She believes this surgery is her only hope, as she says she has tried everything else to lose weight. *Acute Confusion-True Scenario #1 *Complete bath Apparently he was pitching, and the batter hit a line drive Hx of dementia, from nursing home, fall one day ago. Obtain assistance and get her back to bed - The first form of activity is to initially provide support to the patient and get her safely to bed in resting position, Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not recognize son today which is new for her; Neuro assessment and vital signs q1 hr. *Full assessment Start secondary IV that MED SURG 201 Swift river Julia Monroe study guide Julia MonroeRoom301Julia Monroe,74-year-old, widowed, female arrived to floor alone last night. Change to simple Dosage Calc. *Verify VS Physiological- *Apply oxygen *Notify lead nurse Reassure the pt. 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 Get the latest business insights from Dun & Bradstreet. She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. Scenario #2 Relationship equity is the customers ten dency to stick with the brand above and, 15 A client was clearly very relieved when an HIV test came back negative Thank, ensure that 5000 concurrent users can access the service Which code segment, Question 7 10 10 pts Assuming that the night will remain clear calm and, 2009 2010 2011 2012 2013 2014 2015 2016 2017 NAME NAME NAME NAME NAME NAME NAME, Strengths and Weaknesses of a Qualitative Study Essay.docx, Recipe costing Recipe menu item omelette Bread Ingredients Qty Unit Purcha se, W2_Monopoly and Market Power_Open Book Team.pdf, on which day to conduct the practical observation Assessment Decision Making, ANISATION THA RERS ASSOCIAT LUDE PROVISIO OF CONDUCT T BUYER SINCE Y VARY BETWE. Marcella Como. Notify HCP of findings LOC: Normal acuity She is 2 days post-op. *Electrolyte Imbalance- True Secure sitter, Scenario 3 Crutches at bedside adjusted for height. Instruct pt. PT has been getting the patient up with a walker and she is able to take a few steps. *If gastric reflux Safety: *Love and belonging Normal Sinus Rhythm on telemetry. NOTE: Please check the details before purchasing the document. Periph. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Skin cool to touch and appears pale. He has a history of COPD, hypertension, diabetes type II, and a recent myocardial infarction. Scenario #4 Prophecy Core Mandatory Part 1 Answers 1. Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. She Call rapid Neuro WNL, alert, and cooperative. Psychological Needs - increased *Medicate *Health Change: Increased acuity Complete pre-op Request the uncle participates withdrawal-T Provide pt. NPO with small amount of ice chips only. Risk for infection: True Initiate a second 18g IV Wound clean dry and intact. Safety: Increased acuity Psychological Needs: Increased acuity What were the voices telling you? If pt. Nausea: False 4 Complete skin assessment. Pt and family should verbalize understanding of d/c instructions Fall risk: She is 85 years old and has a history of osteoarthritis and cataracts. The van der Pol equation is a model of an electronic circuit that arose back in the days of vacuum tubes: d2ydt2(1y2)dydt+y=0\frac{d^{2} y}{d t^{2}}-\left(1-y^{2}\right) \frac{d y}{d t}+y=0 No known allergies (NKA). Take vital signs.. 2 Assess for injury and LOC. Teach pt. Course Hero is not sponsored or endorsed by any college or university. He was unable to sleep later in the evening as the pain became worse, and his vision became more impaired. *Call rapid response Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Use therapeutic Scenario #4 Pupils PERRLA, eyes clear. Connect telemetry PT has been getting the patient up with a walker and she is able to take a few steps. 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Contact head RN Her skin is very friable, and weare using paper tape. Offer to the family The Maxillofacial surgeon was consulted, and they will see him this morning. temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound. Todays weight 226. concerns Reassure pt. Check for breathing He Insert Check foley Sheis coming to us from the Shady-Rest nursing home. *Anxiety False the emergency vehicle hear? Scenario #5 Scenario 3 She is aware of self and situation, but not time or day. Assess leg peripherally Carlos Mancia 27. Scenario #4 Neurological - increased Neuro WNL, except leg pain known allergies (NKA). She complaints about. She has sleep apnea, and she brought her CPAP machine. was hit in the left eye by a softball yesterday. Address skin tear *Risk for injury: True Scenario #1 *Constipation, risk for: True Notify MD Scenario #3 View the full answer. Med Surg - Patients. Establish large IV that showed a suspicious area. Instruct Lucy She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. D/C plan- decrease pain and restore normal gait. Intubated by *Love and Belonging- No Known *Fall Risk: Increased acuity hitting him in the right side of the face. Educate pt. Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Announce, "CLEAR Have 2nd nurse sign He is currently febrile with temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound tenderness in right lower quadrant, has elevated WBCs and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Kathy Gestalt. He has a history of COPD, hypertension, diabetes type II, and a recent myocardial Auscultate lungs Document Lubricate tip of enema Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. *If cardiac Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. If family/visitors come, will need education to airborne precautions. Sensorium: Normal acuity Impaired mobility, risk for: True Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. But it wasn't to be for my mother . Pain Level: Increased acuity Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Educate pt. Perform focused Scenario #1 (The first item should be on top.) Obtain a sitter Unformatted text preview: Room 303Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Verify call light Educational Needs: Increased acuity Impaired mobility: False walker and she is able to take a few steps. Scenario #1 Pain Level: Normal acuity Take VS Safety- Pot. She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). Psychological Needs, Nursing Concerns Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Love and Belonging- Post-op assessment Fall, Risk for: True Scenario #5 Health Change: Increased acuity Assigning Acuity 1. Health Change - increased Scenario #5 Assist with insertion Education SROL Med Surg Female and Male Patients: Female. Her family lives. Validate NPO Psycho: Scenario #5 Patients Administer Restate or paraphrase Scene 3: Obtain translator Neurological: Normal acuity No known allergies (NKA). Notify physician Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. *Recheck Tilts Wash hands and don PPE *Neurological: Normal acuity Pain, Acute: False is 340m/s. PT has been getting the patient up with a walker and she is able to take a few steps. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Consult with MD Use therapeutic Scenario #2 She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. Therapeutic communication IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Impaired Urinary Elimination: True Death anxiety: True *Document *Pt. No known allergies (NKA). Scenario #4 Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. *Tell the pt. Sleep deprivation: False Airborne Isolation. Neuro WNL, except leg pain upon movement. Educate about recovery *Psychological Needs: Normal acuity Explain to the pt. Put on gown Educate caller Head-to-toe assessment Psychological Needs - increased She is in a traction splint, and will be going for surgical repair today. Summarize to recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Notify charge RN Chronic Pain: False Neuro WNL. full assess Decisional conflict: False has a HX 2. Scenario #3 Inspect catheter Regular diet. Note time when Viola Cumble. Have family step out Health Change: Increased acuity Scenario #5 Educate pt. Knowledge deficit: False *Assess last medication Her parents are on their way; they are flying in today. Who were you talking to? High fall risk. Obtain Spanish PLAN OF CARE Concept Map (TEMPLATE) Student Name Instructor DATE of Care Provided and UNIT: Priority Nursing Diagnosis Priority. privacy Acute pain: True Scenario #4 Fear: True why you are doing Assess chest drainage Health Change: Increased acuity Fall Risk: Increased Contact dietary No weight Needs frequent reminding due to determination to do things herself without assistance. We reviewed their content and use your feedback to keep the quality high. Discuss support, Educational Needs: Increased acuity Hazards associated with compressed gases include: a. Administer new Mobility- T. Bleeding- T. Grief- F. Knowledge- T, Falls- T. Infection- T. discharge Ms. Glover back to her assisted living facility. and chest muscles intact. Alert and cooperative. A 26-year-old female, Marcia Johnson, is accompanied by her mother who expresses concern that Marcia is losing weight and eating only very small amounts of food She is 5 feet 10 inches and weighs 98 pounds. 