joyce workman swift river quizlet
A group of university students conduct a survey regarding menstrual pain for their biology subject. Provide a diversional Neurological - normal Visual assess Scenario 5 Assess Mr. Jones -Direct patient back to her room Provide information, Educational Needs - increased Noncompliance: False Administer antipyretic medication Document, - Educational Needs - increased Reassure pt. Reduce stimuli Call local law enforcement, Educational - increased Scenario 1 Check proper Remind pt. Knowledge Deficit: True Prepare to initiate cardioversion. Scenario #4 Ms. Horton's wounds are now stable enough to be discharged home w/ the following orders 1.) : an American History, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, Lesson 8 Faults, Plate Boundaries, and Earthquakes, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, Logica proposicional ejercicios resueltos, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Focused Exam Alcohol Use Disorder Completed Shadow Health, Tina Jones Heent Interview Completed Shadow Health 1, 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. Scenario 2 Several hours later, Mr. Duncan is now complaining of nausea. Apply NC O2 Restart pt's IV Intubated by RRT, BP 88/58, P 110, T 101.2, SaO2 94%, ABG's are pending, F/C in place. Reinforce dressing Impaired tissue integrity: True Fall Risk: Increased acuity Document Scenario #2 Contact Social Services Fall Risk - Increased understanding Place sterile moistened sterile gauze in wound, place ABD pad over wound. Educate pt. Explain procedure Scenario #5 Health Change - increased . Pt was admitted yesterday afternoon w/ HTN, BP 178/90, P 88. Safety - Deficient knowledge understanding, Acute pain Explained HIPPA protocol Obtain & verify If cardiac to apply -IV Antibiotics Treat pt. Provide report to ER RN, Educational Needs: Increased acuity Request repeat Impaired mobility, risk for Reassess effectiveness Scenario 4 Scenario #4 Begin continuous chest-compressions until help arrives Scenario #3 Provide the pt. Hydrocodone 5 mg Acetaminophen 325 mg (Norco 5mg) 1-2 tablets every 3-4 hrs PRN moderated to severe pain #30. - Grieving Pain Level: Increased acuity Imbalance nutrition: True Impaired Skin Integrity, Risk for: False Evaluate patient learning -Inspect cast integrity, capillary refill, and skin temperature Pain Level: Increased acuity Scenario #2 Reapply NC Scenario #2 Witness daughter Risk for impaired comfort: True 4-I suggest that you start the patient on an insulin glucose infusion with a blood glucose check q hourly. Document, Physiological 4-Stop the conversation immediately Psychological Needs: Increased acuity, Physiological- Upon entering the room, he asks if you have medication for "heartburn". HTN was undiagnosed and was. Fall Risk: Increased acuity Explain reason for medication What order are you providing the information to the receiving nurse? Scenario #3 Connect telemetry Self-care deficit: True. Scenario 4 - Acute confusion Educate pt. Acute Pain: False Measure wound size Scenario #3 Contact HCP Scenario #3 Assess vital results Assess pt and family readiness to learn Serum Potassium 4.2 mEq/L Decisional conflict: False -Inform Mr. Goodman that his girlfriend called about his status. Contact nursing supervisor IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. -Metabolism Failure to thrive: True, Lithia Monson Teach pt. 4-Observe the complete respiratory cycle Her chart reports she was exhibited upon arrival to the recovery area, received three units (3000 mL) of fluid, receiving O2 @ 4LNC, F/C in place draining QS clear yellow urine, responds to verbal stimuli, chest dressing in place remains dry and intact, and has just received a small dose of IV morphine for pain. Mr. Duncan is now complaining of feeling "dizzy" when he stands Scenario #5 Ask the pt about any metal in or on her body Skin integrity: False, Charlie Raymond Visual asess Inform pt. Swift River Joyce Workman scenario. Full assessment -Obtain witnesses to sign an advance directive Troponin Readiness for enhanced immunization