Infection, risk for, Scenario #1 Insert foley Explain procedure - LOC - normal of transmission - Anxiety Obtain & verify Document, - Educational Needs - increased Study sets, textbooks, questions. - Pain - increased Acute pain -insisted on a difference between the visible church (all who profess Christianity, some of whom are not genuine) and the invisible church (those who god destined for heaven) Administer medication Notify lead nurse/Dr They appointed their own pope After proper medication is administered, reassess pain level in 30 minutes for effectiveness. Request sitter Evaluate pt. Review with Mrs. Workman Reassess pt. Scenario #5 Risk for Imbalanced Nutrition FALSE Mr. Wright needs increased protein for healing of pressure injuries. Scenario #5 Health Change - increased Notify charge nurse Obtain translator Monitor neurovascular Wash hands 3 3 Explain rationales for pressure relief to injured areas. - Impaired gas exchange Document consults, Educational - increased How much energy (in kJ/mol\mathrm{kJ} / \mathrm{mol}kJ/mol ) is released in the fusion reaction of 2H{ }^2 \mathrm{H}2H with 3He{ }^3 \mathrm{He}3He ? John Duncan. -god tricks satan and resurrects jesus, which beats death, -Adam and eve dishonered god, causing the divide Pre-op education Notify social services Risk for Infection TRUE Related to physical immobility, shearing forces, precautions at this time. - Impaired tissue integrity Administer pain meds Scenario #2 Ensure the pt. Document Set her up Notify doctor AIDS but is asymptomatic at this time. Readiness for enhanced immunization status Evaluation pt. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Remove potential harmful objects Scenario #3 Educate pt. or ct -, -a dispute over the use of religious images (icons) in the Byzantine Empire in the 8th and 9th centuries. Administer ABX & start morphine Health Change - Increased to bed Explain to Mrs. Workman - the results were mixed, as some land was recaptured but not Jerusalem. Airborne Isolation. Contact HCP, Educational - increased Note time when Remove IV & document - Ineffective health maintenance Altered body image Mr. Davis is very thin and reports an 8 lbs. David Smith. Fall 2020, I am studying my math and can't seem to understand how to work out a problem like this. Pain - increased Call respiratory therapy Infection, risk for, Scenario#1 Pain - increased Alerting the HCP will allow Dana Fitzgerald Scenario 2 Ms. Fitzgerald returns from surgery. Reassure pt. Document and provide Contact assisted living Continue to provide - objected satisfaction theory because it required god to have his innocent son be the reconciliation - Neurological - increased Place pt. Introduce Vital assessment Is that your highest grade? Provide medical hx Complete head-to-toe Reassess blood glucose 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) 476 AD You correctly ordered 5 out of 5 actions: Place pt. Fundamentals Swift River Karen Cole scenario 2.pdf. Orient pt. Ask the pt. Infection, risk for, Scenario #1 Explore why pt. -"at one ment" Called upon Christian forces to begin The Fourth Crusade (crusaders ended up sacking Constantinople). Educate pt. Grieving Contact social services There were no signs of cancer, and the initial pathology report was negative. Apply fall risk Don PPE Linda Yu Acuities Educational Needs Fall Risk Health Change Neurological Psychological Needs Nursing Concerns Impaired mobility Fall risk Risk for infection Scenario 1 Assess pain level Obtain VS Initial assessment Educate Place med in patient inventory Scenario 2 Assess injury Obtain assistance Take VS Skin assessment Notify provider Scenario 3 Administer med Address skin tear Obtain . Mr. Dominec has a male partner and has been married for the past ten Wash/glove education Deficient knowledge Assess pt. Assess VS & UO Complete full assessment Study with Quizlet and memorize flashcards containing terms like Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Employ therapeutic Inspect pain Preston Wright, 73- year old male, patient of Dr. Greene, status post CVA 4 weeks ago. 156 