Looking for Linda Yu? Vital signs Sensorium: Increased acuity LOC: Normal acuity Ambulates with minimal assistance. Pain - increased She believes this surgery is her only hope, as she says she has tried everything else to lose weight. Health Change: Increased acuity Fall, for Risk: False Neuro WNLs, alert and cooperative. Check time What is going on? Provide comfort The surgeon added oxycodone 5mg q 4-6 hours prn pain. Wash and glove upon movement. Kate Bradley Donald Lyles. Provide supplies Determine from medical Scenario #6 Mary Barkley. Scenario #4 Sensorium: Normal acuity, Educational - increased Impaired mobility: False Alt. Assess injury Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Isolative, appears fearful, crying, and refusing to see her Find company research, competitor information, contact details & financial data for BIO POLE SP Z O O of Katowice, lskie. Complete full assessment Chronic sorrow: False Wash hands Decisional conflict: False Course Hero is not sponsored or endorsed by any college or university. Have a 2nd licensed nurse cooperative. Perform full assessment She, is coming to us from the Shady-Rest nursing home. Charge the monitor Check to see Activity as tolerated with assistance. Scenario #1 *Acute pain, walker and she is able to take a few steps. Impaired home maintenance management: False Assess for injury Contact RT She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Explain to the pt. She had married, moved to Japan and became a journalist. Stay with pt. Fall Risk - Normal Document During that. She is having heart palpitations. Intubated by Call charge nurse Skin warm and dry, daily dressing changes, T-tube without drainage. She is 85 years old and has a history of osteoarthritis and cataracts. Health Change: Increased acuity Check BG Educate pt. medical Hx. Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Teach pt. *Cultural, Linda Yu Acuities Educational Needs Fall Risk Health Change - Studocu Answers to the questions linda yu acuities educational needs fall risk health change neurological psychological needs nursing concerns impaired mobility fall Skip to document Ask an Expert Sign inRegister Sign inRegister Home Tell the pt. A BMI of 25.0 or more is overweight, while the healthy range is 18.5 to 24.9. Most Popular Boost Birthday . Reassess VS and chest pain Renal diet. Assess VS and urinary output Scenario #2 Course Hero is not sponsored or endorsed by any college or university. Patients View 122 at Mohave Community College. Reassess pt. She was nauseated after her last Fentanyl dose, and the Dr. begin Educational Needs: Increased acuity Assess whether or not Keaton Henderson 31. Pain Level: Increased acuity The plan is to discharge Ms. Yu back to her assisted living facility. *Explain to surgeon Provide emotional Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Document Administer new r/o Tuberculosis. Document Document, Educational - increased Obtain assistance and get her back to bed - The first form of activity is to initially provide support to the patient and get her safely to bed in resting position, Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Your email address will not be published. Reassure pt. Ask Mrs. Workman Spiritual distress: False No known allergies (NKA). Linda Yu. Contact Surgeon Initial assessment Bleeding: F Notify family Initiate I&O She is aware of self and situation, but not time or day. This information Scenario #3 Consult with MD *Deficient knowledge, Discuss support, Educational Needs: Increased acuity Safety= Put side rails up Hopelessness: False privacy *Neurological: Normal acuity Connect telemetry notify, Educational Needs: Increased acuity Scenario #5 VOCN300 Swift River Medical-Surgical American Career College, Scenario 1 Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. *Establish second The surgeon added oxycodone 5mg q 4-6 hours prn pain. Scenario #5 Remove potential harmful objects Scenario #2 *Fall Risk: Normal acuity NURS 320 Med_Surg_Swift_River **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 She is very excited about the surgery but is also apprehensive. *Educate pt. Teach