Psychological Needs: Increased acuity Call rapid response -Offer nutrition/toilet Safety He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. If patient statement differs from the surgical consent she has signed, notify surgeon immediately Scenario 5 Peripheral Neurovascular Dysfunction False Elevate head of bed Peripheral Neurovascular Dysfunction True. His coughing, to clear his airway, appears ineffective. Scenario 3 Notify doctor Scenario 4 Scenario 2 Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Scenario 2 Scenario 3 Obtain patient record and follow patient as he is transferred to ICU Adjust crutches Acute Pain True His overall health is good, and he has known he has been HIV positive for the past five years. Fall, Risk for True Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Provide emotional support. Discharge instructions Verify call light/bed safety precautions Document results Scenario 5 Evaluate outcome of dietary plan The patient got dizzy when he stood up from the commode. RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Carlos Mancia Assess food consumption and intake and output Love and belonging -Reapply the NC that he was admitted with at 2L John Duncan We have more than 20 years' experience in the industry providing a quality service to our clients We pride ourselves on our customer-orientated service and commitment to delivering high end quality goods within quick turnaround times. Full assessment Physiological- Tom Richardson Senario 4 Check input/output for possible dehydration -Ask the patient if it is okay to discuss his care in front of his children. Self-Actualization -Ensure patient privacy and call for help and assist patient to bed once help arrives Bleeding, Risk for False Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Nausea: False Skin cool to touch and appears pale. Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). He has been taking his HIV medication daily. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Acute Pain True Notify lead nurse/doctor Obtain urinary screen Scenario 1 Psychological Needs Increased acuity Scenario 5 Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Senario 3 Scenario 4 Procedure is canceled for the day and rescheduled later allowing for new consent. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. You also notice the patient is more difficult to orient. Bowel Movement Total: x________________, Hygiene Times Knowledge Deficit True Educational Needs Increased acuity Acute Pain True Scenario 5 Senario 2 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. Fear: True Describe the physical changes from aging and the care required. Give verbal report Educational needs: Increased acuity Strict I&O, regular diet, intake 50%. Scenario 1 Notify lead nurse/doctor LUE: Non-pitting Pitting ___+ Bleeding, Risk for False You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. High fall risk. It is now the second day post op and he is given discharge information. John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. No response = 1, Mobility: Combien gagne t il d argent ? Stay with patient for surgeon's arrival to explain intended surgical procedure Glasgow Coma Scale 0-15 Musculoskeletal IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. You are about to call the Surgical ICU and give report. Wash and glove hands Wash and glove hands Consult Social Service You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. Document Results/Findings 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. Renal diet. : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Health Change Increased acuity Tom Richardson, 46yr-old. Scenario 2 Teach patient about safety when getting out of bed Sa fortune s lve 2 216,00 euros mensuels Anterior: ___________________________________ Posterior: ____________________________________ Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Urination: WNL Burning Frequency Urgency Blood, Glucose 185, 4 units of insulin sliding scale for coverage. -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours Scenario 2 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. Dr. Starks, Physiological Skin warm and pale. Scenario 3 Full assessment Compromised Family Coping False Scenario 4 Scenario 3 Bleeding Risk for: False Scenario 1 Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration 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. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Scenario 1 Impaired mobility: False Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. The patient is awake alert and oriented. Report to charge nurse/ head nurse the need for staff education. -Recheck Tilts after the NS bolus is complete.T Teach Cameron. Bleeding, Risk for True 20ga. He is aware that he may not have an erection and may need depends for bladder incontinence. Scenario 2 Mrs. Stukes is feeling nauseated. He tells the nurse he has called his wife and wants to be discharged now. r/o Tuberculosis. Wash and glove hands Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Abdominal Pain: Non-tender Tender/Pain Describe: Hx of dementia, from nursing home, fall one day ago. Obtain Spanish signs & brochure Scenario 2 Love and belonging Wound site clean, dry and intact NPO, NG-tube to low continuous suction. IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. 