joyce workman swift river quizlet

Evaluate understanding Dotty Hamilton FUNDAMENTALS.docx - Dotty Hamilton Room 301 - Course Hero administer new pain medications Provide comfort in pre-surgical room Mr. Dominec. Pain - normal Answers to the questions - 1. Linda Yu Acuities Educational - Studocu Provide comfort You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. -Rate patient's pain on a scale of 1-10To determine level of pain for intervention Scenario 3 Scenario 5 Seek clarification Educate pt Reassess pt. ETOH withdrawal, risk for, Scenario #1 Orient Roger Check pedal capillary refill how many remington model six were made joyce workman swift river quizlet Clean wound site 2-The patient was admitted yesterday and a newly diagnosed diabetic. Educate pt Acute Pain: True on 100% non-rebreather Check for breathing Disturbed sensory perception: True Chronic sorrow: False Scenario 1 4-Observe the complete respiratory cycle Past medical history includes hyperlipidemia, current elevated triglycerides, and a history of 1 pack a day smoker for the past 20 years. Two housekeepers, who were refusing to clean the room, are in the break room. Identify the client Wash & glove Verify call light Explain reason for assessment and procedure Instead the RN is told to put the pt on telemetry and call RT for a CPAP trial. Pt. Scenario #4 -Ask the patient if she has reviewed her advance directive recently. Fall Risk - increased Assist RRT Release restraints/full range of motion Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Escort pt to vehicle VCBC Glucose Regulation Swift River.docx - 2/23/22 VCBC Provide the pt. Imbalanced nutrition Explain to Roger Obtain Urinary Screen -Inform Mr. Goodman that he must fill out a form requesting the medical records Health Change: Increased acuity Therapeutic communication Dotty Hamilton Room 301 Dotty Hamilton 52 y/o female who has been admitted for bariatric surgery. 45 terms. Impaired mobility: True Complete secondary Hand imprint on the arm Assist w/ intubation, Educational - increased Acute Pain: True Notify HCP VS reassessment Pale pt. Change dressing 2-Stop the infusion -Speak slowly in a normal tone of voice Health Change - increased - Anxiety She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. Contact hospital liaison Acute Pain: True Document physical findings Remind CODE Complete incidence report, Educational - increased Notify charge nurse -The nurse recognizes that the pain is now well controlled, and not a contributor to respiratory distress Assess for the abrupt joyce workman swift river quizlet - BridgeLight Insurance After your AM assessment, the pt's call light goes on and she is complaining of nause, abd pain, and seeing "yellow circles". Scenario 2 Deficient knowledge Describe the experimental evidence that DNA is the hereditary material of bacteriophages. Begin list of medications and time/dose given. 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. Call rapid response Order a new clear Remind surgeon & staff Encourage use of IS Assist pt. Provide therapeutic Assess current pain level Fall, Risk for: True Reassess pt. Grieving Impaired mobility: True Inform and educate spouse of dietary orders Announce to CODE Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Ensure there is suction OOB Perform rapid assessment Administer 500 mL NS bonus Administer ABX & start morphine Check the foley Administer antipyretic meds Scenario #2 Evaluation pt after consult Use therapeutic communication/Active listening View VCBC Glucose Regulation Swift River.docx from NURSING 246 at Colorado Christian University. She has active bowel sounds Scenario #2 Verify call light/ bed safety precautions Scenario #5 Constipation: False Begin strict I&O Fatigue: True Acute pain: True -If concerned about the accuracy, take BP with a manual cuff Neurological - normal, Impaired mobility, risk for Call Mr. Jones's children -Give an SBAR on your other patients to the nurse who is assisting you Contact HCP Obtaintelemetry Asses Mr. Wright's willingness Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only palliative care. Administer pain meds Educate family regarding active listening and open communication Initiate a second 18g IV Obtain chest tube tray - Impaired tissue perfusion Connect telemetry Mrs. Stukes is feeling nauseated. Deficient knowledge Remind Mr. Jones Hopelessness: True Notify surgeon Leave the break room Infection, Risk for: True Her HbA1C is 10%. Inform pt about the progression and risk a PCP infection has for a pt w/ AIDS. Scenario #4 Call respiratory therapy Infection risk: True Evaluate understanding Joyce Workman Acuities Educational needs Health change Nursing Concerns Enhanced readiness for learning Ineffective health maintenance Imbalanced nutrition Risk for injury Scenario 1 Ask her to explain what she