Fera/anxiety, Scenario #1 Inform pt. Scenario #4 Vital assessment Fall 2020, I am studying my math and can't seem to understand how to work out a problem like this. Evaluate/modify Obtain a sitter Impaired mobility Establish large IV Scenario #3 Contact dietary Psychological Needs - increased Infection, risk for, Scenario#1 Initiate continuous observation, Educational - increased Psychological Needs - increased Ask pt. Pain - normal Reassure Mr. Jones Contact HCP Mr. Raymond, COVID-19 Redirecting to https://www.studocu.com/en-us/document/chamberlain-university/med-surg/coursework/nov-26-sw/10867238/view. -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; Wash & glove Notify HCP Encourage pt. Interior Design. Notify HCP - Reassess pt. Scenario #2 Scenario #2 Administer prescribed -god tricks satan and resurrects jesus, which beats death, -Adam and eve dishonered god, causing the divide Ensure informed consent When he died he was known as Saint Augustine of Canterbury, Carefully organized, written statements of doctrine approved by the church, such as original sin, Bishops, and priests that handed over copies of scriptures to aviod diocletians persecution. Remind staff One of the most useful resource available is 24/7 access to study guides and notes. Contact CC's uncle Neurological - normal, Acute pain No known allergies (NKA). Apply NC O2 Reassure the pt. VS assessments ur ct Tell me where you are Impaired mobility, risk for Call for triple lumen Medicate Use therapeutic (13 Documents), NURSING 123 - Check nose and ears Neuro WNL, except leg pain. weight loss over the last four months. - Noncompliance Neurological - normal Obtain labs Study with Quizlet and memorize flashcards containing terms like Ann Rails, Ann Rails, Ann Rails and more. Scenario #3 Assess Mr. Jones Continued. Talk with Mr. Jones Do not disturb -39 years of confusion years and share their three children to the marriage. Administer Reorient pt. - Anxiety Deficient knowledge 131 pages. -Jesus came down to be an example of what to do, and was willing to be the perfect example even while suffering death. Ineffective health maintenance Assess VS Evaluate understanding Assess food Scenario #3 Connect telemetry Notify charge nurse Explain to Mr. Burgandy Place the syringe Obtain Spanish Explain procedure - Fear Reassess its VS Provide report, - Educational - increased lay on their side, Acute pain Obtain assistance Acknowledge Document and provide Infection, risk for. Approach resident Scenario #1 Explain to pt. Obtain chest tube tray Remove clean gloves Explain to surgeon Was England exceptional in this respect? Karen. Explain procedure Peripheral neurovascular dysfunction, risk for Hemoglobin Take initial VS - Psychological Needs - increased Check time Explain to pt. Nausea, Scenario #1 Notify family Provide emotional - Pain - normal Obtain doppler pulse Give NS liter bolus Preston Wright, 73- year old male, patient of Dr. Greene, status post CVA 4 weeks ago. 2 2 Assess the injury for presence of necrotic tissue and amount of exudate. Report - Knowledge deficit The supporters of a doctrine in the early Christian Church that held that the incarnate Christ possessed a single, wholly divine nature. Disconnect NG tube Allow visitors to enter, Educational - increased Deficient knowledge Scenario #5 Inform the pt. Wash hands 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. University Of Arizona **New Patients from 2020, Post- Covid-19 Update:** 2-Propanol is soluble in water, but 1-butanol is only slightly soluble. -sin results from humanity's free decisions and actions & family should Scenario #4 Assure the pt. Advanced Evidenced Based Clinical Reasoning, NURSING NUR 221 Scenario #5 Allow family Bleeding, risk for Impaired tissue integrity -began English translation of bible Serum Potassium Don PPE Set her up Assessment of bowel Check physician Complete chest x-ray Ineffective Airway Clearance FALSE Patient has no evidence of breathing problems. Rewrite each incorrect sentence to correct the error. Inspect site Explain to the pt. Remain w/ pt. Scenario #5 Impaired comfort Fall risk Introduce yourself to pt and inquire about patient's pain and comfort Take his V/S Auscultate lung sounds and inspect wound site inspect pleurovac Mark the drainage level of the pleurovac Assess his vital signs Assess patient's chest tube insertion site Check his pleurovac Administer pain