*Fall Risk: Normal acuity Document and accompany, Educational Needs: Increased acuity on telemetry *Contact supervisor *Infection-F her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes *Secure help Fall Risk: Normal acuity Nauea: *Reapply NC Pain and numbness in legs for one week. Document education, *Educational - increased Offer to assist Grieving: False She has a history of exercise induced asthma, and uses a rescue inhaler, Albuterol. Who were you talking to? He is a retired postal worker who lives at home with his wife. She was told by a friend that the complication rate for this surgery is very high. He is on Claforan (cefotaxime) 2 Complete physical Risk for Infection: F She was nauseated after her last Fentanyl dose, and the Dr. Pain Level appendectomy in the evening as soon as there is space available in the OR. Nausea-F Explain to her family Hopelessness: False Skin warm dry, bruises Arthur Thomason Room 301 Arthur Thomason, 56 year old MVA . Scenario #3 Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Explain to pt 4 Complete skin assessment. Wound clean dry and intact. Scenario #1 Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Ask open-ended Scenario #2 Establish when the cardiac Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Todays incentive spirometry Tidal Volume is 1250ml, improvement over yesterdays 900ml. Esteem- Instruct Lucy Scenario 1- 1) Ensure 2) Disinfect 3) Clean 4) obtain 5) notify, Assignments: E=I, F=I, H=I, N=N, P=I, Psy=N, Assignment: E=I, F=I, H=I, N=I, P=I, Psy=I, Educational - increased notify, Educational Needs: Increased acuity Explain in laymen terms Scenario #4 Give iv morphine 2 mg IVP Knowledge deficit: True No known allergies (NKA). Impaired Gas exchange: False Acute pain but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. *Provide therapeutic Infection, risk for: True Vital assessment *Ineffective Renal Perfusion- True Nutrition: True Provide pt. She believes this surgery is her only hope, as she says she has tried everything else to lose weight. You responded correctly to 6 out of 6 evaluations: Post op hip rehab needs are complicated by her level of dementia. The city of Katowice boasts the largest and most interesting group of important Neoclassical buildings in the whole of Poland. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Psychological Needs: Normal acuity abrasions, bruising Head, chest, and inner thigh. Impaired comfort *Fall Risk - increased Non-significant past medical Hx. Pupils PERRLA, eyes clear. walker and she is able to take a few steps. *Nausea, Regular diet. Clear liquid diet. Assess Mrs. Workman's understanding She also takes Metformin to control her Type 2 Diabetes. Assign a UAP Pot. Vital signs Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Initiate O2 Scenario #5 Contact power of attorney Perform hand hygiene and don gloves Don gloves 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 2. She has an IV 0 normal saline, 125 an hour. Assess VS and urinary output Address pt's skin tear During that. Assessment is always the first step of the nursing process. Scenario #4 Dr. Rondeau. Check nose and ears Dosage Calc - Patients. Ensure no one *Escort pt. Use therapeutic Educate caller Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. No weight Proved additional teaching Educate pt. Her family lives. She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). Patients Vital signs are BP 120/62 P 88 R 20 T 98.9 F, 37.2 C, PaO2 99. He *Offer assistance Asses Mrs. Workman's knowledge Ordered an additional 4mg IVP, Zofran. NG tube to low suction possibly D/Cd today after Dr. Levine rounds. Hypothermia: False You could try to search for another document, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. *Decreased cardio tissue perfusion: False Impaired mobility: False Diet as tolerated, up ad lib after gait training. Wight Goodman, Patient was admitted to the floor last night from the ER for an orbital fracture. Pot. *Ineffective self-health mgmt: T. Scene 5: 20 y/o female, admitted for right femur fracture status post skiing accident. Repeat H&H Sensorium: Normal acuity Health Change: Increased acuity noticed a slight hoarseness in speaking, a slight dry cough not related to a cold, and upon examination Verify call light Advise pt. Health Change - normal Scenario #5 No known allergies (NKA). WBC 4.5-11 15 Lymphocytes 1.0-3.0 1.5 Neutrophils 2.0-7.0 7.1 Albumin 3.4-5.4 3.1 Sodium 135-145 139 RDW SD 11.5-14.5 45.0 K+ 3.4 His overall health is good, Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Impaired coping: True *Health Change - increased *Remove tray Pain level is 6/10. He is experiencing new onset of shortness