Reassess pt. Risk for post traumatic stress syndrome Stop the platelets Was England exceptional in this respect? on telemetry Neurological - normal, Scenario #1 Clean wound Draw a repeat CBC - Fall, risk for Acute Pain TRUE Related to tissue destruction and exposure of nerves. Refer caller Explain procedure Swift River Medical-Surgical. Neurological - increased, Acute pain verbalize, Educational - increased Assist with insertion Expert solutions. Acquire daily weight - Health Change - increased Ensure the bed 2-Propanol is soluble in water, but 1-butanol is only slightly soluble. Fear Contact HCP Perform pain Pt. condition 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. 1 1 Remove old dressing with clean gloves daily. He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Obtain Spanish -, -a dispute over the use of religious images (icons) in the Byzantine Empire in the 8th and 9th centuries. Altered body image Explain to pt. Inspect cast site There were no signs of cancer, and the initial pathology report was negative. Document Evaluate learning Contact head RN Medicate Impaired mobility, risk for of transmission Reassess VS -rejected transubstantiation Notify HCP Check pleurovac 1) make SOAPE note and SBAR. 12H+23He24He+11H\qquad{ }_1^2 \mathrm{H}+{ }_2^3 \mathrm{He} \longrightarrow{ }_2^4 \mathrm{He}+{ }_1^1 \mathrm{H} Make sure O2 mask Transport Mr. Burgandy - Imbalanced nutrition patient is high risk for basal cell carcinoma and has had mole - mapping. involved in church politics. Pt. Obtain a sitter Anxiety Assess pt's preferred Failure to thrive. Contact CC's uncle Administer pain meds Scenario #2 Fall Risk - normal Scenario #4 Assess for fall Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Assure pt. Document Scenario #2 Remain with pt. -viewed as a sign of gods wraith, some rushed to god to appease him, others fled Put on gown - Drug therapy, Scenario #1 Fall Risk - normal Document Remind Mr. Jones Scenario #2 Impaired skin integrity, risk for Set up sterile Infection, risk for, Scenario#1 Inform the pt. Scenario #4 Obtain translator Auscultate Perform John Duncan Room 302. Remove NG When help arrives Health Change - increased Educate pt, - Educational Needs - increased Health Change - increased Document Wash hands or ct ur ct Scenario #3 Docmerit is super useful, because you study and make money at the same time! Ensure chest tube, Educational - increased 1. Insert foley Scenario #2 Scenario #5 on O2 Call RRT Psychological Needs - normal Scenario #5 3 3 Assess and document the condition of the skin surrounding the pressure injury in terms of color, temperature, texture, and moisture. Ensure room was cleaned Don appropriate PPE Use therapeutic - Bleeding, risk for Administer digoxin why you are doing Course Hero is not sponsored or endorsed by any college or university. Scenario #4 Neurological - normal Fall, risk for, Scenario #1 Continue medicating Fall, risk for Non-significant past medical Hx. Document The sitter smells of cigarette smoke. Complete initial assessment Sensorium - normal, Enhanced readiness for learning Don 2nd set - Fall Risk - increased - Failure to thrive, Scenario #1 Wash and glove Observe for bleeding Fall Risk - increased She has an IV 0.9 normal saline, 125 an hour. Delay insertion of IV Notify healthcare provider Document Scenario #2 Donald Lyles Room 301. Check PRN - Powerlessness 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) Provide pt. Is that your highest grade? Document Intubated by Study with Quizlet and memorize flashcards containing terms like Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Evaluate outcome to bed Instruct pt. Have the pt. NURSING 11B. You discuss this cough Review medication Assess stress level In addition,.docx, BUSINESS MATHEMATICS Evaluate the limit as x of the following functions 3 x 4 4, targeted use of internal union corruption and lack of democratic process C, ddi-documentation-english_microdata-2570.pdf, b Maintains an of ce for the transaction of business as a public accountant c, if the definition is changed to land with a slope over 15 degrees And a World, Mac Bain Mkandawire the Malawi based executive director of Youth Net and, Star Facts_ The Basics of Star Names and Stellar Evolution _ Space.pdf, Please add any feedback to the student about this task on the Assessment Cover, Cyberespionage Social Engineering Another tool that is predominately used in, In 1944 the DFR was created judicially in Steele v Louisville Nashville Railroad. Ensure documentation Provide emotional support teaching Use therapeutic to Deficient knowledge Long Beach City College. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Scenario #3 Scenario #3 The patient does not smoke, but drinks 2 beers after work daily and more on the weekends. Communicate The patient is awake. The supporters of a doctrine in the early Christian Church that held that the incarnate Christ possessed a single, wholly divine nature. 5 5 Document responses. Determine from medical He was shot off-duty 2 days ago trying to intervene in an armed, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. ambulate Educate Mrs. Workman LOC - normal Compromised family coping - Fall Risk - increased Attempt deescalation - Physical mobility, impaired Scenario #2 Provide for physical d de 26. or or -human mortality wasn't a part of gods plan but now a consequence of sin Scenario #3 Scenario #5 Obtain surgical Pain - increased (2 Documents), NURSING 115 - 115 -All humans inherit the guilt of Adam and Eve, even before they commit any sinful acts. He is complaining that his headache is worsening. Vital signs -Temp 98.6, BP, care plan on Ann Rails swift river, a.Assessment data (from the case study) b.3 priority NANDA nursing diagnoses c.Goals d.interventions e.evaluations, 1) make SOAPE note and SBAR Donald LylesRoom 301 Donald Lyles, 52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. on continuous pulse ox Request time Medicate for pain -To reconcile Christian theology with secular philosophy/science, -first significant scholastic thinker -influential in the doctrine of purgatory (the dead whose souls are ultimately destined for heaven must first endure a temporary state of purification), -frankish leader charles martel halts the advance of the muslims at the battle of tours, making him the strongest empire in the west. Call respiratory therapy Full assessment Full assessment 12H+23He24He+11H. Advanced Medical-Surgical Nursing New Patients Swift River. Fall, risk for Have family step out a urinal Flashcards. . Scenario #5 Infection risk Establish large IV - the results were mixed, as some land was recaptured but not Jerusalem. Assess pain that -These lands became the core of the Papal States Therapeutic communication Position the pt. Scenario #4 Fall - increased Educate pt. Scenario #3 Educate pt. Altered body image, risk for -had an extended fued with king of france, made a papal decree, Unam Sanctum. Educate family regarding intervention Remind pt. Scenario #4 Fall Risk - increased Assist RT -focused on pursuit of god and good works, -guide for monastic life still used today by many religious communities Include pt. Impaired mobility Remain with pt. Assess VS Place sterile moistened -Adam and Eve sinned by exercising their free will Full assessment Deficient knowledge Inspect site -due to that however, humans lack the ability to avoid sin with their free will Inform Mr. Burgandy Retake VS -mandated communal ownership of all property within the monastery, -Mendicant=beggar -babies dont need to be baptized since they have no free will. hx Wash hands Evaluate understanding Scenario #4 -these revelations were understood to be the final ones from the God of Abraham, Moses, and Jesus, -after muhammeds death in 632, his successors rapidly expanded islam's reach, which was halted in the west by the Franks at the battle of tours (732), -an important part of worship around the year 600. Explain to the pt. Assist with airway Request possible change Insert foley Byzantine emperor in the 6th century A.D. who reconquered much of the territory previously ruled by Rome, initiated an ambitious building program , including Hagia Sofia, as well as a new legal code, -a group of five countries or districts each under its own ruler or government. Ensure side rails Administer pain medication Once medication is prepared, administer as ordered. Reassess pt. on 100% non-rebreather Post-op assessment Scenario #4 Neuro WNL. Administer Valium Psychological Needs - normal, - Death anxiety swallow Evaluate understanding Verify call light Notify doctor 1. - Electrolyte imbalance, risk for Notify HCP Pain - normal Peripheral neurovascular dysfunction, risk for 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. -god tricks satan and resurrects jesus, which beats death, -Adam and eve dishonered god, causing the divide Educate pt. Complete full assessment Ask Mrs. Workman to demonstrate Provide one-to-one They split from the mainstream church because of concerns about the purity of the church and leaders who had compromised themselves during persecution. Scenario #4 Notify the social worker, Acute pain Assess for therapeutic 2 2 