status: True Medicate Scenario #5 Health Change: Increased acuity Pain - increased Pain - increased Document, Educational - increased Sensorium: Normal acuity, Physiological- -Remind students of HIPAA policy, and report observations to the Nursing professor ECG was unremarkable. Scenario 2 Verify call light/bed safety precautions I am concerned about keto-acidosis and, I am calling about Joyce Workman. Inform pt. Assess pt's sputum Psychological Needs - normal - Risk for physical injury Prepare and administer Start O2 100% She was admitted yesterday for stabilization . The, patient is not on O2. Disturbed body, Scenario #1 - Sensorium - normal, - Acute pain Scenario 4 Contact HCP Decisional comfort Ineffective health maintenance: True Safety- The patient, is a full code. Insert F/C Notify social services Sensorium - normal, - Acute pain -Ensure the patient is Typed and crossed and blood is available. She is experiencing polyphagia and polydipsia with blurred vision - Skin integrity, impaired Ask Mr. Jones Vitals? Esteem - Preston Wright, 73-year-old male patient of Dr. Greene, status post CVA 4 weeks ago. Her skin is warm and dry. Therapeutic communication Anxiety False Health Change: Increased acuity Impaired comfort Anxiety: True Health Change - increased Assess and document the condition of the skin surrounding the pressure injury in terms of color, temperature, texture and moisture. Upon entering the room, you wash/glove hands. Don gloves Educate pt regarding condition Anticipate need Fall Risk - normal Explain to Mr. Greer -Provide emotional support for the patient`s husband. Discuss physical Started on Atenolol 50mg, 1x/day. Ineffective Airway Clearance: False Inform admitting physician & VS, Educational - increased Notify lead nurse/Dr Scenario #4 Explain to pt. Reduce stimuli in the pt room Scenario 3 Stop the pt. Ask the pt. Impaired gas exchange: True Hopelessness: False. Scenario #2 You discuss this cough Reassess pt. Offer resource assistance to caller Scenario 1 Health Change: Increased acuity Review medication orders for pain Nutrition -Assure patient that she is safe in the hospital, and you will not leave her - Neurological - normal on 100% non-rebreather Scenario 5 Check for breathing and carotid pulse understanding Allow expression Assist w/ intubation and logistics of managing the critical pt on the floor. Rape-trauma syndrome Place steps in order. Document rhythm She has been documented as being obese, new-onset hypertension, polyuria, and a rash on her abdomen. Document Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Bleeding Impaired mobility, risk for Ask if the pt understands the procedures scheduled for this AM Scenario #3 Pt presents to the unit c/o numbness in the rt foot and ankle and toes "not looking the right color". Joyce Workman, Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. You return to the pts room 20 minutes later and the pt is pale, lying in bed, feels lightheaded and nauseated when he sits up. Acute Pain: True -Reassess wound site Full assessment After your AM assessment, the pt's call light goes on and she is complaining of nause, abd pain, and seeing "yellow circles". Check VS Verify call light Acknowledge Fall Risk - normal Neurological - normal Instead the RN is told to put the pt on telemetry and call RT for a CPAP trial. Procedure is scheduled Health Change - increased Scenario #4 Pain - increased Contact IV team -Sensory Advise pt. Acute Pain: False . Contact HCP for Nicotine patch order, Educational Needs: Increased acuity Do not disturb Evaluate understanding Give SBAR to RRT upon arrival Impaired Gas exchange: False Fall, risk for, Scenario #1 2 terms. Reassess VS & obtain UA Use therapeutic communication/active listening After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Discuss w/ pt identified home health needs - Fall Risk - increased Monitor and evaluate fluid intake Evaluate understanding Former nursing home Notify charge RN Evaluate pt. Scenario 3 Educate pt She was asymptomatic upon arrival. Restart IV Describe the experimental evidence that DNA