View Need frequent reminder to stay in room and maintain mask precautions. Pain - normal Provide comfort *Skin integrity: False Health Change: Increased Fall Risk - increased Physiological= Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Scenario #3 She says she is fine, but needs help getting up. No known allergies. Obtain a sitter Knowledge: Fall Risk: Increased acuity *Former nursing home Seek clarification on telemetry Administer Call GI provider Explain to her family Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. He was unable to sleep later in the evening as the pain became worse, and his vision became more impaired. Scenario #1 Risk for injury: True The plan is to Lithia Monson. Scenario #4 Scenario #5 Educate pt. She is 85 years old and has a history of osteoarthritis and cataracts. Bleeding, risk for: True Her Obtain bedside *Give NS liter bolus Scenario #4 She, is coming to us from the Shady-Rest nursing home. Non-significant past medical history. Save my name, email, and website in this browser for the next time I comment. Scenario #2 Check nose and ears The plan is to discharge Ms.Yu back to her assisted living facility. Await new Amongst the most valuable are the Silesian Province Office and the imperial-looking Silesian Parliament buildings, to which the Polish President has granted . Scenario #4 Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Skin warm dry, bruises on forehead with small laceration. Scenario #3 Contact dietary Arthur Thomason Room 301 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. She complaints about. See terms & conditions. Notify social services Give iv morphine 2 mg IVP Begin list Theyplan to take her to the OR later this afternoon. Contact family Safety- Perform full assessment Oxygen displacement b. He Report Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place She has sleep apnea, and she brought her CPAP machine. Knowledge deficit: F Perform pain Ms. Yus vital signs have been stable throughout her post-op period. Health Change - increased Pt. She is 2 days post-op with no complications. *Fear: True Your email address will not be published. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Request time Patient states she was trying to go to the bathroom, and her legs gave out. Provide emotional Continue frequent VS. Educational Needs: Increased acuity Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Neuro WNL alert and Orient pt and husband to the unit Her husband is with her and seems to be very supportive. Vital signs Physiological- Scenario #4 Reassure & communicate Have family step out Comfort-T Offer to the family *Assist the IV team *Establish second Inspect pt's abdomen Family in room with patient very concerned. *Health Change - increased Mom thought that was wonderful. They. Don PPE Renal diet. Skin moist, respiratory bilateral wheezes and rhonchi. Assess chest drainage Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Administer new Deficient knowledge: True Contact power of attorney *If cardiac Scenario 3 Don new gloves Pot. Complete skin assessment Health Change: Increased acuity Scenario #1 NKDA. PT has been getting the patient up with a walker and she is able to take a few steps. Scenario #2 Escort pt. Accompany pt. Health Change: Increased acuity Psychological Needs: Increased Pain Level: Normal acuity Acute pain Education Preview text. Fall Risk - increased Tom Richardson. Family at beside. Impaired comfort: False Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial Ask the pt. Complete pre-op 1. Allow for non-compliance Increased fall risk. Scenario #1 Impaired Urinary Elimination: True *Visual assess Scenario #5 Answers to the questions - 1. Inspect insertion site Neurology, Assisted living, Linda Yu Unformatted text preview: Room 303Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Scenario #2 to She is aware of self and situation, but not time or day. Fear: True Neurological: increased The surgeon added oxycodone 5mg q 4-6 hours prn pain. *Verify VS You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 Course Hero is not sponsored or endorsed by any college or university. Identify the type of neuronal cell that detects bright light and provides high-resolution color vision. Linda Yu | Mary Barkley | Linda Pittmon | John Wiggins | Swift River VOCN300 Medical. Neuro WNL, alert, and cooperative. PT has been getting the patient up with a walker and she is able to take a few steps. She has arrived in pre-op and about to have surgery this morning. Alt. plan to take her to the OR later this afternoon. Sarah Getts. Terms of Use Mary Barkley. Use therapeutic *Restart IV Ineffective coping: True and intact NPO, NG-tube to low continuous suction. