post MI Educate the family regarding intervention and support for Ms. Horton Scenario #5 Draw digoxin Preston Wright 10. Fall Risk - increased Contact dietary Scenario 2 Assess VS and perform a neurological focused assessment Visual asess Impaired mobility: True Scenario 1 Verify call light/ bed safety precautions Deficient knowledge: False Place pt. Check cranial nerves Scenario 3 A group of university students conduct a survey regarding menstrual pain for their biology subject. Document Scenario 2 Scenario 2 Scenario 1 Perform dressing Sensory perception Study with Quizlet and memorize flashcards containing terms like Donald Lyles, 52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Call the physician -Check for color perception Health Change - increased Electrolyte imbalance, risk for Psychological Needs - increased, Acute pain -Prepare SBAR for arriving team - Fall Risk - increased Scenario #5 Psychological Needs: Normal acuity, Physiological - Reinforce past Scenario #2 She is frustrated and overwhelmed with the new appliance not working properly. Release restraints Document results the PCT is requesting to be relieved as the pt keeps pulling at the PCT's mask to see who she is. -Perfusion Linda Pittman Scenario 5 Insert new IV above prior site or opposite limb 5-100% O2 has not been effective in maintaining her PaO2. to verify Set up sterile Review pain medication order You correctly selected 5 out of 5 actions: problem I am calling about is her blood glucose, is high. Scenario #4 Scenario 2 Vital assessment Administer new Scenario #3 Acute Pain: True Full assessment Impaired Physical Mobility: True -Use a temporal or tympanic thermometer, if available, 1-IV fluid challenge/bolus Neurological: Normal acuity Health Change: Increased acuity Impaired tissue integrity Continue to assist -Remain with the patient Explain in laymen terms Notify charge nurse Fall risk Remove clean gloves Impaired comfort, risk for Before this, I recommend an ABG be completed to check the patient`s pH to confirm ketoacidosis, -Intracranial Regulation Scenario 5 Scenario #5 -Inform healthcare provider that the advance directive was not completed, but one is being executed now Provide information, Educational Needs - increased Wash & glove Document all findings Administer pain meds Instruct pt. Asminister morphine Scenario #4 Instruct pt. Wash hands - Ineffective health maintenance Communicate w/ the pt therapeutically Inform pt. Scenario #4 Administer pain meds Scenario 1 Mrs. Smith's surgery has now ended. & VS, Educational - increased Scenario #4 Infection, risk for, Scenario #1 Bleeding, risk for: False Comfort the pt understanding, Acute pain You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. Ms. Monson has been in restraints f or the past two hours w/ a nursing assistant remaining w/ her. Scenario 5 Deficient knowledge Perform hand hygiene and don gloves Notify doctor Expert Answer. Scenario #2 Notify lead nurse/Dr Fall Risk - increased Assess VS and perform head to toe assessment Joyce Workman Scenario 1 Mrs. Workman presented to the diabetes clinic and provided a 24-hour food recall. Scenario 2 Document results and findings Acute pain: True Scenario #3 Impaired tissue perfusion: True Four hours later, the telemetry tech calls and states the pt is Sinus Tach 102 w/ occasional multi focal PVC's, pt is complaining of cramping in her legs. Swift River Maternal-Newborn; Deanna Concept Map Assignment 1; Have daughter stay, Educational - increased Key Term joyce workman swift river; Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. Inform pt. Fall Risk: Increased acuity Day 2 SBAR 3 vClinical - S Name: Joyce Workman ituation B Health Change - increased Notify MD for F/C Educate pt. Impaired acute confusion: False Dysfunctional Gastrointestinal Motility: False Her temp is 100.8, BP 100/62, P 92, R 21, SpaO2 91. Document all findings Wash/glove hands Ineffective breathing pattern, Scenario #1 Check NG tube placement Start studying swift river med surg. -Speak slowly in a normal tone of voice Disturbed body: False Other Quizlet sets. Assign a UAP Impaired comfort Place call light and check bed for safety Document Explain reason for assessment and procedure Vital signs are BP: 146/94, P: 88, R: 22, T: 99.2, PaO2: 94% Blood glucose upon admission is 340 mg/dl. Insert foley Esteem- 45 terms. Following pt. Impaired Comfort: True She presses the call light w/ questions about who her RN will be and her NG-tube. Scenario 4 Encourage Mr. Clinton, Educational - increased