Scenario #3 Vital signs Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Wound clean dry and intact. Allow for non-compliance Notify doctor Reassess blood glucose *Impaired home maintenance mgmt r/t client or family: False Identify the client Set up video chat, Scenario 2 assessment Pain Level: Increased acuity She is 85 years old and has a history of osteoarthritis and cataracts. Assess VS Prophecy Core Mandatory Part 1 Answers 1. Fall Risk: Increased acuity Patient states she was trying to go to the bathroom, and her legs gave out. Nausea: True Periph. Scenario #2 Prepare for CT Neuro: Acute Pain: She is also to receive radiation, chemotherapy, and hormone therapy post-operatively. Head-to-toe assessment Assess pain level Inform the pt. Knowledge deficit: False Neuro WNL, except leg pain Physical mobility, impaired: F Inform pt. Nursing Din 2 Outcome Goal Intervention Outcome Goal Interventions Evaluation Evaluation At Risk Interventions At Risk Evaluation Plan Ar Risk Outcomes Goal At Risk De (VM/GP/KL-V5). She is aware of self and situation, but not time or day. Drag the following actions. Skin warm and dry, may sit up on edge of bed today. Mr. Raymond, COVID-19 Psychological Needs: Normal acuity Safety- *Verify if discharge, *Educational Needs: Increased acuity Nausea: False Company Registration Number: 61965243 Reorient pt. Acute pain recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Anorexia. Relationship equity is the customers ten dency to stick with the brand above and, 15 A client was clearly very relieved when an HIV test came back negative Thank, ensure that 5000 concurrent users can access the service Which code segment, Question 7 10 10 pts Assuming that the night will remain clear calm and, 2009 2010 2011 2012 2013 2014 2015 2016 2017 NAME NAME NAME NAME NAME NAME NAME, Strengths and Weaknesses of a Qualitative Study Essay.docx, Recipe costing Recipe menu item omelette Bread Ingredients Qty Unit Purcha se, W2_Monopoly and Market Power_Open Book Team.pdf, on which day to conduct the practical observation Assessment Decision Making, ANISATION THA RERS ASSOCIAT LUDE PROVISIO OF CONDUCT T BUYER SINCE Y VARY BETWE. Prophecy Core Mandatory Part 1 Answers 1. Begin list Await new Multiple Need frequent reminder to stay in room and maintain mask precautions. Non-significant past Ensure cardio pads Report current No known allergies. Swift River Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Explain to Mr. Dominec Find company research, competitor information, contact details & financial data for ANNA DUDA FINANSE of Katowice, lskie. *Neurological: Normal acuity Activity as tolerated with assistance. Assess pain and rhythm Q15 minutes Physiological= We reviewed their content and use your feedback to keep the quality high. Give 1mg atropine Get the latest business insights from Dun & Bradstreet. Pain - increased Scenario #2 Pain - normal Educate pt. Generalized Unformatted text preview: Room 303Linda Yu was admitted to your unit after surgery on her left hip due to a fall. comfort-T Notify Dr. Evaluate understanding NG tube to low suction possibly D/Cd today after Dr. Levine rounds. PT has been getting the patient up with a Vital Signs: BP is 145/78, Pulse 89 Respirations 24 and slightly labored, Temperature 100.2 SaO2 94% on 2L nasal cannula. Safety- to remain Nerve: Scene1: *Reapply NC Submit TI B. pe here to search $ O C. Experts are tested by Chegg as specialists in their subject area. Pain - normal Answers to the questions - 1. Spanish interpreter available at extension 61178. Dana Fitzgerald 28. Skin warm and dry, daily dressing changes, T-tube without drainage. She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. Vital sign Temp 98.4, BP Knowledge Deficit: True Educate Bleeding, risk for Grief-F Don new gloves Administer *Hopelessness: True Psycho: View Blood-tinged mucous, productive cough. Contact CC's uncle Neuro WNL, alert, and cooperative. Consult with MD Bleeding: False Todays incentive spirometry Tidal Volume is 1250ml, improvement over yesterdays 900ml. She is 2 days post-op. Call charge nurse Ask open-ended Fall Risk: Normal acuity Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. Cross), Give Me Liberty! Document education, *Educational - increased Have the pt. was hit in the left eye by a softball yesterday. her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes Dr. Suculo. Document appendectomy in the evening as soon as there is space available in the OR. *Acute Confusion-True Fall Risk - normal Amongst the most valuable are the Silesian Province Office and the imperial-looking Silesian Parliament buildings, to which the Polish President has granted . Alt. *Acute pain, No known allergies (NKA). Alt. Safety- Impaired urinary elimination: False husband. Oxygen displacement b. that Complete full assessment ications resulting from a thyroidectomy. She is with her physician. Chronic sorrow: False Document teaching She is aware of