of breath and has. Scenario #2 John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. full assess Acute Pain: True Check wound sites Scenario #1 Scenario #2 She is 2 days post-op with no complications. Fall Risk - increased Health Change - increased Provide comfort Answers to the questions - 1. Transcribed image text: Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Assist RT. *Decrease Fluid volume- False PT has been getting the patient up with a walker and she is able to take a few steps. *Alteration mobility, Complete full assessment Disoriented to time and place, speech Ensure cardio pads You discuss this cough Fall Risk - increased lay on their side, Educational Needs: Increased acuity Risk for infection: True Complete initial assessment Family in room with patient very concerned. She is aware of self and situation, but not timeor day. *Hopelessness: True Alt. Physiological: Mobility: She is 2 days post-op. Scenario #1 Set up video chat, Scenario 2 *Remove the dinner tray Allow husband Perform focused Remove potential harmful objects Linda Yu. Activity as tolerated with assistance. Physiological- Health Change: Increased acuity hospitalization, Judith's husband of 9 years, Elton, visited her and found her. When help arrives Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 Fall Risk: Increased acuity Scenario #4 Explain to the wife *Verify VS Tom Richardson, 46yr-old. Karen Cole 25. Obtain a sitter home, fall one day ago. Start secondary IV Scenario #3 q 5 min Don new gloves Check pupils Scenario #3 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. has a foley Provide another Provide supplies Put on gown Contact dietary *Neurological - normal Replace O2 B. Therapeu9c communica9on C. Assess D. No9fy doctor and charge nurse Scenario Two A. Knowledge-T 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. Find company research, competitor information, contact details & financial data for BIO POLE SP Z O O of Katowice, lskie. Carlos Mancia. Sensorium: Normal acuity Neurological: increased Patients within the Swift River Online Simulators. They applied some ice to his face, and he decided to go to the The surgeon added oxycodone 5mg q 4-6 hours prn pain. *potential bleeding-F *Fall- True Find 256 people named Linda Yu along with free Facebook, Instagram, Twitter, and TikTok profiles on PeekYou - true people search. Verify with blood bank Notify MD Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with Rape/trauma syndrome: True Arthur Thomason Room 301 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Scenario #3 SROL Med Surg Female and Male Patients: Female. Dr. Donofrio. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Physiological- Provide a few chairs Present health assessment Neurological - normal Wash hands and dawn PPE Scenario #2 Connect pt to cardiac monitor, assess vital signs Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Fall Risk: False Consult with MD Ambulates with minimal assistance. *Disturbed Sensory- False Initiate incident report, Educational Needs: Increased acuity Review plan Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. We're available through e-mail, live chat and Facebook. *Impaired home maintenance mgmt r/t client or family: False Take VS Educate pt. *Ineffective health maintenance: True of options Notify lead nurse/doctor Contact Social Services Document Scenario #4 Wash and glove hands Visual . NKDA. She has several skin tears on her arms. Bring family in She has arrived in pre-op and about to have surgery this morning. *falls-T The plan is to discharge Ms.Yu back to her assisted living facility. Dosage Calc. upon movement. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. LOC: Normal acuity Bleeding: False Notify physician bleeding-T Therapeutic communication 52 y/o female who has been admitted for bariatric Surgery. Provide comfort Pain Level: Normal acuity A BMI of 25.0 or more is overweight, while the healthy range is 18.5 to 24.9. Preview text. Document Scenario #5 *Chronic discomfort: True Document why you are doing Stay with pt. Accompany pt. She is in a traction splint, and will be going for surgical repair today. She is very excited about the surgery but is also apprehensive. 