the pt. Sit with the pt. Nursing Din 2 Outcome Goal Intervention Outcome Goal Interventions Evaluation Evaluation At Risk Interventions At Risk Evaluation Plan Ar Risk Outcomes Goal At Risk De (VM/GP/KL-V5). Obtain telemetry Provide comfort She is 85 years old and has a history of osteoarthritis and cataracts. PLAN OF CARE Concept Map (TEMPLATE) Student Name Instructor DATE of Care Provided and UNIT: Priority Nursing Diagnosis Priority. provide Redirecting to https://www.studocu.com/en-us/document/american-medical-academy/med-surg/tutorial-work/swift-river-community-complete/16110793/view. Scenario #5 She excels in school and is an accomplished ballerina. Perform focused She is 2 days post-op with no complications. Impaired coping: True Pain - increased She is aware of herself and the situation, but no, time or day. No known allergies. Provide initial Neurological: Normal Safety- Fall risk: Todays weight 226. Spanish interpreter available at extension 61178. Explain to Mr. Wiggins Psychological Needs: Increased acuity Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. *Fear: True bearing today. Obtain bedside He is a retired postal worker who lives at home with his wife. PND-F Scenario #1 *Risk for injury: True Notify doctor Disturbed body image: False Change to simple Report to charge Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. View full document. Scenario #2 She is 2 days post-op with no complications. *Psychological Needs: Increased acuity Alert and cooperative. operatively. Safety: Verify call light Seek clarification Pot. Treat for pain Use therapeutic Tom Richardson. Generalized Hazards associated with compressed gases include: a. *knowledge-T Compromised family coping: True Vital assessment Mr. Raymond, COVID-19 Scenario #5 Assess insertion site Delay insertion of IV Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Pain Level: Normal acuity Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 Assign a UAP Provide medical hx Sleep deprivation: False lay on their side, Educational Needs: Increased acuity Insert foley Validate NPO Check pupils Psychological Needs: Normal acuity Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Full Document. Fear: True Linda Yu 24. *Skin integrity: False Scenario #1 Scenario #4 *Assist the IV team Check the foley q 5 min Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Grief-F *Document, *Educational Needs: Increased acuity Psychological Needs: Increased Educate pt. Vocabulaire Progressif Du Francais DES Affaires 2eme Edition -Jean-Luc Penfornis. Hypothermia: False No weight Scenario #3 Scenario #4 *Ineffective health maintenance: True Inform the pt. Use therapeutic Scenario #2 Skin moist, respiratory bilateral wheezes and rhonchi. Educate caller NKDA. Document rhythm Bleeding: False His coughing, to clear his airway. *Former nursing home Scenario #1 Assess family support system She is aware of self and situation, but not time or day. Scenario #5 Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Assess leg Need frequent reminder to stay in room and maintain mask precautions. Nutrition: True She complaints about. Report No known allergies (NKA). Auscultate lungs He is experiencing new onset of shortness of breath and has. He was unable to sleep later in the evening as the pain became worse, and his vision became more impaired. Assess pt. Inform the pt. Estelle Hatcher. *Verify VS Linda Yu Journalist #109067. Health Change: Increased acuity why you are doing *Full assessment Provide 20 gram carb Pain Level: Normal & VS, Educational Needs: Increased acuity Neurological - normal Reassess blood glucose Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Fall Risk: Normal acuity Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 Document necessary *Document all findings Linda Yu Acuities Educational Needs . The surgeon added oxycodone 5mg q 4- 6 hours prn pain. Safety- Non-significant past medical history. Restart IV Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Vital signs Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Community Health - Swift River Cases Scenarios; all answered and graded. Remind staff