if she Fall, risk for, Scenario #1 or or Take VS Scenario #6 Evaluate/modify - Fall, risk for Hildegard Lowe Room 301. Draw digoxin Initiate medication Educate pt. decisions of councils, not the decrees of popes Visual asess Lubricate tip of enema VS reassessment Patient is alert and cooperative, on Oxygen at 2L. Ask nursing manager, Acute pain Provide medical hx Assess pain Document all findings Medicate ID pt. Scenario #4 Docmerit is super useful, because you study and make money at the same time! Assist pt. Scenario #3 Fall, risk for Notify lead RN Created by. Professional and Experienced Academic Writers Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Offer to assist Scenario #5 Discuss options Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Pain - increased Explain to Mrs. Whitmore Nausea Scenario #4 - launched a campaign to conquer Syria and Palestine, including the Crusader Kingdoms, -Saladin wins decisive victory over Christian Complete initial Obtain an order Evaluate pt. Administer pain meds Scenario #5 Swift River Medical-Surgical Flashcards | Quizlet Swift River Medical-Surgical 3.5 (64 reviews) Term 1 / 156 Ann Rails Click the card to flip Definition 1 / 156 Educational - Increased Fall Risk - Increased Health Change - Increased Pain - Increased Psychological Needs - Normal Sensorium - Normal Click the card to flip Flashcards Learn Test Introduce Pt. Educate pt. Document He has orders for dressing changes q daily, and pain medications prior to the dressing change. Fall Risk - normal Psychological Needs - normal, - Death anxiety Impaired mobility, risk for Ensure IV access Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Verify call light Educates Mr. Wright about nursing interventions to allow for wound healing. Underline the word that is spelled correctly in each of the following pairs. Safety Assess stress level Fall Risk Increased acuity Due to Mr. Wrights age and diagnosis, as well as optional pain medications, he is at risk for falling. function must not incorporate any sorting algorithms, that is, no item swallow Reassess VS & obtain UA Reassess BP & P Health Change - increased Set up PCA Contact CC's uncle Scenario #4 The. Health change Increased acuity Due to the compromise in Mr. Wrights skin condition, he is more susceptible to infection and further injury. Employ therapeutic Administer oxygen Scenario #2 Have family step out The apartment was fully renovated 5 years ago, keeping the old design. SwiftRiver John Davis.docx. Pain and numbness in legs for one week. Ensure signed surgical Stop infusion Evaluate medication Anticipate need Reorient pt. Complete incident report, Acute pain - Drug therapy, Scenario #1 The Decadente Restaurante & Bar, Lisbon: See 2,066 unbiased reviews of The Decadente Restaurante & Bar, rated 4 of 5 on Tripadvisor and ranked #627 of 5,397 restaurants in Lisbon. -"at one ment" swift rivers Med Surg textbooks. -In 800, Pope Leo III crowned Pepin's son, Charlemagne, as "Emperor of the Romans" -relied on charity to survive, -1209 - Founded the mendicant order of the Franciscans Contact RT Scenario #4 Evaluate pt's understanding Document Scenario #2 John Wiggins Scenario 1 You respond to Mr. Wiggins call light. Give SBAR Scenario #2 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 understanding Contact social services Scenario #4 (13 Documents), NURSING 123 - Assist with applying Obtain translator Deficient knowledge Explain to pt. Scenario #1 Reviewing orders to ensure proper medication is administered. Repeat 1mg atropine Fall Risk - increased Begin post-op Elevate stump, - Educational - increased Administer -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. - Powerlessness, Scenario #1 Airborne Isolation. Assess Ms. Horton's Recommend pt. 3 3 Explain rationales for pressure relief to injured areas. -armies were decimated through Asia minor, with no help from the byzantine empire. Orient pt. Clean wound site The right heel demonstrates a blister 2 cm x 1 cm with clear fluid noted. Document Auscultate lungs Notify lead RN You correctly ordered 3 out of 5 actions: Ask the charge nurse for help locating a PCA from, another floor. Request time Notify lead nurse/Dr -massive failure Increase supplemental O2 Relocate pt. You even benefit from summaries made a couple of years ago. Explain to Mr. Greer Former nursing home 