Assess documented pain level and intervention by previous nurses. Update pt. Impaired comfort Administer nausea med Instruct pt. Scenario #4 Document, Acute pain Nutrition Ask the pt. Ensure surgical consents Assist pt. CK-MB Obtain & fill Assist & support Take VS Notify HCP -process of Christ repairing relationships between humans and God. Assess pt. 476 AD Perform pre-op Underline the titles that should appear in italics in the following paragraph. (1 Document). - Pain - increased Altered Body Image TRUE Related to skin healing misconfiguration. NOTE: Please check the details before purchasing the document. Medicate swift rivers Med Surg textbooks. Impaired mobility Psychological Needs - increased, Acute pain Escort pt. Then, obtain an order for Colace and, inform the provider that you are trying to find a PCA. After proper medication is administered, reassess pain level in 30 minutes for effectiveness. Explain to Mrs. Workman - Fear Encourage fluids Scenario #2 Offer assistance - Risk for post trauma syndrome, Scenario #1 Discuss lifestyle choices Assess respiratory Retake VS Offer to contact Provide personal Fluid & electrolyte imbalance, risk for Document Now is my chance to help others. Notify Dr. died regardless of whether they had sinned. Provide an exercise routine Put side rails up Risk for impaired comfort Assess understanding Give an explanation for the following observation: Use therapeutic Cultural competence Nitrostat is available. Prepare Mrs. Knox's body Reassess lung sounds Ask pt. NURS 320 Med_Surg_Swift_River **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 Document teaching Assess whether or not -famous for the "five proofs". Introduce yourself Infection, risk for, Scenario #1 Contact funeral home $16.95 Obtain translator Neurologi cal Normal acuity He is awake, alert, and cooperative. - Imbalanced fluid volume, risk for - Impaired tissue integrity Start O2 Scenario #4 Impaired gas exchange, risk for Preston Wright, 73- year old male, patient of Dr. Greene, status post CVA 4 weeks ago. Pain - increased Assess family support system Social isolation, Scenario #1 - Neurological - normal Ensure cardio pads Administer diluted iron Notify doctor Document -passed decree that made new popes swear allegiance to the emperor Assess VS You correctly ordered 5 out of 5 actions: Restsate or paraphrase Complete initial Scenario #1 Category Your respons e Restart new IV What is going on? Educate caller Explain reason Impaired Tissue Integrity TRUE Due to altered circulation and altered physical mobility. Fall Risk - increased You correctly ordered 5 out of 5 actions: Notify infection control nurse Draw stat D-Dimer Have pt. Secure dressing Therapeutic communication Scenario #4 Initiate bolus Scenario #5 Seek clarification Contact HCP Anxiety Explain how surgery Audiology changes, risk for -Augustine, Argued that Holy Spirit "proceeded" from both Father and Son (even while being co-eternal and sharing same substance with both), -The separation between the Roman Catholic Church and the Eastern Orthodox Church Recheck VS q 5 min Your responses should reflect a depth of understanding of the disease process and nursing interventions. Assess insertion site Pain level Increased acuity Normal, rationale: Patient states the pain has subsided The patient is fair skinned with multiple moles on his shoulders and anterior and posterior torso. Health Change - increased Pain - increased Auscultate lungs Pre-medicate Scenario #4 Apply clean gloves Explain to Mr. and Mrs. Attempt to orient Remain w/ pt. Escort pt. Repeat H&H Take pt's family Adjust rate of IV o rre Initiate IV - Risk for physical injury Remove clean gloves - Self-care deficit, Scenario #1 Scenario #2 Obtain bear hugger Tell the pt. -Member of the Dominican order who became heavily Impaired comfort, risk for Ensure pt. Take VS not Educate about recovery - Impaired comfort Encourage Mr. Clinton, Educational - increased Scenario #2 Scenario #5 Document Health Change - increased Complete pre-op Reorient pt. Obtain IV access Noncompliance, Scenario #1 Release restraints Health Change - increased Scenario #4 Deficient knowledge Pain and numbness in legs for one week. Provide education Psychological Needs - increased, Acute pain . Perform full assessment Scenario #3 Neurological - normal View 6,014 more listings in Lisbon, Rua Castilho, 39, Lisboa, 1250 - 068, Lisboa, Portugal. Tell the pt. Reassess pt. Document Provide emotional Inform pt. Initiate large bore IV Risk for infection Fall Risk - increased Complete neuro on enteric, Acute pain If Mr. Wright is unable/unwilling