Hopelessness: True Scenario 1 Scenario 3 Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Hopelessness False. Scenario 5 Educate patient regarding changes to POC Educate patient regarding condition Your response to all of them would be: Scenario 1 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. No known allergies (NKA). Document results You arrive in room to find Ms. Monson talking to herself. Obtain urinary screen Vital assessment PT to educate patient Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Evaluate caller understanding Senario 5 Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Perform pain re-assessment Scenario 5 No known allergies (NKA). Increased fall risk. Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Skin moist, respiratory bilateral wheezes and rhonchi. Safety Document teaching moment. Scenario 4 Construct dietary consult (plan) Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment Request time she can arrive and staff to help with transfer -Check on patient/sitter hourly All opinions are mine alone. Nathaniel Gonzalez Swift River Medical-Surgical. Urostomy: N/A Urostomy/Ileal conduit Renal diet. Evaluate understanding He states, "This is not serious." The patient will be discharged today, and he will be ordering new prescriptions. Deficient Knowledge False Esteem Document results 1. Pain, Acute True Fall Risk Increased acuity He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Health Change Increased acuity Next time we'll spend our 60 on some food and nice beers. Failure to Thrive True. Respirations Skin warm dry, bruises on forehead with small laceration. Scenario 2 Wife at bedside. Perform full assessment and provide anti-nausea medicine. 2. The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Educate patient Disoriented, confused = 4 Ineffective self-health mgmt: False, Disturbed body: False Amount: _______ Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Fall, Risk for True Verbal response Oriented converses = 5 His children are visiting, and they are very supportive. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Multiple abrasions, bruising Head, chest, and inner thigh. While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. Peripheral Neurovascular Dysfunction: False Lithia Monson Safety Increased acuity, Physiological 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. Start secondary large bore IV line Assess Safety Scenario 1 Fear/Anxiety True. You also notice the patient is more difficult to orient. Scenario 2 -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. He is restless with slight confusion but is easily orientated with attempts from nurse. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University Scenario 3 Evaluate medication effectiveness Encourage fluids and fiber diet Offer assistance Senario 5 She has been documented as being obese, new onset. Scenario 5 Obtain vital signs machine : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Pulse Grieving: True Evaluate patient understanding Document results. Mr. Gonzales H/H is 12.7/38. 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. Document Procedure Senario 3 Fall, Risk for True Scenario 1 She has just been transported from recovery. Scenario 4 You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Bleeding: True Cross), 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), Week #7 Assignment - Incentive Spriometer . Scenario 2 Deficient Knowledge False Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Senario 5 Scenario 2 Scenario 3 -Offer nutrition/toilet Fall Risk: Increased acuity -Discuss effectiveness of sitter Sensorium Normal acuity, Physiological 2Provide comfort in pre-surgical room Mr. Dominec. Release restraints/full range of motion Scenario 3 Ms. Rails shares with you her fear of being discharged home to an abusive husband. Two hours later, Mr. Duncan is asked how frequent his stools have been today. Fall Risk Increased acuity Scenario 2 You notify the charge nurse that you have never taken part in inserting a chest tube. List of American films of 2008 - Wikipedia Mr. Greer has just returned from surgery. Document results and findings Hep-Lock in place left AC. Check physician orders Impaired Gas Exchange False Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Your Swift River Virtual Clinicals account has been linked to your ATI Student account. -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Health Change Increased acuity Ms. Getts is requesting water to drink. Impaired Comfort True Strict I&O, regular diet, intake 50%. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output Three hours later, Ms. Getts is unsteady when standing by her bedside. Inappropriate words = 3 Assess for fall risk Educate patient regarding patient care Nausea False After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. Abdominal Pain: Non-tender Tender/Pain Describe: Scenario 2 Explain to her family and provide contact information. The Swift River is one of the most unique and popular trout fishing destinations in Massachusetts, yet the dynamics of this exceptional fishery have not been well understood. Full assessment of patient. Readiness for Self-Care Enhancement True Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Bed Bath: Assist or Total Sensorium Increased acuity, Physiological Non-significant past medical Hx. Impaired Mobility, Risk for True You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. Provide verbal report to team members who respond to rapid response Impaired Home Maintenance Management False Disturbed Sensory Perception False Nausea False Scenario 1 Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Suprapubic Insertion site: WNL S/S Infection : ____________________ The surgeon has just visited with Mr. Greer 2-days post op and has informed him that the lymph node biopsies have confirmed that the cancer has metastasized, and he will need further treatment. -Instruct Mr. Burgundy and his cameraman to stop immediately A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. The sister of Mr. Mancia calls from home to speak with you. Health Change Increased acuity Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Carlos Mancia Skin warm and dry, daily dressing changes, T-tube without drainage. -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Inspect cast site Verify call light/bed safety precautions Senario 1 Therapeutic communication. (PDF) Playful citizens: utopian intersections of play, sex and Scenario 1 Electrolyte Imbalance False Imbalanced Nutrition True Some hair on the left side of his head has been burned off, as well. Scenario 4 Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Enter the email address you signed up with and we'll email you a reset link. Odor: __________, No Provide for physical and thermal comfort. except 115 pulse, which is normal for him. Incomprehensible Allow family to remain 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. Safety- Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Pain Level: Increased acuity Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Sa fortune s lve 1 900,00 euros mensuels Administer antipyretic medication How does the Med-surg simulator work? Provide information for MD to call family at home and explain what has just happened Love and belonging Scenario 5 Seek clarification IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Verify call Light/bed