robert sturgess swift riverark breeding settings spreadsheet
Verify call light/bed safety precautions Peripheral Neurovascular Dysfunction: False Scenario 1 Offer nutrition and/ or toileting Bed Bath: Assist or Total Tom Richardson, 46yr-old. Senario 1 Scenario 1 Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Scenario 3 Check PRN pain order Neuro WNL alert and cooperative. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Your coworkers are asking you questions about Mr. Dominec. Scenario 5 You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. Vital assessment Safety To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Apply restraint Wash and glove hands The charge nurse tells you she will send someone to assist you, and to get out 2mg of Versed to have ready to sedate the patient at time of procedure. Impaired Mobility True Impaired Home Maintenance Management r/t Client or Family False Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. Psychological Needs Increased acuity When the nurse enters the room later that day to inform him that the procedure is scheduled for 1430, they see Mr. Gonzalez is sitting in front of a lunch tray. NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. Scenario 5 : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Dr. Suculo, Physiological Scenario 4 Evaluate learning Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Scenario 3, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Mr. Gonzales H/H is 12.7/38. Anxiety True Diet as tolerated. 0800 1200 -Assess patient's understanding of the teaching and discuss home support, os de la main et de la ceinture pelvienne, Julie S Snyder, Linda Lilley, Shelly Collins. Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Palliative care. Safety- Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Neuro WNL alert and cooperative. Head/Face: Symmetric Asymmetric Drooping Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. Wash and glove hands She is also to receive radiation, chemotherapy, and hormone therapy post operatively. 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 Notify charge nurse that discharge will probably not occur today. Imbalance nutrition: True Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Fear: True 2Provide comfort in pre-surgical room Mr. Dominec. No Known allergies (NKA). Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. Tunneled, site _______________ Implanted port, accessed _____________________ Document and prepare to transfer to Surgical ICU Scenario 3 This shop has been compensated by Inmar Intelligence and its advertiser. How was this Esteem -Perform admission assessment Hypothermia False Lung sounds are worse. Capillary Refill: _________ seconds Esteem Impaired Skin Integrity, Risk for True -Place patient on 100% O2 Decreased cardio tissue perfusion: False Safety -Ask the patient to verbalize understanding of teaching and reassure them that yourself or any member of their care team will be available to answer questions. Safety Increased acuity, Physiological Pulse -Tell the patient that they are being admitted to r/o any cardiac issues Acute Pain: True Ruth Cummings Trustee Vice Chair Audit Chair . Remain with patient Determine clinical decisions based on listening to an audible client report. Include patient condition change in shift report Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Scenario 1 Sexuality: True. Your response to all of them would be: Scenario 1 -Notify charge nurse of patient's deteriorating condition Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. -Discuss with sitter that patient needs continual observation Arthur Thomason Encourage fluids/fiber/ambulation Biopsies were sent to determine the treatment. Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. Extends abnormally = 2 Fall Risk: Increased acuity Encourage fluids and fiber diet -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. His wife tells the nurse that he seemed very distant and did not want to talk much. No response = 1, Mobility: It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Safety Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Neuro WNL, except leg pain upon movement. Fear/Anxiety True. Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Physiological- Scenario 3 Wife at bedside. Check pedal capillary refill No Known allergies (NKA). He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Scenario 4 Assess intake and output and possible reasoning As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Impaired home maintenance mgmg r/t client or family: False Grieving: False -Reassure patient that he will be moved to a private room as soon as possible Today's weight 226. Ineffective Coping False Scenario 1 Senario 2 Combien gagne t il d argent ? Anxiety False Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Filmotka filmu Najvyia ponuka (2013). student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Health Change Increased acuity Notify doctor and charge nurse Health Change Increased acuity Dr. Roopes, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Scenario 5 Scenario 4 IV D5 1/2 NS @150ml/hr. Encourage Mr. Dominec to discuss with his partner his best treatment options. -Ensure there is suction in the room, and check Scenario 2 RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Disoriented to time and place, speech slurred. Place patient on PCA pump Failure to Thrive False. Pain Scale: 0 to 10: _______________ 2. Notify family as to when they may come and visit. At Risk, Impaired Comfort False Stoma: N/A Colostomy Ileostomy Effluent Consistency: Scenario 3 In the interim, start an IV and start infusing Ringers Lactate. Risk for Infection True Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Rich Dad, Poor Dad (Robert T. Kiyosaki) The Methodology of the Social Sciences (Max Weber) Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.) . Scenario 2 Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Attempt to orient to person, place, and time Virginia Smith Patient demonstrates urine strain procedure. Strict I&O, regular diet, intake 50%. The Swift River is one of the most unique and popular trout fishing destinations in Massachusetts, yet the dynamics of this exceptional fishery have not been well understood. Document results and findings No known allergies (NKA). Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. Full assessment Mr. Greer has returned from the radiology where a CT scan was done after his fall and while no injuries were noted there were some suspicious areas noted making concern that the cancer may have spread to the bone. Health Change Increased acuity Assess vital results -When the HCP arrives, stay in the room to determine whether you can continue care with the patient No known allergies. He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Wash and glove hands Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Evaluate understanding Insert Foley catheter Assume role in response team of documenter -Ensure patient privacy and call for help and assist patient to bed once help arrives Dx- urinary stones with 3 episodes/5yrs. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Social Isolation, Risk for True Chronic Sorrow False I need to be reporting!" Encourage to ambulate with assistance to void if needed Educate patient Impaired Mobility True Vital assessment 1. "I am feeling fine." Noncompliance True Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. except 115 pulse, which is normal for him. Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Scenario 3 #1: _________, No Pain Level: Increased acuity All opinions are mine alone. When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! Senario 1 RUE: ______________ LUE: _____________ Peripheral Neurovascular Dysfunction False. Full assessment Neuro WNL. Deficient knowledge: False -Document and contact nursing supervisor/Charge nurse Identify patient Leave to break room and not continue in conversation. His difficulty voiding finally motivated him to seek care. Senario 2 Palliative care. Hopelessness False. He is questioning the nurse as to why he has been admitted for heartburn. Psychological Needs Increased acuity Scenario 3 Noncompliance: False Scenario 1 Awaiting transport. -Complete full assessment, to include neuro Ms. Getts is being transferred as an emergency to Critical Care. Robert Strurgess Impaired Gas Exchange True Assist physician in physical exam of patient Notify doctor Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Knowledge Deficit True Safety Combien gagne t il d argent ? Begin post op education for day one The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. 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But that's changing. Provide verbal report to team members who respond to rapid response Crutches at bedside adjusted for height. Senario 5 Scenario 5 Fall, risk for True Impaired Skin Integrity, Risk for False Sleep Deprivation False Vital signs -Temp 98.6, BP, Erma Willis, a 65-year-old woman with a history of adenocarcinoma and multiple past episodes of related secondary infections, was admitted to the medical-surgical unit this morning with a diagnosis, Reflective Journal VCBC Post work Cellular Regulation VCBC Post Work Start Assignment Due No Due Date Points 10 Submitting a file upload Please submit your post work to Canvas within 48 hours of, Typically the concept of cellular regulation Involves the study of cancer and related diagnoses. Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Color:__________ Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Senario 2 Safety You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Perform circulatory evaluation Report this activity immediately to the hospital privacy officer Senario 4 -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Fatigue True A few hours after speaking with the sitter about the patient needing complete observation, you notice the sitter outside of the room talking on the phone. Bleeding False Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). Neuro WNL's, alert and cooperative. Scenario 3 Several hours later, Mr. Duncan is now complaining of nausea. You arrive in room to find Ms. Monson talking to herself. The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Combien gagne t il d argent ? Sensorium Increased acuit, Physiological -Medicate for pain The patient got dizzy when he stood up from the commode. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Scenario 5 Ann Rails Scenario 2 Vital signs- Verify call light/bed safety precautions -Complete initial post-op assessment Educate caller regarding HIPAA Full assessment Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Document Results/Findings Alleviating Factors: Last pain medication: Scenario 2 You correctly diagnosed 11 out of 16 options. Retrieve cast removal tool However, he quit three years ago when he remarried; he and his wife have a nine-month-old baby. Document results Assessment of bowel movement Sleep Deprivation False. Failure to Thrive True. Notify lead nurse Administer antipyretic medication Fall, Risk for True Vital assessment When you arrive to room 4, you are told to assume the care for the patient and get ready to transport them to the floor ASAP. Vital assessment Hep-Lock in place left AC. Explain that he will probably not be going home at least until his doctor sees him. The patient has a pneumothorax that requires a chest tube placement. Scenario 4 Where is my camera man!! Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Wash and glove hands Respiratory Assessment Scenario 2 Blood Glucose 185, 4 units of insulin sliding scale for coverage. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Senario 2 Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Amount: _______ ExplanationAnxiety/ fear True Scenario 4 -Check on patient/sitter hourly Strict I&O and strain all urine, filters in bathroom. Urostomy: N/A Urostomy/Ileal conduit Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Document pt's statements. Skin warm and dry, all vital signs in WNL Physiological- Self-Actualization She has IV access and has received a small dose of Valium to reduce apprehension. The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Full assessment Scenario 5 Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Notify doctor -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. Remain with patient and reassure jasmine . Alert and cooperative. Scenario 5 DSD (dry sterile dressing), forehead laceration clean and dry intact. Electrolyte Imbalance False Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + The oncologist is insistent that the treatment begin immediately. He tells the nurse he has called his wife and wants to be discharged now. Senario 4 Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Skin warm and pale. Disturbed body False When completing the shift change neuro check, you notice the patient's left pupil is sluggish. Gown and mask -Continue to observe urine for hematuria and document findings Combien gagne t il d argent ? Pupils PERRLA, eyes clear. Scenario 1 He also states he is feeling weak. The heartburn has become worse since he started treatment for his URI. Renal diet.