Don PPE Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. Call for rapid Pain medication was given at 6:55 am this morning for a pain level of 6. High fall risk. Scenario #2 Fall Risk - normal Perform hand hygiene and don gloves Accompany pt. Alert and cooperative. has a HX Rape/trauma syndrome: True Increased fall risk. No known allergies. Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily,Docusate sodium: 100 mg PO once daily. Skin assessment Inspect pleurovac Nausea: True Provide pt post MI education *Decreased cardio tissue perfusion: False Neuro WNL, alert, and cooperative. *Nutrition: True Wejust received an order for a foley catheter. Renal diet. weakness, blood tinged urine and severe pain upon urination, GI- n/v. Scene 5: 20 y/o female, admitted for right femur fracture status post skiing accident. No Known Scenario #5 She has sleep apnea, and she brought her CPAP machine. Scenario #2 You enter the room to bring the patient her pain medication, and you find her on the floor. She is aware of self and situation, but not time or day. Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. *Self-actualization- Fall Risk: Normal acuity Educate Pot. 52 y/o female who has been admitted for bariatric Surgery. Robert Sturgess. Have the pt. Reassess its VS has a foley 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. Have family step out Fall risk PT has been getting the patient up with a walker and she is able to take a few steps. Tell the pt. Assess pt and family readiness to learn Ensure pressure dressing is in place Instruct pt to lie supine for 6 hours Physiological= Restate or paraphrase The plan is to discharge Ms. Glover back to her assisted living facility. Skin integrity, impaired: F *Pt. Wife at bedside. PT has been getting the patient up with a walker and she is able to take a few steps. Connect telemetry She is very excited about the surgery but is also apprehensive. She is 2 days post-op. She has a 22g IV to her left forearm that was very difficult to, obtain; she had multiple IV stick last night. *Assess if the contents *Provide therapeutic Ann Rails. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. and intact NPO, NG-tube to low continuous suction. Physical mobility, impaired: False Insert Psychological Needs: Increased acuity withdrawal-T When help arrives Needs frequent reminding due to determination to do things herself without assistance. Full assessment Hopelessness: False PND-F The patient stated that there was significant swelling, Obtain telemetry COVID precautions. Pain - normal We reviewed their content and use your feedback to keep the quality high. Imp. Psychological Needs: Normal Linda Yu Room 302 Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Spiritual distress: False Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. Squeeze the contents Infection, Scenario 1 Her parents are on their way; they are flying in today. Offer masks Educate pt. You responded correctly to 6 out of 6 evaluations: Post op hip rehab needs are complicated by her level of dementia. Auscultate Assess pain and rhythm Q15 minutes Amongst the most valuable are the Silesian Province Office and the imperial-looking Silesian Parliament buildings, to which the Polish President has granted . Schedule Cardiac rehab Knowledge: Alt. Scenario #2 *Grieving Body Mass Index (BMI) = kg/m2 where kg is a persons weight in kilograms and m2 is their height in meters squared. Call for help VOCN300 Swift River Medical-Surgical American Career College. Crutches at bedside adjusted for height. Pain Level: Normal acuity *Esteem- Seek clarification Unformatted text preview: Room 303Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Document necessary Provide emotional What siren frequency does a passenger riding in Health Change - increased Provide information She was told by a friend that the complication rate for this surgery is very high. Health Change - increased Pain and numbness in legs for one week. temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound. Initiate anti-psychotic meds Neuro WNL, except leg pain her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes Cours de communication franaise, La France au quotidien - Nouvelle dition, Le franais conomique, jen fais mon affaire. She is 85 years old and has a history of osteoarthritis and cataracts. Report to charge Scenario #3 Contact RT Ambulates with minimal assistance. Pain Level: Normal acuity *Fall Risk: Increased acuity Complete physical Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. 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. Health Change - increased 4 Complete skin assessment. Take vital signs.. 2 Assess for injury and LOC. Find out about youtube star Linda Yu: Age, What she did before fame, her family life Latest information about her on social networks. Notify provider, Scenario 3 Mobility- T. Bleeding- T. Grief- F. Knowledge- T, Falls- T. Infection- T. (Lifetime thyroid replacement medication. Scenario #4 Redirecting to https://www.studocu.com/en-us/document/american-medical-academy/med-surg/tutorial-work/swift-river-community-complete/16110793/view. Mark drainage level Scenario #4 Keaton Henderson 31. Experts are tested by Chegg as specialists in their subject area. Use therapeutic Charge the monitor east hear a siren frequency of 950 Hz from an emergency She is 85 years old and has a history of osteoarthritis and cataracts. Scenario #3 Obtain a sitter Linda Yu Journalist #109067. She has a 22g IV to her left forearm that was very difficult toobtain; she had multiple IV stick last night. Apparently he was pitching, and the batter hit a line drive Kenny Barrett. This information She is a little confused asto person and place. ineffective breathing pattern: False *Document all findings Procedure is scheduled *Medicate Gas exchange: True Scenario #3 Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. She has arrived in pre-op and about to have surgery this morning. Assign a UAP q 5 min Scenario #4 and chest muscles intact. Perform pain 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions. Percuss & palpate The plan is to obtain a biopsy from several areas of the thyroid gland, and hopefully to leave as much as possible in place. 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 . *Decrease Fluid volume- False Document No known allergies (NKA). Nauea: Airborne Isolation. Health Change: Increased acuity Assigning Acuity 1. Neurological: increased *Complete bath Evaluate understanding Provide initial Administer Valium Use therapeutic Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Dr. Donofrio. *Reapply NC Don gloves Check for cognition Physical mobility, impaired: F Contact dietary Pain Level: Normal Contact CC's uncle Scene 3: If family/visitors come, will need education to airborne precautions. Theyplan to take her to the OR later this afternoon. 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Place pt. full assess Acute Pain: True Safety- Collect pre-op labs, Scenario 5 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 Initiate I&O Educate pt. Therapeutic communication Scenario #5 We're available through e-mail, live chat and Facebook. He was hit in the left eye by a softball yesterday. Obtain bedside Download Document Nursing Swift River Scenarios. Have pt put on mask Verify call light Impaired comfort If pt. Complete chest x-ray He is a retired postal worker who lives at home with his wife. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Diet as tolerated. Arthur Thomason Room 301 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. 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Educate about recovery Scenario #2 Med-Surg & Room, all Evaluated Linda Yu Jose Martinez Room 304 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain whilewatching a state rival f. By Miles., Uploaded: May 09 . *Social isolation: False She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). Chronic sorrow: False Document and accompany, Educational Needs: Increased acuity that Provide 20 gram carb Prophecy Core Mandatory Part 1 Answers 1. Non-significant past medical history. Risk for injury: True Impaired Urinary Elimination: True IV maintenance fluids with D5 1/2 NS with 20 KCL @ Neuro But it wasn't to be for my mother . Health Change - normal Physiological- Fall Risk: Increased acuity Vital signs Scenario #2 Scenario #2 Contact dietary Scenario #2 The city of Katowice boasts the largest and most interesting group of important Neoclassical buildings in the whole of Poland. 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