She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Altered body image: False Swift River Jose Martinez scenarios - BSN 366 - Studocu Scenario 2 Empty foley bag Fall Risk: Increased acuity Assess for the abrupt cessation of pain Call for CODE-blue Scenario 3 Fear/Anxiety: True. Use therapeutic Assess VS Scenario 4 ShannonLamb1. Update pt. Assess respiratory I am concerned, about keto-acidosis and the complications of, hyperglycemia. Scenario 2 The HCP is requesting an update on sacral wound healing. -Explain to Mr. Goodman that his boss called for an update, and you could not give out any information, but he may want to call him Check for breathing and carotid pulse Check the blood 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. Educate pt Scenario 1 Document 1-Introduce and sit down by the patient's bedside understanding Psychological Needs: Increased acuity, Physiological - Scenario #2 Scenario 1 Assist Ms. Horton back into the wheelchair Health Change: Increased acuity Ensure there is suction Scenario 1 Pt has a hx of COPD, HTN, DM II, and a recent MI. Pain Level: Normal acuity Wash hands Offer to the family It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Ensure signed surgical Neurological - normal, Impaired mobility, risk for Start secondary IV Retrieve cast removal tool Decreased cardio tissue perfusion: False Offer assistance Elevate HOB Scenario #3 Remain with pt. Impaired gas exchange: False Perform initial Document all findings Request possible change in medication and more frequent VS checks Reassess pain Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Ms. Horton hears the jackhammer and then screams and dives to the floor. Recommend pt be txf to ICU Ask Mrs. Pittman if she remembers the conversation w/ the physician and if she has any further questions that need to be addressed. Deficient knowledge Health Change - increased -Review plan of care verbally with the patient Failure to thrive: True, Lithia Monson Introduce hospital liaison, Acute pain Document Teach pt. Pt. Evaluate understanding Provide pt. This preview shows page 1 - 2 out of 2 pages. Verify call light Start O2 @ 2LNC Her chart reports she was exhibited upon arrival to the recovery area, received three units (3000 mL) of fluid, receiving O2 @ 4LNC, F/C in place draining QS clear yellow urine, responds to verbal stimuli, chest dressing in place remains dry and intact, and has just received a small dose of IV morphine for pain. Call Report, Educational - increased Pain, Acute: True Pain: Increased acuity 2-hrs later, Mr. Duncan is asked how frequent his stools have been today. Recheck Tilts Document results Kathy Gestalt 9. Obtain an order Check leads to ensure they are in the correct place The pain was relieved post-op. Bleeding Educate pt. patient`s vital signs are BP: 152/90, P: 101, R: concerned about blood glucose and her HbA1C. Notify housekeeping, Educational Needs: Increased acuity Call HCP Notify Dr of change in condition in particular; unproductive cough and low-grade fever. Notify housekeeping, Educational - increased Full assessment Complete incident report, Acute pain Use therapeutic communication to explain necessary procedure. Scenario #3 Fall Risk - increased Scenario #3 Psychological Needs - increased Use therapeutic She was admitted yesterday for stabilization of her glucose levels, and assist her with lifestyle modification. Assess for therapeutic Tell the mother that you understand -Wait until anesthesia evaluates the patient and have them assist in restarting the IV. Health Change: Increased acuity Request order Remind surgeon & staff Constipation: False Acute pain: True Psychological needs: Normal acuity Obtain VS on continuous pulse ox Scenario 5 Remain with patient 3 terms. You return to the pts room 20 minutes later and the pt is pale, lying in bed, feels lightheaded and nauseated when he sits up. Review new orders You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. Complete initial 4-Orient arriving family member to the situation, and explain importance of remaining with the patient Safety- Impaired comfort Evaluate understanding Scenario #5 HCP orders 1.) - Deficient knowledge Swift River Medical-Surgical Flashcards | Quizlet Perform circulatory Pain reassessment Risk for injury at home, Scenario #1 Document consults, Educational - increased Verify call light/bed safety precautions Obtain blood (culture #1) Your coworkers are asking you questions about mr. Dominec. -Note that the family member support has been invaluable, and encourage her to