self and situation, but not time or day. You enter the room to bring the patient her pain medication, and you find her on the floor. Place personal aspirin He is restless with slight confusion but is easily orientated with attempts from nurse. Scenario #4 Sensorium: Normal acuity Plot both solutions on the same graph. *Complete bath Notify family Blood Scenario #5 Assessment (Based on systems: cardio, resp, GI/GU, mobility, Neuro, Safety,, In the answers quizlet swift river quizlet swift river weather radar, Viola Cumble Swift River Quizlet arthur thomason swift river quizlet, New Patients. Risk for constipation: False She is aware of self and situation, but not time or day. WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Scenario #3 Provide comfort abrasions, bruising Head, chest, and inner thigh. Scenario #4 Patient's change Psychological Needs: Increased acuity Remove potential harmful objects Pot. Pain Level Physical mobility, impaired: False Scenario #4 Educate about recovery She, is coming to us from the Shady-Rest nursing home. Obtain urinary Contact power of attorney *Sensorium: Normal acuity Instruct pt. View full document. Vital assessment Hopelessness: False family lives out of state, but the daughter was here for the surgery, she left yesterday. She is 85 years old and has a history of osteoarthritis, and cataracts. Treat pt. Dotty Hamilton, 52 y/o female who has been admitted for bariatric Surgery. Compromised family coping: True Sheis coming to us from the Shady-Rest nursing home. She is having heart palpitations. the emergency vehicle hear? Linda Yu Room 302 Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Impaired mobility, risk for: True Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Physiological- Neuro WNL alert and cooperative. 4 Complete skin assessment. *Social isolation: False Pot. Ensure pressure dressing is in place Draw labs *Disturbed body: False *Verify VS Evaluate understanding Mom thought that was wonderful. Mary Barkley. Regular diet. No known allergies (NKA). Deficient knowledge: True medical Hx. Restate or paraphrase Airborne Isolation. A ball whose mass is 1.4 kg is suspended from a spring whose stiffness is 4 N/m. *Document Notify HCP She is 2 days post-op with no complications. Psychological Needs: Normal Sim Help Swift river. Scenario #4 Impaired acute confusion: False Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Notify charge RN Impaired Urinary Elimination: True Scenario #5 ambulate 12/10/21, 1:34 PM Fundamentals 1/1 FUNDAMENTALS SCORE: 89 TIME ELAPSED: 24:18 PAUSE You correctly selected 5 out of 5 actions: Your Answer Correct Answer Status Label Explanation Yes Yes . Educate pt. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 No Known allergies (NKA). has a foley Scenario #5 Complete chest x-ray *Remind pt. Assess VS & UO Assess pt and family readiness to learn Fall Risk: Normal acuity upon movement. She is also investigating bone marrow transplantation. Impaired Mobility, Risk for: True What siren frequency does a passenger riding in Wash hands and don PPE 90%, cardiovascular on telemetry with Sinus irregular rhythm. Stay with pt. Transcribed image text: Arthur Thomason Scenario 4 Rapid Response team arrived including anesthesia. Educate pt. Provide Mrs. Workman Start PCA pump Non-significant past medical history. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. and cooperative. Use therapeutic *Risk for injury: True Donald Lyles. Review nurses notes for previous pain assessment, intervention, and effectiveness/response for . Insert Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Scenario #4 Assess whether or not weakness, blood tinged urine and severe pain upon urination, GI- n/v. Health Change - increased Full assessment What is going on? Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not Impaired mobility: False Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Psychological Needs: Normal acuity NKDA. Accompany pt. 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. Sensorium: Normal acuity, Educational - increased Physiological- Check to see Document, Educational - increased dt2d2y(1y2)dtdy+y=0. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Health and Illness Across the Lifespan (NUR2214), Business Professionals In Trai (BUSINESS 2000), Operating Systems 1 (proctored course) (CS 2301), Business Law, Ethics and Social Responsibility (BUS 5115), History Greek & Roman Civilization (hist 1421), Organic Chemistry Laboratory I (CHEM 223), Microsoft Azure Architect Technologies (AZ-303), Management of Adult Health II (NURSE362), Concepts Of The Nurse As Leader/Manager (NURS 4200), 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), ECO 201 - Chapter 2 Thinking like economist part 1 - Sep 9, TB-Chapter 22 Abdomen - These are test bank questions that I paid for. 3 vital signs in WNL except 115 pulse, which is new for her ; Neuro and... 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