Safety Assess pain Deficient knowledge: True IV Assessment/ N/A Scenario 5 The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. Bleeding False Tom Richardson -Set-up for stat portable chest x-ray DSD (dry sterile dressing), forehead laceration clean and dry intact. Psychological Needs: Increased acuity He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Fall Risk Increased acuity Scenario 3 Dr. Jones. Scenario 1 Full assessment Love and belonging Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Senario 4 John Duncan 1Perform full assessment and provide anti-nausea medicine. Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Impaired home maintenance mgmg r/t client or family: False Robert Domenic Disoriented, confused = 4 Scenario 5 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. Senario 5 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 Scenario 1 Clear liquid diet. Reassure patient of options Wash and glove hands Deficient Diversional Activity False Evaluate/modify plan of care -Attempt to orient to person, place, and time Senario 3 Health Change Increased acuity Wash and glove hands 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. Upon entering the room with a translator to admit him to the hospital, he is asked for address and phone number but refuses to comply. Anxiety True Scenario 1 Hopelessness: True Evaluate learning Impaired Mobility True Health Change: Increased acuity The patient got dizzy when he stood up from the commode. sounds= 2 Due to this, the provider would like him to stay in the hospital for observation. Scenario 2 Sensorium Normal acuity, Physiological Ms. Rails shares with you her fear of being discharged home to an abusive husband. Scenario 1 The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). LUE: Non-pitting Pitting ___+ Alleviating Factors: Last pain medication: Scenario 5 Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. Release restraints/full range of motion Pupils PERRLA, eyes clear. Skin integrity, impaired True Therapeutic communication Nausea False Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. No known allergies (NKA). The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. -Have patient remain in bed, head elevated 30 degrees Acute Pain True Notify doctor and charge nurse Senario 5 Other: _______________________________ Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Scenario 1 Hypothermia False You are about to call the Surgical ICU and give report. 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. Imbalanced Nutrition: True Self-Actualization Paul Greer Educate patient regarding patient care Contact Social Services Escort patient Diet as tolerated. Scenario 5 -Assess patient's understanding of the teaching and discuss home support, os de la main et de la ceinture pelvienne, Julie S Snyder, Linda Lilley, Shelly Collins. Document results Knowledge Deficit True Chronic pain: True Scenario 5 Verify call Light/bed safety precautions You escort them with you to the ICU. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Incomprehensible Neck: ______________ Senario 3 -Explain procedure to the patient Notify doctor Impaired Gas Exchange False Scenario 4 Scenario 1 Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Your response to all of them would be: Scenario 1 Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. 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. Scenario 4 It is unclear if he lost consciousness. After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. Discuss follow up with his doctor. IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Check surgical consent for correct procedure and make sure operative site in marked. Scenario 5 , a 58-year-old male patient presents to the ER CO CP 10/10. Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Amount: _______ You notice she is crying and is expressing fear that she "will always have this pain and numbness" and she doesn't think she can cope. Scenario 5 Combien gagne t il d argent ? Provide comfort measures Obtain recent chest X-ray reports and recent ABG's for physician to review Chronic Confusion False Students will prioritize medical surgical . Palliative care. -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Scenario 5 Respiratory Rate: WNL Tachypnea Bradypnea Scenario 3 Assess food consumption and intake and output Fall, Risk for True Deficient knowledge: True He replies, "six times in the past four hours". Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Because of the fall the provider has recommended that he stay in the hospital another night. Scenario 4 Discuss his understanding about the plan of care. Fall, Risk for True Stools are decreasing but patient remains very weak. Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Regular diet. Scenario 5 Deficient knowledge: True Scenario 1 Fall, Risk for True Scenario 3 Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. ASA is held but morphine 4 mg was given after his GI cocktail. Scenario 5 Several hours later, Mr. Duncan is now complaining of nausea. -Complete full assessment, to include neuro Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Administer protocol antidiarrheal medication Ineffective Airway Clearance True Mrs. Smith's surgery has now ended. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Ruth Cummings Trustee Vice Chair Audit Chair . The patient describes this pain as a heavy pressure with intermittent stabbing. Failure to Thrive True. Notify doctor for Foley catheter Safety- Scenario 2 Psychological Needs Normal acuity Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Safety Nausea: False Senario 2 Education of Foley Cath Procedure Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Encourage Mr. Dominec to discuss with his partner his best treatment options. Imbalanced Fluid Volume, Risk for True Urination: WNL Burning Frequency Urgency 1. Wash and glove hands -Tell the patient that they are being admitted to r/o any cardiac issues GI WNL. Safety Gastrointestinal Assessment Impaired Gas Exchange True Scenario 1 Physiological- Senario 4 Evaluate understanding Kathy Gestalt No known allergies (NKA). The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. Encourage fluids and fiber diet No known allergies (NKA). In the interim, start an IV and start infusing Ringers Lactate. Decisional Conflict False -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Request sitter/family member to bedside Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Escort patient to vehicle Upon entering the room, the patient appears to be trying to get out of bed No known allergies (NKA). Assist patient out of bed Administer antipyretic medication Deficient Fluid Volume True Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Assist physician in physical exam of patient Use therapeutic communication/active listening Two hours later, Mr. Duncan is asked how frequent his stools have been today. Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. Notify housekeeping. Ineffective Peripheral Tissue Perfusion False Scenario 5 Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Dr. Anderson, Educational Needs Increased acuity Senario 1 No response = 1, Mobility: Electrolyte Imbalance True 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. Scenario 4 Waist belt restraint PRN; family sitter at bedside, assist with bath. Sleep deprivation False Pain and numbness in legs for one week. Scenario 1 Wash hands Inform and educate spouse of dietary orders Esteem Scenario 2 Scenario 2 Provide emesis basin/cloth 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. RLE: ______________ LLE: _____________ Sensorium Normal acuity, Physiological His difficulty voiding finally motivated him to seek care. Safety- Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage No response = 1, Muscle Strength: WNL, Flaccid, Contracted After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! He has a 20-year one pack history of smoking. Bladder distention Pelvic pain Low back/flank pain Validate NPO Status All opinions are mine alone. You enter room and find Ms. Gestalt crying because she has just learned her medical insurance has lapsed and she is already two months behind on her car payments. Scenario 4 No known allergies. The oncologist is recommending Docetaxel as opposed to an orchiectomy. Imbalance nutrition: True Encourage to ambulate with assistance to void if needed Scenario 1 Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Scenario 4 Scenario 1 Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Scenario 2 Pain Scale: 0 to 10: _______________ Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Excess Fluid Volume, Risk for False Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. -Perform neuro assess Include patient condition change in shift report Impaired Skin Integrity, Risk for True He tells the nurse he has called his wife and wants to be discharged now. Isolative, appears fearful, crying, and refusing to see her husband. Dr. Brown, Educational Needs Increased acuity NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Educate about recovery from appendectomy and care to wound. -Explain to the patient that he has a procedure, and he cannot eat. Document results and findings Scenario 4 Assist patient When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Esteem His wife tells the nurse that he seemed very distant and did not want to talk much. Obtain translator Assess vital results Nathaniel Gonzalez He is questioning the nurse as to why he has been admitted for heartburn. Chronic Pain False : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Ineffective Self-Health Management True In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Acute Confusion: True Neuro WNL. Vital sign assessments To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Apical pulse rhythm: Regular Irregular Location: Scenario 4 After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Love and belonging Fall, Risk for True Increased fall risk. Document results Hx of dementia, from nursing home, fall one day ago. The lesion was identified as Kaposi's Sarcoma. The charge nurse tells you she will send someone to assist you, and to get out 2mg of Versed to have ready to sedate the patient at time of procedure. Pain Level Increased acuity Impaired Skin Integrity, False No known allergies (NKA). Health Change Increased acuity Blood, Glucose 185, 4 units of insulin sliding scale for coverage. -Advise patient not to get up and walk on his own Notify Doctor for pain medz Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Self-Care Deficit True He has a history of hypertension and is not compliant with medication. Scenario 3 Patient and family upset regarding dx. 1. Impaired Gas Exchange True Obtain Spanish signs & brochure Sarah Getts Scenario 3 Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Evaluate understanding Scenario 3 She is with her physician. Scenario 5 Dr. Altace, Physiological- Sensorium Increased acuit, Physiological Skin warm and dry, all vital signs in WNL -Provide the patient with the time when HCP will come discuss options with him Physiological- Diet as tolerated, up ad lib after gait training. Strict I&O and strain all urine, filters in bathroom. Senario 3 Scenario 2 Strict I&O, regular diet, intake 50%. -Remove the lunch tray and ensure pre-operative consent has been signed. -Restart the IV and draw CBC Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. -Use therapeutic communication/active listening Document results and findings 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". Scenario 3 Evaluation patient after consult Hx of dementia, from nursing home, fall one day ago. Check PRN pain order Patients within the Swift River Online Simulators Med Surg - Patients SROL Med Surg Female and Male Patients Female Male Ann Rails Carlos Mancia Estelle Hatcher John Duncan Kathy Gestalt Robert Sturgess Lithia Monson Tom Richardson Marcella Como Ramona Stukes Sarah Getts Viola Cumble Dosage Calc - Patients SROL Dosage Calc Female and Male Patients Provide emotional support. Seek clarification Tom Richardson, 46yr-old. Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F 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. Perform full assessment and provide anti-nausea medicine. Scenario 3 Acute Confusion False It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. D/C plan- decrease pain and restore normal gait. Ambulates with assistance. Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______
Warrant Wednesday Franklin County Illinois,
Is Hyperion Motors Publicly Traded,
Ricky Tomlinson Son Gareth,
Dive Inside Walkthrough,
Lauren And Josh Swickard Interview,
Articles R