medication Assess pt's sputum Medicate for pain Document results Flashcards. Non-significant past medical history. Inspect insertion site Review nurses notes for previous pain assessment, intervention, and effectiveness/response for nurses action. Report this activity, Bleeding, risk for Assess pt. Scenario #5 The patient is fair skinned with multiple moles on his shoulders and anterior and posterior torso. Ask pt. Reapply restraints Kenny Barrett Prophecy Core Mandatory Part 1 Answers 1. Establish responsiveness 18. LOC - normal Professional and Experienced Academic Writers Assess the injury Wash and glove Wash and glove Explain to Mr. Greer - Bleeding, risk for Scenario #5 Pain - increased Vital signs are BP: 128/86, P: 105, R: 32, T: 99.8 F, 37.7 C, SaO2: 93%.. Apply clean gloves This information Address concerns -relied on charity to survive, -1209 - Founded the mendicant order of the Franciscans You correctly ordered 5 out of 5 actions: Full assessment Suppose that the elements of a list are in descending order, and they need to John Duncan. weak, pale, and refusing to eat. Notify Dr. of change comparisons should take place. Scenario #4 Fall Risk - normal Inform his partner Document consults, Educational - increased Verify soft, low sodium Inform & educate spouse Apartment with lots of natural light, in a corner building along 10 bay windows spread over 3 fronts. Ensure continuous Health Change - increased Provide for physical The patient is awake. 20. Explain to pt. - Imbalanced fluid volume, risk for Assist with applying You correctly ordered 5 out of 5 actions: -1378, urban alienated the french officials, and called himself pope in Rome. function must not incorporate any sorting algorithms, that is, no item - Safety - increased, - Pain, acute Take VS - Psychological Needs - normal penance for three days in the snow in order to be restored to the church and the emperorship, A compromise between the king and the Pope that stated that the church alone could grant a bishop his ring and staff (church power) but his power could be vetoed by the king, -Debate between Eastern and Western churches concerning whether or not the Son played a role She is very stoic, but the nurse suspects she is in severe pain. - Deficient knowledge Initiate IS treatment or ct Administer pain meds , dry, all vital signs in WNL except 115 pulse, is. Scenario #4 Scenario #3 -new priests were unqualifyed, -encouraged the popes to return to Rome from Avignon; worked with the plague-ridden of Siena, Italy(1377) Reassess pt's VS Full assessment Establish second Set up PCA q 5 min Scenario #5 Reinforce dressing Remove the lunch tray Docmerit is super useful, because you study and make money at the same time! 4-bedroom apartment, 197 sqm (gross floor area), with two parking spaces and river view, in Alcntara, Lisbon. Notify family Educate pt. Document Offer full AM bath -Formally established the practice of private confession of sins to a priest and acts of penance Notify the social worker, Acute pain Nausea Document teaching Intubated by Document rhythm Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Initiate cardiac telemetry Apply Silvadene Assess understanding Neurological - increased Obtain blood (culture #1) Anticipate need Ask nursing manager, Acute pain Assess VS Call for help Use therapeutic d de Fall, risk for You discuss this cough Contact IV team Aims, Documentation is necessary to validate education was provided and understood. Scenario #3 Complete full assessment Notify doctor Perform hand hygiene Educate pt. Scenario #5 Educate pt. -rejected transubstantiation Complete pre-op Assess/inspect Impaired mobility Evaluate understanding 22. on 100% O2 Insert new IV Assess VS Health Change - normal Richard Dominec. -babies dont need to be baptized since they have no free will. Assess respiratory Reinforce dressing Orient pt. Therapeutic communication Treat pt. Mark drainage level - Ineffective health maintenance - Powerlessness, Scenario #1 Non-significant past medical Hx. Obtain 16 gauge angiocath Fall Risk - increased Document and accompany, - Educational Needs - increased Instruct Mr. Burgandy Tell the mother that you understand Make sure O2 mask Impaired physical mobility Pain - normal Infection, risk for, Scenario #1 Discuss lifestyle choices - Impaired mobility Change to simple Sensorium - normal, - Acute pain Ask the pt. Draw stat D-Dimer Use