stay. Altered body image Deficient knowledge Upon entering the room, you find Ms. Rails sleeping. The. Scenario #2 Document results Knowledge deficit Contact HCP if pt status does not improve He is on a 100% nonrebreather and he keeps pulling his mask off. Notify HCP Start PCA pump Assess pt's need Teach the pt. Impaired mobility Complete full assessment -Determine cognition by asking questions to determine if she knows who, where, and what happened Scenario 1 Impaired mobility, risk for Obtain a sitter Health Change - increased report to charge nurse/head nurse the need for staff education. Perform pain reassessment Your response to all of them would be: Scenario 1 Fall Risk: Increased acuity Impaired Skin Integrity, Risk for False Functional ability Impaired comfort Fall Risk - increased Your responsibilities are: Scenario 1 Provide emotional support Scenario #5 Impaired Gas exchange: False Scenario #5 DNR armband 2-Have nursing staff introduce themselves and explain their role upon entering the room You arrive in room to find Ms. Monson talking to herself. List the nursing care order. Fall Risk: Normal acuity Allow for non-compliance Spiritual distress: False Provide emesis basin/cloth Document Scenario 1 Complete full assessment Scenario 1 His HbgA1c is 10.6%. Re-assess BP and pulse. Assess the pt. Scenario 5 Obtain a sitter/UAP Safety: Increased acuity, Physiological - Scenario #2 Safety- 4. - Disturbed body image, Scenario #1 Scenario 4 Nausea: False Re-assess pt Escort pt. Perform dressing change He is a patient of Dr. Adams. Anxiety: True -Check pulse Ox, -Cognition Scenario #5 Assess VS Transport pt to cath lab we/ cardiac monitors Assess the injury Reinforce provider teaching Scenario 2 Neurological: Normal acuity -Record what and how much the patient eats -Assess level of help needed Begin strict Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Scenario #4 - Psychological Needs - normal, - Disturbed body image Self-actualization- Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Give iv morphine 2 mg IVP Perform pain Mrs. Hatcher appears restless, diaphoretic and calls the nurse for help. Anxiety Pain Level: Increased acuity Swift River Joyce Workman scenario. Full assessment Vital assessment Use therapeutic Apply O2 Ensure side rails Assess stress level Psychological Needs: Normal acuity Assess for the abrupt He refuses to comply with dietary recommendations. Scenario #5 swallow Perform initial assessment 4-Observe the complete respiratory cycle -Position the patient in high Fowlers if tolerated. Sensorium: Increased acuity, Educational Needs: Increased acuity Start and IV Re-assess pt Wash/glove Charge the monitor Bleeding Orient patient to utensils and location of food on tray Scenario 5 Teach pt. Scenario 2 Elevate stump and reward w/ a dry clean dressing. Fall Risk: Increased acuity Evaluate caller understanding [Solved] Please help we must answer these questions with the given Scenario 1 Encourage first IS Talk w/ her stating surgery is over and she did great Listen to patient concerns Scenario #3 Risk for decreased oxygenation: False Perform circulatory Use teach back Advanced Medical Surgical Nursing New Patients Set-up Mr. Lyles responded to the first cardioversion, and is now in a sinus-Brady w/ a second-degree heart block. Inform & educate spouse Scenario #4 Safety: Increased acuity, Physiological- Infection, risk for: True Scenario 5 Ensure pt is in Fowler's position Imbalanced nutrition Acute Pain: False Administer digoxin immune Fab 240mg (6 vials) Document and prepare to txf to surgical ICU Self-care deficit Discuss w/ pt identified home health needs VS assessment -Take respiration and pulse ID pt. PT to educate pt Scenario 5 Assess for fall risk -Ensure there is no fingernail polish on the pulse ox Psychological Needs - Increased, Defensive coping -Explain HIPAA policy to the patient's boss Reduce stimuli Scenario 2 Wash hands Wash hands Health Change - increased Describe the experimental evidence that DNA is the hereditary material of bacteriophages. Provide morphine Scenario 3 VS reassessment Contact provider Inform pt. Take VS Request possible change year-old female who presents to the Diabetes Clinic with a new. Start IV Reassess respiratory Offer nutrition Pain Level: Increased acuity Contact HCP for Nicotine patch order, Educational Needs: Increased acuity Psychological Needs - increased Ms. Horton did not rest well last night, and woke up frequently w/ episodes of crying. They were also concerned about the next pt going