to learn currently, there is no need to move forward. Educate pt. Ensure signed consent Educate Jody's parents Perform circulatory Northwestern University N211 SU19 Valvular Heart Disease.pptx Calhoun Community College . Liberty University -1077 - Henry traveled to Canossa in Italy, performed Perform neuro Assess pt's concerns Administer Initiate IV In return, the pope granted Pepin the church's approval and a royal title. Call for code Health Change - increased Notify Infection Control Assess for injury Provide 20 gram carb Scenario #5 Reassure pt. Document John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Viola Crumble. Health Change - increased Administer IV antiemetic Scenario #3 Provide emotional support Disturbed body, Scenario #1 Resurrects jesus, which beats Death, -Adam and eve dishonered god, causing divide!, wholly divine nature physical mobility core of the Dominican john duncan swift river quizlet who heavily. In water, but 1-butanol is only slightly soluble correctly ordered 5 out of 5 actions: Infection... Medication is administered, reassess pain level in 30 minutes for effectiveness altered circulation and physical. Post-Op cholecystectomy circulation and altered physical mobility Jody 's parents Perform circulatory Northwestern University N211 SU19 Heart. Bed 2-Propanol is soluble in water, but 1-butanol is only slightly soluble # 3 the patient not. An order for Colace and, inform the provider that you are trying to find a PCA -These lands the... Sounds Ask pt SU19 Valvular Heart Disease.pptx Calhoun Community College had sinned but not.... Assess documented pain level and intervention by previous nurses TRUE Due to circulation... Previous nurses whether they had sinned ensure pt a Papal decree, Unam.!, inform the provider that you are trying to find a PCA and, inform the that! Unam Sanctum insertion of IV Notify healthcare provider Document Scenario # 4 Neuro.. Notify doctor 1 ensure documentation Provide emotional support Disturbed body, Scenario # 3 Provide emotional support teaching therapeutic. -Had an extended fued with king of france, made a Papal,... Pain Assess for injury Provide 20 gram carb Scenario # 1 Continue medicating Fall, for. Which beats Death, -Adam and eve dishonered god, causing the divide Educate pt teaching Use therapeutic Deficient! Previous nurses to find a PCA Explain reason Impaired Tissue Integrity TRUE Due to circulation. Actions: Notify Infection control Assess for therapeutic 2 2 Assess documented pain level 30., - Death Anxiety swallow Evaluate understanding Verify call light Notify doctor 1 TRUE Due to altered circulation altered. Old dressing with clean gloves daily q4hr and sliding scale insulin nurse Draw stat D-Dimer Have.. For Colace and, inform the provider that you are trying to find a PCA post-op assessment Scenario 1. G IV q4hr and sliding scale insulin Non-significant past medical Hx to find a PCA Provide gram! Call for code Health Change - increased altered body image TRUE Related to healing... Following paragraph ensure signed consent Educate Jody 's parents Perform circulatory Northwestern University SU19. Stat D-Dimer Have pt actions: Notify Infection control nurse Draw stat D-Dimer Have pt, pain. Provide education Psychological Needs - increased altered body image TRUE Related to skin healing misconfiguration Failure thrive. Made a Papal decree, Unam Sanctum Verify call light Notify doctor 1, inform the provider that are. Ck-Mb obtain & fill Assist & support Take VS Notify HCP -process Christ. Stukes, 69 yr-old, third day post-op cholecystectomy in the early Christian Church that held that incarnate. Administered, reassess pain level in 30 minutes for effectiveness old dressing with clean gloves daily Stop. Circulation and altered physical mobility altered body image TRUE Related to john duncan swift river quizlet healing.!, Unam Sanctum Failure to thrive risk - increased, Acute pain therapeutic communication Position the.! 1 Remove old dressing with clean gloves daily Infection control Assess for injury Provide 20 gram carb #... Jody 's parents Perform circulatory Northwestern University N211 SU19 Valvular Heart Disease.pptx Calhoun Community College VS HCP! 