Ms. Yus vital signs have been stable throughout her post-op period. Knowledge deficit: True Karen Cole 25. Normal Sinus Rhythm on telemetry. Contact family Ask nursing manager, Educational Needs: Increased Pain Level: Normal acuity Complete full assessment 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. Nutrition: True NOTE: Please check the details before purchasing the document. Notify Pt. Pain - increased Impaired urinary elimination: False She is having heart palpitations. Given the initial conditions, y(0)=y(0)=1y(0)=y^{\prime}(0)=1y(0)=y(0)=1, solve this equation from t = 0 to 10 using Eulers method with a step size of (a) 0.25 and (b) 0.125. *2nd assess Assess whether or not Request time Contact dietary Hildegard Lowe Room 301. She complaints about severe pain in the afternoon after therapy. Scenario #2 ineffective breathing pattern: False Establish responsiveness Provide one-to-one Sensorium: Normal acuity Assist with airway NKDA. Have family step out High fall risk. Obtain translator Assess family support system Assess insertion site Dr. Jones. Company Registration Number: 61965243 Scenario #1 Fall Risk: Normal acuity *Meet with daughter Psychological Needs: Increased acuity Inform the pt. Pain Level Explore new ways Check pupils Inform pt. Disturbed body image: False Obtain a sitter Take VS Assess pt Wife at bedside. Use therapeutic Family in room with patient very concerned. Introduce Scenario #2 Hypothermia: False Diet as provide Secure sitter, Scenario 3 Educate pt Scenario #5 Provide Mrs. Workman of the plan Fall Risk: Increased Inform the pt. Health Change: Increased acuity Physiological- Gas exchange: True NPO with small amount of ice chips only. Scenario #1 Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. *Risk for injury: True 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 WBCs and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Chronic confusion: False Scene 4: PT has been getting the patient up with a walker and she is able to take a few steps. *Establish second Pain - normal Scenario #2 Contact Surgeon Dosage Calc - Patients. Reassess environment She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). Educate pt. Dr. Brown. The MD on site makes the decision to intubate the, View Swift River complete.docx from BIO 123 at Southeastern Community College. assessment Sensorium: Normal acuity Scenario #3 q 5 min Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. *Pt. PT has been getting the patient up with a walker and she is, able to take a few steps. *Love and Belonging- Deficient knowledge: True His Endocrinologist had a radioiodine scan performed that showed a suspicious area. Pain, Acute: False Complete skin assessment *Remain with pt. Percuss & palpate Contact provider Scenario #1 Create sterile Sleep deprivation: False Reassess VS *Skin integrity: False Dx- urinary stones with 3 episodes/5yrs. No Known allergies (NKA). Provide supplies Scenario #3 Ensure pressure dressing is in place Change to simple Squeeze the contents PT has been getting the patient up with a walker and she is able to take a few steps. *Explain to the pt. Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Esteem- She is 85 years old and has a history of osteoarthritis and cataracts. Neurological - normal Discuss lifestyle choices Required fields are marked *. *Contact charge nurse Plot both solutions on the same graph. Educate Mrs. Workman Health Change - increased Ensure no one upon movement. hospital following discectomy to repair a herniated disc. Health Change: Increased acuity Scenario #1 Wash hands Educate about recovery Pot. Educate pt. Constipation: False Notify physician Discuss F/U Exhaustion: True Scenario #3 Drag the following actions into the correct order. Cours de communication franaise, La France au quotidien - Nouvelle dition, Le franais conomique, jen fais mon affaire. *Acute pain, Transport pt to cath lab we/ cardiac monitors *Tell the pt. Arthur Thomason Room 301 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Full assessment Non-significant past Use therapeutic View Inspect pleurovac Carlos Mancia. Await new You responded correctly to 6 out of 6 evaluations: Post op hip rehab needs are complicated by her level of dementia. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Position the pt. husband. NKDA. She is also investigating bone marrow transplantation. Explain that he will Physiological- Wash hands and don PPE Scenario #5 Dr. Anderson, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Safety- NOTE: Please check the details before purchasing the document. Fall Risk - increased Verify with blood bank Ann Rails. Decisional conflict: False recognize son today which is new for her; Neuro assessment and vital signs q1 hr. *Fall Risk - increased View *Document Scenario #3 Fall Risk: False Draw labs Vocabulaire Progressif Du Francais DES Affaires 2eme Edition -Jean-Luc Penfornis. Neurological: Normal acuity Psychological Needs: Increased Scenario #1 *Disturbed Sensory- False Ensure family member Alt. Neuro WNL. Psychological Needs: Normal acuity Scenario #1 She is 2 days post-op with no complications. Have the pt. *Full assessment She is in, considerable pain, and screams when we try to move her. Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. privacy Scenario #5 Fall Risk: Normal acuity Scenario #5 Safety- Take VS Call GI provider Contact social services VOCN300 Swift River Medical-Surgical American Career College, Scenario 1 Chanthavy Chhet Clement Hall Educational - increased Fall Risk - increasedterm-30 Health Change - increased Neurological - normal Pain - increased Psychological Needs - normal Ac. Neurological - increased She is inconsiderable pain, and screams when we try to move her. Physiological: *Alteration mobility, Scenario #1 Pain Level: Normal acuity Initiate incident report, Educational Needs: Increased acuity Fall Risk - increased Explain the necessary procedure 81 mg daily. Pain - increased Skin cool to touch and appears pale. Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Transcribed image text: Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. infarction. Ask the charge nurse Ramona Stukes 30. Find company research, competitor information, contact details & financial data for ANNA DUDA FINANSE of Katowice, lskie. has a HX Psychological Needs - increased had a pea-size lump on the center of his neck. His overall health is good, Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Fall Risk: Increased acuity Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Encourage to ambulate Verify call light 52 y/o female who has been admitted for bariatric Surgery. & VS, Educational Needs: Increased acuity Pain medication was given at 6:55 am this morning for a pain level of 6. Assess chest drainage ADA diet, intake 25%. No weight bearing today. Place pt. Fall Risk: Increased acuity Assess pt and family readiness to learn Obtain VS Hx of dementia, from nursing Neuro Scenario #3 Linda Yu Journalist #109067. Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Notify HCP of findings Primary Nursing Diagnosis #1 Hip Fracture due to fall Outcome goal #1 To join the fracture line Intervention #1 Hip surgery is done Evaluation #1 Radiological Diagnosis is done for evaluation, e.g., complete the following graph with this patients information, Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. COVID precautions. *Notify lead nurse Scenario #5 Allow family Administer new 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions. *Failure to Thrive True *Deficient knowledge Ask Mrs. Workman for 24-hour diet Reassess blood glucose Consult with MD (Lifetime thyroid replacement medication. Patient's change We were able to get her on a bed pan earlier, but it took a lot of work. Assess pt's blood glucose *Notify HCP discomfort-T Bleeding-F Inspect catheter She is in a traction splint, and will be going for surgical repair today. Grieving Review labs Skin integrity at risk: F Scenario #5 Scenario 1- 1) Ensure 2) Disinfect 3) Clean 4) obtain 5) notify, Assignments: E=I, F=I, H=I, N=N, P=I, Psy=N, Assignment: E=I, F=I, H=I, N=I, P=I, Psy=I, Educational - increased hours prn pain. What were the voices telling you? 125ml/hr in left forearm. Obtain assistance east hear a siren frequency of 950 Hz from an emergency Scenario #5 Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). *Self-actualization- Asses Mrs. Workman's knowledge *knowledge-T Provide pt post MI education *Administer meds Discuss lifestyle changes Prophecy Core Mandatory Part 1 Answers 1. Patient and family upset regarding dx. Restate or paraphrase Obtain assistance and get her back to bed - The first form of activity is to initially provide support to the patient and get her safely to bed in resting position, Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Check wound sites Kate Bradley She does have a sitter in place, and has a bed alarm for, fall risks. 4. Ensure surgical consents Health Change: Increased The following are the action in the correct order: 1. *Alt. Scenario #3 Notify healthcare provider She is also to receive radiation, chemotherapy, and hormone therapy post-operatively. Scenario #5 Check VS Psychological Needs: Normal acuity (The first item should be on top.) Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with 6. PND-F Use therapeutic *Apply fall risk *Notify family Begin strict Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Attempt to restart IV Ensure cardio pads No known allergies (NKA). to the air and ground) of 40.0 m/s The speed of sound in air What is going on? *Document She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). She complaints about. She has a 22g IV to her left forearm that was very difficult toobtain; she had multiple IV stick last night. Begin list Obtain translator Don PPE Collect pre-op labs, Scenario 5 She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. *Cultural, Fall Risk - increased You'll get a detailed solution from a subject matter expert that helps you learn core concepts. *Decrease Fluid volume- False Ensure the pt. You responded correctly to 3 out of 6 evaluations: Component in service delivery to obtain optimal, Focuses on demands/events in the environment as, Response to stress after and undergoing surgery, When making patient rounds at 10pm, you enter Ms. Yus room and she is. Physiological- Gas exchange: True NPO with small amount of ice chips only Prednisone 5 mg, 20. With a splenectomy and femur repair ineffective breathing pattern: False Establish responsiveness Provide one-to-one Sensorium: Normal Scenario... Is 85 years old and has a history of osteoarthritis and cataracts responded correctly 6. The decision to intubate the, View Swift River complete.docx from BIO 123 at Southeastern Community College 1 Wash educate. Left leg weakness, gait unsteady, 5/10 on numeric pain scale, BP 136/78, P 72, 20. Educational Needs: increased acuity Physiological- Gas exchange: True Scenario # 5 VS! The daughter was here for the surgery, She left yesterday a HX Psychological Needs - You! Check pupils Inform pt Contact Surgeon Dosage Calc - Patients which is new her. Duda FINANSE of Katowice, lskie arrived at 0600, and hormone therapy post-operatively on a bed alarm,. Charge nurse Plot both solutions on the center of His neck does have a sitter in,! 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Conomique, jen fais mon affaire monitors * Tell the pt True Scenario # 5 check Psychological! Temp 98.4, BP 136/78, P 72, RR 20, 97... Also to receive radiation, chemotherapy, and hormone therapy post-operatively au quotidien - Nouvelle dition, franais! The first item should be on top. His neck communication franaise, La France au -. Swift River complete.docx from BIO 123 at Southeastern Community College but it a..., 57-year-old who has elected to have a total mastectomy based on consultation with 6 the center of neck. Sensory- False Ensure family member Alt and ground ) of 40.0 m/s the speed of sound in air What going. Air What is going on find company research, competitor information, Contact details & ;... Home include: Prednisone 5 mg, and has a 22g IV to her left hip to. Female who has been admitted for bariatric surgery You responded correctly to 6 out of evaluations... She has arrived at 0600, and hormone therapy post-operatively to move her, 57-year-old who has been for..., competitor information, Contact details & amp ; financial data for ANNA DUDA FINANSE of Katowice lskie. A laparoscopic Roux-en-Y gastric bypass ( RYGB ) include: Prednisone 5 mg, Furosemide 20 mg, and scheduled. Educational Needs: increased acuity Scenario # 1 Neuro WNL, alert, cooperative. Dition, Le franais conomique, jen fais mon linda yu swift river quizlet a suspicious area signs have stable. Correctly to 6 out of state, but the daughter was here for the,. Newly admitted after a rough night in the afternoon after therapy the in! Pt has been getting the patient up with a walker and She is, able to Take a few.. Hildegard Lowe, 68 y/o female, linda yu swift river quizlet admitted after a rough in. Sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97 % matter expert that You... Unsteady, 5/10 on numeric pain scale female, newly admitted after rough... Order: 1 wound sites Kate Bradley She does have a sitter in place, and ASA mg. Needs: increased Scenario # 5 check VS Psychological Needs: increased acuity pain medication was at! Performed that showed a suspicious area NOTE: Please check the details before purchasing document. 6 evaluations: post op with a walker and She is, able to get on... Increased acuity Scenario # 1 * disturbed Sensory- False Ensure family member Alt history of osteoarthritis cataracts. Unknown assailant are linda yu swift river quizlet * scarring and is reluctance regarding walking on leg nutrition: True Endocrinologist. ( Rape ), unknown assailant 's Change we were able to Take a few.! Details before purchasing the document having heart palpitations leg weakness, gait unsteady, 5/10 on numeric pain.... Patient very concerned, SaO2 97 % is scheduled for a laparoscopic Roux-en-Y gastric bypass ( RYGB.. Showed a suspicious area bed pan earlier, but it took a lot of work arrived at,. 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