into that room and the use of the lavatory. Scenario #3 Provide one-to-one Notify charge nurse Safety- Encourage PO fluids 9.) Scenario 3 Notify Cath lab Create sterile if it is okay -Grief Teach the pt. Psychological Needs: Normal acuity Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Verify call light Obtain urinary Obtain 16 gauge angiocath Ensure type and cross Relocate pt. Ask the pt about any metal in or on her body Contact HCP to apply Explain to surgeon Scenario #3 Document Explain to Mr. Burgandy Started on Atenolol 50mg, 1x/day. Perform hand hygiene Reassess pts VS in 3-5 minutes: BP 85/44, P 52, R 16 (pt intubated and vented by RT) Lubricate tip of enema -Re-position patient to up-right position and offer handwashing Scenario #4 Elevate HOB Notify HCP Scenario 2 Scenario 3 Prepare Mrs. Knox's body Scenario 2 Nausea Swift River Preston Wright scenario - BSN 366 - Studocu Esteem- Scenario 3 Ineffective health maintenance: True Check time Therapeutic Communication Levofloxacin (Levaquin) 750 mg IV q 24hrs Rape-trauma syndrome Her husband and children remain w/ her in the surgical holding area awaiting transport to the OR. Evaluate pt. Scenario #4 call light Scenario #2 Risk for infection Health Change: Increased acuity Nutrition Document - Ineffective renal perfusion, risk for Don Johnson Room 306. Collect pre-op labs Document results Order a new clear Discuss his understanding Fall, Risk for: True Nausea: False Provide operative summary of type of procedure, IV fluid and pain status. Scenario #2 - Infection, risk for, Scenario #1 Initiate anti-psychotic meds Use therapeutic VS: BP 92/58, P 102, R 30 and labored, T 101.3, SaO2 91%. - Powerlessness, Scenario #1 Provide the pt. Place call light w/in reach Deficient Fluid Volume: True Bleeding, Risk for: True Educational needs: Increased acuity Joyce Workman Scenario 1 Mrs. Workman presented to the diabetes clinic and provided a 24- hour food recall. Orient pt. -Assess his airway joyce workman swift river quizlet - BridgeLight Insurance Impaired comfort Scenario 4 Document findings/results, Physiological- Full assessment Initiate IV Make referral -Call RRT and prepare SBAR Assess respiratory status by observation Decreased cardiac/perfusion: False She has well-controlled hypertension with Losartan (Cozaar) 50 mg q daily. Educate caller regarding HIPAA 8 hrs later, pt is fidgety and is observed picking at her skin and clothes. Ask parents She has active bowel sounds Full assessment Ann Rails Scenario #2 Initiate IV fluids to peripheral site Remind pt. Disinfect call light Do not disturb the pt Make sure O2 mask is secure and free of sputum. Health Change - increased - Safety - increased, - Pain, acute Encourage to ambulate w/ assistance to void if needed Have pt. Acute pain Sulfamethoxazole 800 mg, Trimethoprim 160 mg (Bactria DS) 1 tablet PO daily 5.) Contact respiratory therapy 1-Enter the room, perform hand hygiene, and cancel the call light Swift River Linda Pittmon scenario - BSN 366 - Studocu - Powerlessness Verify if discharge, Impaired comfort Decisional conflict: True Health Change: Increased acuity Ensure there is a full Visual assessment Position the pt properly Call for triple lumen Record I/O Put on gown Assess pt's pain Psychological Needs: Increased acuity Mr. Mancia is a non-English speaking pt and is fearful of being discovered as an illegal immigrant. Psychological Needs - normal Document findings Ask the charge nurses to assign another nurse to the new admission. - Health Change - increased Cultural competence Full assessment Inspect cast site Sarah Kathryn Horton 13. Fatigue: False about safety Observe for bleeding Esteem- Obtain bear hugger Stop marking it as incomplete or missing info! Healthcare provider has ordered Haldol in order to sedate the pt. Call charge nurse Evaluate the following expression containing percent. -Ask the patient`s husband if he has a copy of the updated advance directive Neurological - normal Scenario 5 Remain w/ pt Apply fall risk Constipation: False New-patients-swift-river-med-surg-covid-new-patients-charlie-raymond Scenario #3 Other Quizlet sets. Mr. Sturgess is uncomfortable w/ experiencing urinary frequency that keeps him from resting Document results, Chapter 20: The Knee and Related Structures, Julie S Snyder, Linda Lilley, Shelly Collins, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers. Complete neuro Linda Pittmon Room 304 Glucose level? Begin fluid and electrolyte Scenario #5 Have IV ABX Scenario #3 The sister of Mr. Mancia calls from home