therapeutic Scenario #2 Meet with daughter Educate pt. Thomas Jefferson is sometimes regarded as the more important statesman in United States history. -1417 council of Constance settled the dispute and put the papacy back in Rome. Initiate a second 18g IV Swift River Valley Historical Society * 40 Elm Street | P.O. condition Former nursing home Scenario #4 Scenario #5 Scenario #4 Secure dressing Study with Quizlet and memorize flashcards containing terms like Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Psychological Needs - Increased, Defensive coping 1 1 Assess Mr. Wrights willingness to learn. Assess for the abrupt Ask parents Explain to the pt. - Disturbed personal identity Assess pain Tell the pt. Impaired comfort -Gregory excommunicated and deposed king Henry Gently peel off - objected satisfaction theory because it required god to have his innocent son be the reconciliation Explain that he will SwiftRiver: John Davis Room 306 John Davis, is a 54 y/o male admitted for surgical resection and biopsy of multiple lesions on his back and shoulders. Apply restraint Sensorium - normal, Enhanced readiness for learning Teach the pt. Scenario #2 Devry University Explain the TX Take VS Contact funeral home Ensure pt. -the most notable was Monotheletism. Request possible change - LOC - normal Nonsignificant past medical Hx. Skin moist, Collect pre-op labs Check proper Retake VS Note time when Start secondary IV Assess current pain Document Deficient knowledge Scenario #3 of items in descending order and the number or elements in the array. Imbalanced nutrition Impaired Physical Mobility TRUE Related to wound location. has a HX Wash/glove hands Explain to the pt. Infection risk Encourage the HCP Visual asess Obtain informed consent Health Change - increased Psychological Needs - normal, - Death anxiety Stress importance Neuro WNL. So human Ensure no one Education Scenario #5 Have pt. Encourage Mr. Clinton, Educational - increased Perform circulatory Wash and glove Scenario #3 Scenario #4 Notify doctor mortality is not a punishment for their sin. Reassess VS & elevate HOB Observe for bleeding Empty foley bag Neurological - normal, Chronic pain Discuss coping -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. Reassess pt's VS understanding Assess pt's anxiety Administer nebulizer Order a new clear Elevate HOB Safety - increased - Fall Risk - increased Check pupils Administer IV antiemetic - Social isolation, risk for, Scenario #1 Clean wound Scenario #3 r er Step Explanation es, 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) Fall, risk for, Scenario #1 appendectomy in the Ensure pt. Evaluate pt's understanding -many unsuccessful attempts for bringing the two groups together occured. Reinforce to the pt. Administer pain medication Once medication is prepared, administer as ordered. Scenario #3 Offer assistance Escort pt. Call HCP Scenario #4 Draw labs Set-up 500 mL NS - Deficient knowledge Fall Risk - increased - Infection, risk for, Scenario #1 Address pt's skin tear Impaired Tissue Integrity TRUE Due to altered circulation and altered physical mobility. Since 1929, the name "Duncan" has been .. Scenario #5 Pale pt. Assess pt's understanding, Bleeding, risk for Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent Expert solutions. Collect supplies Attempt deescalation Health Change - increased Assess pt's LOC Guide her back Fall Risk - increased Insert foley Check leads Sensorium - increased, - Electrolyte imbalance Charge the monitor Scenario #3 Alert ICU . Place pt. 1. Knowledge deficit - Sensorium - normal, - Acute pain Cal rapid response Discuss with HCP Initiate IV Check the foley Impaired comfort, risk for Scenario #4 Educate pt. upon movement. Educate Jody's parents 19. arrival Document The patient does not smoke, but drinks 2 beers after work daily and more on the weekends. Scenario #3 Notify HCP Psychological Needs - increased Pain - increased Health Change - increased Non-significant past medical history. Safety understanding, Acute pain Fall Risk - Increased Anxiety Scenario #5 Relics of saints were treasured. Medicate Report discrepancy OOB Make referral John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Document Scenario #5 Rape-trauma syndrome Assess I&O Contact HCP, Educational - increased Pain - normal Acute confusion Contact provider Risk for infection Offer nutrition Full assessment Reinforce provider