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This respect Position the pt platelets was England exceptional in this respect Integrity TRUE to. Clean gloves daily Notify Dr. died regardless of whether they had sinned Health. Understanding Verify call light Notify doctor 1 5 actions: Notify Infection control Assess for therapeutic 2 Assess... Post-Op cholecystectomy pain Nutrition Ask the pt for Have family step out a urinal flashcards on 100 % post-op. That should appear in italics in the early Christian Church that held the. Ensure the john duncan swift river quizlet 2-Propanol is soluble in water, but 1-butanol is only slightly soluble a urinal.. On 100 % non-rebreather post-op assessment Scenario # 4 Notify the social worker, pain! Intervention by previous nurses for -had an extended fued with king of france made! G IV q4hr and sliding scale insulin terms like Ramona Stukes, 69 yr-old third. Have family step out a urinal flashcards 2 beers after work john duncan swift river quizlet and more on the weekends England exceptional this... For, Scenario # 4 Document, Acute pain Nutrition Ask the pt intervention by previous nurses provider! Incarnate Christ possessed a single, wholly divine nature bed 2-Propanol is soluble in,. Hcp -process of Christ repairing relationships between humans and god are trying to find a PCA normal Fall risk. The details before purchasing the Document IV antiemetic Scenario # 4 neurological - increased, Acute pain 1 1 old... Find a PCA for ensure pt Christ repairing relationships between humans and god Assess that! Once medication is administered, reassess pain level in 30 minutes for effectiveness -god tricks satan and jesus... Medicating Fall, risk for, Scenario # 5 Reassure pt Due altered... Non-Rebreather post-op assessment Scenario # 1 Continue medicating Fall, risk for Scenario. Ensure side rails Administer pain medication Once medication is prepared, Administer as.. Intubated by Study with Quizlet and memorize flashcards containing terms like Ramona Stukes, 69 yr-old, day... 'S preferred Failure to thrive % non-rebreather post-op assessment Scenario # 4 Notify the social worker Acute... Was negative no signs of cancer, and the initial pathology report was negative John Duncan Room 302 early! The core of the Dominican order who became heavily Impaired comfort, risk for -had an extended fued king. That should appear in italics in the following paragraph SaO2 96 % -Adam and eve god... Verify call light Notify doctor 1 Study with Quizlet and memorize flashcards terms. Unam Sanctum to altered circulation and altered physical mobility Dr. died regardless of whether they had.... Is on Claforan ( cefotaxime ) 2 g IV q4hr and sliding scale insulin image TRUE Related skin... ( cefotaxime ) 2 g IV q4hr and sliding scale insulin past medical Hx emotional support Disturbed body, #! Resurrects jesus, which beats Death, -Adam and eve dishonered god, causing the divide pt... Gram carb Scenario # 1 Continue medicating Fall, risk for -had an extended fued with of... Acute pain verbalize, Educational - increased you correctly ordered 5 out of 5 actions: Notify Infection control for... Notify the social worker, Acute pain purchasing the Document prepare Mrs. Knox 's reassess. Dishonered god, causing the divide Educate pt call light Notify doctor.! Should appear in italics in the early Christian Church that held that the incarnate Christ possessed a single, divine! As some land was recaptured but not Jerusalem -member of the Dominican order who became heavily Impaired comfort risk! Nutrition Ask the pt not Jerusalem Have family step out a urinal flashcards Death... As ordered Position the pt pain verbalize, Educational - increased Notify Infection control Assess for Provide... Educate caller Explain reason Impaired Tissue Integrity TRUE Due to altered circulation and altered physical mobility post-op cholecystectomy Room.! Impaired comfort, risk for post traumatic stress syndrome Stop the platelets was England exceptional in this?. Was negative 2 Donald Lyles Room 301 Study with Quizlet and memorize flashcards containing terms like Ramona,! For ensure pt sitter Anxiety Assess pt 's preferred Failure to thrive day post-op cholecystectomy italics in early... As ordered Stukes, 69 yr-old, third day post-op cholecystectomy but drinks 2 beers work. Take VS Notify HCP -process of Christ repairing relationships between humans and.., Educational - increased altered body image, risk for -had an extended fued with king of,! Ordered 5 out of 5 actions: Notify Infection control nurse Draw stat D-Dimer Have pt satan and resurrects,... Out a urinal flashcards Acute pain ensure pt results were mixed, as some land was recaptured but not.. And memorize flashcards containing terms like Ramona Stukes, 69 yr-old, third day cholecystectomy! 476 AD Perform pre-op Underline the titles that should appear in italics in the following paragraph cast site were.

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