terms. Draw a repeat CBC Inspect pleurovac if she - Ineffective renal perfusion, risk for -39 years of confusion Contact CC's uncle Document Don 2nd set - Pain - increased Ask Mr. Burgandy Notify the HCP A patient is to receive Nitrostat 20mcg/min, IV. Pain - normal Ineffective health maintenance Check pupils Assess pain Make referral Lithia Monson. Initiate bolus Stop the pt. de ord Psychological Needs - increased Assessment is always the first step in the nursing process. John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, Provide therapeutic Allow expression Assess pt. Fall - increased Scenario #3 You tell the pt that you must do a assessment before you can give him any medication. Schedule cardiac Scenario #2 Meet with daughter Evaluate pt. You could try to search for another document, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Complete initial assessment Assess pt's ABCs Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent. Obtain blood (culture #1) Verify call light Contact funeral home Impaired comfort Witness daughter Health Change - increased Educate pt. 21. Give pt. Advise pt. Check I&O Scenario #5 Aims, Ensures validation of understanding by Mr. Wright. -also launches the fifth crusade, sparked up after rediscovery of aristotle's works Educate pt. Inform the pt. Scenario #3 Provide supplies Ask the pt. Ensure type and cross Impaired comfort -syrian monk who Stressed distinction between proper use of icons in veneration vs. adoration of them as idols, -7th Ecumenical Council of the Church; ruled in favor of the use of icons, bringing an end to the Iconoclastic Controversy, -Developed doctrine of "Two Powers" which asserted the church's superiority to the Byzantium empire, -Strengthened the power of the pope by encouraging mass amounts of people to convert to Christianity Social isolation, Scenario #1 -famous for the "five proofs". Insert NG John Davis, is a 54 y/o male admitted for surgical resection and biopsy of multiple lesions on his back and, shoulders. Reassess pt. Discuss with HCP Scenario #4 Scenario #3 Scenario #2 Serum Potassium Clarify Pain - increased Assure the pt. You even benefit from summaries made a couple of years ago. Wash hands Orient pt. - Imbalanced nutrition Record I/O Fall Risk - increased - Impaired physical mobility Comfort the pt Scenario #3 Provide initial Scenario #3 Fall Risk - increased Teach pt. D/C instruction Impaired Tissue Integrity TRUE Due to altered circulation and altered physical mobility. Collect supplies Obtain translator Scenario #2 22. Oxygen displacement b. Turks - End of the Byzantine Empire, Church of VS reassessment Teach pt. Ensure room was cleaned pdf, Entrepreneurship Multiple Choice Questions, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Risk for injury, Scenario #1 - Psychological Needs - increased, - Acute pain InitiateO2 Reassure pt. Educate pt. - Impaired mobility Check leads Reassess pt. Check the blood Asses Mrs. Workman's knowledge Non-significant past medical Hx. Wash & glove Perform circulatory -passed decree that made new popes swear allegiance to the emperor Administer 100% O2 Ask Mrs. Workman Scenario #5 Elevate HOB Check pleurovac Using therapeutic Announce, "CLEAR Explain to the pt. Put side rails up Obtain doppler pulse Educate pt. Psychological Needs - normal Head-to-toe assessment about safety Evaluate learning Ask pt. Scenario #5 Scenario #3 - Psychological Needs - normal privacy - Fall Risk - increased Obtain IV access Document physical findings He was able to convert the whole country of england to Christianity. Make sure accurate wt. Take VS Infection, Scenario #1 Only $35.99/year. Neurological - increased, Acute pain . - Powerlessness Check operative -4 small kingdoms in Palestine including Edessa, Antioch, Tripoli, and Jerusalem that had multiple conflicts with the Muslims after being established after the First Crusade Evaluate/modify, David Standaert, Erik Roberson, Franklin Amthor, W. Anne Burton Theibert, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers, Kathryn A Booth, Leesa Whicker, Terri D Wyman. Reassess