is the hereditary material of bacteriophages. Swift River Joyce Workman Room 304. Make sure accurate wt. Contact funeral home Contact RT for a stat CPAP trial Take initial VS Psychological Needs: Normal acuity, Physiological- Scenario 1 Scenario #3 Document necessary 4-Remove the dressings reassess the burns. Esteem- Risk for social isolation: False, Jose Martinez Fall Risk: Increased acuity Initiate I&O Restart the IV Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10 Have pt. Remind surgeon & staff Verify call light Scenario 5 Scenario #3 has a foley Psychological Needs - increased Fall, risk for, Scenario #1 Escort pt. Elevate HOB Call RRT, rapidly prioritize the following Mr. Raymond, COVID-19 Wash and glove hands Four hours later, the telemetry tech calls and states the pt is Sinus Tach 102 w/ occasional multi focal PVC's, pt is complaining of cramping in her legs. Verified answer. Vitals? - Fall, risk for, Scenario #1 Explain the need - Infection, risk for, Scenario #1 understands Teach Cameron Ensure signed consent Request the uncle participates The patient`s mental status is, stable; she is awake, alert, and oriented. Assessment of bowel movement Start another IV Alert ICU Provide therapeutic Monitor neurovascular status assessing skin color, temp, sensation and pulses above amputation. Encourage Mr. Clinton, Educational - increased -Auscultate the lungs Explain to the pt. Teach pt. Complete initial assessment and legs. Fall, risk for Scenario #3 You are about to call the Surgical ICU and give report. Tell the mother that visitors are welcome Request the uncle come Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only palliative care. Upon completion of the shift assessment, Mrs. Martinez quietly asked "my husband is telling me he is ready to get me home, that he is missing me. His HbgA1c is 10.6%. Pain - normal - Impaired tissue perfusion Ms. Horton did not rest well last night, and woke up frequently w/ episodes of crying. Scenario 4 Pale pt. Medicate Call charge nurse Tell the mother that you understand Risk for infection She receives her AM medications including levothyroxie, diltiazem and digoxin. Insert foley Don clean gloves 4. Assess toe movement verbalize, Educational - increased Infection, risk for, Scenario#1 Document results Scenario #5 Document Perform dressing change Educate pt Wash and glove hands You have now been assigned to document the ongoing event as the CODE team continues w/ the resuscitation. Scenario 2 Scenario #2 hx Explain to pt. Explain to Mrs. Workman Explain HIPAA Rape-trauma syndrome: True Begin post op education for day one Anxiety Safety- Fall, Risk for: True Educate pt. -Apply new probe cover to probe before assessing temperature His partner is at the bedside asking, "How much longer will he have to wait until taken to surgery?" Risk for injury, Scenario #1 Provide information to Mr. and Mrs. Martinez regarding support groups, Educational Needs: Increased acuity Obtain translator 88 y/o female Vital signs taken Use therapeutic Provide SBAR Impaired mobility VS: BP 92/58, P 102, R 30 and labored, T 101.3, SaO2 91%. Inform Mr. Burgandy Infection, Scenario #1 2 -Reduce external stimuli Marcella Como is now more talkative and shares with you that she is going to cooperate and wants to press charges against the assailant. Social isolation: True, Marcella Como Check NG tube placement Request sitter -Grief 1-Obtain a new IV site Establish large IV Scenario 3 Perform Assist pt out of bed 2-The patient was admitted yesterday and a newly diagnosed diabetic. Encourage aggressive IS Scenario 2 Order a new clear liquid diet Scenario 3 Attempt to restart IV Inspect insertion site Allow visitors to enter, Educational - increased Explain that Docetaxel VS & head-to-toe Obtain doppler pulse You shouldn't, "Are you okay? Pain - normal Disinfect call light Deficient knowledge Therapeutic communication Complete initial Administer oxygen therapy to make sure oxygen saturation is greater than 90% Check wound sites Neurological - normal Swift River- Community Health. Verify call light CPK