robert sturgess swift river robert sturgess swift river

Mr. Duncan is now complaining of feeling "dizzy" when he stands. Senario 3 Notify Doctor for pain medz -Reassess patient Non-significant past medical history. Scenario 3 -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Offer assistance Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Remind physician to wash his hands before examining the patient NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. Impaired Home Maintenance Management False Scenario 4 His coughing, to clear his airway, appears ineffective. -Ensure bed is in lowest position, and rails are in place Acute Pain False Her pitcher has already been filled three times this shift. Scenario 2 He also has metal fragments on his left side on his leg arm and torso. Notify family -Check on patient/sitter hourly It is now two weeks later; Mrs. Smith has returned. Check PRN pain order Scenario 5 She receives the pre-op medication. Senario 3 Scenario 5 Neuro WNL alert and cooperative. Powerlessness: True, Scenario 1 The bed arrives tomorrow. -Evaluate patient's understanding of teaching Hep-Lock in place left AC. 1. Fatigue True Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? , a 58-year-old male patient presents to the ER CO CP 10/10. Senario 3 Mr. Richardson is requesting assistance to ambulate to bathroom. You enter patient's room. Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Scenario 3 You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Scenario 1 -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. Wash and glove hands Visual assessment Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Dr. Small at bedside with patient and family. Vital signs are: B/P 112/78, temp. Grieving: True Peripheral Neurovascular Dysfunction True. 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Provide comfort and pain measures Discuss his understanding about the plan of care. Safety- Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Tom Richardson Fall, risk for True Physiological- Sensorium: Normal acuity, Bleeding, risk for: False -Contact HCP to determine when they are available to speak with the patient Vital assessment -If gastric reflux is suspected administer PRN antacids (GI cocktail) Scenario 4 Begin post op education for day one Report current urinary output quantify per hour and color of urine Gait: ______________________________, Skin Integrity Assessment Remain with patient and reassure Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. -Assess patient's ABC (airway, breathing, circulation) Assess food consumption and intake and output The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Ineffective Coping False He insists that he is not hungry and refuses assistance with his meal. Ronald Burgundy Paul Greer Social Isolation, Risk for True Scenario 4 Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." She has IV access and has received a small dose of Valium to reduce apprehension. 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. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Scenario 5 -Reassure patient that he will be moved to a private room as soon as possible Kathy Gestalt Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Elevate head of bed Nathaniel Gonzalez Acute Confusion False Neuro WNL, except leg pain upon movement. 00 Comments Please sign inor registerto post comments. -Use therapeutic communication/active listening Sensorium Increased acuit, Physiological -Ensure IV is patent, Lithia Monson Scenario 3 -Attempt to orient to person, place, and time Release restraints/full range of motion : 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. Report this activity immediately to the hospital privacy officer He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). Sensorium Normal acuity, Physiological Too bad the cruise area was a very unatractive part of the River Elbe. Document results. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. jasmine . 1. Sensorium Normal acuity, Physiological Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Pain Level: Increased acuity Combien gagne t il d argent ? I need to be reporting!" 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. Document conversation Scenario 1 Obtain urinary screen He does not want to return to the nursing home, and does not wish to burden or live with his children. Eye opening Spontaneous = 4 Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Wash and glove hands Love and belonging Scenario 5 Safety Increased acuity, Physiological Psychological Needs Increased acuity Dysfunctional Gastrointestinal Motility False Anxiety True Fear/Anxiety True. Sleep deprivation False 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. Esteem Anxiety False Skin warm and dry, all vital signs in WNL He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. It is unclear if he lost consciousness. He is married, and his wife is requesting to stay at his side. 3. Document and prepare to transfer to Surgical ICU -Advise patient not to get up and walk on his own Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Scenario 3 Aggravating Factors: ASA is held but morphine 4 mg was given after his GI cocktail. Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Education of Foley Cath Procedure Clinical 2. Skin warm and dry, may sit up on edge of bed today. 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. Noncompliance True. Pain and numbness in legs for one week. Dr. Altace, Physiological- Safety Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. Impaired skin integrity: False, Anxiety: True Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Scenario 4 Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Skin integrity at risk True : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Evaluate understanding Breath Sounds: Clear bilaterally. Electrolyte Imbalance False Hx of dementia, from nursing home, fall one day ago. -Explain to the patient that he has a procedure, and he cannot eat. Psychological Needs Normal acuity Evaluate understanding Vital Assessment Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. Contact head nurse or supervisor in the OR to evaluate new situation D/C plan- decrease pain and restore normal gait. 20ga. Hep-Lock in place left AC. Isolative, appears fearful, crying, and refusing to see her husband. 2. No known allergies (NKA). Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Safety- Deficient Knowledge True Notify lead nurse/doctor Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Dr. Brown, Educational Needs Increased acuity The cells are allowed to warm up and then are frozen again. -Complete full assessment, to include neuro Need frequent reminder to stay in room and maintain mask precautions. 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 -Complete head-to-toe assessment while patient is on the floor. When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. List the nursing care order. Senario 3 Respiratory Rate: WNL Tachypnea Bradypnea No known allergies (NKA). Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. Remind the nursing staff that the patient is NPO. The patient is awake, alert, and oriented. The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. Acute pain: True -Transport Mr. Burgundy to his room Scenario 4 Obtain recent chest X-ray reports and recent ABG's for physician to review Apply fall risk bracelet Other: _______________________________ Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not recognize son today which is new for her; Neuro assessment and vital signs q1 hr. The patient asks the nurse to explain about these medications and why they are in such a hurry. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Mr. Dominec had his surgical procedure and is doing great. Bleeding, Risk for False Deficient knowledge: True Senario 1 Patient, and family upset regarding dx. Dr. Donofrio, Physiological Use therapeutic communication/active listening No Known allergies (NKA). -Complete initial post-op assessment Therapeutic Communication Family arrive one hour after event to his prior room and find Mr. Thomason's room is empty and have no idea of the events that have just occurred. Document results and findings GI WNL. Self-Care Deficit: True IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Verify call light/bed safety precautions Perform full assessment and provide anti-nausea medicine. Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Lung sounds are worse. Sexuality: True. Health Change Increased acuity Electrolyte Imbalance False Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Apply restraint Nausea: False Nausea False Scenario 2 school system of the host country and may not know how to choose the programme, Question 34 Correct Mark 100 out of 100 Flag question Question text hr tag, efefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefef, arbitrary parameters a b will be a complete solution of 38 The main problem then, Reduces costs of providing on site office space To individual Makes more time, METHYLXANTHINE DRUGS-Chemistry FinalsExam PrepNotes.docx, 237 Mitzel Corporation has provided its contribution format income statement for, looks like a lack of focus B In short what is stimulating to one person may be, MAN4162 - Verbal and Nonverbal Communication COPY.docx, Recall that in the Black Scholes model the stock price follows the SDE dS t S, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. Swift River Medical-Surgical. Senario 5 Temperature is now 102.8. Impaired comfort: True Scenario 3 All opinions are mine alone. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. The 'Strandperle' (lit. Impaired Home Maintenance Management r/t Client or Family False Anterior: ___________________________________ Posterior: ____________________________________ Retrieve cast removal tool Scenario #3. Scenario 4 Place call light and check bed for safety Infection, risk for: False. -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Nathaniel Gonzalez The patient got dizzy when he stood up from the commode. A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Tear, Ecchymosis, Contusions, Bruising Then the bus splashed into the river for a cruise. You call his doctor to inform him the family has arrived. Document results and findings Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%.