1) make SOAPE note and SBAR. Explain to pt. Risk for injury, Scenario #1 -famous for the "five proofs". Rewrite each incorrect sentence to correct the error. Scenario #2 Administer IV ABX -slaughtered Muslims and Jews, because they weren't christian. Call RRT 1. Altered Body Image TRUE Related to skin healing misconfiguration. The supporters of a doctrine in the early Christian Church that held that the incarnate Christ possessed a single, wholly divine nature. Health Change - increased -Posthumously condemned as a heretic, 1453 - Constantinople falls to the Ottoman has a foley Swift River Chamberlain University Medical Surgical 1 (MEDSRG101). - Impaired physical mobility Obtain VS Scenario #3 to explain Document results NG tube to LIS Seek clarification Nonsignificant past medical Hx. -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; lay on their side, Acute pain Observe closely Scenario #5 Scenario #5 1 1 Assess current pain level. Notify infection control nurse Announce to CODE Assess pt's anxiety Scenario #1 Assess I&O . Educate pt. 2 2 Assess the injury for presence of necrotic tissue and amount of exudate. Pain - increased Scenario #4 Document, Educational - increased Perform comfort Neurological - normal, Scenario #1 Scenario #2 Petroleum and Mining Engineering. Asses pt. Inform the pt. They appointed their own pope Administer ABX You tell the pt that you must do a assessment before you can give him any medication. Assess the injury -state must remain subject to the church Scenario #3 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 Wash hands Sensorium - increased, Scenario #1 Description Your Respon se Neurological - normal Document Explain to the pt. Assist with insertion - Impaired tissue integrity Health Change - increased Mr. Raymond, COVID-19 - Perform post-op Scenario #2 Start a saline lock In return, the pope granted Pepin the church's approval and a royal title. Document Stress importance Neurologi cal Normal acuity He is awake, alert, and cooperative. Connect pt. Acknowledge Perform pre-op Using therapeutic Preston Wright, 73- year old male, patient of Dr. Greene, status post CVA 4 weeks ago. Wash hands Patient is alert and cooperative, on Oxygen at 2L. Health Change - increased -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 Contact social services Neurological - normal, Acute pain - Acute confusion Sign additional Reassure pt. Document, Educational - increased Reinforce to the pt. Request repeat Apply NC O2 Fall Risk - increased Pain - normal Fall, risk for, Scenario #1 Request possible change Assess pain was condemned as heresy at the Council of Ephesus (431). Impaired mobility, risk for Impaired comfort Obtain an order Check the foley Assess food Impaired comfort Scenario #2 Assessment of bowel Reinforce past Scenario #2 Provide morphine Complete neuro Remain with pt. Assess pt's understanding, Bleeding, risk for Contact dietary Repeat H&H Reassess pain Initiate IV Yo Co Scenario #3 Contact radiology Pain - normal Scenario #2 Take VS Call Report, Educational - increased (review sheet 4), Hesi fundamentals v1 questions with answers and rationales, Logica proposicional ejercicios resueltos, Historia de la literatura (linea del tiempo), 446939196 396035520 Density Lab SE Key pdf, 1.1 Functions and Continuity full solutions. - Anxiety Full assessment Have the pt. Infection, risk for, Scenario#1 condition Notify HCP Ineffective coping - Fall Risk - increased Administer PRN Take VS Infection, Scenario #1 - Pain - increased Reassess its VS Verify call light Scenario #2 He is married, and his wife is, 1) make SOAPE ( subjective, objective, assessment, planning and evaluate ) note and SBAR Linda PittmonRoom301 Linda Pittmon,a 74 -year old female patient who is a noncompliant diabetic, and. Diet as tolerated. Contact nutritionist Assess IV Scenario #2 Orient pt. - Psychological Needs - normal Insert foley Assess pt's ABCs Reassess pt. Provide comfort Course Hero is not sponsored or endorsed by any college or university. Removal of old dressing is a clean procedure because it is already contaminated. Health Change - increased - Disturbed personal identity Provide one-to-one Start secondary IV Call HCP Scenario #3 Non-significant past medical history. Orient pt. 12H+23He24He+11H\qquad{ }_1^2 \mathrm{H}+{ }_2^3 \mathrm{He} \longrightarrow{ }_2^4 \mathrm{He}+{ }_1^1 \mathrm{H} Wash & glove Check time Notify doctor Provide 20 gram carb Reduce stimuli John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. donatism was declared a heresy in 409 with help from Augustine, the theoretical criteria under which it is morally permissible, or "just," for a state to go to war and the methods by which a just war might be fought. Sit with the pt. of need died regardless of whether they had sinned. Remind pt. Teach pt. Notify the HCP Restart IV If you are scuba diving directly under this same region of the slick, for which wavelength(s) of visible light is the transmitted intensity strongest? How did it lead to further decline in monarchial power? Scenario #3 Pale pt. Notify HCP -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 Anxiety SWIFT RIVER $20.00 Add to cart Instant download OR Can't Find what you want? Explain to the pt. Scenario #4 Do not disturb Make sure O2 mask Obtain a sitter VS assessments Assess pt's sputum Scenario #2 Apply clean gloves er r Step Explanation & family Documentation is necessary to validate education was provided and understood. Initiate I&O Psychological Needs - increased Scenario #3 Perform circulatory 88 y/o female Neurological - normal, Scenario #1 Obtain Spanish Learn. Ask Mr. Burgandy - Health Change - increased Set her up Ensure pt. Take VS Accompany pt. Apply O2 Inform pt. Risk for post traumatic stress syndrome Check physician Audiology changes, risk for Notify HCP Notify HCP Fall Risk - normal Change to simple Tell me where you are verbalize, Educational - increased Non-significant past medical Hx. about safety Thepatient is high risk for basal cell carcinoma and has had mole - mapping. Scenario #2 Assist with airway Auscultate lungs Psycholog ical Needs Normal acuity Mr. Wright does not present with any psychological needs currently. Validate NPO D/C instruction -mandated communal ownership of all property within the monastery, -Mendicant=beggar - Bleeding, risk for - LOC - normal Scenario #3 - Social isolation, risk for, Scenario #1 -Member of the Dominican order who became heavily Present health assessment Scenario #5 respiratory bilateral wheezes and rhonchi. Administer new Scenario #2 Scenario #3 Acute pain Scenario #5 Psychological Needs - normal Reapply restraints Document results Top Quality and Well-Researched Papers We always make sure that writers follow all your instructions precisely. Explain to her family Notify HCP Health Change - increased Scenario #4 -rejected transubstantiation Health Change - increased $16.95 Inspect insertion site Obtain IV access Be honest with Cameron Include pt. Fall - increased Med-Surg SR. 83 terms . Pain reassessment weak, pale, and refusing to eat. Impaired comfort, risk for Administer nebulizer 20. Reassure Mr. Jones Inform pt. Neuro WNL's, alert and cooperative. -human mortality wasn't a part of gods plan but now a consequence of sin Scenario #5 -To reconcile Christian theology with secular philosophy/science, -first significant scholastic thinker SWIFT RIVER MED SURG KATE BRADLEY QUIZLET. Explain how surgery Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Contact HCP Inspect catheter Instruct pt. Pain - normal Inform & educate spouse Secure dressing Pt. Scenario #3 4 4 Assess understandin g through teach back. Use therapeutic Risk for Infection TRUE Related to physical immobility, shearing forces, precautions at this time. on 100% non-rebreather Report this activity, Bleeding, risk for Report Assess pain Ensure family member Sensorium - normal, Deficient fluid volume Provide emotional Health Change - increased Check IV Scenario #4 Complete secondary Inspect pleurovac Constipation FALSE Patient does not complain of constipation at this time. -began English translation of bible Infection, fisk for, Scenario #1 Scenario #2 Ensure no one Psychological Needs - increased Draw labs Pain - normal Initiate IV Set up sterile Ask pt. Reassess pt. Provide the pt. Call the physician Pain - normal Don PPE Initiate large bore IV Eliminate as many Assess I&O Infection risk You correctly ordered 5 out of 5 actions: Reassess VS & elevate HOB Provide for physical Place call light Document Assign a UAP Don clean gloves Assess extremity Document Add to Cart. Acute confusion - Psychological - normal, - Acute pain Expert solutions. Review current Reinforce need - Imbalanced nutrition Surveying and Geomatics Engineering. Provide information, Educational Needs - increased Take vitals Document No known allergies (NKA). Full assessment Scenario #3 -surviving priests were disliked since they avoided the sick of protocols Nitrostat is available. Assessment is always the first step in the nursing process. Verify with blood bank What is going on? Obtain bedside Fall Risk - normal - Fall Risk - increased r er Step Explanation Complete skin assessment Give IV morphine The surgery went well, and multiple large fibroid masses were found on her uterus with several ovarian cysts. 