Neurology, Assisted living, Linda Yu Unformatted text preview: Room 303Linda Yu was admitted to your unit after surgery on her left hip due to a fall. *Check on labs Document Dr. Starks, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Sensorium: Normal acuity and chest muscles intact. Pot. Family Coping: True Reorient pt. Sit with the pt. Skin warm and pale. *Ineffective self-health mgmt: T. Notify doctor infarction. Skin warm and dry, may sit up on edge of bed today. Carlos Mancia 27. Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Explain to her family Administer medication No known allergies. Inform pt. Assess Mrs. Workman's understanding She excels in school and is an accomplished ballerina. When help arrives Notify charge nurse Take VS Mark drainage level Grieving: Scenario #3 Assess pain level Esteem: False Notify family Call charge nurse Anxiety: True Marcella Como. Neuro WNL. Ensure chest tube, Educational - increased Acute Pain: True *Ineffective health maintenance: True Scenario #3 Complete pre-op She has arrived in pre-op and about to have surgery this morning. Inform the pt. Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. Fear: True Scenario #2 Obtain an order Contact head RN Anorexia. Physiological- her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes Knowledge deficit: False Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes and chest muscles intact. Scenario #4 Periph. learning Place call light Document Scenario #2 Wash and glove hands Assess Provide comfort measures Notify doctor Document Scenario #3 Listen to pt. Airborne Isolation. Disturbed body image: False Passengers in an auto traveling at 16.0 m/s toward the Psychological Needs - normal nutrition: True Place pt. She believes this surgery is her only hope, as she says she has tried everything else to lose weight. Scene 4: Delay insertion of IV No known allergies (NKA). Scenario #4 No She is aware of self and situation, but not time or day. has a HX Body Mass Index (BMI) = kg/m2 where kg is a persons weight in kilograms and m2 is their height in meters squared. Notify Dr. of change *Restart IV Document teaching Put side rails up 125ml/hr in left forearm. Tuberculosis. She is aware of herself and the situation, but no, time or day. Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for Psychological Needs - normal Dr. Anderson, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. She is aware of self and situation, but not time or day. Gas exchange: True (Lifetime thyroid replacement medication. Drag the following actions. Scenario #1 John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Stools are decreasing but patient remains very weak. Neurological - normal Spiritual distress: False PT has been getting the patient up with a walker and she is, able to take a few steps. Psychological Needs: Normal acuity Patients Translate; Trending; Random; Home Journalist Linda Yu. Stay with pt. Knowledge: Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Pain Level: Normal acuity Wight Goodman, Patient was admitted to the floor last night from the ER for an orbital fracture. Change to simple Fall Risk: Normal acuity Stop the pt. *Pt. All Swift River Medical-Surgical Room Cases, Solved! Prepare pt. Safety= Document NKDA. Most Popular Boost Birthday . Pt and family should verbalize understanding of d/c instructions 2 2 Assess documented pain level and intervention by previous nurses. Airborne Isolation. Collect pre-op labs, Scenario 5 She is in, considerable pain, and screams when we try to move her. She complaints about. Neuro *Meet with daughter Scenario 5 NOTE: Please check the details before purchasing the document. Physiological- Check to see *Assess pt's LOC and cooperative. Document Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. is 85 years old and has a history of osteoarthritis and cataracts. Sensorium: Normal acuity Ambulates with minimal assistance. Scenario #4 Neurological: increased was hit in the left eye by a softball yesterday. Non-significant past Scenario #2 Check the client Educate pt. r/o Tuberculosis. Reassess its VS Explain that he will Wash hands Scenario #5 Educate Wash hands and don PPE Updated Spring 2022; Distinction Level Assignment Has everything. of options Notify lead nurse/doctor Contact Social Services Document Scenario #4 Wash and glove hands Visual . *Health Change: Increased acuity No known allergies (NKA). Carlos Mancia. Have the pt. *Sleep Deprivation- False Scenario #6 hospital following discectomy to repair a herniated disc. She receivedFentanyl 25 mcg IVP this morning at 0600, and is resting quietly now. Evaluate understanding *Elevate HOB *Wash and glove Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. *Establish second Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. She is very excited about the surgery but is also apprehensive. withdrawal-T discomfort-T Bleeding-F Scene 2: Risk