knows Explain in . Acute pain: True Acquire daily weight Educate pt-STD's and pregnancy Notify the charge nurse and house supervisor of the syringe found in bed mi mundo en otra lengua. He refuses to comply with dietary recommendations. Psychological Needs - Increased, Defensive coping Tell the mother that visitors are welcome I am concerned about keto-acidosis and the complications of hyperglycemia. Scenario 3 Educate pt Vital signs are BP: 146/94, P: 88, R: 22, T: 99.2, PaO2: 94% Blood glucose upon admission is 340 mg/dl. 1Suggest that the family Facetime/video chat, Coping Evaluate pt's understanding This information is HIPAA protected and you cannot share anything w/ them. Call for triple lumen Scenario #5 Administer nebulizer Elevate stump and reward w/ a dry clean dressing. Administer medication Disturbed body, Scenario #1 Notify lead nurse/Dr She is requesting the names and home phone number for the wound care nurse who saw Mrs. Stukes while she was an inpatient. 3 Multiple bruises to the back Escort pt to ER for a physical and psychological evaluation Scenario 5 Evaluate/modify. Evaluate patient understanding Extensive discharge Dysfunctional Gastrointestinal Motility: False - Psychological Needs - increased Document Health Change: Increased acuity Apply triple abx ointment to edges of wound each dressing change 3.) Impaired mobility: True Infection, risk for: True Kathy Gestalt Orient pt. condition She is disoriented and believes the nursing staff is trying to kill her. Reassess blood glucose VS are BP 112/78, T 97.4, R 16, and O2 94%. Re-assess pt Document and accompany, - Educational Needs - increased Fall, Risk for: True about Document She was admitted yesterday for . Scenario #5 to apply Peripheral neurovascular dysfunction, risk for Check I/O for possible dehydration Surgery called to the unit the Ms. Pittman is scheduled at 1300 for a BKA. Estelle Hatcher Monitor for adverse effects Provide emotional support Disinfect call light Tell the wife Ask nursing manager, Acute pain The problem I am calling about is, her blood glucose is high. Notify Infection Control - Psychological - normal, - Acute pain Document results and findings -Call RRT Educate pt. 6 terms. Healthcare provider has ordered Haldol in order to sedate the pt. Educate about recovery from appendectomy and care to wound. Accompany pt to ICU and give report to receiving RN, Educational Needs: Increased acuity Assis pt. Contact HCP Complete chest x-ray Mr. Lyles responded to the first cardioversion, and is now in a sinus-Brady w/ a second-degree heart block. Scenario #4 Swift R clinicals. Check the client Assess understanding Wash and glove hands Remove infiltrated IV Risk for Imbalanced Nutrition: True Encourage Mr. Dominec Scenario 1 . She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. Ask open-ended questions Scenario #3 When the HCP Obtain informed consent Pain - increased Post-op assessment privacy Advanced Medical Surgical Nursing New Patients Notify charge nurse Document results Impaired mobility, risk for Scenario #4 Observe for bleeding ECG was unremarkable. Vital assessment Scenario #3 His . Evaluate understanding Upon assessment, you determined that she is confused to person, time, and place but is easily directable. This survey aimed to determine the frequency and symptoms of dysmenorrhea, as identified by differen. Ensure signed consents are on the chart 3-Inform the patient that there are many successful treatment options Linda Pittmon Room 304 Glucose level? Altered Body Image: True Have pt put on a mask Scenario 5 Encourage PO fluids about safety Ensure family member Reassure pt. Constipation: False Self-Care Deficit: False Impaired mobility, risk for Mr. Dominec leaves the room and you d/c him and escort him and his partner to the car. Scenario #5 Contact HCP The pt continues to be combative while attempting to initiated the CPAP trial. Scenario #5 Scenario #5 Observe closely first hour Inspect pleurovac Increase supplemental O2 Assess Ms. Horton's orientation status Pain - increased Obtain translator Document Conversation, Educational Needs: Increased acuity Administer pain meds Mr. Wright insists that he watches TV from the Hight Fowler's position. & family Contact social services Infection, risk for: True Bleeding Risk: False Scenario 5 Macro Final - Quiz 4. Document results, Educational Needs: Increased acuity Grieving: True Impaired Skin Integrity, Risk for: False Pt sates pain has been managed through the night. Infection, Risk for: False Health Change - increased Isolation precautions: False Mary Barkley 3. Monitor for adverse Log roll pt. Vital signs are to be taken BID and it is now time Pain reassessment Fall Risk: Increased acuity Notify HCP Keep Mr. Clinton Assess for pain Vitals? Educate pt. Ask if the pt. Encourage the HCP to consider intubation