Kathy Gestalt Sa fortune s lve 2 000,00 euros mensuels Document results. How does the Med-surg simulator work? Retrieve cast removal tool -Place patient on 100% O2 Impaired Urinary Elimination True Viola Cumble Scenario 5 Upon entering the room, the patient appears to be trying to get out of bed Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook Health Change: Increased acuity Scenario 5 Construct dietary consult (plan) Scenario 5 Your Swift River Virtual Clinicals account has been linked to your ATI Student account. A special lowbed has been ordered that will lower to the ground. He is currently febrile with temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound tenderness in right lower quadrant, has elevated WBC's and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Scenario 4 Health Change Increased acuity Request time she can arrive and staff to help with transfer Love and belonging- -Tell the patient to call immediately if the chest pain gets worse or they become short of breath -Medicate for pain Remain with patient Do not probe further Safety Scenario 2 Provide a few chairs if possible for her family to also be comfortable Scenario 1 Decisional Conflict True His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Verbal command = 3 Ann Rails Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. The Swift River is one of the most unique and popular trout fishing destinations in Massachusetts, yet the dynamics of this exceptional fishery have not been well understood. Color:__________ Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Impaired Home Maintenance Management False Perform circulatory evaluation Remain with patient Scenario 4 Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Assist patient out of bed When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Take vital signs before leaving the hospital again. Her chart reports she was extubated upon arrival to the recovery area, received three units (3000 mL) of fluid, receiving O2 @ 4L via nasal cannula, has Foley Catheter in place draining QS clear yellow urine, responds to verbal stimulation, chest dressing in place remains dry and intact, and has just received a small dose of IV morphine for pain. Scenario 5 Palliative care. Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Full assessment Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. -If cardiac is suspected call the provider and the rapid response team. Notify doctor Full assessment Wife at bedside. Scenario 1 Obtain vital signs machine palliative care. Diet as tolerated. Safety Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Scenario 5 Self-Actualization Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Because of the fall the provider has recommended that he stay in the hospital another night. 3. Scenario 1 Scenario 3 Scenario 1 His orthostasis is normalized after a second liter of NS was administered. Document Procedure Grieving False Linen Change Upon entering room, you wash/glove hands. Extends abnormally = 2 Encourage fluids and fiber diet Offer masks to visitors Skin warm and dry, all vital signs in WNL She is with her physician. You are about to call the Surgical ICU and give report. He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Deficient knowledge: False is a 57 y/o who has been admitted for a radical prostatectomy. Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Notify charge nurse that discharge will probably not occur today. Safety Family Health III-Pediatrics (NSG 6435) Emergency Medical Technician (EMS 1150) Applied Research In Business (MIS 781) Anatomy & Physiology I With Lab (BIOS-251) Molecular Biology (BP 723) Newest Marketing Management (D174) Professional Application in Service Learning I (LDR-461) Professional Capstone Project (PSY-495) Theology (104) Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. The lesion was identified as Kaposi's Sarcoma. You explain that his condition has worsened and now he has been taken to ICU. Scenario 3 -Discuss with sitter that patient needs continual observation Cardiovascular has pacer with rate of 82bpm on demand. When a physician makes an incision into a body cavity just superior to the diaphragm and inferior to the neck, what body cavity will be exposed? The cells are allowed to warm up and then are frozen again. He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Stat lithotripsy treatment ordered. Obtain Spanish signs & brochure Listen to patient concerns Chronic Pain False Assess intake and output and possible reasoning jessdevan. Robert Domenic Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. Evaluate caller understanding Evaluate outcome of dietary plan Non-significant past medical history. Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Educational needs: Increased acuity Glasgow Coma Scale 0-15 Musculoskeletal Fall Risk Increased acuity Psychological Needs: Increased acuity Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Scenario 2 Knowledge Deficit True Safety- Verify call light/bed safety precautions -Document and contact nursing supervisor/Charge nurse The charge nurse tells you to get the Mr. Burgundy to the hallway because six more patients are inbound, and we need to clear out our trauma-bays. Scenario 3 The Physician tells you to have everything ready including a 22 French chest tube, and he will be in shortly to position the chest tube. Administer antipyretic medication Check surgical consent for correct procedure and make sure operative site in marked. Seek clarification Document conversation Sexuality: True. -Start IV Physiological- This information is HIPAA protected and you cannot share anything with them. Failure to Thrive True. Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Sensorium Normal acuity, Physiological Pain Level Increased acuity Ruth Cummings Trustee Vice Chair Audit Chair . Scenario 3 Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Your responsibilities are: Scenario 1 Dr. Small at bedside with patient and family. Remain with patient Document pt's statements. -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon No weight bearing today. Opening Title Production company Cast and crew Genre J A N U A R Y 2: The Killing of John Lennon: IFC First Take: Andrew Piddington (director/screenplay); Jonas Ball, Krisha Fairchild, Gunter Stern, Gail Kay Bell, Mie Omori, Robert C. Kirk: Crime, Drama: 4: One Missed Call: Warner Bros. Pictures / Alcon Entertainment / Kadokawa Pictures: Eric Valette (director); Andrew Klavan (screenplay . Chronic Pain True Reassure patient and help explain any new orders from physician to patient Health Change Increased acuity Mr. Dominec is waiting for his partner to arrive to take him home and you notice he has a dry unproductive cough and trouble splinting with a pillow at his operative site. Document results Scenario 2 nursing care plan for Linda Pittmon, a 74 -year old female patient who is a noncompliant diabetic, and frequently stays at the local homeless shelter. Obtain translator Contact head nurse or supervisor in the OR to evaluate new situation Remind the nursing staff that the patient is NPO. Document results Scenario 2 -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients Document results and findings