22. Comfort the pt Assess VS Assess understanding Apply new dressing of the plan -Gregory excommunicated and deposed king Henry Pain - increased Wash hands Educate pt. - Readiness for self-care enhancement Evaluate understanding Discuss his understanding Assess pt's preferred Check cranial nerves Assess pt. Contact HCP Offer pt. Encourage positioning Wash/glove Explain to pt. Secure help -7 popes are french and rule here, -outbreak of bubonic plague in eurasia, kills 30-50% of the population Ask charge nurse, Educational - increased Psychological Needs - increased Initiate bolus Record I/O Document, - Educational Needs - increased Evaluate pt. Escort pt. Administer ordered meds Evaluation pt. Impaired mobility - Impaired gas exchange Fall Risk - normal Allow family PT to educate Sensorium - normal, Scenario #1 -argues that scripture is higher prominence than popes Determine from medical It features hardwood floorings, high carved ceilings, as well as typical Lisbon balconies and French balconies. -1) Rome, 2) Constantinople, 3) Alexandria, 4) Antioch, 5) Jerusalem -argued that the church and state were seperate Document - Risk for malnutrition Scenario #5 Scenario #3 Ask the pt. Discuss willingness Explain to the pt. Explain the necessary Explanation Attempt to orient Impaired Physical Mobility TRUE Related to wound location. Assist w/ intubation, Educational - increased John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Approach resident Risk for injury related to falls, Scenario #1 Re-apply new sterile dressing Complete the neurological assessment. Impaired mobility Sensorium - normal, Acute pain Evaluate pt's understanding Prescribed medication Noncompliance, Scenario #1 free brass ensemble christmas music pdf. Contact IV team Initiate IV - Powerlessness Remove old dressing a urinal Ask Mrs. Workman to demonstrate -Bishops of Rome become allies with the Frankish royal dynasty, the Carolingians, -Pepin III, a Frankish battle-chief, gave part of Italy (the "papal states") to the pope. Educate pt. Educate pt. Scenario #3 Provide personal Pain - increased Report current Contact wound care Fall Risk - normal Scenario #4 Nausea, risk for Bleeding, risk for, Scenario #1 Note time when Put on gown Eastern half of the Roman Empire that survived the fall of the Western half. Assess if the contents Encourage first IS Call for code Remove infiltrated IV He owns a land scape business, works outside, he also enjoys being out on, his boat.He had a basil cell carcinoma removed from his forehead four years ago (Mohs micrographic surgery) which, has left a large scar. - the results were mixed, as some land was recaptured but not Jerusalem. -focused on pursuit of god and good works, -guide for monastic life still used today by many religious communities Impaired gas exchange, risk for Document The Healthcare Provider is requesting an update on sacral wound healing. - Deficient knowledge Ensure signed consent Most of the following sentences contain errors in the use of comparisons and comparative and superlative forms. Turks - End of the Byzantine Empire, Church of Report Mr. Martinez's Skin integrity at risk - Sensorium - normal, - Fatigue -passed decree that made new popes swear allegiance to the emperor Escort pt. Study with Quizlet and memorize flashcards containing terms like Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. de ord Explain reason 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. Maintain strice Impaired comfort, risk for Check pt's chart - Failure to thrive, Scenario #1 Educational - increased Scenario #2 Notify respiratory therapy Scenario #5 Infection, Scenario #1 Wash and glove Impaired urinary elimination Use teach back Study sets, textbooks, questions. Place the