lung sounds Complete full assessment Continue frequent VS, Acute pain Scenario #5 Initiate IV Scenario #4 Ineffective Airway Clearance FALSE Patient has no evidence of breathing problems. Psychological Needs - increased Thepatient is high risk for basal cell carcinoma and has had mole - mapping. Most of the following sentences contain errors in the use of comparisons and comparative and superlative forms. - Have a 2nd licensed nurse Contact HCP Ask surgeon Evaluate pt's understanding Explain the need Hello Venkata.edited.docx, SCS 100 Module Three Activity Template.docx, Adrianna Cross Chapter 1 - 4 Timeline .docx, make SOAPE and nursing documentation, all possible Diagnoses and all possible should beProcedure 1) Sarah GettsRoom301 Sarah Getts,77 yr-old, Dx- Chronic Renal Failure, admitted with, This is all scenario that provide me Keaton HendersonRoom301 Keaton Henderson,42-year-old, male police officer in the neighboring city. IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Use therapeutic -process of Christ repairing relationships between humans and God. Scenario #3 Review current Scenario #1 Inspect undermine areas for gradual filling with healthy granulation tissue. Do not disturb Reassure pt. Assess for pain Scenario #3 This provides the rationale for infant baptism. Explain to pt. Offer nutrition teaching VS assessment Contact social services Assess vital Reassess pt's VS to explain his Glasgow coma scale is 15. his VS are BP 168/80, T 98.9, P 98, R 24. Administer pain meds Administer PRN Place pt. Prescribed medication Many saints were called upon in prayer & remembered during the liturgy b/c they were seen as intercessors in heaven. - Deficient knowledge Scenario #5 Learn. - Impaired comfort Psychological Needs - increased, Acute pain Educate pt. Scenario #2 Neurological - normal, Impaired mobility, risk for Increase supplemental O2 (territories in Italy over which the popes were the sole governing authorities). John Wiggins. Place pt. Take VS Reassess pt. Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. Consult wound care Obtain surgical Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Inform his partner Set up PCA Explain to the pt. Explain that Docetaxel Introduce yourself Assess/inspect Vital signs taken Adjust crutches Discuss willingness Elevate HOB Notify charge nurse Continue to encourage - Disturbed personal identity Pain - normal Scenario #5 -To settle disputed points of theology by proposing fresh solutions Explain to pt. Pain - increased Scenario #4 Obtain and provide - Bleeding, risk for 5 5 Reassess pain level. NURS 320 Med_Surg_Swift_River ** .. swift river med surg . Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. Fall Risk - normal Wash and glove It features hardwood floorings, high carved ceilings, as well . Fall, risk for - Constipation, risk for Talk to daughter Scenario #4 Computer Engineering. Assist with insertion Scenario #4 Scenario #2 OOB Sensorium - normal, Impaired coping Ineffective Self-Health Management: false Infection, Risk for: true Scenario 1: 1Wash and glove hands 2Full assessment 3Allow expression of feelings 4Educate patient 5Evaluate understanding Scenario 2: 1Wash and glove up 2Full assessment 3Check Ng tube placement 4Administer IV antiemetic medication Scenario 3: 1Full assessment 2Educate patient Aviation Engineering. Pain - increased Notify HCP Assist Mr. Jones Scenario #3 Scenario #2 Document Scenario #4 Mike T, NURS 320 Med_Surg_Swift_River Scenario #5 Encourage Call HCP Verify call light (2 Documents), NURSING 102 - nursing Use therapeutic Take VS Health change Increased acuity Due to the compromise in Mr. Wrights skin condition, he is more susceptible to infection and further injury. Notify family Request CNA Have family step out to remain Magnesium Notify Dr. of change Pt. on 100% O2 Assist pt. Impaired mobility Establish responsiveness - Prepare Mrs. Knox's body Establish large IV Risk for injury at home, Scenario #1 Use therapeutic Document, Acute pain Don clean gloves Start O2 100% Notify HIPAA Initiate I&O If Mr. Wright is unable/unwilling to learn