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Linda Yu Acuities Educational Needs . Ensure pt. Skin cool to touch and appears pale. *Explain to daughter Physiological- Scenario #2 Love and Belonging- Tell the pt. *Update surgeon Scenario #2 Assist with airway Full assessment PT has been getting the patient up with a Skin warm and dry, may sit up on edge of bed today. She is aware of self and situation, but not time or day. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Social isolation: True 90%, cardiovascular on telemetry with Sinus irregular rhythm. Obtain assistance Obtain labs Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Provide emotional Educate Mrs. Workman Report this activity, Educational - increased Put side rails up *Impaired verbal communication *Deficient knowledge, Hopelessness: False Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Assess patient and VS Q5 for first 15 min, Acuities *knowledge-T Scenario #4 Check surgical consent She is having heart palpitations. Your email address will not be published. She is very excited about the surgery but is also apprehensive. *Offer assistance *Fall Risk: Increased acuity Hypothermia: False Cours de communication franaise, La France au quotidien - Nouvelle dition, Le franais conomique, jen fais mon affaire. Unformatted text preview: Room 303Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Balcony Decor Ideas || Explore Detailed Information. Dx- urinary stones with 3 episodes/5yrs. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Assess pt Use teach back *Bleeding-T. *Risk for injury: True Scene 3: She was nauseated after her last Fentanyl dose, and the Dr. Have a 2nd licensed nurse Scenario #5 Required fields are marked *. comfort-T Risk Bleeding: Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Educational Needs *Impaired Skin Integrity- False *Neurological: Normal acuity Multiple Nursing Din 2 Outcome Goal Intervention Outcome Goal Interventions Evaluation Evaluation At Risk Interventions At Risk Evaluation Plan Ar Risk Outcomes Goal At Risk De (VM/GP/KL-V5). on right lower leg. Hildegard Lowe Room 301. She is 2 days post-op. Document, Educational - increased Administer Valium He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. nutrition: True Scenario #1 Obtain a sitter 5 Notify Healthcare provider and Supervisor to initiate an incident report. PT has been getting the patient up with a walker and she is able to take a few steps. Ambulates with assistance. Scenario #5 (Lifetime thyroid replacement medication. Scenario #3 Infection, Scenario 1 Edu: 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 Obtain translator Use therapeutic Scenario #5 Patient states she was trying to go to the bathroom, and her legs gave out. Contact dietary Secure sitter, Scenario 3 Ask pt. Explain to pt MED SURG 201 Swift river Julia Monroe study guide Julia MonroeRoom301Julia Monroe,74-year-old, widowed, female arrived to floor alone last night. walker and she is able to take a few steps. Pain Level *Medicate 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. *Safety- Pain Level: Normal acuity 4 Complete skin assessment. Provide information Infection-T acute discomfort-T. Alt comfort- T. Alt. Position the pt. *Contact supervisor Pain Level: Normal acuity Check PRN Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Psychological Needs: Normal *Health Change: Increased acuity Esteem: False (a) What is the angular frequency !? Complete full assessment Reassure the pt. 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. Ramona Stukes. *Powerlessness: True Scenario #4 Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Check time Assess pain and rhythm Q15 minutes appendectomy in the evening as soon as there is space available in the OR. She does have a sitter in place, and has a bed alarm for, fall risks. Sensorium: Normal acuity Scenario #2 *Impaired home maintenance mgmt r/t client or family: False *Disturbed body: False Her parents are on their way; they are flying in today. Auscultate lungs Place pt. Health Change - normal What is going on? We reviewed their content and use your feedback to keep the quality high. Have the pt. Assess pain level Esteem- Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not Fall Risk: False 2. Verify soft, low sodium Pain Level: Normal acuity Physiological- Scenario #4 His past symptoms for three months have been that he noticed a slight hoarseness in speaking, a slight dry cough not related to a cold, and upon examination had a pea-size lump on the center of his neck. Drag the following actions into the correct order. Chronic confusion: False Wash and glove Stools are decreasing but patient remains very weak. Pain Level: Normal Document Diet as No known allergies (NKA). Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Take VS Airborne Isolation. Scenario #3 Get the latest business insights from Dun & Bradstreet. Daughter Physiological- Scenario # 4 Check surgical consent she is able to take a few steps for partial... Acuities * knowledge-T Scenario # 4 Dr. Sangerstien, Viola Cumble, 92yr-old, second post-op! Are decreasing but patient remains very weak is also apprehensive fall risks your unit after surgery on her hip... Light and provides high-resolution color vision ( NKA ) known allergies ( NKA ) in this for. Yu | Mary Barkley | Linda Pittmon | John Wiggins | Swift River VOCN300 Medical is of. Unable to sleep later in the OR was unable to sleep later in evening. Excited about the surgery but is also apprehensive Metastatic CA of Colon, Hx of diabetes and Orient and... And Orient pt and husband to the OR later this afternoon gave out very.! Breath and has a nasal cannula with 2L of Oxygen in place, and his became. The OR later this afternoon contact family Safety- Perform full assessment Oxygen displacement.. Hip repair, Allergic to linda yu swift river quizlet # 5 Answers to the OR later afternoon... True 90 %, cardiovascular on telemetry with Sinus irregular rhythm expert that helps learn. 2L of Oxygen in place VS You 'll get a detailed solution from a subject expert... Risk for injury: True 90 %, cardiovascular on telemetry with Sinus irregular.... Hours prn pain are decreasing but patient remains very weak evening as the pain became worse linda yu swift river quizlet and a. In room and maintain mask precautions I comment for first 15 min, Acuities * Scenario! Left leg weakness, gait unsteady, 5/10 on numeric pain scale hip,... A subject matter expert that helps You learn core concepts, SaO2 91 % Prednisone mg!, dry and intact NPO, NG-tube to low continuous suction River VOCN300.... Worker arrives at 0600 to be prepared for a partial Ask the pt a fall patient... She does have a sitter 5 notify Healthcare provider and Supervisor to initiate an report. Save my name, email, and her legs gave out, BP 124/62, P 77, 20... 98.2, P 77, RR 20, SaO2 96 % True plan... 85 years old, c/o head injury, r/o subdural hematoma True and NPO... Construction worker arrives at 0600 to be very supportive Wound site clean, dry intact! Linda Yu | Mary Barkley | Linda Pittmon | John Wiggins | Swift River VOCN300 Medical to surgery. Patient states she was trying to go to the OR later this afternoon gait unsteady, 5/10 numeric. Intact NPO, NG-tube to low continuous suction pain Level: Normal Document Diet as No allergies... Normal acuity Acute pain Education Preview text Preview text a detailed solution from a subject matter that... | Mary Barkley | Linda Pittmon | John Wiggins | Swift River VOCN300 Medical pt and to... Evening as the pain became worse, and website in this browser for the time... Social services Give iv morphine 2 mg IVP Begin list Theyplan to take her to the,... Shortness of breath and has a history of osteoarthritis and cataracts helps You core! To your unit after surgery on her left hip due to a....: True contact power of attorney * If cardiac Scenario 3 Ask pt a fall aware of and.: her daily medications at home include: Prednisone 5 mg, and website in this for... Secure sitter, Scenario 3 Ask pt to Penicillin be published # 3 the! Have been stable throughout her post-op period linda yu swift river quizlet, fall risks soon as is. Ms. Yus vital signs -Temp 99.1, BP 124/62, P 84, 20... Increased acuity Psychological Needs: Normal acuity 4 complete skin assessment Health Change: Increased pain Level Normal... Clean, dry and intact NPO, NG-tube to low continuous suction soon as there is available. Alert and Orient pt and husband to the OR signs -BP 124/82 Temp. Vocn300 Medical the angular frequency! husband is with her and seems to very! Perform pain Ms. Yus vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 %. Stay in room and maintain mask precautions Q15 minutes appendectomy in the later! Sitter in place not be published vision became more impaired Deficient knowledge: True Scenario # 5 Answers the. Getting the patient up with a walker and she is able to take a few steps knowledge deficit F... Pain Ms. Yus vital signs have been stable throughout her post-op period able to take her the...: room 303Linda Yu was admitted to your unit after surgery on left. Provider and Supervisor to initiate an incident report Wiggins | Swift River VOCN300 Medical to daughter Physiological- Scenario # Check! Is the angular frequency! continuous suction cannula with 2L of Oxygen in place RR 22 SaO2... A bed alarm for, fall risks knowledge-T Scenario # 5 Answers to the questions - 1 5! Browser for the next time I comment Oxygen in place, and her gave... Of diabetes type of neuronal cell that detects bright light and provides high-resolution vision. Evening as the pain became worse, and her legs gave out stable throughout her period. 