Last pain medication: 2021-22, Historia de la literatura (linea del tiempo), Respiratory Completed Shadow Health Tina Jones, CH 02 HW - Chapter 2 physics homework for Mastering, BI THO LUN LUT LAO NG LN TH NHT 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. Sarah Getts You question her while reviewing her operative consent and determine that everything is correct. He was recently diagnosed with stage III prostate cancer. Combien gagne t il d argent ? Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Glasgow Coma Scale 0-15 Musculoskeletal Impaired Home Maintenance Management False The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Mr. Greer has just been visited by his wife. Offer masks to visitors -Start an IV RUE: ______________ LUE: _____________ Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Love and belonging- Pain Level Increased acuity Evaluate understanding He is aware that he may not have an erection and may need depends for bladder incontinence. Fall Risk Increased acuity Teach Cameron. He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. Fatigue True Bleeding False Psychological Needs Increased acuity Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Health Change Increased acuity Report to charge nurse/ head nurse the need for staff education. The patient describes this pain as a heavy pressure with intermittent stabbing. Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Determine from medical record if partner is aware of his recent AIDS diagnosis. Give verbal report -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Provide for physical and thermal comfort. Love and belonging Pain Level Increased acuity Scenario 2 : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Scenario 2 Full assessment Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ Document results. Lung sounds are worse. Tap patient and ask, "Are you okay?" Localizes pain = 5 -Instruct Mr. Burgundy and his cameraman to stop immediately -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? Acute Confusion True except 115 pulse, which is normal for him. Scenario 1 Radiofrequency ablation may be recommended after endoscopic resection. Description: Sharp Stabbing Throbbing Aching Cramping Other: Impaired Mobility True Contact Social Services Assess for bowel sounds Encourage Mr. Dominec to discuss with his partner his best treatment options. Pain Level Increased acuity Chronic Sorrow False Observe closely first hour Family Health III-Pediatrics (NSG 6435) Emergency Medical Technician (EMS 1150) Applied Research In Business (MIS 781) Anatomy & Physiology I With Lab (BIOS-251) Molecular Biology (BP 723) Newest Marketing Management (D174) Professional Application in Service Learning I (LDR-461) Professional Capstone Project (PSY-495) Theology (104) Perform full assessment and provide anti-nausea medicine. Peripheral Neurovascular Dysfunction False Assess for bowel sounds Health Change Increased acuity Vital sign assessments -Begin q15 minute neuro checks His orthostasis is normalized after a second liter of NS was administered. Assess pain -Teach the patient that there are several interventions for complications post-prostatectomy to include erectile dysfunction, post-op prostatectomies, and self-care involved with a foley catheter at home. -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. No Scenario 4 -Call security for assistance and compliance officer -Ask the patient if it is okay to discuss his care in front of his children. Skin warm and dry, daily dressing changes, T-tube without drainage. Reasses temp in 1 hour. Scenario 1 Fear: True Increased fall risk. Love and belonging Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. What order are you providing the information to the receiving nurse? Peripheral Neurovascular Dysfunction False. Urine Color: Clarity: Odor: Because of the fall the provider has recommended that he stay in the hospital another night. Sa fortune s lve 2 216,00 euros mensuels Course Hero is not sponsored or endorsed by any college or university. Document results Assist patient out of bed Pain re-assessment Non-significant past medical history. You, his prior nurse, notice the family and respond to them. Multiple abrasions, bruising Head, chest, and inner thigh. Chronic Confusion False Sa fortune s lve 2 216,00 euros mensuels Scenario 3 Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Scenario 5 Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Ms. Cumble states that she has not had a BM for three days. Yes Productive Non-productive Describe Sputum: _______________________ Scenario 2 Ineffective Self-Health Management False Document results/findings Hopelessness True Notify doctor Scenario 5 Hx of dementia, from nursing home, fall one day ago. His difficulty voiding finally motivated him to seek care. Three hours later, Ms. Getts is unsteady when standing by her bedside. He also complains that his throat is still very sore. The patient got dizzy when he stood up from the commode. Notify charge nurse that discharge will probably not occur today. Pain, Acute True Tunneled, site _______________ Implanted port, accessed _____________________ Employ therapeutic communication: present reality Tom Richardson, 46yr-old. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Pupils PERRLA, eyes clear. Pain Level: Increased acuity Escort patient Place call light and check bed for safety His VS are BP 122/64, P 89, R 12, SpO2 93%. Wash and glove hands Fear True Sleep deprivation False Scenario 5 Urostomy: N/A Urostomy/Ileal conduit Scenario 1 Check PRN pain order No Known allergies (NKA). Obtain patient record and follow patient as he is transferred to ICU 2. Mrs. Smith shares with you that even though she signed the operative consent she was not sure if this was the right surgical procedure for her. -Complete initial post-op assessment Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Neuro WNL, alert, and cooperative. After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. Failure to Thrive True. Wash and glove hands Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Palliative care. No weight bearing today. Scenario 2 Senario 3 The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Scenario 2 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. Hopelessness False. Chronic Pain False Scenario 4 Scenario 1 Filmotka filmu Najvyia ponuka (2013). Remind the nursing staff that the patient is NPO. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. The bed arrives tomorrow. Fall Risk: Increased acuity -Assess patients' pain and rule out cardiac pain. Fall, Risk for True Scenario 1 You are now preparing for discharge, place steps in order: Senario 1 Expresses fatigue, fear, concern, and desire for recovery. Skin moist, respiratory bilateral wheezes and rhonchi. Upon entering the room, the patient appears to be trying to get out of bed -Discuss with sitter that patient needs continual observation Vital signs taken by automatic B/P Cuff q 15 minutes Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. Acute Pain False Two housekeepers, who were refusing to clean the room, are in the break room. Safety Dr. Altace, Physiological- Educate patient -Document and contact nursing supervisor/Charge nurse Explain that he will probably not be going home at least until his doctor sees him. -Notify HCP of neuro findings Scenario 4 Vital re-assessment Peripheral Neurovascular Dysfunction True. Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Begin post op education for day one Impaired skin integrity: False, Anxiety: True -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Full assessment of patient. She shares concern about patient's wife who is now coughing and having night sweats. Scenario 1 Scenario 5 Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. -Complete incident report. Assess for fall risk No known allergies (NKA). Neuro WNL alert and cooperative. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Her chart reports she was extubated upon arrival to the recovery area, received three units (3000 mL) of fluid, receiving O2 @ 4L via nasal cannula, has Foley Catheter in place draining QS clear yellow urine, responds to verbal stimulation, chest dressing in place remains dry and intact, and has just received a small dose of IV morphine for pain. No known allergies (NKA). Full assessment No known allergies (NKA). Scenario 3 Ms. Getts is requesting water to drink. Patient and family upset regarding dx. Increased fall risk. Scenario 2 Educational Needs Increased acuity Ineffective Airway Clearance True Apical pulse rhythm: Regular Irregular Location: DSD (dry sterile dressing), forehead laceration clean and dry intact. Construct dietary consult (plan) Safety Safety- Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes and chest muscles intact. Cardiovascular Assessment Fall, risk for: True Students will prioritize medical surgical . Remain with patient Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Vital assessment -Inform patient to not get out of bed without assistance and place call light in reach Fear/Anxiety True. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Contact Social Services Scenario 5 Encourage fluids/fiber/ambulation Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. Scenario 2 The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Explain to her family and provide contact information. Allow husband to come into recovery for a quick one-minute visit. Hopelessness: True Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration He is questioning the nurse as to why he has been admitted for heartburn. Sensorium Normal acuity, Physiological Due to this, the provider would like him to stay in the hospital for observation. Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Visual assess Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Temp Educate patient Your response to all of them would be: Scenario 1 A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. LOC Increased acuity The patient asks the nurse to explain about these medications and why they are in such a hurry. Nausea False Swift River Medical-Surgical. When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. No known allergies (NKA). Ambulates with minimal assistance. Sensorium Increased acuity, Physiological His coughing, to clear his airway, appears ineffective. Several hours later, Mr. Duncan is now complaining of nausea. -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 Bed Bath: Assist or Total Scenario 5 Evaluate understanding 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". 20ga. Esteem Also worth mentioning is the 'Alter Schwede' - a 217t . Capillary Refill: _________ seconds 97.4, Resp 16 and Pulse Ox 94%. Read PT report Assist patient Ms. Getts is being transferred as an emergency to Critical Care. Auscultate peripheral pulses and ROM. The nurse observes an elderly lady who is crying and has not been taken care of yet. Palliative care. Hypothermia False Renal diet. Health Change Increased acuity Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. -Notify HCP of fall, complete incident report Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. No Known allergies (NKA). Intermittent/Continuous Other: Scenario 3 Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Scenario 1 Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Verify Call Light/Bed Safety precautions Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. She is having some difficulty breathing. 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Neuro WNL alert and cooperative. Acute Confusion False Sa fortune s lve 2 000,00 euros mensuels Communication/Speech: Clear Non-verbal Slurred Aphasia Other Adjust crutches The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. 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Knowledge Deficit True and the GI cocktail given in the ER did relieve his CP but not completely. Scenario 1 Strict I&O, regular diet, intake 50%. Carlos Mancia Notify doctor if condition is abnormal John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Fall Risk Increased acuity Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. ExplanationAnxiety/ fear True Mr. Duncan's wife meets you in hall asking what she could bring her husband to eat from home. Regular diet. Dr. Small at bedside with patient and family. Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments

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