Evaluate outcome of dietary plan D/C instruction -Assess peripheral vision Health Change: Increased acuity Start O2 Safety- Scenario #2 Call GI provider -Gas exchange Scenario #3 Nutrition: True Repeat H&H Pain Level: Increased acuity She was admitted yesterday for stabilization of her glucose levels, and assist her with lifestyle modification. Instruct pt. Evaluate medication effectiveness Ensure room was cleaned Check cranial nerves Right after admission the nurse finds her walking down the hall trying to leave. Full assessment Infection, risk for, Scenario #1 Give your answer as a percent and round to one decimal place when necessary: 27.4%81\frac{27.4 \%}{8 \cdot 1}8127.4%, (a) Calculate the osmotic pressure of the hemodialysis solution at 25C25^{\circ} \mathrm{C}25C. Assess I/O and possible reasoning Scenario #4 Assess vital Document Ensure cardio pads Educate pt. Involve family, Educational- increased The nurse repositioned the pt to the left side to decrease pressure on the sacrum and rt heel. Evaluate patient understanding Her last K was 3.2 mEq/L. Assess current pain Scenario 4 Document Disturbed personal identity: True - Risk for malnutrition Scenario #5 5 Notify HCP of suspected abuse Psychological Needs - increased, Acute pain Health Change: Increased acuity Fall - increased Provide emotional and legs. ", Scenario 1 Document and provide copy for Mr. Dominec to share w/ his follow up appointment tomorrow. 93 terms. Acute pain: True Fall Risk - increased Scenario 4 Pain level: Increased acuity Reemphasize to pt. Anxiety Chronic pain: True Educate family regarding intervention Follow up w/ regular HCP in 1 week 4.) Evaluate pt's understanding Dotty Hamilton Room 301 Dotty Hamilton 52 y/o female who has been admitted for bariatric surgery. Sacrum pressure injury demonstrates underlying bone exposure wound measures 4cm x 6cm x 3cm depth w/ tunneling noted on the rt side. Vital sign assessment -Call RRT and prepare SBAR During the follow up nursing assessment, Ms. Hatcher complains about the NG-tube causing her pain in her nasal area. Fall Risk: Increased acuity joyce workman swift river quizlet 29 Jun. Impaired Urinary Elimination: True Therapeutic communication Clean wound Decisional conflict: True -Have the next of kin sign the operative consent if available. ID pt. Explain to pt. Linda Yu 2. Risk for Infection: True Scenario #2 Psychological Needs: Normal acuity Fall Risk: True Kenny Barrett Health Change: Increased acuity You are entering the room for the first time. Sterile NS wet-to-dry dressing changes daily 2.) Clean wound the sterile saline, apply triple abx ointment per HCP order. Obtain blood for lab testing and blood culture #1 Safety- Swift River Dotty Hamilton scenarios; Swift River Jose Martinez scenarios; Blood Therapy lesson 2 post test; Blood Therapy Exam; HESI Case Study Sentinel Event Suicide; . -Review of body systems and evaluate pain on a scale of 1-10 Deficient knowledge Scenario 1 Scenario #5 Love and Belonging- Scenario #5 Communicate Don clean gloves Guide her back Impaired mobility, risk for Deficient Fluid Volume: True Impaired Comfort: True Remove old dressing w/ clean gloves daily Pt. Remind pt. Notify Cath lab Fall Risk - increased Scenario #2 Check proper positioning Wash hands Document Conversation, Educational Needs: Increased acuity Assist Ms. Horton Sleep Deprivation False Provide pt. Position the pt. Educate pt Scenario 5 She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. Fall Risk - increased Provide initial Psychological Needs - increased Document, Acute pain Reorient pt to person, place & time Initiate continuous observation, Educational - increased Acute pain: True Document teaching Health Change - increased Clarify w/ Mrs. Martinez that she is asking if it is okay to resume sexual relations w/ her husband upon d/c. Document Escort patient Scenario 5 Elevate stump and reward w/ a dry clean dressing. Notify Dr of change in condition in particular; unproductive cough and low-grade fever. Contact nursing supervisor Proved PRN Make sure O2 mask is secure and free of sputum.