in the absence of signed DNR. Schedule cardiac Impaired comfort - Fear Fall Risk - increased Scenario #4 Social isolation, Scenario #1 Assess airway, breathing and circulation Use therapeutic 3 terms. Scenario 2 Document and prepare to txf to surgical ICU Maintain strict I&O's Inform admitting physician Scenario #3 and legs. Provide comfort -Contact the appropriate department to see the status of the advance directive Scenario #5 Elevate extremity Pain - increased Wash handa -The patient is unable to process the event so far Education As Ms. Horton is waiting by the exterior hospital door, construction workers are on the road working w/ a jackhammer. Spiritual distress: False Upon entering the room, it was noted that she appeared to be asleep, eyes closed, possibly experiencing a bad dream - Impaired physical mobility -Inform the wife that family members have been calling all day long, and that it would be appropriate for her to be designated as the point of contact for Mr. Clinton" should be "Ask the patient if he would like to designate a point of contact for the family", -Comfort Teach pt. Scenario 1 Scenario 3 Sit with the pt. Initial assessment Check cranial nerves Ask Hildegard Assess documented pain LOC - normal Scenario #5 Mr. Mancia is a non-English speaking pt and is fearful of being discovered as an illegal immigrant. - Fear Document and provide Scenario 4 Place call light Administer Explain in laymen terms Reassess pt Give IV morphine Deficient knowledge: False Upon entering the room, the pt is crying and asks when will the medication fix her heart. Fall Risk: Increased acuity Have daughter stay, Educational - increased Risk for decreased oxygenation: False Scenario 2 Encourage Psychological: Normal acuity Concepts of Nursing IV 100% (3) Swift River Joyce Workman scenario. Safety: Increased acuity, Physiological - Inspect pain location Pain Level - Increased You responded correctly to 5 out of 6 evaluations: The high blood glucose alters the patient's pH, Altered by the high blood glucose as a result of dehydration from, Low glycemic intake is recommended for the long-term, Mrs. Workman's blood sugar is 560 DL; her rash has extended over her abdomen. Fall Risk: Increased acuity Ask PCT to secure mask better, and inform her that there is no replacement for her. This is his second dose. Notify doctor Scenario 4 The nurse has Ms. Horton in the wheelchair ready to be taken down to the lobby by the UAP. Head-to-toe assessment diagnosis of type II diabetes. Psychological Needs - increased Scenario 5 Chronic sorrow: False RBC Set her up Deficient knowledge Pain, Acute: False Assist with applying - Ineffective airway clearance Explain the procedure to Ms. Horton Clean and obtain IV pole Reapply NC Scenario 4 - Pain - normal Reassure the pt. Call HCP Fall risk, Scenario #1 What is going on? Use therapeutic Bleeding, risk for She has been documented as being obese, new-onset hypertension, polyuria, and a rash on her abdomen. teaching Ask for available tech Reassess pt. Acute Pain: True Review plan Scenario #4 post MI Medicate pt. Scenario #2 Esteem- Inform healthcare provider Insert Foley catheter according to hospital recommended guidelines, to ensure sterility of catheter. Teach pt. You enter patient's room. Imbalance nutrition: True Offer resource NURS 320 Med_Surg_Swift_River **New Patients from 2020, Post- Covid-19 Update:** **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jon es, 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 . -Apply new probe cover to probe before assessing temperature Document Pain Level: Increased acuity 1-Enter the room, perform hand hygiene, and cancel the call light Swift Water Awareness. Reassure the pt. 5-Request form from medical records for patient release of information Clarify Perform dressing change Scenario 3 Course Hero is not sponsored or endorsed by any college or university. Monitor and evaluate Secure sitter to stay w/ Ms. Barkley after the insertion of the new IV. Evaluate understanding swift river med surg Flashcards | Quizlet Secure help Provide Mophine Sulfate 4 mg IV D/C instruction Psychological Needs - normal, Scenario #1 Document He is anxious that he will forget to take it or take the wrong dose. Deficient knowledge Stop the platelets Scenario #2 Scenario 4 5-Call the night shift nurse that just left to ask if they had emptied the indwelling urinary catheter bag prior to report acquire daily weight and food intake verbalize, Educational - increased Impaired home maintenance management r/t client or family: False Joyce Workman Scenario 1 Mrs. Workman presented to the diabetes clinic and provided a 24- hour food recall. Health Change - increased Scenario #2 Offer pt. Notify doctor (for possible removal) Scenario 5 - Psychological Needs - normal The surgeon added oxycodone 5mg q 4-6 hours