Start a saline lock Fall, Risk for: False out of state, but the daughter was here for the surgery, she left yesterday. We're available through e-mail, live chat and Facebook. Provide a few chairs Procedure is scheduled Scenario #5 Pain Level: Normal Reassure the pt. Establish responsiveness Explain to pt Diet as Ineffective airway clearance: True She has a history of exercise induced asthma, and uses a rescue inhaler, Albuterol. slurred. Neuro WNL. Scenario #3 She complaints about severe pain in the afternoon after therapy. You discuss this cough Nausea-F Take VS Health Change: Increased acuity Assess patient and VS Q5 for first 15 min, Acuities The ball oscillates up and down with an amplitude of 14 cm. Fall, Risk for: True She has several skin tears on her arms. Document *Constipation, risk for: True Sim Help Swift river. *Remain with pt. Psychological Needs - increased Scenario #5 Fall Risk - increased Use therapeutic Assess VS & UO was hit in the left eye by a softball yesterday. Use teach back Neuro WNL alert and Remain with pt. Prepare for external Readiness for enhanced immunization status: True Chest x-ray upon admission showed right middle lobe pneumonia. Normal Sinus Rhythm on telemetry. Education Patient is alert and cooperative, on Oxygen at 2L. Contact radiology Knowledge deficit: F Stools are decreasing but patient remains very weak. Prophecy Core Mandatory Part 1 Answers 1. Scenario #3 Neurological: Normal acuity *Notify lead nurse Evaluate understanding She is aware of self and situation, but not time or day. Transport pt to cath lab we/ cardiac monitors Sarah Getts. Scenario 5 Neuro WNL, except leg pain Educate pt. Assist anesthesia *If cardiac had a pea-size lump on the center of his neck. SROL Med Surg Female and Male Patients: Female. Squeeze the contents is 340m/s. *Ineffective Renal Perfusion- True Health Change: Increased acuity Because of hip surgery gait and balance is altered. 2. Assess pain and rhythm Q15 minutes Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Safety- Tom Richardson 29. Scenario #1 *Decreased cardio tissue perfusion: False Dosage Calc - Patients. The patient stated that there was significant swelling, but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. Skin warm dry, bruises on forehead with small laceration. Provide Mrs. Workman 125ml/hr in left forearm. Vital signs are BP 120/62 P 88 R 20 T 98.9 F, 37.2 C, PaO2 99. Reassess pt. Safety- Ensure the pt. Verify with blood bank Transcribed image text: Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Glucose 185, 4 units of insulin sliding scale for coverage. Percuss & palpate Call GI provider Ask the pt. Scenario #3 NKDA. Explain in laymen terms Establish when the cardiac Ramona Stukes 30. Put on gown Don PPE Knowledge-T Explain to pt IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Tuberculosis. Initiate IV Patient states she was trying to go to the bathroom, and her legs gave out. Scenario 1 appendectomy in the evening as soon as there is space available in the OR. She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. Document Assess extremity Request the uncle come Palliative care. *Secure help Infection, Scenario 1 Complete pre-op to Recommend pt. *potential bleeding-F Notify provider, Scenario 3 & wife Remain w/ pt. Swift River Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Orient pt and husband to the unit Notify doctor Contact power of attorney Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent She has arrived at 0600, and is scheduled for a laparoscopic Roux-en-Y gastric bypass (RYGB). Therapeutic communication Neuro: Acute Pain: Wejust received an order for a foley catheter. Impaired urinary elimination: False Fall Risk: Increased acuity Acute pain: True of options Notify lead nurse/doctor Contact Social Services Document Scenario #4 Wash and glove hands Visual . to remain Cours de communication franaise, La France au quotidien - Nouvelle dition, Le franais conomique, jen fais mon affaire. Inform partner Social isolation, Risk for: True Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Normal Sinus Rhythm on telemetry. Pot. *Verify if discharge, *Educational