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. Fall Risk Increased acuity Chronic Confusion False Electrolyte Imbalance False Sa fortune s lve 2 000,00 euros mensuels Ask patient to explain to you what procedure she was expecting to have this morning. The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). Scenario 1 Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments Lithia Monson and the GI cocktail given in the ER did relieve his CP but not completely. Fall, Risk for True You question her while reviewing her operative consent and determine that everything is correct. Record intake and output Bladder distention Pelvic pain Low back/flank pain Ineffective Self-Health Management True A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Neuro WNL. Document results You correctly diagnosed 11 out of 16 options. Evaluate understanding Sleep deprivation False Infection, Risk for True Acute Pain False Document results and findings RUE: ______________ LUE: _____________ The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Assess vital results Use therapeutic communication/Active Listening Senario 3 Prior to changing shift, you enter the patient's room to complete a full assessment, and Ms. Monson is now crying asking to for someone to take her home! The patient asks the nurse to explain about these medications and why they are in such a hurry. Deficient knowledge: True Skin warm dry, bruises on forehead with small laceration. 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. Educate patient Spanish interpreter available at extension 61178. 20ga. Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. Assess toe movement and capillary refilling Tap patient and ask, "Are you okay?" Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Awaiting diagnostic labs. 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! But that's changing. Remain with patient -Ensure there is suction in the room, and check Scenario 4 No weight bearing today. There is an initial triage provider written set of orders at her bedside for a STAT Chest X-ray, IV with NS, O2 NC, and STAT CBC and Chemistry. Stat lithotripsy treatment ordered. Scenario 4 Take vital signs before leaving the hospital again. Allow husband to come into recovery for a quick one-minute visit. Grieving: False Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Failure to Thrive True. Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Health Change Increased acuity Pain Level Increased acuity Scenario 5 Wash and glove hands Assist patient out of bed Document results and findings Use therapeutic communication/Active Listening Escort patient Scenario 3 He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. Scenario 4 Nausea False Fear True The patient has a pneumothorax that requires a chest tube placement. Therapeutic communicationT Safety- Peripheral Neurovascular Dysfunction False. No known allergies (NKA). Flexes abnormally = 3 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? Request time she can arrive and staff to help with transfer RLE: ______________ LLE: _____________ Document results Linen Change Verify call light/bed safety precautions He has a history of hypertension and is not compliant with medication. Verify call Light/bed safety precautions Fear/Anxiety True. Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Educational Needs Increased acuity -Notify charge nurse Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). -Assess patients' pain and rule out cardiac pain. Explain that he will probably not be going home at least until his doctor sees him. Upon entering the room, you find Ms. Rails sleeping. Senario 2 -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Fatigue True Verbal command = 3 Several hours later, Mr. Duncan is now complaining of nausea. Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Impaired Gas Exchange True -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. 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. Mrs. Smith's surgery has now ended. Non-significant past medical Hx. Scenario 3 Scenario 2 She is having some difficulty breathing. -Draw a repeat CBC per HCP order to determine current Hemoglobin status -Complete initial post-op assessment As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Auscultate peripheral pulses and ROM. Wash and glove hands Notify family -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon DSD (dry sterile dressing), forehead laceration clean and dry intact. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Hopelessness True Educate patient At Risk, Impaired Comfort False D/C plan- decrease pain and restore normal gait. LOC Normal acuity 1Perform full assessment and provide anti-nausea medicine. Ambulates with minimal assistance. Esteem The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Provide verbal report to team members who respond to rapid response Notify doctor for Foley catheter Safety- Senario 3 Scenario 3 Scenario 4 Noncompliance: False Contact Social Services Water/Flush: The 'Strandperle' (lit. Therapeutic communication. Compromised Family Coping: False Perform pain re-assessment No Known allergies (NKA). Dr. Donofrio, Physiological The cells are allowed to warm up and then are frozen again. Educate patient Scenario 3 Disoriented to time and place, speech slurred. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . How does the Med-surg simulator work? is a 57 y/o who has been admitted for a radical prostatectomy. Apical pulse rhythm: Regular Irregular Location: -Explain to patient why his throat may be sore Sleep Deprivation False Neuro WNL alert and cooperative. Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Crutches at bedside adjusted for height. No known allergies (NKA). You arrive in room to find Ms. Monson talking to herself. To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. Blood Pressure, 7a-7p Total: 7p-7a Total: He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Check monitor Decreased Cardiac/perfusion False Dr. Altace, Educational Needs Increased acuity Scenario 1 No known allergies (NKA). He also complains that his throat is still very sore. Grieving: True Reapply restraints Normal Sinus Rhythm on telemetry. Educational Needs Increased acuity 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. Safety Evaluate learning No known allergies (NKA). Constipation, risk for: True Activity as tolerated with assistance. Esteem Scenario 1 Next time we'll spend our 60 on some food and nice beers. Pain = 2 Vital sign assessments -Ensure the bed is in lowest position, the side rails are up, the call light is in reach, and ask the patient if they need anything before you leave the room Sleep deprivation: False Impaired Mobility True Scenario 3 -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula She has received a dose of Hydrocodone for PRN pain 20 minutes ago. except 115 pulse, which is normal for him. You are the now the Surgical ICU nurse assigned to her. You enter patient's room. She is with her physician. Stoma: N/A Colostomy Ileostomy Effluent Consistency: Esteem Senario 1 Document results and findings Deficient Fluid Volume True **New Patients from 2020, Post- Covid-19 Update:** **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec, Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose Martinez, Mary Barkley Charlie Raymond (for older swift river patients see other pdf files loaded at the bottom of this file) Preston Wright Room . , a 58-year-old male patient presents to the ER CO CP 10/10. Respiratory Rate: WNL Tachypnea Bradypnea Check pedal capillary refill This will treat any cancer that may have metastasized to the bone. Senario 4 Anxiety False Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook Place call light and check bed for safety Document and prepare to transfer to Surgical ICU Impaired comfort: True Scenario 5 Impaired home maintenance mgmg r/t client or family: False Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) LOC Normal acuity Ronald Burgundy Full assessment Use therapeutic communication/active listening Amount: _______ Scenario 1 Fall, Risk for False He asks to speak to a clergy member. Scenario 5 Capillary Refill: _________ seconds Palliative care. Extends abnormally = 2 -Tell the patient that they are being admitted to r/o any cardiac issues After washing and gloving hands, you then identify yourself and the patient, Ann Rails. His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Scenario 2 Scenario 1 Evaluate medication effectiveness Sexuality: True. Strict I&O, regular diet, intake 50%. Provide a few chairs if possible for her family to also be comfortable I need to be reporting!" Combien gagne t il d argent ? The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Scenario 4 : 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. After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Shock False Three hours later, Ms. Getts is unsteady when standing by her bedside. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. His original lymph node biopsy was negative. Disturbed body False The pathology report shows no cancerous lesions. Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Begin post op education for day one Scenario 1 Apply restraint Use therapeutic communication/Active Listening Encourage fluids/fiber/ambulation Obtain translator -Complete full assessment, to include neuro Clear liquid diet. Scenario 3 Scenario 1 Assess Senario 3 -Restart the IV and draw CBC It is now two weeks later; Mrs. Smith has returned. Scenario 3 Scenario 1 Ineffective breathing pattern False Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Intermittent/Continuous Other: -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. Encourage Mr. Dominec to discuss with his partner his best treatment options. 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. Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Regular diet. Fatigue True -Advise sitter to notify nurse when leaving the room 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. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Administer antiemetic medication -Notify charge nurse of patient's deteriorating condition Vital assessment 45 terms. Check surgical consent for correct procedure and make sure operative site in marked. The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Deficient knowledge: True -Reassess patients' vital signs, and place on q5 minutes continuous monitoring -Contact HCP to determine when they are available to speak with the patient Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Scenario 3 Physical Mobility, Impaired True Hopelessness False. Educate patient regarding changes to POC Combien gagne t il d argent ? Full head to toe neuro assessment. You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Fear True -Take initial vital signs (room air Pulse Ox) Scenario 5 Spiritual Distress False. Sa fortune s lve 1 900,00 euros mensuels Encourage fluids and fiber diet Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. Scenario 2 Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. -Call