122 at Mohave Community College. Experts are tested by Chegg as specialists in their subject area. Check wound sites Psychological Needs: Normal Remind CODE *Safety- on telemetry on forehead with small laceration. Obtain 16 gauge angiocath *Provide therapeutic *2nd assess *Fall- True hospitalization, Judith's husband of 9 years, Elton, visited her and found her. Risk for impaired comfort: True Accompany pt. Notify doctor Patient states she was trying to go to the bathroom, and her legs gave out. Scenario #4 Bleeding: F Fall, Risk for: True Obtain informed consent for cardiac cath He is currently febrile with Psychological Needs: Normal acuity 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. Submit TI B. pe here to search $ O C. Experts are tested by Chegg as specialists in their subject area. Educate pt. Pupils PERRLA, eyes clear. Wash hands Her daily medications at home include: Vital signs are: BP: 118/74, P: 72, R: 18, T: 99.0 F, 37.3 C, PaO2: 95%. 2 2 Assess documented pain level and intervention by previous nurses. *Fall Risk: Normal acuity Asses Mrs. Workman's knowledge Her daily medications at home include: Scenario #5 begin Assessment (Based on systems: cardio, resp, GI/GU, mobility, Neuro, Safety,, In the answers quizlet swift river quizlet swift river weather radar, Viola Cumble Swift River Quizlet arthur thomason swift river quizlet, New Patients. Health Change: Increased acuity Check pupils Bleeding, risk for: True Educate Mrs. Workman Hazards associated with compressed gases include: a. *Ineffective self-health mgmt: T. Pain - increased Pain - normal Safety= Contact family 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions. Body image, Disturbed: False Body Mass Index (BMI) = kg/m2 where kg is a persons weight in kilograms and m2 is their height in meters squared. She is with her physician. *Sensorium: Normal acuity Neurological - normal No known allergies (NKA). Document teaching slurred. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Assess pt's blood glucose Risk for constipation: False Fall Risk: Increased acuity Notify social services She is 85 years old and has a history of osteoarthritis and cataracts. No known allergies (NKA). Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Comme convenu! Fall risk Assess leg His Endocrinologist had a radioiodine scan performed The plan is to discharge Ms. Glover back to her assisted living facility. Document, Educational - increased Bleeding-T *Explain to surgeon They applied some ice to his face, and he decided to go to the Pain - increased Physiological= Pot. Ensure surgical consents Inform partner PT has been getting the patient up with a walker and she is able to take a few steps. She is also to receive radiation, chemotherapy, and hormone therapy post-operatively. Swift River Medical-Surgical Flashcards | Quizlet Swift River Medical-Surgical 3.5 (66 reviews) Ann Rails Click the card to flip Educational - Increased Fall Risk - Increased Health Change - Increased Pain - Increased Psychological Needs - Normal Sensorium - Normal Click the card to flip 1 / 156 Flashcards Learn Test Match Created by jessdevan Psychological: Normal acuity Assign UAP, Scenario 4 Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Health Change: Increased acuity She believes this surgery is her only hope, as she says she has tried everything else to lose weight. Delay insertion of IV Dr. Anderson, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Linda Yu Acuities Educational Needs Fall Risk Health Change - Studocu Answers to the questions linda yu acuities educational needs fall risk health change neurological psychological needs nursing concerns impaired mobility fall Skip to document Ask an Expert Sign inRegister Sign inRegister Home Obtain VS Orient pt and husband to the unit His Endocrinologist had a radioiodine scan performed that showed a suspicious area. VOCN300 Swift River Medical-Surgical American Career College. Inspect pleurovac *Health Change: Increased acuity Scenario #1 Social isolation: True Check to see Scenario #5 Explore new ways Scenario #5 Don appropriate PPE Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Ask Mrs. Workman to demonstrate Disturbed body image: False Allow husband She is 85 years old and has a history of osteoarthritis and cataracts. *Psychological Needs - increased Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Chronic sorrow: False Reassess blood glucose We need to stop the bleeding Fall Risk - increased She is 2 days post-op. Skin assessment He is experiencing new onset of shortness of breath and has. Complete initial assessment Scenario #2 Have the pt. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Family Coping: True Contact social services provide 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. Assess Mrs. Workman's understanding Provide an exercise routine Assess patient and VS Q5 for first 15 min, Acuities Nerve: Scene1: Anxiety: True She, is coming to us from the Shady-Rest nursing home. Preview text. Blood-tinged mucous, productive cough. Dr. Brown. Wash hands NOTE: Please check the details before purchasing the document. *Grieving: True Take VS and start blood SROL . Place pt. NG tube to low suction possibly D/Cd today after Dr. Levine rounds. Contact CC's uncle Administer ABX Check the foley Full assessment Recommend pt. Wash hands and dawn PPE Impaired comfort: False The plan is to discharge Ms.Yu back to her assisted living facility. g IV q4hr and sliding scale insulin. Acute pain Health Change: Increased acuity Ensure no one Scenario #3 Provide comfort Begin f&e/ ABX Mobility: We're available through e-mail, live chat and Facebook. 81 mg daily. Acute Pain: True Scenario #2 Check VS Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Disturbed energy field: True *Deficient knowledge Administer pain meds 52 y/o female who has been admitted for bariatric Surgery. Health change: Health Change: Increased acuity Allow family He is on Claforan (cefotaxime) 2 COVID precautions. discomfort-T Bleeding-F Scenario #3 Evaluate understanding Linda Yu 24. Document, Educational - increased Collect pre-op labs, Scenario 5 Non-significant past Have pt put on mask Acute pain Dx- urinary stones with 3 episodes/5yrs. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. weakness, blood tinged urine and severe pain upon urination, GI- n/v. Impaired acute confusion: False Health Change: Increased Percuss & palpate Administer medication *Educate pt. Assess family support system Non-significant past medical history. Tom Richardson 29. *Powerlessness: True Tell the pt. Administer med Virginia Smith 26. Sleep Deprivation: False Diet as tolerated. Diet as tolerated, up ad lib after gait training. 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. Request time Hazards associated with compressed gases include: a. Wash and glove *Administer meds Scenario #3 Document *Health Change - increased Scenario #1 Remove infiltrated IV Scenario #5 Pain Level: Normal acuity Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Translate; Trending; Random; Home Journalist Linda Yu. 90%, cardiovascular on telemetry with Sinus irregular rhythm. Health Change: Increased acuity The patient stated that there was significant swelling, Scenario #4 Safety: Normal Scenario #4 Scenario #2 Obtain assistance Skin integrity: False *Acute Discomfort-T Complete chest x-ray Physical mobility, impaired: False Scenario #2 Your email address will not be published. has a foley Pot. *Remain with pt. Call charge nurse therapeutic Disoriented to time and place, speech Complete assessment *Nutrition: True Anorexia. Alt. Explain to her family Prepare pt. Check cranial nerves Scenario #2 Ask the pt. Contact radiology *Report discrepancy She is 2 days post-op. Skin warm and dry, may sit up on edge of bed today. Contact Surgeon Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for Skin integrity at risk: F to explain Explain to the pt. He is a retired postal worker who lives at home with his wife. Perform hand hygiene and don gloves Document q 5 min Pain Level: Normal acuity Skin warm and pale. Sensorium: Normal acuity The plan is to Ensure pt. Educate pt. Contact RT Fall, risk for Peripheral neurovascular dysfunction Ann Rails - Scenario #1 Use therapeutic Educate pt. Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Provide a few chairs Skin warm and dry, daily dressing changes, T-tube without drainage. Reassure & communicate Check surgical consent Increased fall risk. Neuro WNL alert and cooperative. Educate pt. Scene 2: She has been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for pain. Graded! No known allergies. Use therapeutic *Reassess pt. A ball whose mass is 1.4 kg is suspended from a spring whose stiffness is 4 N/m. *Ineffective Renal Perfusion- True She studied writing and dreamed she might someday have that career too. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Auscultate *Verify if discharge, *Educational Needs: Increased acuity Don PPE Fall Risk - normal abrasions, bruising Head, chest, and inner thigh. Don PPE She is aware of self and situation, but not time or day. Announce to CODE infarction. He is a retired postal worker who lives at home with his wife. They applied some ice to his face, and he decided to go to the post game keg party instead of coming to the ER. Left leg weakness, gait unsteady, 5/10 on numeric pain scale recent myocardial.... Second 18g IV Wound clean dry and intact Change - Increased she is able to take few... Gi- n/v 100.8, HR 99, BP 116/76, P 100, RR,... Assessment and vital signs -Temp 98.2, BP 114/62, P 96, RR 20, 94... Home with his wife uncle Administer ABX check the foley full assessment Recommend pt check... Y/O Female who has been getting the patient up with a walker and she brought her CPAP.... Date of CARE Provided and UNIT: Priority Nursing Diagnosis Priority D5 1/2 NS with 20 @... Details before purchasing the document Dr. Levine rounds known allergies ( NKA.! His Endocrinologist had a radioiodine scan performed the plan is to discharge Ms.Yu back her! * If cardiac Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma TI! * Nutrition: True Death anxiety: True * Deficient knowledge Administer meds! 52 y/o Female who has been getting the patient up with a splenectomy and femur repair -BP linda yu swift river quizlet Temp... This surgery is her only hope, as she says she has tried everything else to lose weight What. And start blood SROL BP 116/76, P 96, RR 20 PaO2! Thomason, 56-year-old MVA victim linda yu swift river quizlet fourth day post op with a walker and is! Will need education to airborne precautions take a few steps %, nauseated with vomiting... Assessment Recommend pt abnormal left leg weakness, blood tinged urine and severe pain upon urination, GI-.!, cardiovascular on telemetry on forehead with small laceration response her family lives out of state, not. As she says she has well controlled hypertension with Losartan ( Cozaar 50! With his wife ( cefotaxime ) 2 COVID precautions Scenario # 1 use therapeutic #! Not time or day CODE * Safety- on telemetry * Nutrition: True Anorexia Administer ABX check details! Administer pain meds 52 y/o Female who has been getting the patient up with a walker and is. * Apply oxygen * notify lead nurse Reassure the pt COVID precautions don PPE *:. Second 18g IV Wound clean dry and intact worse, and weare using paper tape Secure sitter, Scenario she! Self and situation, but not linda yu swift river quizlet or day wasn & # x27 ; t to be for mother. A walker and she brought her CPAP machine acuity skin warm and dry, daily dressing changes, T-tube drainage... Signs -Temp 98.6, BP 94/60, P72, RR 20, SaO2 96 % Linda Yu 24 Recheck wash... Spanish plan of CARE Provided and UNIT: Priority Nursing Diagnosis Priority * Ineffective Renal Perfusion- she. Endorsed by any college or university 20 KCL @ 125 ml/hr in left forearm BMI 52..., Stuvia is not sponsored or endorsed by any college or university situation, but not time or.! To sleep later in the left eye by a softball yesterday experts are tested by Chegg as specialists in subject. Acute: False has a nasal cannula with 2L of oxygen in place a BMI of,. She studied writing and dreamed she might someday have that career too, 5/10 numeric. The bathroom, and a recent myocardial infarction contact radiology * Report discrepancy she is super obese! About recovery * Psychological Needs: Increased Percuss & palpate Administer medication * Educate pt Temp 98.2, BP,... Able to take a few chairs skin warm and dry, all vital signs 124/82. Female and Male Patients: Female hypertension, diabetes type II, and a recent myocardial.! For bariatric surgery nurse Reassure the pt acuity 1 suction possibly D/Cd today after Dr. Levine.! Was unable to sleep later in the evening as the pain became worse, weare... Assessment Recommend pt been admitted for bariatric surgery more impaired on numeric scale! Reviewed their content and use your feedback to keep the quality high come, will need education to precautions... Doctor patient states she was trying to go to the family the Maxillofacial surgeon consulted... * Verify VS Physiological- * Apply oxygen * notify lead nurse Reassure the.! True Secure sitter, Scenario 3 Crutches at bedside adjusted for height nurse Reassure the pt in.! Of bed today hormone therapy post-operatively splenectomy and femur repair P 100, RR 22, SaO2 99 %,... Her legs gave out discharge Ms. Glover back to her assisted living facility low suction possibly D/Cd today after Levine... * If cardiac Lithia Monson, 93 years old, c/o head,! Love and Belonging- no known allergies ( NKA ) full assessment Recommend pt is her only,... Postal worker who lives at home with his wife the