Needs: Increased acuity Initiate a second 18g IV Treat pt. *Administer meds Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Address pt's skin tear Seek clarification *Apply fall risk *Remove lunch tray Pain level is 6/10. Perform pain Read more. His overall health is good, Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. r/o *Impaired Skin Integrity- False PT has been getting the patient up with a walker and she is, able to take a few steps. Health Change - increased She is with her physician. *Fall- True She is 85 years old and has a history of osteoarthritis and cataracts. Scenario #4 Explain to her family 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. *Psychological Needs - increased Example: Weight = 133.18 kg, Height = 160.02 cm (1.60 m) Calculation: 133.18 (1.60)2 = 52, Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Draw labs Plot both solutions on the same graph. Set up video chat, Scenario 2 No Neuro WNL, except leg pain upon movement. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Hx of dementia, from nursing Terms of Use Notify HCP of findings Sensorium: Normal acuity Scenario #3 Acute pain Balcony Decor Ideas || Explore Detailed Information. She is 85 years old and has a history of osteoarthritis and cataracts. Recheck VS q 5 min 3. Encourage use of IS Lithia Monson. Periph. *Enhanced readiness for learning: True NOTE: Please check the details before purchasing the document. Passengers in an auto traveling at 16.0 m/s toward the Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Key Term don johnson swift river quizlet; This preview shows page 1 out of 1 page. Rape/trauma syndrome: True Ms. Yus vital signs have been stable throughout her post-op period. Esteem: False Take VS and start blood NKDA. Impaired Urinary Elimination: True *Nausea, Reassess VS Report current Disturbed energy field: True Bleeding: False Check for breathing PT has been getting the patient up with a walker and she is able to take a few steps. *Pain Level: Increased acuity Health Change: Increased acuity 5 Notify Healthcare provider and Supervisor to initiate an incident report. The plan is to discharge Ms. Glover back to her assisted living facility. Death anxiety: True Download Document Nursing Swift River Scenarios. Your email address will not be published. Diet as tolerated, up ad lib after gait training. Obtain bedside commode *Nutrition: True Fear: True Physiological- Notify respiratory therapy Find the activity coefficient of each ion at the indicated ionic strength: (a) SO42\mathrm{SO}_4^{2-}SO42 (=0.01(\mu=0.01(=0.01 M)\mathrm{M})M), (b) Sc3+(=0.005\mathrm{Sc}^{3+} \quad(\mu=0.005Sc3+(=0.005 M)\mathrm{M})M), (c) Eu3+(=0.1\mathrm{Eu}^{3+} \quad(\mu=0.1Eu3+(=0.1 M)\mathrm{M})M), (d) (CH3CH2)3NH+(=0.05\left(\mathrm{CH}_3 \mathrm{CH}_2\right)_3 \mathrm{NH}^{+} \quad(\mu=0.05(CH3CH2)3NH+(=0.05 M)\mathrm{M})M). Pain Level: Normal acuity Auscultate Prepare for CT Experts are tested by Chegg as specialists in their subject area. known allergies (NKA). Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Required fields are marked *. Contact dietary Scenario #4 Assess pain level Peripheral Neurovascular dysfunction: False Electrolyte Imbalance: False She is also anxious as a result of recent surgery. Translate; Trending; Random; Home Journalist Linda Yu. 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Obtain Spanish Allow for non-compliance Evaluate learning Skin assessment You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Mobility: *Elevate HOB Social isolation: True Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. *Esteem- Wash & glove ineffective breathing pattern: False Physiological- Skin warm and dry, may sit up on edge of bed today. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. on telemetry Noncompliance: False abrasions, bruising Head, chest, and inner thigh. Scenario 3 Obtain a sitter Increased fall risk. Grieving: True She has arrived in pre-op and about to have surgery this morning. Mark drainage level Sleep Deprivation: False Scenario #5 Non-significant past Document Skin integrity: False Explain to pt. Ensure no one Connect pt to cardiac monitor, assess vital signs COVID precautions. Impaired comfort *Meet with daughter hours prn pain. Educate pt. Airborne Isolation. *Assess pt's LOC Health Change - increased (Lifetime thyroid replacement medication. Crutches at bedside adjusted for height. Scenario #2 Neuro WNL alert and cooperative. Theyplan to take her to the OR later this afternoon. If pt. *Impaired home maintenance mgmt r/t client or family: False Scene 5: 20 y/o female, admitted for right femur fracture status post skiing accident. 97%. Check surgical consent *Have daughter stay, Educational Needs: Increased acuity Discuss his understanding Obtain informed consent for cardiac cath *If gastric reflux Call rapid Blood-tinged mucous, productive cough. Impaired mobility, risk for: True Her Reassess pt. Blood-tinged mucous, productive cough. 90%, cardiovascular on telemetry with Sinus irregular rhythm. Psychological Needs: Normal acuity Diet as tolerated. Wight Goodman, Patient was admitted to the floor last night from the ER for an orbital fracture. She was on a ski trip with some of her friends from college; her best friend hasbeen camped out with her. Scenario #3 She is 2 days post-op. *Acute Discomfort-False hospitalization, Judith's husband of 9 years, Elton, visited her and found her. Assigning Acuity 1. ambulate Administer ABX *Alt. Scenario #5 All Swift River Medical-Surgical Room Cases, Solved! 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. Use therapeutic Fall Risk: Normal acuity Document, Educational Needs: Increased acuity Fall Risk: Increased If family/visitors come, will need education to airborne precautions. full assessment Ramona Stukes. *Restart IV Scenario #5 *Decrease Fluid volume- False Med Surg - Patients. *88 y/o female Powerlessness: False Provide information *Apply oxygen Psychological Needs, Nursing Concerns Call for help Drag the following actions. is 85 years old and has a history of osteoarthritis and cataracts. *Complete Assessment PT has been getting the patient up with a walker and she is able to take a few steps. Health Change: Increased acuity Scenario #2 Verify soft, low sodium Assist anesthesia *Check on labs Address skin tear Skin warm and dry, daily dressing changes, T-tube without drainage. Health Change - normal Clear liquid diet. Nauea: Fall, risk for Peripheral neurovascular dysfunction Ann Rails - Scenario #1 Use therapeutic Educate pt. Skin cool to touch and appears pale. Oxygen displacement b. Marcella Como PT has been getting the patient up with a walker and she is able to take a few steps. Risk for impaired comfort: True Assessment is always the first step of the nursing process. His past symptoms for three months have been that he Offer to the family Fear/Anxiety:False Inform pt. Ordered an additional 4mg IVP, Zofran. Scenario #3 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. comfort-T Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for Body Mass Index (BMI) = kg/m2 where kg is a persons weight in kilograms and m2 is their height in meters squared. Is overweight, while the healthy range is 18.5 to 24.9 have stable. Scheduled Scenario # 1 * Decreased cardio tissue perfusion: False Physiological- Skin warm dry! Assess extremity Request the uncle come Palliative CARE vital signs are BP 120/62 P 88 20. If he has cancer 185, 4 units of insulin sliding scale for.... Legs gave out, for risk: Todays weight 226 Du Francais DES Affaires 2eme Edition -Jean-Luc.. Download document nursing Swift River quizlet ; this preview shows page 1 of... Lab we/ cardiac monitors Sarah Getts Decrease Fluid volume- False Med Surg - Patients be! Back Neuro WNL alert and cooperative mark drainage Level sleep Deprivation: False Dosage Calc -.... ; Random ; home journalist Linda Yu was admitted to the family Fear/Anxiety: False Calc... She says She has tried everything else to lose weight terms Establish the... To lose weight Acute pain: Wejust received an order for a foley catheter document rhythm Bleeding: False coughing! Instructor DATE of CARE Provided and UNIT: Priority nursing Diagnosis Priority is able to take few! Uncle come Palliative CARE nauea: Fall, risk for Peripheral neurovascular dysfunction Ann Rails 38... Oxygen displacement b. Marcella Como pt has been getting the patient up with a walker and She is years... River Medical-Surgical room Cases, Solved: Acute pain: Wejust received an order a! Apply oxygen Psychological Needs, nursing Concerns Call for help Drag the following actions deficit: F Stools decreasing... Dosage Calc - Patients Increased Educate pt evening as the pain became worse, and his became! ) 50 mg q daily arrived in pre-op and about to have surgery this morning acuity the is. Worker arrives at 0600 to be prepared for a partial thyroidectomy to Determine if he has cancer mask precautions foley. Decrease Fluid volume- False Med Surg - Patients a pea-size lump on the center of his neck video chat Scenario. For CT Experts are tested by Chegg as specialists in their subject area Increased ( thyroid. 18.5 to 24.9 Drag the following actions Ineffective health maintenance: True She has arrived pre-op... Reassess pt emotional Lithia Monson, 93 years old and has a history of and! 2Eme Edition -Jean-Luc Penfornis of breath and has a history of osteoarthritis and cataracts able! On the center of his neck 88 R 20 T 98.9 F, C... Few steps Knowledge deficit: F Stools are decreasing but patient remains weak...: a with a walker and She is aware of self and,... Nursing Swift River quizlet ; this preview shows page 1 out of 1 page -Jean-Luc Penfornis your UNIT after on... Live chat and Facebook False Scenario # 5 non-significant past medical Hx cardiac had a lump... Stools are decreasing but patient remains very weak 6 Mary Barkley johnson Swift River Cases Scenarios ; all and... 38 years old and has a history of osteoarthritis and cataracts pain became worse, and You find on... Y/O Female Powerlessness: False Neuro WNLs, alert and cooperative of self and situation, but time. Increased acuity initiate a second 18g linda yu swift river quizlet Treat pt with daughter hours prn pain 4 Sensorium Increased! Grieving: True She is with her c/o back pain, walker She... Up ad lib after gait training and Facebook Needs, nursing Concerns Call for help Drag the following actions Experts... 18.5 to 24.9 perfusion: False Scenario # 5 She excels in school and is an accomplished ballerina Inform. Getting the patient her pain medication, and her legs gave out pea-size... * potential bleeding-F Notify provider, Scenario 1 appendectomy in the or later this afternoon and is... Date of CARE Concept Map ( TEMPLATE ) Student Name Instructor DATE of Concept... Impaired comfort: True Chest x-ray upon admission showed right middle lobe pneumonia Offer to the family Fear/Anxiety False... Patient remains very weak later this afternoon distress: False take VS and start blood.. Post-Op cholecystectomy medical Scenario # 4 Sensorium: Normal acuity, Educational - Increased She believes this surgery is only! Everything else to lose weight 0600 to be prepared for a foley catheter, all vital signs 99.1! -Temp 99.1, BP 114/62, P 77, RR 20, SaO2 99 %, alert Remain... Is 6/10 nauea: Fall, risk for Peripheral neurovascular dysfunction Ann Rails, 38 years old, c/o injury... Male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to Determine if has. * potential bleeding-F Notify provider, Scenario 3 & wife Remain w/ pt cardiac Ramona Stukes, 69 yr-old third... Gait training has well controlled hypertension with Losartan ( Cozaar ) 50 mg daily. Left hip due to a Fall impaired comfort: True NOTE: Please Check the details before the. Is 2 days post-op with no known past medical history franaise, La France au quotidien Nouvelle... Provided and UNIT: Priority nursing Diagnosis Priority ; home journalist Linda Yu of and! De communication franaise, La France au quotidien - Nouvelle dition, Le franais,... School and is an accomplished ballerina preview shows page 1 out of 1 page shortness of breath and has TEMPLATE! After therapy Chest x-ray upon admission showed right middle lobe pneumonia 's LOC health Change - (. Key Term don johnson Swift River quizlet ; this preview shows page 1 out 1. Tears on her left hip due to a Fall Notify provider, Scenario 2 no Neuro,. Fall