Increased fall risk. The bed arrives tomorrow. Verbal response Oriented converses = 5 You determine to apply the restraint now. Document results and findings Disoriented, confused = 4 Educate caller regarding HIPAA Scenario 2 -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Administer antipyretic meds Neuro WNL alert and cooperative. Safety Increased acuity, Physiological -Notify HCP of neuro findings Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Scenario 5 Educate patient Family arrive one hour after event to his prior room and find Mr. Thomason's room is empty and have no idea of the events that have just occurred. Ms. Gestalt is now complaining of fever and chills. No known allergies (NKA). Document results/findings Sensorium Increased acuity, Physiological Safety Scenario 1 Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Abdominal Pain: Non-tender Tender/Pain Describe: Full assessment of patient. Physiological Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Disturbed Sensory Perception True Ms. Cumble states that she has not had a BM for three days. Bleeding, Risk for True Sensorium: Normal acuity, Bleeding, risk for: False When the HCP realizes who he is, he tells the nurse to move the patient in the treatment room down the hall and put Mr. Burgundy in there. Apply nasal cannula Offer nutrition/toilet Senario 5 Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Scenario 5 You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. Pain, Acute True Explain reason for assessment and procedure The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Obtain translatorT Bleeding False -Notify charge nurse Ineffective Self-Health Management False Dysfunctional Gastrointestinal Motility False Toggle navigation Swift River. Administer PRN constipation medications Ms. Getts is requesting water to drink. Amount: _______ Fall Risk Increased acuity Love and Belonging Paul Greer He also has metal fragments on his left side on his leg arm and torso. -Ask the patient to verbalize understanding of teaching and reassure them that yourself or any member of their care team will be available to answer questions. Disturbed Body True Evaluate medication effectiveness Neuro WNL alert and cooperative. Document results Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. A few hours after speaking with the sitter about the patient needing complete observation, you notice the sitter outside of the room talking on the phone. Neck: ______________ Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. 3Check surgical consent for correct procedure and make sure operative site is marked. You, his prior nurse, notice the family and respond to them. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. 2021-22, Historia de la literatura (linea del tiempo), Respiratory Completed Shadow Health Tina Jones, CH 02 HW - Chapter 2 physics homework for Mastering, BI THO LUN LUT LAO NG LN TH NHT 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. Document Results, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Upon entering the room, you find Ms. Rails sleeping. Scenario 2 50% intake. -Offer nutrition/toilet Wound site clean, dry and intact NPO, NG-tube to low continuous suction. After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! Document results : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 2. Skin warm and pale. Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Scenario 2 Nausea/Vomiting: Yes No Senario 2 Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Increased fall risk. Deficient Diversional Activity False The charge nurse tells you she will send someone to assist you, and to get out 2mg of Versed to have ready to sedate the patient at time of procedure. Non-significant past medical Hx. ADA diet, intake 25%. No known allergies (NKA). Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Communication/Speech: Clear Non-verbal Slurred Aphasia Other Discription, Table 4 Cross-sectional, Longitudinal, and Sequential Developmental Designs, Engagement 1 Recognizing Research Strategies, A mental health worker with a Christian worldview.docx (Auto Recovered), NPO Breakfast: __________% Lunch ______________ %, Ethics and Social Responsibility (PHIL 1404), Care of the childrearing family (nurs420), Advanced Care of the Adult/Older Adult (N566), Business Professionals In Trai (BUSINESS 2000), Microsoft Azure Architect Technologies (AZ-303), Nurs & Healthcare I: Foundations [Lec] (NURS356), Accounting Information Systems (ACCTG 333), Bachelor of Secondary Education Major in Filipino (BSED 2000, FIL 201), Methods of Structured English Immersion for Elementary Education (ESL-440N), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), C228 Task 2 Cindy - Bentonville - Passed with no revisions, Lesson 4 Modern Evidence of Shifting Continents, MMC2604 Chapter 1 Notesm - Media and Culture: Mass Communication in a Digital Age, Lesson 17 Types of Lava and the Features They Form, Lesson 9 Seismic Waves; Locating Earthquakes, Analysis of meaning and relevance of History from the millennial point of view, Entrepreneurship Multiple Choice Questions, (Ybaez, Alcy B.) If patient statement differs from the surgical consent she has signed, notify surgeon immediately Monitor and evaluate fluid intake When you arrive to room 4, you are told to assume the care for the patient and get ready to transport them to the floor ASAP. 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. Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. -Using therapeutic communication inform Mr. Greer that there are many treatment options, and not to leave until the HCP can come and speak with him His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Scenario 3 Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. Scenario 3 Scenario 4 ADA diet, intake, 25%. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Hopelessness: True Scenario 1 Notify family Scenario 5 Impaired Mobility False They would also like to start Radium-223. The pain makes him short of breath. The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) RLQ: RUQ: LUQ: LLQ: He is married, and his wife is requesting to stay at his side. No known allergies. LLE: Non-pitting Pitting ___+ Patients within the Swift River Online Simulators Med Surg - Patients SROL Med Surg Female and Male Patients Female Male Ann Rails Carlos Mancia Estelle Hatcher John Duncan Kathy Gestalt Robert Sturgess Lithia Monson Tom Richardson Marcella Como Ramona Stukes Sarah Getts Viola Cumble Dosage Calc - Patients SROL Dosage Calc Female and Male Patients August 13, 2020 // by Angela McGowan. Hypothermia False Scenario 4 Imbalance nutrition: True Failure to Thrive True. Evaluate/modify plan of care Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Combien gagne t il d argent ? Skin integrity, impaired True Release restraints/full range of motion Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Scenario 3 He is having some difficulty hearing and complains of ringing in his ears. Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Sa fortune s lve 1 900,00 euros mensuels Scenario 5 Neuro WNL's, alert and cooperative. Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6

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