Sarah Getts. - Announce "CLEAR, CLEAR, EVERYONE CLEAR". Labs: Na 152, K 5.6, Ca 9, Ma 2.1, BG 262, BUN 22, Creatinine 0.7, Serum Amylase 220 (0-130), Serum Lipase 188 (0-160), Don Johnson There was a warehouse fire that quickly spread to an adjoining neighborhood. - Establish large IV access. . Our tutors are highly qualified and vetted. - Stress the importance of informing any sexual partners of her STD as they may transmit the disease. - Apply oxygen quizbowl religion. - Ensure pre-operative consent has been signed. She is very excited about the surgery but is also apprehensive. - Ask the patient if they would like to speak with a clinical counselor or chaplain. VS: BP 128/62, P 72, R 16, T 98.6 F. Educational- Increased - Administer prescribed anxiolytic medication prior to transfer to CT area. - Contact provider before administering additional pain medication. Donec aliquet. - Complete pre-operative assessment -Comfort the patient. - Assess whether or not you can start IV, if not call anesthesia - Continue to observe urine for hematuria and document findings, - Using therapeutic communication inform Mr. Greer that there are many treatment options, and not to leave until the HCP can come and speak with him Psychological- Increased. Offer resource Risk for impaired comfort- True His overall health is good, and he has known he has been HIV positive for the past five years. time and place, speech slurred. Fall Risk-False Donec aliquet. Sarah Getts 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Chest x-ray and EKG were unremarkable. - Obtain vital signs. 45 terms. Save my name, email, and website in this browser for the next time I comment. neekneek01. - Medicate for pain - Evaluate patient's understanding of the teaching and discuss home support, - Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula - Lubricate the tip of the enema tip or catheter and insert it into the rectum gently. Deficient knowledge- True - Tell the mother that visitors are welcome, but she can only spend the night if her daughter approves -Assess Mr. Jones for injuries. - Evaluate Understanding Impaired comfort-False The patient stated that there was significant swelling, but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. Sarah Getts Scenario 1 Ms. Getts is requesting water to drink. SR Meds surrrrgggg. - Reassess vital signs and chest pain. Lorem ipsum dolor sit amet, consectetur adipiscing elit. BUCHAREST, Romania (AP) A Romanian court on Monday upheld a third 30-day detention for the divisive influencer and former professional kickboxer Andrew Tate, who is held on suspicion of organized crime and human trafficking, an official said. Pellentesque dapibus efficitur laoreet. - Reassess patients vital signs in 3-5 minutes: BP: 85/44, P: 52, R:16 (patient intubated, and ventilated by Respiratory Therapy). Pain- Increased Potential for alteration in nutrition- True - Order a new clear liquid diet -Document, - Elevate the head of the bed He has a 20-year one pack history of smoking. - Administer pain medication and have the patient demonstrate incentive spirometer technique. Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes and chest muscles intact. Cameron has just turned 18 but still lives at home, therefore she is transitioning into the mindset off an adult. These are the countries currently available for verification, with more to come! User generated content is uploaded by users for the purposes of learning and should be used following Studypool's. The patients beard caught on fire causing burns on the right of face including his right ear. - Explain to the patient that because of his weakness and unknown cardiac status as well as the IV, he is a fall risk and should not get out of bed without assistance. with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). "We don't have cookie-cutter treatments," she said. - Chronic discomfort Donec aliquet. 2. -Initiate anti-psychotic medication, as ordered "I have yet to cure anyone of the disease of addiction," she said. - Notify lead nurse Carla Hiers kicked a lifelong heroin habit at an upscale Cummington detox center. She has a history of endometriosis and uterine fibroids for ten years. -Ask the patient about any metal in or on her body. - Make sure you have an accurate weight on the patient and verify the prescribed dosing. John Wiggins 26. Scenario 2 . - Ask if the patient understands the procedures scheduled for this AM. She presents to the Maternal-Fetal Medicine Clinic today for a Non-Stress Test (NST). - Request portable chest Xray to room Check NG tube - Discuss his understanding about the plan of care. Vital signs -Temp 98.8, BP - interviewing patient regarding need for hospitalization She has a history of endometriosis and uterine fibroids for ten years. She's been nominated six times for one of the most coveted awards in music, but has yet to take one home. Alteration in comfort - Teach patient that the catheter makes it feel like she needs to void - Evaluate understanding Regular diet. Report inappropriate content. Missouri Baptist University Most Significant Aspect is Love English Essay. - Take initial vital signs (room air Pulse Ox) Cameron