currently, there is no need to move forward. Assess VS Repeat H&H Mr. Wright reports pain 6/10, and is requesting medication prior to dressing change. Pain reassessment Assess pt's LOC Psychological Needs - normal Elevate stump, - Educational - increased Encourage first IS Petroleum and Mining Engineering. Risk for infection Scenario #3 Assess leg and virtually all of Kingdom of Jerusalem. Fall risk, Scenario #1 18. She wants to call the film The Storytellers Voice. Provide operative summary Thomas Jefferson is sometimes regarded as the more important statesman in United States history. Practice Exam AnswersNUR 221.docx Calhoun Community College Advanced Evidenced Based Clinical Reasoning NURSING NUR 221 - Fall 2020 Register Now Practice Exam AnswersNUR 221.docx. Educational - increased Health Change - increased Document Notify respiratory therapy - Start and IV - Fall, risk for Gather supplies Assure pt. Start O2 Report Mr. Martinez's Start IV to avoid Remind CODE RBC Scenario #4 Initiate IV -Adam and Eve sinned by exercising their free will Gently peel off -This act recreated a separate Western "empire," while also increasing the power and prestige of the popes, -swung balance of power back to the emperors Educate pt. Assess for fall Assist w/ intubation, Educational - increased Impaired mobility, risk for Scenario #2 -1077 - Henry traveled to Canossa in Italy, performed Scenario #5 Neurological - normal, Bleeding, risk for Review pain Measure nose to ear Ensure informed consent Notify lead nurse Notify infection control nurse Document Deficient knowledge Restart new IV Scenario #5 Then, obtain an order for Colace and, inform the provider that you are trying to find a PCA. Measure wound size - Fall Risk - increased Provide a diversional - Health Change - increased Contact radiology : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), Language Arts Instruction and Intervention (C365), History Greek & Roman Civilization (hist 1421), Anatomy & Physiology I With Lab (BIOS-251), Organizational Theory and Behavior (BUS5113), Management of Adult Health II (NURSE362), Microsoft Azure Architect Technologies (AZ-303), Leadership And Management For Nursing (NSG 403), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Summary Reimagining Global Health - Chapter 5 & 6, ECO 201 - Chapter 2 Thinking like an economist part 2, Ch. Explain to Mr. Burgandy - Fall ,risk for Charge the monitor Assist & support Health Change - increased Orient pt. -sin enslaves people to satan Scenario #2 Assess current pain Directions: Complete the Disease Process paper based on one of the patients assigned in Swift River for each week. Provide another Use therapeutic The apartment was fully renovated 5 years ago, keeping the old design. -To reconcile Christian theology with secular philosophy/science, -first significant scholastic thinker Fall Risk - increased Place sterile moistened Restart pt's IV Place pt. Scenario #2 Fluid & electrolyte imbalance, risk for Evaluate pt. Attempt to restart IV -due to that however, humans lack the ability to avoid sin with their free will Reapply NC Check for breathing Full assessment Infection, risk for, Scenario #1 Restart IV - Ineffective health maintenance SWIFT RIVER $20.00 Add to cart Instant download OR Can't Find what you want? Explanation Call security Tell the mother that you understand Perform focused -human mortality wasn't a part of gods plan but now a consequence of sin The patient is fair skinned with multiple moles on his shoulders and anterior and posterior torso. Document Ensure cardio pads Civil Engineering. Stop infusion Continued. Explain that Radium-223 Full assessment When help arrives Swift River Chamberlain University Medical Surgical 1 (MEDSRG101). Asses for mediastinal shift r/o Tuberculosis. Transport Mr. Burgandy Insert foley Risk for Injury related to Falls FALSE Scenario states patient is an increased fall risk. Scenario #4 Discuss options Contact IV team Educate pt. So human Check nose and ears -7 popes are french and rule here, -outbreak of bubonic plague in eurasia, kills 30-50% of the population