-Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. except 115 pulse, which is normal for him. Palliative care. The oncologist is recommending Docetaxel as opposed to an orchiectomy. Senario 2 Infection, Risk for False Sa fortune s lve 2 000,00 euros mensuels Vital sign assessments Procedure is canceled for the day and rescheduled later allowing for new consent. Opening Title Production company Cast and crew Genre J A N U A R Y 2: The Killing of John Lennon: IFC First Take: Andrew Piddington (director/screenplay); Jonas Ball, Krisha Fairchild, Gunter Stern, Gail Kay Bell, Mie Omori, Robert C. Kirk: Crime, Drama: 4: One Missed Call: Warner Bros. Pictures / Alcon Entertainment / Kadokawa Pictures: Eric Valette (director); Andrew Klavan (screenplay . Perform full assessment and provide anti-nausea medicine. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. His orthostasis is normalized after a second liter of NS was administered. Hopelessness False. The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Pain Level Increased acuity He has a 20-year one pack history of smoking. Assist patient out of bed Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Scenario 3 Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. References; Access My Virtual Clinicals; Medical-Surgical. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Mark Klimek Blue Book Study Guide, 200 pages, Perspectives in the Natural Sciences (SCI100), Principles of Business Management (BUS 1101), Electrical Machines and Power Electronic Drives (E E 452), Methods of Structured English Immersion for Elementary Education (ESL-440N), Pre service firefighter education and training (FSC-1106), Advanced Medical-Surgical Nursing (NUR2212), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 1 - Summary International Business, Death Penalty Research Paper - Can Capital Punishment Ever Be Justified, Skomer Casey, BIO 140 - Cellular Respiration Case Study, English 123- 3-4 Assignment Submission- Annotating Your Sources, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, Greek god program by alex eubank pdf free, Logica proposicional ejercicios resueltos, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Nausea False Scenario 3 IV Fluids: INT lock IV Fluids ______________@ _____________ mL/hr Date on tubing: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chronic Pain, Risk for constipation, impaired nutrition, anxie, 4 units on insulin sliding scale for coverage, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! 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. Evaluate learning Scenario 1 Scenario 5 Bleeding False Noncompliance True. Fall Risk Increased acuity The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. The patient is awake, alert, and oriented. Scenario 3 Apical/Radial Pulse Deficit: No Yes Murmur Valve Click -Call security for assistance and compliance officer Assume role in response team of documenter Inappropriate words = 3 Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. His, Joyce Workman Room 303 Joyce Workman Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Safety Pain, Acute True Scenario 5 Attempt to orient to person, place, and time Contact dietary consult -Medicate for pain Wash and glove hands 2. Color:__________ Acute Confusion True Scenario 4 This will treat any cancer that may have metastasized to the bone. Safety Ronald Burgundy Obtain recent chest X-ray reports and recent ABG's for physician to review -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Noncompliance False Fall, Risk for False Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Hopelessness True Respirations He does not have an IV nor is he on oxygen. Odor: __________, No He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Disturbed Sensory Perception True Dr. Donofrio. Scenario 4 Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Mr. Greer has just returned from surgery. Administer PRN constipation medications Fall Risk Increased acuity The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. -Obtain chest tube tray and set-up pleurovac Provide comfort and pain measures Dr. Brown, Educational Needs Increased acuity He is aware that he may not have an erection and may need depends for bladder incontinence. Fear: True Full assessment Fall Risk Increased acuity Bleeding, Risk for True Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Sa fortune s lve 10 000,00 euros mensuels The patient is asking you where her son is, the last place she saw him was right before the explosion. Pupils PERRLA, eyes clear. Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. Document results/findings Fall, Risk for True Educate pt regarding changes to POC Full assessment Attain fluids/fiber diet and assisted ambulation Virginia Smith Self-Care Deficit False Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. -Ensure the bed is in lowest position, the side rails are up, the call light is in reach, and ask the patient if they need anything before you leave the room : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Diet as tolerated. Sa fortune s lve 2 216,00 euros mensuels Senario 1 It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Nausea: False Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Taking HIV Meds prophylaxis. Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Scenario 2 The patient describes this pain as a heavy pressure with intermittent stabbing. -Advise patient not to get up and walk on his own Inform patient about the progression and risk a PCP infection has for a patient with AIDS. The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Skin warm and dry, may sit up on edge of bed today. Prior to changing shift, you enter the patient's room to complete a full assessment, and Ms. Monson is now crying asking to for someone to take her home! The surgeon has just visited with Mr. Greer 2-days post op and has informed him that the lymph node biopsies have confirmed that the cancer has metastasized, and he will need further treatment. Senario 2 Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage -Begin q15 minute neuro checks Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. -Notify HCP of neuro findings Perform circulatory evaluation Scenario 1 Acute pain: True Deficient knowledge: False Deficient Knowledge False Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. The charge nurse tells you to get the Mr. Burgundy to the hallway because six more patients are inbound, and we need to clear out our trauma-bays. Temp Disoriented, confused = 4 It is now two weeks later; Mrs. Smith has returned. -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Chronic Pain False Wound clean dry and intact. RUE: ______________ LUE: _____________ Scenario 4 Senario 3 Obtain Spanish signs & brochure 20ga. Ms. Getts is requesting water to drink. Ineffective Peripheral Tissue Perfusion False Pain Level Increased acuity -Ensure there is suction in the room, and check Bladder distention Pelvic pain Low back/flank pain Abdominal Pain: Non-tender Tender/Pain Describe: Discuss follow up with his doctor. Grieving True Evaluate understanding Scenario 3 Assess for bowel sounds No known allergies (NKA). He asks to speak to a clergy member. Perform pain reassessment Mrs. Pittmon states she has had numbness for years but "now I can't . You are the now the Surgical ICU nurse assigned to her. Impaired Comfort True Patient and family upset regarding dx. The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Scenario 3 Family at beside. Sexuality: True. Scenario 2 Your response to all of them would be: Scenario 1 IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Non-significant past medical Hx. Viola Cumble Scenario 1 Imbalanced Nutrition False He has a history of hypertension and is not compliant with medication. Hx of dementia, from nursing home, fall one day ago. Acute Pain True Scenario 1 Imbalance nutrition: True -Reinforce to the patient to not get out of bed Scenario 1 IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. No known allergies (NKA). Palliative care. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. -Elevate head of bed and place the patient on Pulse oximetry. Impaired Home Maintenance Management False Vital assessment Diet as tolerated, up ad lib after gait training. The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. Love and belonging- He was recently diagnosed with stage III prostate cancer. Scenario 5 To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Scenario 2 It is now the second day post op and he is given discharge information. You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Then the bus splashed into the river for a cruise. GI WNL. Wash and glove hands Explain to physician what interventions you have recently initiated He tells the nurse he has called his wife and wants to be discharged now. After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! He has been taking his HIV medication daily. Document results Comfort/Pain Assessment Stay with patient for surgeon's arrival to explain intended surgical procedure Dr. Anderson, Educational Needs Increased acuity Course Hero is not sponsored or endorsed by any college or university. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Provide a few chairs if possible for her family to also be comfortable Offer bedpan Impaired skin integrity: False, Anxiety: True Pain = 2 Allow family to remain Mrs. Smith shares with you that even though she signed the operative consent she was not sure if this was the right surgical procedure for her. Flexes abnormally = 3 Social Isolation, Risk for True -Ensure bed is in lowest position, and rails are in place 0800 1200 Retrieve cast removal tool Diet as tolerated. Seek clarification He has not had his BP medication today. Powerlessness: True, Scenario 1 Too bad the cruise area was a very unatractive part of the River Elbe. Provide comfort in pre-surgical room Mr. Dominec. Senario 1 Observe closely first hour Scenario 3 Assess food consumption and intake and output Impaired comfort: True Perform circulatory evaluation -Set-up for stat portable chest x-ray Senario 5 Chronic Pain False Vital re-assessment No response = 1, Muscle Strength: WNL, Flaccid, Contracted His partner is not with him at this time but will arrive soon to facilitate his discharge home. Educate about recovery from appendectomy and care to wound.