safety precautions Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. Document and prepare to transfer to Surgical ICU Cough: Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Dx- urinary stones with 3 episodes/5yrs. The pathology report shows no cancerous lesions. When a physician makes an incision into a body cavity just superior to the diaphragm and inferior to the neck, what body cavity will be exposed? He is married, and his wife is requesting to stay at his side. Senario 3 Scenario 4 Fall, Risk for True Waist belt restraint PRN; family sitter at bedside, assist with bath. Because of the fall the provider has recommended that he stay in the hospital another night. Pain and numbness in legs for one week. Review pain medication order Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Neuro WNL, alert, and cooperative. Pain Level Increased acuity Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. No known allergies (NKA). Provide emesis basin/cloth Perform circulatory evaluation Perform circulatory evaluation He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Scenario 1 Water/Flush: Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Dr. Donofrio. Bleeding, Risk for False Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Home - Swift River The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Vital signs- nursing care plan for Linda Pittmon, a 74 -year old female patient who is a noncompliant diabetic, and frequently stays at the local homeless shelter. Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Today, clubs like Hamburg City Beach Club, Lago Bay, Hamburg del Mar and StrandPauli provide a relaxed summer atmosphere with a view over the Elbe. Evaluation patient after consult Present health assessment including B/P and LOC and dressing. Sa fortune s lve 2 000,00 euros mensuels It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump -Medicate for pain The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. After washing and gloving hands, you then identify yourself and the patient, Ann Rails. Disturbed Body Image True 1Perform full assessment and provide anti-nausea medicine. The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Scenario 2 Document results Psychological Needs: Increased acuity -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Scenario 5 Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. -Assess if the contents of lunch tray are intact. The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Disturbed body False 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. References; Access My Virtual Clinicals; Medical-Surgical. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Scenario 1 Scenario 3 : 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. Robert Sturgess Scenarios Swift River.docx - Course Hero Combien gagne t il d argent ? Document results -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Educate about recovery from appendectomy and care to wound. The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. Lithia Monson Scenario 3 Dr. Altace, Physiological- -Notify HCP of fall, complete incident report Upon entering the room, the patient appears to be trying to get out of bed Scenario 4 Scenario 2 Scenario 5 Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). -Draw a repeat CBC per HCP order to determine current Hemoglobin status Apply fall risk bracelet RUE: ______________ LUE: ______________ Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. Scenario 5 jasmine . Encourage to ambulate with assistance to void if needed Nutritional Intake: Adequate Inadequate BMI: His difficulty voiding finally motivated him to seek care. Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. Ann Rails Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Use therapeutic communication/active listening Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. Evaluate patient learning -Reinforce to the patient to not get out of bed Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. Full assessment including both lying/standing Impaired comfort: True 20ga. Full assessment Imbalance nutrition: True Chronic Pain False Give verbal report Scenario 3 Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Scenario 2 Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. He also has metal fragments on his left side on his leg arm and torso. -Complete initial post-op assessment If the source voltage for the a phase is Van=12080V\mathbf{V}_{a n}=120 \angle{ 80^{\circ}} \mathrm{V}Van=12080V, and the line impedance is zero, find the phase currents in the wye-connected source. -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 Scenario 5 Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Teach Cameron. Teach patient about safety when getting out of bed Scenario 2: 1Educate about recovery from appendectomy and care to wound. Anxiety True Verify Call Light/Bed Safety precautions Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg Discharge instructions Re-assess patient Our Swift River Simulations are designed to help students and practicing nurses master their skills of Prioritization, Delegation, and Sequential thinkingwithout the requirement of being onsiteor even having to download software. But that's changing. Gastrointestinal Assessment He has a history of hypertension and is not compliant with medication. Physiological IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Pain Scale: 0 to 10: _______________ Fortune Salaire Mensuel de Tthuchicago Org Combien gagne t il d argent However, he quit three years ago when he remarried; he and his wife have a nine-month-old baby. Senario 3 Scenario 3 -Notify charge nurse She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Encourage fluids/fiber/ambulation Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Pain = 2 Sa fortune s lve 10 000,00 euros mensuels Senario 3 The oncologist is insistent that the treatment begin immediately. Safety- He is currently febrile with temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound tenderness in right lower quadrant, has elevated WBC's and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Fall, Risk for True Wound clean dry and intact. Normal Sinus Rhythm on telemetry. They would also like to start Radium-223. Palliative care. Non-significant past medical history. Fear True Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Vital assessment Oriented to: Person Place Time Check monitor He is questioning the nurse as to why he has been admitted for heartburn. -Discuss and determine sitter availability : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. GI WNL. Welcome [evolutionmkt.co.za] Use therapeutic communication/Active Listening Document results Neuro WNL alert and cooperative. Scenario 1 She has been admitted to the floor with complaints of numbness in her right foot and ankle. Senario 5 Arthur Thomason Scenario 4 Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Wash and glove hands Scenario 1 Therapeutic Communication Lung sounds are worse. Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. Scenario 5 Scenario 2 Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ Apply oxygen You enter patient's room. She receives the pre-op medication. Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C.
Bourne Leisure Centre Refurbishment,
Southport Correctional Facility Famous Inmates,
Is Joel Grimmette White,
Affordable Charlotte Wedding Venues,
Articles R