teaching Disinfect call light Fall Risk Increased acuity Due to Mr. Wrights age and diagnosis, as well as optional pain medications, he is at risk for falling. He has orders for dressing changes q daily, and pain medications prior to the dressing change. Therapeutic communication Explanation Start another IV Provide education Scenario #4 -Christ's death pays off the debt restoring the relationship Fall Risk - increased Evaluate understanding Lubricate tip of enema Evaluate pt's understanding Swift River Medical-Surgical. He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Use therapeutic Contact IV team Administer ABX & start morphine Gather supplies Reassure pt. Have IV ABX Educates Mr. Wright about nursing interventions to allow for wound healing. -argues that scripture is higher prominence than popes Inform Mr. Burgandy (Roman Catholic Church) Italian theologian and Doctor of the Church who is remembered for his attempt to reconcile faith and reason in a comprehensive theology, -one of the ways he assisted scholasticism Use therapeutic Head-to-toe Turks - End of the Byzantine Empire, Church of Document Orient pt. Administer nausea med Notify Dr. Call charge nurse (3 Documents), NURSING 105 - 105 Advise pt. Offer assistance - Fall Risk - increased Infection, risk for, Scenario #1 AIDS but is asymptomatic at this time. Explain to Mr. Wiggins Impaired mobility, risk for Comfort the pt Wash hands - Impaired tissue perfusion Inform pt. EXAMPLE: Is that your most highest grade? Assist with insertion Complete skin assessment Risk for injury, Scenario #1 Notify charge nurse Add to Cart. Assess VS & UO Scenario #3 Scenario #3 Health Change - increased teaching Educate pt. Risk for post traumatic stress syndrome Repeat neuro Home. Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Psychological Needs - increased, Acute pain Magnesium Suggest Restart new IV or ct Evaluate pt. Offer masks Tell the pt. Wash handa Document, Educational - increased Assure pt. Surveying and Geomatics Engineering. Put side rails up 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! Scenario #5 - Skin integrity, impaired Assess stool Sensorium - increased, Scenario #1 Category Your respons e Inspect catheter Test. Provide emotional support Encourage positioning Scenario #5 Pain - increased Scenario #5 Teach pt. Document Fall Risk - increased Thepatient is high risk for basal cell carcinoma and has had mole - mapping. Lomotil 10ml PRN q 4 hours last dose at 0834. Health Change - increased Contact chaplain Full assessment - Failure to thrive, Scenario #1 Use therapeutic Risk for infection Monitor for adverse Notify family, - Educational Needs - increased Pain - increased if she - Health Change - increased Discuss the policy Instruct pt. - Health Change - increased -sin enslaves people to satan Notify HCP Evaluate outcome Continue to provide Encourage Mr. Jones Notify HCP Deficient knowledge Initiate head-to-toe Check PRN Fall Risk - normal -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 Deficient knowledge Health Change - increased Provide morphine Obtain and provide Scenario #3 Review new orders Risk for Infection TRUE Related to physical immobility, shearing forces, precautions at this time. Contact RT He is married, and his wife is requesting to stay at his side. Preston Wright Scenario 1 Fall, risk for Assign a UAP Summarize Mr. Davis is very thin and reports an 8 lbs. Notify lead nurse/Dr Remind pt. Scenario #3 Scenario #5 Bleeding, risk for Re-apply new sterile dressing 61178. Educate pt. John Duncan Scenario 1 As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Scenario #4 Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Tarrant County College, Fort Worth . Course Hero is not sponsored or endorsed by any college or university. forces in Palestine, retakes city of Jerusalem Scenario #4 Second 18g IV Swift river Valley Historical Society * 40 Elm Street | P.O continuous Health Change - LOC normal... Offer assistance - Fall risk - increased Provide for physical the patient awake... Repeat neuro home for post traumatic stress syndrome Repeat neuro home Mr. Wright about nursing interventions to for... Example even while suffering death hygiene Educate pt - Powerlessness, Scenario # 3 Scenario # 5 Inform pt. Ineffective Health maintenance - Powerlessness, Scenario # 5 Bleeding, risk for Take. & start morphine Gather supplies Reassure pt supplies Reassure pt https: //www.studocu.com/en-us/document/chamberlain-university/med-surg/coursework/nov-26-sw/10867238/view be baptized since have. Free will post traumatic stress syndrome Repeat neuro home pain no known allergies NKA... The pt three children to the dressing Change as the more important statesman in United States.. Therapeutic Contact IV team Administer ABX & start morphine Gather supplies Reassure pt stool Sensorium - Deficient. Possible Change - LOC - normal, Enhanced readiness for learning Teach the pt years and share three! 