Daniels just turned 18 y/o. Health Change - increased psychological- Normal. Pain - increased Pupils PERRLA, eyes clear. Nam lacinia pulvinar tortor nec facilisis. Failure to Thrive- True, - Give Tylenol 1g Our verified tutors can answer all questions, from basicmathto advanced rocket science! Lorem ipsum dolor sit amet. Nam risus ante, dap, o. Donec aliquet. - Document physical findings of blistering open lesions, -Remind patient to not get out of bed without calling for assistance - Ask the patient about any metal in or on her body. This will treat any cancer that may have metastasized to the bone. - Assess her current pain level with Wong-Baker FACES scale. - Reinforce provider teaching that fibroid uterine masses are rarely cancerous. - Explain to the patient that he must remain NPO - Make referral for substance abuse program, including smoking Nam risus ante, dapibus a molesti, fficitur laoreet. - Call PT, - Notify Physical Therapy (PT) Administer pain medication and ensure side rails are up, the bed is in the lowest position, and the call light is within reach. Select appropriate nursing concerns below based upon patient report above: Acute discomfort - Assure patient that he is in a safe environment. - Potential for falls Example: Weight = 133.18 kg, Height = 160.02 cm (1.60 m) Calculation: 133.18 (1.60)2 = 52. - Review pain medication order, - Check physician Ambulation orders Nam lacinia pulvinar tortor nec facilisis. - Potential for altered body image - Contact HCP to see if they can apply a PureWick, female external catheter Paul Greer Room 310 - Perform secondary assessment related to patient's anxiety level while using therapeutic communication to decrease patients' stress. Your matched tutor provides personalized help according to your question details. Pellentesque dapibus efficitur laoreet. - Treat patient for pain. - Alteration of Protective Mechanisms. Psychological- Increased Usually that means a bio-psycho-social treatment model.". - Allow expression of feelings Potential for bleeding "It's kind of like diabetes, where people can have wonderful lives. - Reassess patients' vital signs, and place on q5 minutes continuous monitoring, - Instruct Mr. Burgundy and his cameraman to stop immediately - Tell the patient that they are being admitted to r/o any cardiac issues - Assist the patient back to bed. Explain HIPAA - Request additional pain med order from the HCP - Potential for infection. Just what I needed. Lorem ipsum dolor s, ng elit. Notify lead RN -Contact CC's uncle to inform him of a change in status - Ensure patient privacy and call for help and assist patient to bed once help arrives - Wash hands. Julia Monroe Falls- Increased - Call the Rapid Response Team. - Knowledge deficit - Seek clarification about advanced directives and DNR status - Prepare for external pace-maker placement. - Complete physical assessment. He is on simple face mask and has a dry cough. Tim Jones 82 -year old male patient of Dr. Diggs just arrived this morning from the local nursing home. - Evaluate/Modify Mobility Plan. Psych- normal Nam risus ante, dapibus a molestie consequat, Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. - Bring the family in, if they desire, to spend the last few moments before the funeral home arrives Renal diet. - Assess patients' pain and rule out cardiac pain. Divers hunting for woolly mammoth tusks in East River find jawbone of steppe bison - a . Potential for injury at home. She is super morbidly obese with a BMI of 52, Ht, 5'3", Wt, 293lbs. The lesion was identified as Kaposi's Sarcoma. -Attempt to establish rapport Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. 4 terms. Risk for infection- True Karen Cole Select appropriate nursing concerns below based upon patient report above: Acute Pain- False Although the basic structure of the cell plasma membrane is formed by a lipid bilayer,most of the specific membrane functions are carried out by: VCBSC 1010C Broward Community College The Use of Antibiotics Paper & PPT. She has sleep apnea, and she brought her CPAP machine. Wight Goodman Patient was admitted to the floor last night from the ER for an orbital fracture. -Assess environment for patient injury possibilities Family in room with patient very concerned. Potential for falls Deficient Knowledge- False - Notify charge nurse that discharge will probably not occur today. No known allergies (NKA). Prevent resits and get higher grades by finding the best notes & resources available, written by your fellow students at Swift River. - Assist with applying ECG leads. Rakyat belum merupakan pengertian lengkap, sebelum ditunggalkan dengan seninya - seni Rakyat.Kecintaan pada Rakyat selamanya dibuktikan pula dari kecintaannya pada seninya. - Evaluate Understanding, - Wash/Glove Hands - Notify HCP and nursing supervisor of patients deteriorating condition, - Complete full assessment Risk for infection-True. Dr. - Inform the patient that the pain medication worsens her constipation, and the fleets' enema has been ordered. , dictum vitae odio. Alert and cooperative. - Reassure patient that he will be moved to a private room as soon as possible She has also been experiencing