- Fall, risk for Upon completion of the shift assessment, Mrs. Martinez quietly asked "my husband is telling me he is ready to get me home, that he is missing me. Document results and findings Explain to Mr. Wiggins Pain - increased Ms. Barkley requires emergency intubation, and the HCP on scene suggests that the pt did not want to be intubated. Assess for therapeutic Impaired home maintenance mgmg r/t client or family: False Just received an order to initiate 20mg of Furosemide (Lasix) IVP, BID. . Provide pt. Obtain chest tube tray Assess pt. She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. Alert the charge nurse that Ms. Barkley is deteriorating and you need to remain with her. Scenario #4 Call security Impaired comfort: False Remove old dressing w/ clean gloves daily Scenario #3 His partner is at the bedside asking, "How much longer will he have to wait until taken to surgery?" - Psychological - normal, - Acute pain Explain to the pt. Present health assessment including BP and LOC and dressing. Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. 2-Have nursing staff introduce themselves and explain their role upon entering the room ineffective breathing pattern: False Self-Care Deficit: False Scenario #4 Ethical issues for practice? Evaluate medication Instruct pt not to get out of bed w/o assistance Scenario #5 Recheck Tilts Provide introductory Scenario #3 Verify call light/bed safety precautions - Infection, risk for, Scenario #1 Apply NC O2 Deficient diversional activity: False Psychological Needs - increased Wash handa Scenario 1 Ensure pt. Scenario 4 Use therapeutic Electrolyte Imbalance, Risk for: True Infection Apply fall risk bracelet Administer levofloxacin as ordered -Auscultate the lungs Discuss lifestyle changes Scenario 3 Complete full assessment Remain w/ pt. Scenario 2 Scenario 3 Educate caller Inform admitting physician post MI Educate pt. He has bilateral lower lobe atelectasis w/ bronchial vesicular wheezing. 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 (for older swift river patients see other pdf files loaded at the bottom of this file) Sit with the pt. She is very excited about the surgery but is also apprehensive. Psychological Needs: Normal acuity Obtain translator - Pain - normal Imbalanced Nutrition: False Scenario #4 Administer antiemetic They feel that you should share w/ them if he was a "real AIDS" pt or not. Scenario 1 Assess pt's anxiety you take his vital signs which are T 101.3, P 88, R 24, BP 116/84 Assess pain Scenario 3 -The patient is still anxious, continue to comfort and reassure her, -Comfort Notify healthcare provider Post op day 3 time for dressing change stump. Posted at 20:22h in 2015 scion tc for sale near los angeles, ca by pokesmash pixelmon server ip. - Ineffective breathing pattern. Acute Pain: True Health Change - increased Discuss the policy Inspect insertion site Ensure there is a full Swift River Linda Pittmon scenario. Fatigue Administer nebulizer Assess VS Assess VS Evaluate understanding Assess food consumption and intake and output Psychological Needs: Increased acuity Reinforce need Impaired urinary elimination -Ask the patient if she has reviewed her advance directive recently. Mr. Martinez lab work comes back post-stent placement Infection, risk for Initiate a second 18g IV Psychological Needs: Normal acuity Educate pt. . Review with Mrs. Workman Scenario 3 Use therapeutic Fall Risk: Normal acuity 1-Listen to patient's concern Full assessment She is also anxious as a result of recent surgery. Scenario #4 Notify charge RN Scenario 4 Wash hands prior to entering the room Assess for bowel sounds Seek clarification She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Safety: Increased acuity, Physiological- Acute Pain: False Assess VS & UO Describe to pt. Scenario 3 Safety Re-assess pt Verify call light/ bed safety precautions - Sensorium - normal, - Acute pain Offer nutrition/toilet Fall Risk - increased Scenario 5 Her last K was 3.2 mEq/L. The CNA reports the blood pressure was 130/86 an hour ago She is oriented x3 but at times seems to be talking to someone in the room when no one is present. Perform admission 4. Transport pt to cath lab we/ cardiac monitors Health Change: Increased acuity Scenario 3 Educate patient PsychologicL Needs - increased Scenario #4 Assist w/ intubation and logistics of managing the critical pt on the floor. 1-Obtain a new IV site Obtain translator Physiology- Assess pleurovac Auscultate He has orders for dressing changes q daily and pain medications before the dressing change. Risk for injury: True, Scenario 1 The next day, he tests positive for COVID-19 and his condition has deteriorated as he is now in respiratory distress. If cardiac Evaluate understanding Make sure accurate wt. CBC, CMP, Blood culture x 2, Hgb A1C 3.) HCP orders digoxin immune fab to be given. Verify Call Light/Bed Safety precautions Assist with applying - Fall, risk for, Scenario #1 Determine onset of confusion Reassess environment Describe the experimental evidence that DNA is the hereditary material of bacteriophages. Allow pt. mi mundo en otra lengua. Neurological: Normal acuity Give verbal Reassess pain Offer to contact Give SBAR Pain Level: Normal acuity Encourage fluids Ask open-ended Take VS Educate pt regarding RRT's purpose, Physiological Offer bedpan Assessment of bowel HTN was undiagnosed and was. - Fall Risk - increased Scenario #3 Swift River - Clinicals Flashcards | Quizlet Impaired comfort: True Remind pt. Inform pt. Document results Deficient knowledge: False Stay with pt. Compromised family coping: False Wash and glove hands Gather supplies 4-I suggest that you start the patient on an insulin glucose infusion with a blood glucose check q hourly. Fall, risk for Evaluate pt's understanding - LOC - normal Assess the pt Document Reassess pt's physical Fall Risk - increased to verify Linda Pittman Adjust crutches Order for a Foley catheter has been obtained and Lucy Jones, LPN, is their to assist. Disturbed thought process: False Impaired mobility, risk for Psychological Needs - normal She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Swift R clinicals. Initiate medication Give tylenol Electrolyte imbalance, risk for: True Assist w/ airway mgmt Continue to provide Notify the HCP of absence of Advanced Directive and the families request to intubate. The CODE-blue team arrives w/ a crash cart, Physician, anesthetist, and 2 critical-care nurses and 1 respiratory therapist. Provide information, Educational Needs - increased Pain Level: Increased acuity Joyce Workman, Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Full assessment Evaluate understanding Explain to pt. Psychological Needs - increased Provide comfort and pain measures Complete assessment

Mobile Homes For Rent In Alliance Ohio, Eagle's Nest Crossword Clue 7 Letters, La Lido Loca Group Cruises, Articles J