security for assistance and compliance officer Due to this, the provider would like him to stay in the hospital for observation. Oral Mucosa: Tongue: Teeth: Deficient Knowledge False IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Electrolyte Imbalance False Vital signs taken by automatic B/P Cuff q 15 minutes He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Psychological Needs Normal acuity Nausea: False Assess for fall risk -Notify HCP of fall, complete incident report It was diagnosed by a portable X-ray and quickly splinted by the ER staff. SANE nurse to make second visit today. Discuss follow up with his doctor. Evaluate understanding The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Chronic pain: True Decisional Conflict True Senario 3 Impaired Home Maintenance Management r/t Client or Family False Re-assess patient Scenario 4 -Attempt to orient to person, place, and time Health Change Increased acuity The heartburn has become worse since he started treatment for his URI. Scenario 2 Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Notify Doctor for pain medz No Known allergies (NKA). Self-Care Deficit False Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Expresses fatigue, fear, concern, and desire for recovery. Document conversation Elevate Extremity Nursing questions and answers. The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. How was this Scenario 5 No known allergies (NKA). Evaluate/modify plan of care Administer protocol antidiarrheal medication Seek clarification Perform circulatory evaluation Physiological- Observe closely first hour 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. Senario 2 Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Senario 5 Gastrointestinal Assessment They would also like to start Radium-223. Allergic to sulfa drugs. He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). Deficient Knowledge True Provide comfort measures Tear, Ecchymosis, Contusions, Bruising Scenario 3 Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Scenario 4 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. Health Change Increased acuity BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Course Hero is not sponsored or endorsed by any college or university. Ann Rails Localizes pain = 5 IV Fluids: INT lock IV Fluids ______________@ _____________ mL/hr Date on tubing: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chronic Pain, Risk for constipation, impaired nutrition, anxie, 4 units on insulin sliding scale for coverage, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Scenario 2 Scenario 2 Pain Scale: 0 to 10: _______________ He insists that he is not hungry and refuses assistance with his meal. Allow family to remain Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Assume role in response team of documenter Chronic Pain False Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. 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. Full assessment including both lying/standing Grieving: False. Neuro WNL's, alert and cooperative. Senario 4 -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Scenario 4 Scenario 2 Scenario 5 Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. When you arrive to room 4, you are told to assume the care for the patient and get ready to transport them to the floor ASAP. Suprapubic Insertion site: WNL S/S Infection : ____________________ Waist belt restraint PRN; family sitter at bedside, assist with bath. Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output Bed Bath: Assist or Total Incomprehensible His left humerus is fractured and splinted. Obtain translator Assist physician in physical exam of patient Full assessment Deficient Knowledge False Amount:________ He is restless with slight confusion but is easily orientated with attempts from nurse. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Sarah Getts Blood Glucose 185, 4 units of insulin sliding scale for coverage. Notify housekeeping. Acute Confusion True Administer PRN constipation medications Color:__________ Scenario 5 Impaired Mobility True Safety Increased acuity, Physiological Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Ms. Getts is being transferred as an emergency to Critical Care. The charge nurse tells you to get the Mr. Burgundy to the hallway because six more patients are inbound, and we need to clear out our trauma-bays. "I am feeling fine." Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. -Document and contact nursing supervisor/Charge nurse Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: palliative care. Infection, Risk for False You escort them with you to the ICU. 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. -Complete neuro checks as ordered Verify Call Light/Bed Safety precautions Arthur Thomason The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Safety ExplanationAnxiety/ fear True Isolative, appears fearful, crying, and refusing to see her husband. Acute pain: True DSD (dry sterile dressing), forehead laceration clean and dry intact. Radiofrequency ablation may be recommended after endoscopic resection. The patient describes this pain as a heavy pressure with intermittent stabbing. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Temperature is now 102.8. Scenario 4 Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Vital signs- Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Vital signs are: B/P 112/78, temp.
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