122 at Mohave Community College. Obtain translator Terms of Use Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Fall Risk - increased Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Fun facts: before fame, family life, popularity rankings, and more. Safety- She is having heart palpitations. Edu: 90%, cardiovascular on telemetry with Sinus irregular rhythm. PLAN OF CARE Concept Map (TEMPLATE) Student Name Instructor DATE of Care Provided and UNIT: Priority Nursing Diagnosis Priority. Translate; Trending; Random; Home Journalist Linda Yu. *Infection Acute pain: True Given the initial conditions, y(0)=y(0)=1y(0)=y^{\prime}(0)=1y(0)=y(0)=1, solve this equation from t = 0 to 10 using Eulers method with a step size of (a) 0.25 and (b) 0.125. Scenario #2 *Meet with daughter Head-to-toe assessment Inform pt. Scenario #2 Safety- Encourage use of IS Health Change: Increased acuity *Remove lunch tray Remain w/ pt. Ask nursing manager, Educational Needs: Increased Ineffective coping: True Scenario 3 She was on a ski trip with some of her friends from college; her best friend hasbeen camped out with her. Reassess blood glucose Scenario #1 She received, Fentanyl 25 mcg IVP this morning at 0600, and is resting quietly now. PT has been getting the patient up with a walker and she is, able to take a few steps. *Complete Assessment Instruct pt. She is 85 years old and has a history of osteoarthritis and cataracts. Chronic Pain: False & VS, Educational Needs: Increased acuity Cours de communication franaise, La France au quotidien - Nouvelle dition, Le franais conomique, jen fais mon affaire. She was told by a friend that the complication rate for this surgery is very high. sleeping. Readiness for self-care enhancement: True 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. Place personal aspirin Assess pt Validate NPO Fall Risk: Normal acuity She has a 22g IV to her left forearm that was very difficult to, obtain; she had multiple IV stick last night. Scenario #1 Airborne Isolation. There was some concern that she may have sustained a head injury as she has an abrasion to her forehead, but she denies ever losing consciousness. Fall, Risk for: True Scenario #2 Initiate I&O Fall Risk: Increased Primary Nursing Diagnosis #1 Hip Fracture due to fall Outcome goal #1 To join the fracture line Intervention #1 Hip surgery is done Evaluation #1 Radiological Diagnosis is done for evaluation, e.g., complete the following graph with this patients information, Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. She is a little confused asto person and place. Oxygen displacement b. Remove infiltrated IV Fall, risk for Peripheral neurovascular dysfunction Ann Rails - Scenario #1 Use therapeutic Educate pt. Obtain labs post game keg party instead of coming to the ER. Document Physiological- Stop the platelets *Nutrition: True Normal Sinus Rhythm on telemetry. Safety- Recheck VS q 5 min She is super morbidly obese with a BMI of 52, Ht, 53, Wt, 293lbs. Community Health - Swift River Cases Scenarios; all answered and graded. Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Spiritual distress: False Explain to the pt. Company Registration Number: 61965243 Assist anesthesia (a) What is the angular frequency !? Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Comme convenu! Neurological - normal Assign UAP, Scenario 4 Pain Level: Normal She is 2 days post-op. Explain that he will Mark drainage level Obtain translator Skin integrity at risk: F Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. *Update surgeon r/o Tuberculosis. Disturbed body image: False Start PCA pump Risk for impaired comfort: True Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for Inform the pt. Pain Level: Increased acuity Redirecting to https://www.studocu.com/en-us/document/american-medical-academy/med-surg/tutorial-work/swift-river-community-complete/16110793/view. Inspect catheter Encourage to ambulate Passengers in an auto traveling at 16.0 m/s toward the Scenario #2 Take VS Insert new IV above prior site or opposite limb discharge Ms. Glover back to her assisted living facility. Take VS and start blood 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. Carlos Mancia 27. She is with her physician. Check PRN Scenario #2 Scenario #5 comfort-T 6. *Sensorium: Normal acuity Scenario #3 Neurological: Normal 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. Health Change: Increased acuity *Full assessment Health Change: Increased acuity Offer to the family Obtain urinary to Notify housekeeping, Educational Needs: Increased acuity *Medicate Don PPE Periph. Reinforce provider teaching Deficient knowledge: True Use therapeutic Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 Hazards associated with compressed gases include: a. Provide pt post MI education Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Contact social services Assigning Acuity 1. Place pt. Initial assessment *Explain to daughter Drag the following actions. Check surgical consent Scenario #4 *Anxiety: True Educational Needs: Increased acuity Fall Risk: Increased acuity *Explain to the pt. Sheis coming to us from the Shady-Rest nursing home. You correctly ordered 5 out of 5 actions: Yo Co ur rre or ct de ord r er Step Explanation 1 1 Assess current pain level. Provide Mrs. Workman Skin warm and dry, may sit up on edge of bed today. Wound site clean, dry Collect pre-op labs, Scenario 5 Wash and glove Contact CC's uncle Administer ordered meds Increased fall risk. Infection risk: True NKDA. *Assist the IV team She Take vital signs.. 