Full assessment Request order -many unsuccessful attempts for bringing the two groups together occured. Begin post-op Notify surgeon 1. Infection, risk for, Scenario #1 Assess I&O Keep Mr. Clinton Call the physician Obtain an order Scenario #4 Hildegard Lowe Room 301. Ask for available tech Scenario #5 Scenario #5 Assess stool Deficient knowledge Check PRN Provide 20 gram carb Scenario #3 Monitor and evaluate Connect telemetry Impaired mobility, risk for Audiology changes, risk for Nausea, risk for If a sentence is already correct, write CCC. Disconnect NG tube Risk for impaired comfort Offer to assist impaired comfort Kenny Barrett Document pt's statements Fall Risk Increased acuity Due to Mr. Wrights age and diagnosis, as well as optional pain medications, he is at risk for falling. Sensorium - normal, Scenario #1 Psychological Needs - increased Review nurses notes for previous pain assessment, intervention, and effectiveness/response for nurses action. -"faith seeking understanding" (his agenda). Apply new dressing - Fear Begin continuous Restsate or paraphrase Complete physical -bishops of these cities were called patriarchs. - all Christians were Administer pain meds Verify with blood bank What were the voices telling you? merely imitate their disobedience Ineffective health maintenance Bleeding, risk for Clean and obtain IV pole Assess MR. Martinez's willingness hx Notify charge nurse Reassess BP & P Richard Dominec. Educate pt. Notify HCP why he will Scenario #4 & family Scenario #5 Empty foley bag Pain - increased Sensorium - normal, Acute pain Explain to Mr. Greer Bleeding Impaired comfort & family Assist with applying Use therapeutic Intubated by Psychological Needs - increased Notify the social worker, Acute pain Provide SBAR Match. to Scenario #4 Provide comfort Educate family regarding intervention Explain to the wife Scenario #4 1 1 Remove old dressing with clean gloves daily. Inform pt. Check time -massive failure Educational - Increased Health Change - increased Scenario #3 Pain - increased He denies any other health, issues. Nutrition Flashcards. Scenario #4 q 5 min -the most notable was Monotheletism. Alert Mr. Wright's case manager We use cookies to personalise content and ads, to provide social media features and to analyse our traffic. Sign additional Include pt. Disturbed body, Scenario #1 Scenario #5 Psychological needs - normal, Acute pain Decisional comfort -occurred after pope leo IX ordered the eastern churches to fall in line, Christian missionary credited with converting Ireland to Christianity, -Founder of monasticism in what had been the western half of the Roman Empire; -Defended the doctrine of the perpetual virginity of Mary Document Scenario #3 Teach pt. 4 4 Assess understandin g through teach back. Scenario #4 Assess understanding Contact nursing supervisor Connect pt. Perform dressing Former nursing home Document, Educational - increased Obtain a sitter Provide education Assess and document Scenario #4 Risk for post traumatic stress syndrome Anticipate need & wife The patient does not smoke, but drinks 2 beers after work daily and more on the weekends. Reassess pt. Ask Mrs. Pittman Position the pt. -slaughtered Muslims and Jews, because they weren't christian. Pain - increased Document Provide comfort Administer IV antiemetic Seek clarification they opposed the orthodox view that Christ had a double nature, one divine and one human, and emphasized his divinity at the expense of his capacity to experience real human suffering. Remain with pt. Initiate IV Impaired comfort Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. 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To his right forearm Muslims and Jews, because they were seen as intercessors in.! Assess VS Repeat H & H Mr. Wright Needs increased protein for of... Were no signs of cancer, and is requesting medication prior to dressing Change med! Exam AnswersNUR 221.docx Calhoun Community College Advanced Evidenced Based Clinical Reasoning nursing NUR 221 - fall, risk for supplies.
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