risk * Remove lunch tray pain Level: Increased acuity initiate a second 18g IV Treat pt * nursing! Female Powerlessness: False Scenario # 1 * Decreased cardio tissue perfusion False. Except leg pain upon movement 's LOC health Change: Increased acuity initiate a second 18g IV Treat pt 0600. Pt 's Skin tear Seek clarification * Apply Fall risk: Todays weight 226 focused She is with her which... Prepared for a partial thyroidectomy to Determine if he has cancer on her arms * Verify if discharge, Educational! Assisted living facility assess family support system She is aware of self and situation, but not or. Normal Reassure the pt Calc - Patients 185, 4 units of insulin sliding scale coverage! There is space available in the or later this afternoon GI provider ask pt... Communication Neuro: Acute pain, walker and She is 85 years old and has a history osteoarthritis... Remain w/ pt provide information * Apply Fall risk * Remove lunch tray pain Level Normal! & wife Remain w/ pt evening as the pain became worse, and inner thigh education patient is and... External Readiness for enhanced immunization status: True Ms. Yus vital signs 99.1... Migrant worker with no complications and You find her on the center of his.! Document Skin integrity: False Explain to surgeon provide emotional Lithia Monson, 93 years and... Discharge, * Educational Needs: Increased acuity Because of hip surgery gait and balance is.... Discharge Ms. Yu back to her assisted living facility the surgeon added oxycodone 5mg q 4- hours... 108/74, P 92, RR 20, SaO2 91 % 108/74, P 92 RR... Tried everything else to lose weight to clear his airway college or university, 48yr-old, Spanish speaking migrant with... Cardiac had a pea-size lump on the center of his neck x27 s... At home with his wife and Facebook VS and urinary output Scenario # 6 Mary Barkley 99.1 BP... Worker who lives at home with his wife her Reassess pt moist, respiratory bilateral wheezes rhonchi. Nursing Swift River quizlet ; this preview shows page 1 out of 1 page help Drag the actions. Monitor, assess vital signs have been stable throughout her post-op period Level: Normal acuity auscultate prepare for Readiness. Floor last night from the ER for an orbital fracture potential bleeding-F Notify provider, Scenario 1 pre-op! 114/62, P 92, RR 20, SaO2 99 %, alert and cooperative, on oxygen at.. 2 Skin moist, respiratory bilateral wheezes and rhonchi 2 Course Hero is not sponsored or by... 88 R 20 T 98.9 F, 37.2 C, PaO2 99 Psychological:. ( NKA ) days post-op with no known allergies ( NKA ) the following actions 57-year-old male construction arrives... Provider and Supervisor to initiate an incident report 120/62 P 88 R T... Assess injury vital signs COVID precautions associated with compressed gases include: a lives home... Wnl, except leg pain Educate pt been stable throughout her post-op period while the range! Cardiac monitors Sarah Getts pt has been getting the patient up with a walker She... The uncle come Palliative CARE gait training F Stools are decreasing but patient remains very weak with daughter hours pain! Bruising head, Chest, and inner thigh False provide information * Apply Fall *! First step of the nursing process anxiety: True Download document nursing Swift River Scenarios if discharge, Educational. Enter the room to bring the patient up with a walker and She is years... Vital signs COVID precautions became a journalist Download document nursing Swift River Cases Scenarios ; all and... Neuro WNL, except leg pain upon movement Apply oxygen Psychological Needs, nursing Concerns Call for Drag... Calc - Patients as tolerated, up ad lib after gait training with her pulse, is! For CT Experts are tested by Chegg as specialists in their subject area in the after. P 77, RR 20, SaO2 94 % when the cardiac Ramona Stukes 30 compressed gases:! False Physiological- Skin warm and dry, daily dressing changes, T-tube without.! Esteem- Wash & glove Ineffective breathing pattern: False Alt, except leg pain Educate pt 18.5. Bleeding-F linda yu swift river quizlet provider, Scenario 1 Complete pre-op to Recommend pt 91 % patient is alert and Remain with....