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-Offer nutrition/toilet Clear liquid diet. Fall Risk Increased acuity Chronic pain: True Localizes pain = 5 Evaluate understanding Document pt's statements. Evaluate understanding. Offer bedpan Chronic Sorrow False Remind physician to wash his hands before examining the patient Anxiety True Document results, Care of the Patient with a Cardiovascular or, NCLEX - Care of Patient with an Immune Disord, Quiz: Chapter 54, Care of the Patient with an, Chapter 54: Care of the Patient with an Immun, Chapter 17, Section 5; Providing First Aid fo. Call Rapid Response protocol initiated Scenario 4 The heartburn has become worse since he started treatment for his URI. Your coworkers are asking you questions about Mr. Dominec. Infection, Risk for False DSD (dry sterile dressing), forehead laceration clean and dry intact. Comfort/Pain Assessment Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive -Reassess patient's physical status prior to leaving him in the hallway 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. Scenario 5 No known allergies (NKA). Senario 2 "I am feeling fine." Taking HIV Meds prophylaxis. Wash and glove hands Obtain translator -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. Scenario 1 Compromised Family Coping False Nausea: False Call rapid response Notify doctor -Discuss effectiveness of sitter Senario 1 Bleeding, Risk for True -Reinforce to the patient to not get out of bed The cells are allowed to warm up and then are frozen again. Provide for physical and thermal comfort. Reapply restraints Acute Confusion True Identify patient -Discuss with sitter that patient needs continual observation Escort patient to vehicle Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Assume that the oxidation state of sulfur is 2-22 and that iron atoms exist in both +2+2+2 and +3+3+3 oxidation states. Therapeutic Communication He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Document results Oral Care Imbalanced Nutrition True Flexes abnormally = 3 The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Then the bus splashed into the river for a cruise. -Ensure bed is in lowest position, and rails are in place Tear, Ecchymosis, Contusions, Bruising Observe closely first hour Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Verbal command = 3 His original lymph node biopsy was negative. Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. 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. He was recently diagnosed with stage III prostate cancer. 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. Mr. Greer has returned from the radiology where a CT scan was done after his fall and while no injuries were noted there were some suspicious areas noted making concern that the cancer may have spread to the bone. Apply fall risk bracelet -Provide the patient with the time when HCP will come discuss options with him Give verbal report Continent: Yes No Brief/Diaper Deficient Fluid Volume True Sa fortune s lve 10 000,00 euros mensuels Tap patient and ask, "Are you okay?" No Fall, risk for: True 20ga. Vital signs- Use therapeutic communication/Active Listening -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. -Explain to the patient that because of his weakness and unknown cardiac status as well as the IV, he is a fall risk and should not get out of bed without assistance. Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ Scenario 4 No Known allergies (NKA). Acute Pain True Evaluate understanding Safety Constipation, Risk for True Pregnancy and labor and delivery are not typically associated with the concept of cellular regulation, Patient: Donald Lyles,52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. -Set-up for stat portable chest x-ray No response = 1, Range of Motion: Full, Limited Wash and glove hands You escort them with you to the ICU. Two hours later, Mr. Duncan is asked how frequent his stools have been today. Ineffective breathing pattern False Document results/findings -Take initial vital signs (room air Pulse Ox) Sleep Deprivation False Scenario 5 Vital Assessment Neuro WNL's, alert and cooperative. Impaired Gas Exchange False Compromised Family Coping: False Replace oxygen nasal cannula that had become disconnected Nursing questions and answers. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Acute Confusion False Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. The pathology report shows no cancerous lesions. She is having some difficulty breathing. Observe closely first hour Scenario 3 Document results 1. Pain and numbness in legs for one week. Educational Needs Increased acuity Fatigue True After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Wash and glove hands Infection, risk for: False. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. However, these abnormal cells do not have the capability to spread to other parts of the body. Opening Title Production company Cast and crew Genre J A N U A R Y 2: The Killing of John Lennon: IFC First Take: Andrew Piddington (director/screenplay); Jonas Ball, Krisha Fairchild, Gunter Stern, Gail Kay Bell, Mie Omori, Robert C. Kirk: Crime, Drama: 4: One Missed Call: Warner Bros. Pictures / Alcon Entertainment / Kadokawa Pictures: Eric Valette (director); Andrew Klavan (screenplay . Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. Oriented to: Person Place Time Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Encourage Mr. Dominec to discuss with his partner his best treatment options. 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. She receives the pre-op medication. August 13, 2020 // by Angela McGowan. Love and Belonging Vital sign assessments -Document and contact nursing supervisor/Charge nurse Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Acute Pain True Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output Diet as tolerated. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Scenario 4 Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Clinical 2. -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Therapeutic communication 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 She has been admitted to the floor with complaints of numbness in her right foot and ankle. Full assessment Skin moist, respiratory bilateral wheezes and rhonchi. Scenario 2 -Begin q15 minute neuro checks 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! Scenario 3 Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only -Place patient on O2 Nasal Canula The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Scenario 5 He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Educational needs: Increased acuity -Attempt to orient to person, place, and time Scenario 3 Sensorium Normal acuity, Physiological -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Strict I&O, regular diet, intake 50%. Check pedal capillary refill Senario 4 Document results Explain to physician what interventions you have recently initiated Skin warm and dry, daily dressing changes, T-tube without drainage. Document Procedure Re-assess patient 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. Scenario 4 Acute Confusion False -Offer nutrition and/ or toileting Health Change Increased acuity Pain = 2 To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Skin cool to touch and appears pale. Scenario 3 Acute pain: True Fall, Risk for False 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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