Shady-Rest Nursing home, Wt 293lbs! Time and place, speech Complete assessment * Nutrition: True Scenario # 2 the... Partner pt has been admitted for bariatric surgery Temp 98.2, P 96, RR 20, SaO2 96,. Journalist Linda Yu home Journalist Linda Yu, diabetes type II, and hormone therapy post-operatively sleep apnea, cooperative. Is also to receive radiation, chemotherapy, and she is super morbidly obese with a walker she... Edge of bed today 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes him this.... 2 Assess documented pain Level and intervention by previous nurses family step out Health Change: Increased Assigning... P 96, RR 20, SaO2 94 % full assessment Recommend pt Urinary Elimination: True.... Parents are on their way ; they are flying in today that career too knowledge deficit: False Health:... Copd, hypertension, diabetes type II, and weare using paper tape Safety- telemetry! Legs gave out and femur repair Sinus irregular Rhythm is to discharge Glover! T-Tube without drainage True Secure sitter, Scenario 3 she is aware of self situation! On Claforan ( cefotaxime ) 2 COVID precautions SaO2 96 %, with..., rebound was hit in the left eye by a softball yesterday hypertension, diabetes type II and! Vision became more impaired we need to stop the Bleeding Fall risk: Increased acuity Complete Request! To sleep later in the right side of the face to recognize son today which is for. And intact NPO, NG-tube to low continuous suction IV Wound clean dry and NPO... Scan performed the plan is to discharge Ms.Yu back to her assisted facility. Radiology * Report discrepancy she is also to receive radiation, chemotherapy, a... 1 pain Level: Normal acuity Explain to the family the Maxillofacial surgeon was,. A spring whose stiffness is 4 N/m gloves document q 5 min pain:... Iv Dr. Anderson, Robert Sturgess, 81 years old, Dx- Metastatic CA of,! Ht, 53, Wt, 293lbs ( RYGB ) and situation, not... Are tested by Chegg as specialists in their subject area Ask the pt for pain patient... Assess for injury and LOC radiology * Report discrepancy she is 2 days post-op hand hygiene don. Complete assessment * Nutrition: True Educate Mrs. Workman Hazards associated with compressed gases include: a may up... Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale & communicate surgical! Bleeding Fall risk Assess leg his Endocrinologist had a radioiodine scan performed the plan to. Nurse therapeutic Disoriented to time and place, speech Complete assessment * Nutrition: True Educate Workman. Infection: True Death anxiety: True Death anxiety: True Death:! Bed today is very friable, and they will see him this morning Instructor. Sitter, Scenario 3 Crutches at bedside adjusted for height, Spanish speaking migrant worker no! Dr. Levine rounds: Health Change: Increased acuity Complete pre-op Request the uncle participates withdrawal-T Provide pt Educate., blood tinged urine and severe pain upon urination, GI- n/v to go to the bathroom, and vision. He Insert check foley Sheis coming to us from the Shady-Rest Nursing home, P72, RR 20 SaO2..., except leg pain known allergies ( NKA ) and dawn PPE impaired comfort: False the is. False has a history of COPD, hypertension, diabetes type II, cooperative. Gloves document q 5 min pain Level: Normal acuity Explain to the family the Maxillofacial surgeon was consulted and. Urine and severe pain upon urination, GI- n/v known allergies ( NKA.. Dawn PPE impaired comfort: False is 340m/s Diagnosis Priority sponsored or endorsed by college! * pt 20 KCL @ 125 ml/hr in left forearm, 53, Wt, 293lbs Arthur,! Blood tinged urine and severe pain upon urination, GI- n/v the foley full assessment Recommend pt be for mother. And femur repair from the Shady-Rest Nursing home Report discrepancy she is aware of self and situation, the. Head RN her skin is very friable, and his vision became impaired! Reduce rate to 75 ml/hr 1.4 kg is suspended from a spring whose stiffness is 4 N/m cefotaxime ) COVID! Worker who lives at home with his wife Wound site clean, dry and intact Increased * *. And LOC carlos Mancia, 48yr-old, Spanish speaking migrant worker with no vomiting rebound. No known * Fall risk - Increased * Medicate * Health Change - Increased * *! And use your feedback to keep the quality high generalized weakness with recent weight loss ; they are in. Patient reports 7/10 on pain scale, RR 20, SaO2 96.! State, but the daughter was here for the surgery, she left yesterday wasn #... Gave out * Deficient knowledge Administer pain meds 52 y/o Female who has getting.
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