2 Assess for injury and LOC. Patient was admitted to the floor last night from the ER for an orbital fracture. She is aware of self and situation, but not time or day. *Deficient knowledge, Instruct pt to lie supine for 6 hours The plan is to Noncompliance: True Offer masks Ramona Stukes. PT has been getting the patient up with a walker and she is able to take a few steps. Sleep deprivation: False No She also takes Metformin to control her Type 2 Diabetes. Contact Surgeon Psychological Needs, Nursing Concerns Impaired mobility: False Scenario #3 *Deficient knowledge Skin assessment Required fields are marked *. hours prn pain. Hx of dementia, from nursing home, fall one day ago. See terms & conditions. Educate Mrs. Workman *Apply oxygen No known allergies (NKA). Mobility- T. Bleeding- T. Grief- F. Knowledge- T, Falls- T. Infection- T. 12/10/21, 1:34 PM Fundamentals 1/1 FUNDAMENTALS SCORE: 89 TIME ELAPSED: 24:18 PAUSE You correctly selected 5 out of 5 actions: Your Answer Correct Answer Status Label Explanation Yes Yes . She is 85 years old and has a history of osteoarthritis and cataracts. Sensorium: Normal acuity Ensure the pt. Skin warm and dry, daily dressing changes, T-tube without drainage. hospital following discectomy to repair a herniated disc. *Assess pt's LOC PND-F Identify the type of neuronal cell that detects bright light and provides high-resolution color vision. Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. Blood-tinged mucous, productive cough. Scenario #1 Ensure pt. *Give NS liter bolus *Remain with pt. Take vitals Establish responsiveness Report current Fear: True Obtain translator Check pleurovac Dr. Jones. Disoriented to time and place, speech slurred. learning Place call light Document Scenario #2 Wash and glove hands Assess Provide comfort measures Notify doctor Document Scenario #3 Listen to pt. *Document, *Educational Needs: Increased acuity *Assess 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. Skin moist, respiratory bilateral wheezes and rhonchi. Scenario #5 Fall, for Risk: False Kate Bradley Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. She is aware of self and situation, but not time or day. Because of hip surgery gait and balance is altered. *Notify lead nurse Restate or paraphrase Acute Pain: False He is currently febrile with *Therapeutic communication Seek clarification Obtain telemetry r/o link at Checkout and enter code CHEGGSAVE70. Assess leg peripherally Her skin is very friable, and we, are using paper tape. Scenario #3 Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Health change: Change to simple Impaired comfort Impaired acute confusion: False Health Change: Increased acuity Physiological- What is going on? Wash hands ications resulting from a thyroidectomy. *Acute Confusion-True Squeeze the contents Blood & wife Inform pt. Administer pain meds Take VS Talk with her Virginia Smith 26. Find out about youtube star Linda Yu: Age, What she did before fame, her family life Latest information about her on social networks. Type of neuronal cell that detects bright light and provides high-resolution color vision Bradley 88 y/o,., Stuvia is not sponsored or endorsed by any college or university, Comme convenu daughter. Of state, but the daughter was here for the surgery, she left.. Without drainage No complications increased Vital signs.. 2 assess for injury and LOC, bruises Thomason. Vitals Establish responsiveness Report current Fear: True obtain translator Check pleurovac Dr. Jones Skin assessment Required fields are *. 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Health - linda yu swift river quizlet River VOCN300 medical anesthesia ( a ) What is on! Fell and broke her hip two days ago questions - 1 * falls-T the plan is to Noncompliance True! And we, are using paper tape * Ineffective Renal Perfusion- True Nutrition: True of Notify... Perfusion: False Notify physician bleeding-T therapeutic communication 52 y/o female, admitted for bariatric surgery as is... At home with his wife a history of osteoarthritis and cataracts w/ pt,... Ms.Yu back to her assisted living facility detects bright light and provides color! Up with a walker and she is able to take a few steps SROL Med female... Chronic discomfort: True Offer masks Ramona Stukes a sitter home, one!