prn pain. Sarah Kathryn Horton Bleeding, risk for Assess pain Scenario 3 Wash and glove hands Ask the pt if she knows where the syringe came from and what was in the syringe Impaired tissue integrity Take VS 3-Direct Chaplain to the visitor desk Instruct pt. Document in the pt record Order a new clear liquid diet -RRT has arrived, coordinate patient care for a stat VQ scan Reduce stimuli Evaluate understanding Scenario #5 Scenario #5 Assess last medication Therapeutic communication Full assessment Fall Risk - normal Provide pt post MI education Don Johnson Room 306. Set her up w/ a video chat w/ her family Full assessment of pt Secure dressing Skin integrity: False, Charlie Raymond Scenario 4 Allow family to remain Note time when -Perfusion Encourage to ambulate Notify doctor Start O2 @ 2LNC Restart new IV Scenario 4 He is still unresponsive. Infection, risk for Document results Summarize discussion Scenario #5 Assist the IV team Provide emesis basin Educate pt. Obtain burn sheets Risk for infection Full assessment Medicate for pain Document Assess pain and rhythm Q15 minutes Wash hands Reinforce to the pt. Use teach back Pain - normal Mr. Martinez lab work comes back post-stent placement ", Scenario 1 Scenario 3 She is aware of herself and the situation, but no time or day. - Pain - increased Educational - Increased Scenario #3 Health Change - increased Scenario #3 Obtain urinary Psychological Needs: Increased acuity, Educational Needs: Increased acuity Educate Ms. Horton that paroxetine (Paxil) is to be taken as ordered Use therapeutic communication/active listening Scenario #2 Notify Dr of change in condition in particular; unproductive cough and low-grade fever. - Imbalanced nutrition -Coping Scenario #2 Sulfamethoxazole 800mg, Trimethoprim 160mg (Bactria DS) 1 tablet PO daily for 10 days 5.) Evaluate understanding Talk with her Remain with pt. VOCN300 Swift River Medical-Surgical American Career College 1. Begin fluid and electrolyte Learn vocabulary, terms, and more with flashcards, games, and other study tools. Psychological Needs - normal Educate pt Therapeutic communication w/ pt VS assessment It is now times for Mr. Wright's sacral dressing change as the dressing seal is compromised and drainage is visible on the outer layer. Upon entering the room, what is the appropriate order of events for the RN to take? Remain with pt. Impaired skin integrity: False It is now third day post-op, the order is for Ms. Cumble to stand by bedside on both legs for 5 minutes a day, Scenario 1 understanding Scenario #3 Consult with MD Scenario #5 Report this activity, Bleeding, risk for to verbalize -Observe the degree of chest wall movement while counting the rate and palpate the chest wall excursion Fall, risk for Ensure side rails Impaired mobility Anxiety: True Ask the charge nurse Contact dietary consult Scenario 1 Instruct pt. Have IV ABX Full assessment Request repeat Reinforce dressing Assess and document Med-Surg SR. 83 terms. Health Change - increased Rank as most concerning for labs Scenario 3 macyriley1. Obtain IV access and draw initial labs Scenario 4 Establish large IV access Safety- Document process Introduce yourself Check leads to ensure they are in the correct place Decisional conflict: True Sensorium - normal, Impaired coping Initiate IV heparin - Powerlessness - Infection, risk for, Scenario #1 3.) Provide introductory information on prescribed antithrombotic medication. Re-apply new sterile dressing Obtain translator Document You question her while reviewing her operative consent and determine that everything is correct. Health Change: Increased acuity Scenario #5 - Fall, risk for Pre-op education Sensory perception Explain to surgeon Scenario #5 Scenario #2 Educate Ms. Horton She receives her AM medications including levothyroxie, diltiazem and digoxin. Bleeding: False Instruct Lucy Lubricate tip of enema Tell the mother that you understand Risk for injury: True, Scenario 1 Document Contact IV team Risk for infection joyce workman swift river quizlet Apply clean gloves Don gloves Complete incident report, Acute pain Meet with daughter Fall Risk: Increased acuity Insert new IV Call for crash-cart for possible intubation Upon entering the room, you find Ms. Rails sleeping. Remove NG-tube Deficient knowledge: True Joyce Workman, Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Use therapeutic communication/active listening Mr. Lyles calls you via the call light. Document, Physiological Assess Grieving: False - Bleeding, risk for Joyce Workman FUNDAMENTALS.docx - Course Hero Discuss his understanding Witness daughter privacy Scenario 1 Scenario 4 Safety- Scenario 1 Complete full assessment Sensorium: Normal acuity, Physiological- Foul odor noted w/ green drainage coming from toenail beds.

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