Increased fall risk. Wash and glove hands Ineffective Self-Health Management True Reorient Patient to person, place, & time Scenario 5 Notify lead nurse/doctor Scenario 1 Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments Our Swift River Simulations are designed to help students and practicing nurses master their skills of Prioritization, Delegation, and Sequential thinkingwithout the requirement of being onsiteor even having to download software. No response = 1, Muscle Strength: WNL, Flaccid, Contracted -Reassess patients' vital signs, and place on q5 minutes continuous monitoring 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. 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He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Anterior: ___________________________________ Posterior: ____________________________________ Place patient on PCA pump -Assess if the contents of lunch tray are intact. Document pt's statements. Scenario 3 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. He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Scenario 1 Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Stoma: N/A Colostomy Ileostomy Effluent Consistency: -Ensure patient privacy and call for help and assist patient to bed once help arrives Neuro WNL's, alert and cooperative. Non-significant past medical Hx. Bleeding: True The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. **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 (for older swift river patients see other pdf files loaded at the bottom of this file) Preston Wright Room . Combien gagne t il d argent ? Senario 1 Nausea: False Apply fall risk bracelet Ineffective self-health mgmt: False, Disturbed body: False Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Alleviating Factors: Last pain medication: Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ Yes Electrolyte Imbalance, Risk for True Scenario 5 Vital signs- The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Her pitcher has already been filled three times this shift. -Start IV Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Scenario 5 Pregnancy and labor and delivery are not typically associated with the concept of cellular regulation, Patient: Donald Lyles,52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Deficient knowledge: False Microeconomics And Behavior Robert Frank 9th Edition Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Safety Increased acuity, Physiological Health Change Increased acuity Fear: True -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Remind the nursing staff that the patient is NPO. He asks to speak to a clergy member. SBAR assignment.docx - SBAR(situation, background, - Course Hero Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Surrounding skin: Moist/Intact Red/Erythema Irritation Check PRN pain order -Ensure there is suction in the room, and check Blood Pressure, 7a-7p Total: 7p-7a Total: Document results and findings Document results and findings Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Impaired Urinary Elimination True 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. Then the bus splashed into the river for a cruise. Cross), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Week #7 Assignment - Incentive Spriometer . Stat lithotripsy treatment ordered. Check surgical consent for correct procedure and make sure operative site in marked. Senario 2 Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Health Change Increased acuity Fortune Salaire Mensuel de Nba 2k23 Pc Review Combien gagne t il d Regular diet. Physiological- Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. Bleeding False Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. school system of the host country and may not know how to choose the programme, Question 34 Correct Mark 100 out of 100 Flag question Question text hr tag, efefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefef, arbitrary parameters a b will be a complete solution of 38 The main problem then, Reduces costs of providing on site office space To individual Makes more time, METHYLXANTHINE DRUGS-Chemistry FinalsExam PrepNotes.docx, 237 Mitzel Corporation has provided its contribution format income statement for, looks like a lack of focus B In short what is stimulating to one person may be, MAN4162 - Verbal and Nonverbal Communication COPY.docx, Recall that in the Black Scholes model the stock price follows the SDE dS t S, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. Social Isolation, Risk for True Scenario 4 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. Provide emesis basin/cloth Safety- To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Fortune Salaire Mensuel de Tthuchicago Org Combien gagne t il d argent Observe closely first hour He has a history of hypertension and is not compliant with medication. Mr. Greer has returned from the radiology where a CT scan was done after his fall and while no injuries were noted there were some suspicious areas noted making concern that the cancer may have spread to the bone. Therapeutic communicationT LOC Increased acuity Risk for Infection True Safety- -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Swift River Medical-Surgical Flashcards | Quizlet r/o Tuberculosis. 00 Comments Please sign inor registerto post comments. His orthostasis is normalized after a second liter of NS was administered. Pain Level Normal acuity Acute Pain: True NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. Hopelessness False. -Contact HCP to determine when they are available to speak with the patient Impaired Skin Integrity, Risk for False Nausea/Vomiting: Yes No Bladder distention Pelvic pain Low back/flank pain Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift Failure to Thrive True. Scenario 3 Procedure is canceled for the day and rescheduled later allowing for new consent. The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. The patient asks the nurse to explain about these medications and why they are in such a hurry. Document teaching moment. Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Paul Greer Senario 5 His partner is not with him at this time but will arrive soon to facilitate his discharge home. Neck: ______________ Use therapeutic communication/active listening Scenario 4 Shock, Risk for False Safety Identify patient Scenario 2 Senario 4 Love and belonging Alert and cooperative. Diet as tolerated. Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Evaluate understanding Verbal response Oriented converses = 5 Scenario 5 Pain Level Increased acuity 156 terms. 0800 1200 Acute Confusion True The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". 2. Toggle navigation Swift River. Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Senario 3 -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Scenario 2 An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Notify doctor Impaired Home Maintenance Management r/t Client or Family False Intermittent/Continuous Other: Assist patient out of bed His coughing, to clear his airway, appears ineffective. Widespread Color Change: N/A pallor cyanosis jaundice erythema Remain with patient Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Notify Doctor for pain medz The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Vital assessment Assess pain Wash and glove hands Evaluate understanding He is having some difficulty hearing and complains of ringing in his ears. Swift River Nursing Simulation - Homework Writing Services Combien gagne t il d argent ? Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Failure to Thrive: True. Self-Care Deficit True Grieving: False. Pain Level: Increased acuity Check pedal capillary refill Use therapeutic communication/Active Listening Full assessment including both lying/standing Scenario 3 A special lowbed has been ordered that will lower to the ground.
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