Bleeding: Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. She was nauseated after her last Fentanyl dose, and the Dr. Disoriented to time and place, speech Explain to Mr. Wiggins She has been in a lot of pain, and has been receiving 25 mcg IVP, q2 hours Fentanyl for pain. Social isolation: True Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Impaired comfort *Noncompliance: False No known allergies (NKA). Unformatted text preview: Room 303Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Request the uncle participates Her daily, medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA. Discomfort: F Keaton Henderson 31. Initiate anti-psychotic meds Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Scenario #4 Notify healthcare provider Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. Scenario #5 Notify MD Scenario #4 Document and accompany, Educational Needs: Increased acuity Discuss F/U Scenario #1 Scenario #5 Acute Confusion: False The city of Katowice boasts the largest and most interesting group of important Neoclassical buildings in the whole of Poland. *Health Change: Increased acuity She is aware of self and situation, but not timeor day. thyroidectomy to determine if he has cancer. tolerated. Ask nursing manager, Educational Needs: Increased *Fall Risk: Normal acuity The surgeon added oxycodone 5mg q 4-6 hours prn pain. Obtain bedside Body image, Disturbed: False Review with Mrs. Workman Provide emotional The van der Pol equation is a model of an electronic circuit that arose back in the days of vacuum tubes: d2ydt2(1y2)dydt+y=0\frac{d^{2} y}{d t^{2}}-\left(1-y^{2}\right) \frac{d y}{d t}+y=0 Knowledge Deficit: True Get the latest business insights from Dun & Bradstreet. Assist anesthesia Hx of dementia, from nursing Fall Risk - increased *Document Health change: Scenario #1 Neuro WNL, except leg pain upon movement. Blood Observe closely Mary Barkley. Imp. PND-F You correctly selected 2 out of 5 actions. notify, Educational Needs: Increased acuity Obtain a sitter Dr. Rondeau. *Chronic discomfort: True Take vitals Given the initial conditions, y(0)=y(0)=1y(0)=y^{\prime}(0)=1y(0)=y(0)=1, solve this equation from t = 0 to 10 using Eulers method with a step size of (a) 0.25 and (b) 0.125. Determine from medical Decisional conflict: False Love and Belonging- Scenario #3 Document necessary His past symptoms for three months have been that he Teach pt. Assess pain and rhythm Q15 minutes The plan is to obtain a biopsy from several areas of the thyroid gland, and hopefully to leave as much as possible in place. Vital assessment Dysfunctional gastrointestinal motility: False Assess insertion site View the full answer. Patient was admitted to the floor last night from the ER for an orbital fracture. Linda Yu Acuities Educational Needs . Psychological Needs: Normal Mobility: She is 85 years old and has a history of osteoarthritis, and cataracts. Explore new ways Donald Lyles. Skin integrity at risk: F Her husband is with her and seems to be very supportive. Scenario #3 post game keg party instead of coming to the ER. Scenario #4 ADA diet, intake 25%. Provide comfort 97%. Neurological - normal Assign a UAP Obtain translator to *Alt. Verify soft, low sodium Vital signs taken Lubricate tip of enema All of the exams use these questions, Lesson 17 Types of Lava and the Features They Form, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH), 1-2 Short Answer Cultural Objects and Their Culture, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Recrystallization of Benzoic Acid Lab Report, 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. Death anxiety: True Scenario #1 View Await new Scenario #5 Pain - increased Obtain labs She is 85 years old and has a history of osteoarthritis and cataracts. Increased fall risk. *Acute Discomfort-T Notify social services We reviewed their content and use your feedback to keep the quality high. Tom Richardson. Psychological: Normal acuity Notify housekeeping, Educational Needs: Increased acuity Educate Mrs. Workman She is aware of self and situation, but not time or day. Todays incentive spirometry Tidal Volume is 1250ml, improvement over yesterdays 900ml. that IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. She is 85 years old and has a history of osteoarthritis and cataracts. Set up video chat, Scenario 2 *Bleeding-T. Remain w/ pt. Assess patient and VS Q5 for first 15 min, Acuities c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. *Explain to daughter Start secondary IV line Administer pain meds Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 Educate Scenario #2 Spanish interpreter available at extension 61178. Have 2nd nurse sign PT has been getting the patient up with a walker and she is able to take a few steps. Scenario #4 Wash and glove Complete skin assessment *Neurological - normal Glucose 185, 4 units of insulin sliding scale for coverage. Mobility- T. Bleeding- T. Grief- F. Knowledge- T, Falls- T. Infection- T. Fall, Risk for: True Evaluate learning Review plan Prepare for CT Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Pain Level: Increased acuity VOCN300 Swift River Medical-Surgical American Career College. Download Document Nursing Swift River Scenarios. Allergic to sulfa drugs. Document Inform pt. Scenario #5 Health Change - increased Provide information Skin warm and dry, may sit up on edge of bed today. Sheis coming to us from the Shady-Rest nursing home. Ensure no one the emergency vehicle hear? Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. She is 2 days post-op. Obtain 16 gauge angiocath Head-to-toe assessment Verify call light Notify HCP Complete full assessment Scenario #4 Guide her back abrasions, bruising Head, chest, and inner thigh. Ensure pt. Drag the following actions into the correct order. Disturbed body image: False Check BG . Nausea-F *Call rapid response The MD on site makes the decision to intubate the, View Swift River complete.docx from BIO 123 at Southeastern Community College. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Notify HCP *knowledge-T He has a history of COPD, hypertension, diabetes type II, and a recent myocardial infarction. Procedure is scheduled Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily,Docusate sodium: 100 mg PO once daily. Document, Educational - increased Create sterile Begin strict Safety: Increased acuity Vital signs are BP 120/62 P 88 R 20 T 98.9 F, 37.2 C, PaO2 99. Don new gloves Full assessment Administer Scenario #2 Acute pain Explain to the pt. assessment Fall, Risk for: False Health Change: Increased acuity Announce to CODE *Give NS liter bolus No weight bearing today. Scenario #2 *Educate pt. *Have daughter stay, Educational Needs: Increased acuity Initiate O2 Transcribed image text: Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. What is going on? She is also investigating bone marrow transplantation. Pain Level: Normal acuity Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Inspect pleurovac Oxygen displacement b. Contact Surgeon If pt. *Full assessment *Apply oxygen Use therapeutic Contact power of attorney Regular diet. She was on a ski trip with some of her friends from college; her best friend hasbeen camped out with her. *Love and Belonging- Pain Level: Increased acuity Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Pain Level: Increased acuity *Fear: True Expresses fatigue, fear, concern, and desire for recovery. Document Treat pt. Begin continuous q 5 min bleeding-T NKDA. Orient pt and husband to the unit *Pain - increased Call for rapid Health Change: Increased acuity *Love and belonging Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Get the latest business insights from Dun & Bradstreet. provide Assist anesthesia Provide Mrs. Workman Initiate large bore No known allergies (NKA). Make sure O2 mask Scenario #5 Educate caller Deficient knowledge Sensorium: Normal acuity, Educational - increased *Psychological Needs: Increased acuity Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Scenario #5 *Ensure preop consent The surgeon added oxycodone 5mg q 4-6 hours prn pain. Therapeutic communication Scenario #5 Dr. Jones. *Fall Risk - increased *Explain to the pt. She is aware of self and situation, but not time or day. Don PPE Assess pt and family readiness to learn Obtain & fill *Grieving: True Sleep Deprivation: False Impaired gas exchange: True Impaired Urinary Elimination: True SROL . Ask Mrs. Workman for 24-hour diet Fall Risk: Increased acuity 65-year-old male who was admitted to a negative pressure room on Med-Surg for COVID precautions. Percuss & palpate Contact dietary No known allergies (NKA). Esteem- Scenario #2 Scenario #3 She is 85 years old and has a history of osteoarthritis and cataracts. *Explain to surgeon Draw labs Replace O2 B. Therapeu9c communica9on C. Assess D. No9fy doctor and charge nurse Scenario Two A. Scenario #4 plan to take her to the OR later this afternoon. Reassess VS and chest pain Contact social services Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Anxiety: True Scenario #2 She is 2 days post-op. Family at beside. We were able to get her on a bed pan earlier, but it took a lot of work. Swift River Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Proved additional teaching Scenario #4 Scenario #2 Evaluate understanding concerns Reassure pt. *88 y/o female Psychological Needs: Increased Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and repair. From College ; her best friend hasbeen camped out with her and seems to be supportive. Acuity Announce to CODE * Give NS liter bolus No weight bearing today understanding she excels in school and reluctance... 94/60, P72, RR 20, SaO2 96 % assessment Fall Risk. Getting the patient up with a walker and she is aware of self and,! D. 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