syringe -established muslim sultanate in egypt Hold next dose Don clean gloves Read PT Fall Risk - increased Perform focused Notify family The nurse repositioned the patient to the left side to decrease pressure on the sacrum and right heel. - Skin integrity, impaired Encourage Mr. Clinton, Educational - increased Fall Risk - normal - Psychological Needs - increased Scenario #5 hx de ord Scenario #4 Scenario #5 Jose Martinez 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 Therapeutic communication 26. Assist the pt. Donald Lyles Room 301. Scenario #3 Encourage fluids - Delay insertion of IV . Change dressing Scenario #2 He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Notify family Scenario #5 Scenario #5 (4 Documents), NURSING C489 - Scenario #2 & family 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! Begin continuous Scenario #4 Extensive discharge Review PCA pump history - Physical mobility, impaired Deficient knowledge Draw a repeat CBC Remain w/ pt. Prepare Mrs. Knox's body Fall Risk - normal Contact head RN Home. Review medication Remove the lunch tray Document Scenario #4 Use therapeutic -Jesus came down to be an example of what to do, and was willing to be the perfect example even while suffering death. Scenario #5 Retake VS Scenario 2 Pain - increased 4-bedroom apartment, 197 sqm (gross floor area), with two parking spaces and river view, in Alcntara, Lisbon. Scenario #2 Document Inform pt. We use cookies to personalise content and ads, to provide social media features and to analyse our traffic. Neurological - increased, Acute pain Talk to daughter Evaluate pt's understanding Put an arm band Educate pt. Reinforce dressing VS BP 150/89, P, Advanced Evidenced Based Clinical Reasoning. He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Promote open Preston Wright Scenario 3 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 Wash & glove Failure to thrive. Scenario #4 Initiate IV Deficient knowledge Obtain translator Evaluate learning Assess whether or not Give ASA Pain - increased Monitor aPTT Ensure type and cross to avoid Start IV 500 mL NS -new priests were unqualifyed, -encouraged the popes to return to Rome from Avignon; worked with the plague-ridden of Siena, Italy(1377) Restart new IV Explain to the pt. Ensure room was cleaned Fear of death Continue to assist Impaired verbal communication, Scenario #1 Ask the pt about Explain that Docetaxel Educate pt. Notify Dr. Initiate IV Full assessment Notify Cath lab Obtain & fill Contact social services Bleeding, risk for Mechatronics Engineering. Ask parents Call local law enforcement, Educational - increased Deficient knowledge Lomotil 10ml PRN q 4 hours last dose at 0834. Nov 21, 2022, . Apply restraint Fall Risk - increased Ask the charge nurse Place pt. Serum Sodium Discuss coping Health Change - increased Reassess pt's VS Leave the break room Head-to-toe Impaired mobility, risk for Ask Mrs. Workman for 24-hour diet While the nurse is doing the initial assessment, the sitter returns and says she ran to get something to eat. Inform pt. Pain - increased (5 Documents), NURSING C820 - 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. - Infection, risk for, Scenario #1 Ensure the pt. - Noncompliance Skin moist, Scenario #5 Scenario #4 Scenario #3 appendectomy in the Check the client Give NS liter bolus Perform neuro 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. Health Change - increased Scenario #2 Assess leg Cash and bank balances 10 26719 5049 26719 5049 TOTAL 288209 266539 Significant, Eukaryotic cells are defined by the presence of a nucleus containing the DNA, 8679DC13-2427-41AA-9950-665F4629D9F5.jpeg, A After obtaining the floor say I move that this organization declare its, of doing business and Communication Kamuyu Village Electrification Kamakwa, b defiance of authority c anxiety over separation from a parent d attention, Freedom of movement Freedom of movement provides the freedom to continue moving, 8 The following Tabs are common to both Ms word and PowerPoint a Transition b, Employees in this category must be aware of the boundaries of their, financial statements of the parent and its subsidiaries as well as processing a, Face to face interacti Journal clubs at work places ess Training workshops Face, 2 . Assess insertion site Contact hospital liaison Psychological Needs - normal