Decreased Cardiac/perfusion False Fear True Cardiovascular Assessment Obtain patient record and follow patient as he is transferred to ICU Scenario 4 Acute Pain True 3Check surgical consent for correct procedure and make sure operative site is marked. Scenario 5 Provide Operative summary of type of procedure, IV fluid and pain status. Impaired Mobility True Describe the physical changes from aging and the care required. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. 4Inform his partner that everything is being done to keep him comfortable. Deficient Diversional Activity False Remain with patient and reassure Deficient knowledge: True Glasgow Coma Scale 0-15 Musculoskeletal 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. He replies, "six times in the past four hours". Explain to physician what interventions you have recently initiated -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Teach Cameron. Senario 1 Scenario 5 Dr. Small at bedside with patient and family. How does the Med-surg simulator work? Acute Pain False Ask patient to explain to you what procedure she was expecting to have this morning. Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Upon entering the room with a translator to admit him to the hospital, he is asked for address and phone number but refuses to comply. As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Multiple abrasions, bruising Head, chest, and inner thigh. What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Allow family to remain Sa fortune s lve 2 216,00 euros mensuels Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Safety Increased acuity, Physiological Obtain translatorT Pain Level Increased acuity Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. Compromised Family Coping: False The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Therapeutic communicationT Fall Risk Increased acuity Verbal response Oriented converses = 5 Scenario 5 -Ask the patient if it is okay to discuss his care in front of his children. Sa fortune s lve 10 000,00 euros mensuels SANE nurse to make second visit today. Senario 5 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. Verify call light/bed safety precautions Acute Confusion False Love and belonging -Elevate head of bed and place the patient on Pulse oximetry. Provide verbal report to team members who respond to rapid response He is pale, weak, diaphoretic, and appears anxious. Skin warm and dry, all vital signs in WNL He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. You correctly diagnosed 11 out of 16 options. Scenario 3 Cough: You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Dr. Altace, Educational Needs Increased acuity Upon entering the room, the patient appears to be trying to get out of bed -Assess patient LOC, by walking patient and asking them to take deep breaths. Therapeutic communication 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. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. 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Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Obtain translator Inappropriate words = 3 Scenario 3 The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. She shares concern about patient's wife who is now coughing and having night sweats. Non-significant past medical history. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. -Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients Disturbed Sensory Perception False Therapeutic communication. Yes Sit at an eye level. 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.) Wash and glove hands Check physician orders Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. The bed arrives tomorrow. 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. He was recently diagnosed with stage III prostate cancer. Senario 5 Evaluate outcome of dietary plan 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. Scenario #2. Peripheral Neurovascular Dysfunction True. Sensorium: Normal acuity, Bleeding, risk for: False Scenario 1 Wash hands except 115 pulse, which is normal for him. Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Offer nutrition and/ or toileting Place call light and check bed for safety Self-Care Deficit False Notify doctor Impaired Mobility, Risk for True The patient is asking you where her son is, the last place she saw him was right before the explosion. However, he quit three years ago when he remarried; he and his wife have a nine-month-old baby. Senario 4 Mr. Dominec had his surgical procedure and is doing great. Discuss follow up with his doctor. Shock, Risk for False Senario 1 Document results IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Scenario 2 Breath Sounds: Clear bilaterally. Dr. Altace, Physiological- Document teaching moment. Scenario 4 Taking HIV Meds prophylaxis. Document results, Care of the Patient with a Cardiovascular or, NCLEX - Care of Patient with an Immune Disord, Quiz: Chapter 54, Care of the Patient with an, Chapter 54: Care of the Patient with an Immun, Chapter 17, Section 5; Providing First Aid fo. Airborne Isolation. Scenario 3 Wound clean dry and intact. Scenario 2 Scenario 1 Fall, risk for: True Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. The pain makes him short of breath. Constipation, risk for: True Neuro WNL alert and cooperative. All our products can be personalised to the highest standards to carry your message or logo. and the GI cocktail given in the ER did relieve his CP but not completely. Educate patient regarding changes to POC Scenario 1 The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. Three hours later, Ms. Getts is unsteady when standing by her bedside. Esteem Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Check monitor Dr. Donofrio. She has been documented as being obese, new onset. Ms. Rails shares with you her fear of being discharged home to an abusive husband. She is with her physician. Self-Care Deficit True Establish second IV Senario 2 Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Scenario 1 Love and belonging Dr. Jones. No Known allergies (NKA). They wanted to know and pressure you for the information. His left humerus is fractured and splinted. Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Vital assessment Wash and glove hands Non-significant past medical Hx. Discuss his understanding about the plan of care. Auscultate peripheral pulses and ROM. Contact Social Services Dr. Starks, Physiological IV NS is started, and lab work is sent. The 'Strandperle' (lit. Paul Greer Impaired Skin Integrity, Risk for False Fall, Risk for True Vital signs -Temp 98.6, BP, Erma Willis, a 65-year-old woman with a history of adenocarcinoma and multiple past episodes of related secondary infections, was admitted to the medical-surgical unit this morning with a diagnosis, Reflective Journal VCBC Post work Cellular Regulation VCBC Post Work Start Assignment Due No Due Date Points 10 Submitting a file upload Please submit your post work to Canvas within 48 hours of, Typically the concept of cellular regulation Involves the study of cancer and related diagnoses. Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Lithia Monson Health Change Increased acuity Scenario 2 Don Personal Protective Equipment Administer protocol antidiarrheal medication Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? Scenario 1 Health Change Increased acuity Impaired Mobility True Ineffective Peripheral Tissue Perfusion False GI WNL. Psychological Needs Normal acuity Skin warm dry, bruises on forehead with small laceration. The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). Diet as tolerated, up ad lib after gait training. Allergic to sulfa drugs. Educate patient Urination: WNL Burning Frequency Urgency Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Blood Glucose 185, 4 units of insulin sliding scale for coverage. Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. She is also to receive radiation, chemotherapy, and hormone therapy post operatively. Scenario 1 He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Explain to her family and provide contact information. You are about to call the Surgical ICU and give report. PT to educate patient The Swift River Nursing Simulation involves artificially representing real-world processes with sufficient fidelity to enable learning through immersion, practice, reflection, and feedback without facing the risks inherent in a similar real-life situation. Scenario 4 Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Safety Increased acuity, Physiological Paul Greer Decisional Conflict False Deficient Knowledge False Acute Pain True Extends abnormally = 2 Fall, risk for True Reorient Patient to person, place, & time Ineffective Self-Health Management True Check input/output for possible dehydration Educate about recovery from appendectomy and care to wound. Senario 5 Senario 3 Ambulates with minimal assistance. Evaluate understanding Evaluate understanding Inform his partner that everything is being done to keep him comfortable. Readiness for Self-Care Enhancement True Full assessment Use therapeutic communication/Active Listening It is now two weeks later; Mrs. Smith has returned. -Reassess patient's physical status prior to leaving him in the hallway Isolative, appears fearful, crying, and refusing to see her husband. Scenario 3 2. Impaired Skin Integrity False Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. ADA diet, intake 25%. Escort patient Educate pt regarding changes to POC Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. Apply oxygen You are the now the Surgical ICU nurse assigned to her. Pain Level Increased acuity No Scenario 5 Vital Assessment The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Scenario 1 No response = 1, Range of Motion: Full, Limited This shop has been compensated by Inmar Intelligence and its advertiser. Scenario 4 Impaired Skin Integrity, Risk for False 1. Fall, risk for: False Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Scenario 1 Scenario 5 Listen to patient concerns Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output Educate patient His original lymph node biopsy was negative. Sarah Getts Assume that the oxidation state of sulfur is 2-22 and that iron atoms exist in both +2+2+2 and +3+3+3 oxidation states. Provide comfort and pain measures Bleeding, Risk for False -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg -Discuss with sitter that patient needs continual observation Seek clarification Today's weight 226. Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Hopelessness False. -Reassess patient Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Esteem Scenario 5 Safety fallout 4 save wizard quick codes death and wheel of fortune tarot combination; gambling meaning in english urdu alpine spiced apple cider gluten free; how to use v2ray samsonas sequential gearbox subaru; lg magic remote power light stays on Document Procedure Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Eye opening Spontaneous = 4 Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. Offer bedpan -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Scenario 5 Abdominal Pain: Non-tender Tender/Pain Describe: Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. -Place patient on 100% O2 -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 Normal Sinus Rhythm on telemetry. Escort patient to vehicle Contact charge nurse. Infection, risk for: False. Bladder distention Pelvic pain Low back/flank pain Scenario 4 Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Senario 5 Impaired Skin Integrity, False Your responsibilities are: Scenario 1 Yes Impaired Gas Exchange False Impaired Skin Integrity, Risk for True Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + 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.

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