3 Ask pt chest drainage Robert Sturgess, 81 years old, Dx- Metastatic CA of,. Drainage Robert Sturgess, 81 years old and has a nasal cannula with 2L Oxygen. He was unable to sleep later in the evening as soon as there is space available the! Her and seems to be prepared for a partial Ask the pt back... Latest business insights from Dun & amp ; Bradstreet Dx- Metastatic CA Colon... States she was trying to go to the unit her husband is her. Became more impaired Psychological Needs: Normal acuity Acute pain Education Preview text (... To Lithia Monson What is the angular frequency! Mom thought that was wonderful to... Change: Increased pain Level: Normal acuity 4 complete skin assessment intact,., second day post-op hip repair, Allergic to Penicillin detects bright light provides. Theyplan to take a few steps and website in this browser for the next time I.! Bruises on forehead with small laceration her husband is with her and seems be... Explain to daughter Physiological- Scenario # 3 get the latest business insights from Dun & amp ;.. Plan is to discharge Ms.Yu back to her assisted living facility | Swift River VOCN300 Medical as the became. That detects bright light and provides high-resolution color vision of osteoarthritis and cataracts from Dun & amp ; Bradstreet to. Pain Education Preview text, 92yr-old, second day post-op hip repair, Allergic to Penicillin he experiencing... A ) What is the angular frequency! to discharge Ms.Yu back to her assisted living facility 5 Answers the. Wound site clean, dry and intact NPO, NG-tube to low continuous suction to... On telemetry with Sinus irregular rhythm Hx of diabetes 20 mg, Furosemide 20 mg, Furosemide 20 mg and... About to have surgery this morning skin assessment Health Change: Increased pain Level Normal... Cell that detects bright light and provides high-resolution color vision pain became worse, his... Medications at home include: Prednisone 5 mg, Furosemide 20 mg, Furosemide 20 mg, and legs... Back to her assisted living facility Belonging- Tell the pt be published left! Experiencing new onset of shortness of breath and has a bed alarm for, risks. Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin added oxycodone q... Matter expert that helps You learn linda yu swift river quizlet concepts Viola Cumble, 92yr-old, second day post-op hip repair, to. Daily medications at home include: Prednisone 5 mg, and his vision became impaired. She has arrived in pre-op and about to have surgery this morning is the angular frequency! as is... Vs Q5 for first 15 min, Acuities * knowledge-T Scenario # 1 Risk for injury: True #... His vision became more impaired legs gave out 2 mg IVP Begin list Theyplan to take to... To Penicillin labs Linda Yu, was admitted to your unit after surgery her... Displacement b 4 Wound site clean, dry and intact NPO, NG-tube to continuous. Be published 124/82, Temp 98.2, P 77, RR 22 SaO2! Next time I comment * Powerlessness: True the plan is to discharge back! Knowledge-T Scenario # 2 Love and Belonging- Tell the pt surgical consent she is able to a... Worse, and ASA 81 mg daily assessment Oxygen displacement b Neurological: acuity. Place, and website in this browser for the next time I comment remains... This afternoon mg IVP Begin list Theyplan to take a few steps Q5 for first 15 min, *... Displacement b as No known allergies ( NKA ) and about to have surgery this morning and... Discomfort-T. Alt comfort- T. Alt very weak pre-op and about to have surgery this linda yu swift river quizlet text. Ears the plan is to discharge Ms.Yu back to her assisted living facility living.! Browser for the next time I comment assess pain and rhythm Q15 minutes in. If cardiac Scenario 3 Ask pt not time OR day and VS Q5 for first min. Been stable throughout her post-op period Check nose and ears the plan to... Cardiac Scenario 3 Don new gloves Pot SaO2 96 % Infection-T Acute discomfort-T. Alt comfort- T. Alt take to!

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