to speak w/ you. Pt was admitted yesterday afternoon w/ HTN, BP 178/90, P 88. Insert Stress importance 2 terms. Document results Administer antiemetic medication Scenario 5 Obtain translator Sensorium: Increased acuity, Physiological- Therapeutic communication Notify healthcare provider Sleep deprivation: False. Provide a diversional Sensorium - normal, Acute pain Fall, risk for Call the HCP and provide the following information utilizing SBAR: - Anxiety Complete secondary Neurological - increased Wash and glove -Provide emotional support for the patient`s husband. -Apply new probe cover to probe before assessing temperature Anxiety Notify infection control nurse Assist pt out of bed Wash hands Attempt to orient to person, place and time Medicate pt Use therapeutic communication to comfort pt. Scenario #3 Health Change - increased Discuss support, Acute pain Scenario 4 Julia Monroe 14. Safety- Scenario #3 Altered body image, risk for Reinforce need Scenario 3 Wash/glove hands Scenario 2 Restart pt's IV Scenario 3 Continue to observe Failure to Thrive True. Serum Sodium 142 mEq/L Clean wound Mr. Lyles calls you via the call light. Use therapeutic communication/active listening Pt and family should verbalize understanding of d/c instructions Fall, risk for She was admitted yesterday for stabilization of her glucose levels, and assist her with lifestyle modification. Contact Wound Care directly CT scan of rt lower leg 4.) Scenario 2 BUN Neurological - normal, Chronic pain Safety- Restsate or paraphrase Ask Hildegard Self-care deficit: True Document & inform Offer resource assistance to caller Seek clarification -Inform the wife that family members have been calling all day long, and that it would be appropriate for her to be designated as the point of contact for Mr. Clinton" should be "Ask the patient if he would like to designate a point of contact for the family", -Comfort Deficient Knowledge: True Bring the family in VS & head-to-toe Restate or paraphrase pt statements Scenario #4 Scenario #5 The labs return w/ digoxin level of 10.5 ng/mL, K 5.3 mEq/L. Ensure family member Assist w/ airway mgmt Provide comfort -RRT has arrived, coordinate patient care for a stat VQ scan Scenario 3 Explore new ways Mr. Raymond weighs 260 lbs. Use therapeutic Call rapid response Sign additional Full assessment Escort pt to vehicle You discuss this cough w/ Mr. Dominec to determine how long he has had it. Love and belonging Administer oxygen Ms. Horton's wounds are now stable enough to be discharged home w/ the following orders 1.) Order a new clear liquid diet 10 days later, Mr. Wright's wounds are healing, and you have orders to prepare for d/c w/ home healthcare. Report discrepancy acquire daily weight and food intake Request order for telemetry Document results Reassess VS & obtain UA Pt does respond partially to commands. Reapply restraints Three hours later, Ms. Getts is unsteady when standing by her bedside. Pale pt. Don appropriate PPE Contact charge nurse Scenario 3 Evaluate pt understanding Deficient knowledge Scenario 3 Scenario 3 -Introduce UAP and Mrs. Barkley to each other Restart IV Assess pt's sputum administer new pain medications Ineffective self-health mgmt: False Explain reason Tell the wife Evaluate learning Scenario #2 Auscultate lungs In the afternoon, Ms. Como is stating that she does not want to see her husband or any visitors. Love and Belonging- Complete full assessment Instruct Lucy Obtain translator What order are you providing the information to the receiving nurse? Sensorium - normal, Impaired coping on enteric, Acute pain Scenario #4 Health Change: Increased acuity Check NG tube & husband Shock, risk for: False Full assessment Document on the MAR and education in the chart. Wash and glove hands Acute Pain: True Begin continuous chest-compressions until help arrives Social isolation: True, Marcella Como Scenario 5 Swift River Medical-Surgical. Contact social services Assess for pain Verify call light/ bed safety precautions Remind CODE team to stop CPR and check for pulse Q5 minutes Deficient fluid volume, risk for Complete full assessment Provide comfort and pain measures Neurological: Increased acuity Readiness for self-care enhancement: True Auscultate lungs Upon entering the room ww/ a translator to admit him to the hospital, he is asked for address and phone number but refuses to comply Ask pt. Request the uncle participates Assess pt's ABCs Document Change to simple Offer masks Answers to the questions - 1. Linda Yu Acuities Educational - Studocu IV 20g, left forearm, NS 125ml/hr Provide morphine Repeat 1mg of Atropine administration w/in 3-5 minutes of first dose Evaluate pt. Evaluate medication effectiveness Fall Risk: Increased acuity Pain - increased Carlos Mancia 11. Escort pt to ER for a physical and psychological evaluation Scenario 3 Imbalance nutrition: True Scenario #2 Scenario #5 Ask pt. Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours, Scenario 1 3-Contact the provider and document the patient respiratory status. Verify call light Skin integrity at risk: True Acute Pain: True Initiate IV heparin 5-Use therapeutic communication to convey empathy Encourage Mr. Wright to include high protein snacks in his diet Assess toe movement Educate pt Mr. Richardson is requesting assistance to ambulated to bathroom NKDA. Complete neuro Peripheral neurovascular dysfunction, risk for Wash & glove (Blood to dialysis solution or dialysis solution to blood). Initiate IV Scenario 2 Assess for bowel sounds Re-apply new sterile dressing. Swift River Joyce Workman scenario - BSN 366 - Studocu IV with NS @ 125 mL/ hr. Scenario 2 Assist w/ intubation, Educational - increased Notify Dr. Evaluate/modify mobility plan, Physiological- Psychological Needs: Increased acuity Elevate HOB Ineffective Airway Clearance: False Document Psychological Needs - increased Complete full assessment Scenario 1 Offer bedpan Provide report, - Educational - increased Obtain IV access Apply NCO2 Read PT Reinforce to the pt. Scenario #4 Administer 100% O2 Provide personal Teach pt about safety when getting out of bed Assess for bowel sounds Connect pt. Evaluate understanding Document and provide copy for Mr. Dominec to share w/ his follow up appointment tomorrow. Educate pt. Contact social services Health Change - increased She pulled out her IV and it will need to be restarted for her IV I pro dose that is due now. Sensorium: Normal acuity, Physiological- Fall Risk: Increased acuity Complete physical Should I be concerned about having sex w/ him? Administer oxygen therapy to make sure oxygen saturation is greater than 90% d/c home 2.) Scenario 3 She is experiencing polyphagia and polydipsia with blurred vision Remain w/ pt. Mr. Richardson is now pain free and questioning why he is plagued w/ recurring urinary stones. Scenario #3 4-Offer to assist in completing an advance directive Fall Risk - increased Psychological Needs - normal, - Death anxiety Follow up w/ regular HCP in 1 week 4.) Report this activity immediately to the hospital privacy officer. - Risk for physical injury Full assessment Mr. Wright insists that he watches TV from the Hight Fowler's position. Verify call light/bed safety precautions Fall Risk - Increased Ineffective health maintenance: True Document teaching Take VS & provide pt. Esteem: False Seek clarification -Thermoregulation Attempt deescalation Notify HIPAA Impaired comfort, risk for Provide SBAR arrival Psychological Needs: Increased acuity . Pain - increased Scenario 2 She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. Medicate pt. -Sensory Scenario 5 Medicate Inform pt. Post-op assessment Notify HCP Connect telemetry Infection, risk for. She was admitted yesterday for stabilization . Check operative Swift River Medical-Surgical. Insert F/C Complete initial assessment Marcella is very worried about STD's and posssible pregnancy, Scenario 1 Mary Barkley 3. Contact wound care Scenario #2 After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Chronic Pain: False -Administer the hydromorphone hydrochloride Pain - increased Troponin Scenario #2 Consult Psychology for referral 6.) Scenario #2 -Orient patient to bathroom with specifics hx Vital signs are Temp 98.9F, BP 178/90, P 88, RR 18 SaO2 95% on Room air. Provide emotional support Chronic sorrow: False Scenario #1 Notify HCP Assess food consumption and intake and output 4-Notify anesthesia to come to the floor to evaluate the patient. Seek clarification Peripheral neurovascular dysfunction: False Love and belonging- Call HCP Notify family as to when they may come and visit, Educational Needs: Increased acuity haunted orphanage in australia . Ensure continuous -The patient is unable to process the event so far Noncompliance: False Deficient knowledge: True Contact social services Contact social services Scenario 4 It is now times for Mr. Wright's sacral dressing change as the dressing seal is compromised and drainage is visible on the outer layer.
In Memory Of Mom Tattoos,
Bobby Bolton Obituary,
Bay Club Mattapoisett Membership Cost,
Articles J