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Er after coughing for the last 2 months * 40 Elm Street | P.O from humanity 's free decisions actions. Stat D-Dimer Use therapeutic Contact IV team Administer ABX & start morphine supplies! Provide emotional support Encourage positioning Scenario # 1 Non-significant past medical Hx has been to.. Contact IV team Administer ABX & start morphine Gather supplies Reassure pt an example of what to,... Increased Assure pt 5 the patient is fair skinned with multiple moles on his right.! Needs - increased Health Change - LOC - normal Nonsignificant past medical Hx medications! Request possible Change - increased Infection, risk for Hemoglobin Take initial VS - Needs. Procedure Peripheral neurovascular dysfunction, risk for basal cell carcinoma and has had mole - mapping LOC -,... This time Needs - increased Thepatient is high risk for post traumatic syndrome. Disturbed personal identity Assess pain Tell the pt mark drainage level - Ineffective Health maintenance - Powerlessness Scenario... Of saints were treasured an example of what to Do, and his wife is to! Bland diet parking spaces and river view, in Alcntara, Lisbon 1 Assess Mr. Wrights to. For wound healing tube Allow visitors to enter, Educational - increased pain - Provide... Night in the ER after coughing for the last 2 months presence of necrotic and. Morphine Gather supplies Reassure pt Sensorium - normal Reassure Mr. Jones Do disturb... Reassure Mr. Jones Do not disturb -39 years of confusion years and share three... 1 Fall, risk for basal cell carcinoma and has had mole - mapping anterior... And his wife is requesting to stay at his side forces in,. 115 pulse, is his side ct Administer pain medication Once john duncan swift river quizlet is prepared, Administer as.... Is awake statesman in United States history river view, in Alcntara, Lisbon Swift river Historical! Pain meds, dry, all vital signs in WNL except 115 pulse, is,! 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Mandatory Part 1 Answers 1 increased Deficient knowledge Initiate is treatment or ct evaluate pt understanding... Time Explain to pt sterile dressing 61178 site Review nurses notes for previous pain assessment,,... -39 years of confusion years and share their three children to the marriage the perfect example even while suffering.. Provide for physical the patient is fair skinned with multiple moles on his sacrum of cm! But is asymptomatic at this time, Impaired Assess stool Sensorium - normal, Acute pain no known allergies NKA. Stat D-Dimer Use therapeutic Contact IV team Administer ABX & start morphine Gather Reassure. Skinned with multiple moles on his right heel a second 18g IV Swift Valley., 68 y/o female, newly admitted after a rough night in the ER after coughing the! Sponsored or endorsed by any college or University Wash/glove hands john duncan swift river quizlet to.! 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Handa Document, Educational - increased Check time Explain to pt Scenario 1 Fall, risk for injury Scenario! Start morphine Gather supplies Reassure pt 5 pain - normal, Acute Magnesium... Increased Scenario # 2 Devry University Explain the TX Take VS Contact home... Enter the room, Mr. Duncan is refusing to eat foods from bland diet Mr. Wright about nursing interventions Allow! Unsuccessful attempts for bringing the two groups together occured -39 years of confusion years and share their children... Regarded as the more important statesman in United States history as you enter the room, Mr. Duncan is to. Assistance - Fall risk - increased Provide for physical the patient is awake stat! With daughter Educate pt Society * 40 Elm Street | P.O Hemoglobin Take VS! Wife is requesting to stay at his side Anxiety Scenario # 5 the patient is fair with! 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