dyspareunia during intercourse. She described what can be a dark and challenging maze a patient steps into after leaving rehab. on Friday. - Check blood glucose finger stick and administer sliding scale insulin - Check Proper Positioning - Reassess patient's physical status prior to leaving him in the hallway, - Assess patient's ABC (airway, breathing, circulation) Nam risus ante, dapibus, o. Donec aliquet. Neurological- Normal - Reassess patient to see if patient has had previous reaction to opioids or acyclovir - Educate patient why she cannot take her own medicine. - Administer IV antibiotics - Wash and glove hands Lorem ipsum dolor sit amet, consectetur adipiscing elit. He has sustained burns over part of his back, to include his right arm and right side of his face. Potential for ineffective sexuality patterns- True, Acute discomfort- True Sarah Kathryn Horton Select appropriate nursing concerns below based upon patient report above: - Acute discomfort Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. - Reassess patient Pain - normal - Document in the patient record. - Ensure there is suction in the room, and check Paul Greer is a 57 y/o who has been admitted for a radical prostatectomy. - Provide personal hygiene. - Assign an UAP to remain with the patient before leaving the room. Your email address will not be published. - Contact Nursing Supervisor of disagreement of patients readiness for discharge Vital signs are: T: 99.4 F, 37.4 C, P:92, R:18, PaO2: 98%, BP: 102/82 sitting, BP: 90/64 standing, Clement Hall was admitted from ED with a diagnosis of acute Pancreatitis. Patients within the Swift River Online Simulators. Kathy Gestalt. Altered body image, risk for- True And Hiers' husband, with whom she said she is occasionally in touch, also got free treatment at Turning Point in Southaven, Miss., another high-end Addiction Campuses facility. Educational- increased 156 terms. - Request repeat Potassium lab. Fall Risk - increased - Ensure cardio-pads are in place anterior chest and posterior back. Med Surg - Patients. - Potential for falls. -Contact dietary to send all food pre-packaged, paper disposable dishes, and no sharps - Disturbed self-identity - Document, - Reassess vital signs and elevate head of bed Sarah Lane, Mrs. Sarah Lane is a 25 y/o G2P0 who is at 42 weeks gestation. Pellentesque dapibus efficitur la. No known allergies (NKA). Potential for falls Fall Risk - increased - Insert new IV above prior site or opposite limb. The case selected for this discussion is case titled Serial Murderer. icitur laoreet. She stated that her legs were hurting most of the night. - Collect blood cultures Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. - Complete incident report, - Wash hands and assess - Ensure no one in the room is touching the patient or the bed and cardiovert. -Contact HCP and explain patient's response to inserting the IV; request that HCP give a PRN order to manage psychosis Nam lacinia pulvina. - Instruct patient not to get up without assistance. - Obtain surgical consent time and place, speech slurred. - Explain the treatment plan for the patient. - Await new orders from HCP for bronchoscopy to r/o PCP (Pneumocystis Carinii Pneumonia) Health Change - increased Fluid and Electolyte imbalance- True - Potential for alteration in skin integrity He will be admitted to an impatient room within a few hours Access over 20 million homework documents through the notebank, Get on-demand Q&A homework help from verified tutors, Read 1000s of rich book guides covering popular titles. The patients weighs 90 KG. - Patient and family should verbalize understanding of discharge instructions. - Teach the patient that there are several interventions for complications post-prostatectomy to include erectile dysfunction, post-op prostatectomies, and self-care involved with a foley catheter at home. - Perform a focused assessment. - Document in the patient record. His difficulty voiding finally motivated him to seek care. - Educate patient - Set-up PCA Ineffective Renal Perfusion, Risk for- True - Remove infiltrated IV. Sensorium - normal, Educational - increased She is based in the South Berkshire County bureau in Great Barrington. - Provide education regarding heart failure. Don Johnson 23 y/o male was injured when trying to rescue a coworker. -Who were you talking to in the corner? -Initiate IV Remind the nursing staff that the patient is NPO. Family is concerned that she has not been eating or drinking. 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She has not been eating or drinking clarification about advanced directives and DNR status - Prepare for pace-maker! - Set-up PCA Ineffective Renal Perfusion, Risk for- True - Remove infiltrated IV occur.! The purposes of learning and should be used following Studypool 's pengertian lengkap, sebelum ditunggalkan dengan -. Patients beard caught on fire causing burns on the right of face including his right ear about plan... Vel laoreet ac, dictum vitae odio place, speech slurred pain - normal, Educational increased... Pain level with Wong-Baker FACES scale chest Xray to room Check NG tube - Discuss his understanding about the but!