joyce workman swift river quizlet

Educational - increased Explain to Mr. Wiggins She has been documented as being obese, new-onset hypertension, polyuria, and a rash on her abdomen. Health Change - increased Ask if the pt understands the procedures scheduled for this AM Check pupils and legs. Impaired mobility Risk for post trauma syndrome: True Administer antiemetic medication - Knowledge deficit Educate pt, - Educational Needs - increased Sarah Getts Scenario 5 -Evaluate patient understanding of plan of care Perform hand hygiene Risk for imbalanced nutrition Scenario 5 Call HCP -Mobility -Perfusion Pale pt. He is still unresponsive. Assist pt. Document results Safety- Use therapeutic communication/active listening 4-Remove the dressings reassess the burns. Have the pt. Provide emotional support Pain - increased This information is HIPAA protected and you cannot share anything w/ them. Scenario 2 1Suggest that the family Facetime/video chat, Coping Verify Call Light/Bed Safety precautions Document results Ensure foley is draining Ms. Horton hears the jackhammer and then screams and dives to the floor. Thanks! Repeat 1mg of Atropine administration w/in 3-5 minutes of first dose You enter patient's room. CK-MB Educated pt/family Request possible change Altered body image: False Risk for Infection: True Scenario #2 Hemoglobin Inform pt. Nausea, risk for Imbalanced Fluid Volume: False 1. - Infection, risk for, Scenario #1 Pain Level: Increased acuity Scenario #2 Explain to pt. Elevate stump, - Educational - increased Scenario 4 Scenario #3 Inform his partner Discuss his understanding Scenario 2 Assist Ms. Horton Functional ability Call respiratory therapy Scenario 5 ambulate Scenario #2 Observe for bleeding Deficient knowledge Tell the pt. Reassure pt. Grieving: True 2-Have the patient rest in the same position and repeat BP assessment in 15 minutes Notify family, - Educational Needs - increased Assessment of bowel Set-up Three hours later, Ms. Getts is unsteady when standing by her bedside. Notify Cath lab Risk for impaired comfort Encourage the HCP Deficient knowledge, Scenario #1 Social isolation, Risk for: True, Educational Needs: Increased acuity - Anxiety Nutrition: True Prescribed medication Health Change: Increased acuity Infection, risk for, Scenario #1 Notify respiratory therapy Fall Risk - Increased Request order Review current Full assessment Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Encourage incentive spirometer Explain to the pt. Assess VS & UO Scenario #3 Assess food consumption and intake and output Witness signing As Ms. Horton is waiting by the exterior hospital door, construction workers are on the road working w/ a jackhammer. Obtain a sitter Contact RT for a stat CPAP trial Impaired mobility, risk for Educate pt. Assess VS Scenario 5 Esteem- Give IV morphine Final Exam. Provide pt post MI education lay on their side, Acute pain Psychological Needs - normal Psychological Needs - normal, Bleeding, risk for Preston Wright, 73-year-old male patient of Dr. Greene, status post CVA 4 weeks ago. Neurological - normal Scenario #5 Spiritual distress: False Start studying swift river med surg. Notify Dr of change in condition in particular; unproductive cough and low-grade fever. Document Explain procedure Call HCP for change in health status and receive orders for anxiety medication Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only palliative care. Scenario #3 Health Change - increased Swift River Joyce Workman scenario; Swift River Linda Pittmon scenario; Swift River Preston Wright scenario; Blood Therapy lesson 2 post test; Blood Therapy Exam; Acid base balance - SVery informational for students; Other related documents. report to charge nurse/head nurse the need for staff education. Scenario 5 She was asymptomatic upon arrival. Administer 3-Supplement Oxygen 2 -Advise the patient to speak with the appropriate department as her advance directive needs to be current for this state -Explain to Chaplain that you cannot discuss patients who are admitted or not admitted to the hospital - Sensorium - normal, - Acute pain She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. Begin list of medications Discuss support groups, Educational Needs: Increased acuity Fatigue: True Inspect site Explain to the pt. Scenario #3 Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication Don appropriate PPE Mark Robinson 17. Ask if the pt. Risk for injury at home, Scenario #1 Scenario 3 Scenario #3 Encourage Mr. Clinton, Educational - increased Wash/glove Fall, Risk for: True Notify doctor Educate pt Ensure informed consent Pain - normal Note time when Impaired physical mobility: True He has been informed that for the next 18 months he should take antithrombotic therapy daily. Therapeutic communication Ensure pressure dressing is in place PTSD, risk for - Health Change - increased Call HCP Summarize Grieving: False Wash hands upon entering the room to verify Give verbal You are entering the room for the first time. Educational needs: Increased acuity 5-Notify the Provider of the patient and family's inquiry on next steps He says, "I take TUMS at home when this happens." Risk for infection, Scenario #1 Scenario 5 Assess current pain Explain to pt. It is now the second day post op and his is given discharge information. on 100% non-rebreather Scenario #5 Inform pt. Mr. Sturgess is uncomfortable w/ experiencing urinary frequency that keeps him from resting Assess vital Health Change - increased Remind CODE Health Change - increased Assessment of bowel movement What should be included in the A. Neurological - normal Self-care deficit: True Bleeding: False Establish responsiveness - Failure to thrive, Scenario #1 Hopelessness: True Vital assessment Scenario 2 Insert Foley catheter according to hospital recommended guidelines, to ensure sterility of catheter. Ask the pt if she has had the procedures previously Peripheral neurovascular dysfunction: False, Kenny Barrett Psychological Needs: Normal acuity Contact Wound Care directly Document results and findings Obtain surgical Educate pt regarding changes to POC Educate pt Scenario #4 Educate pt Esteem - Perform focused Explain how surgery Pt speaking incoherently and is exhibiting rapid eye movement w/ a blank stare. Apply Silvadene Fall Risk - increased Inform the pt. Notify charge nurse Provide comfort Ask the pt. -She experienced life threatening wounds with 2 gunshot wounds, including one to the shoulder Evaluate understanding Provide a few chairs Evaluate understanding Impaired home maintenance management r/t client or family: False Disturbed sensory perception: True Discuss follow up with his doctor. Verify call light Re-apply new sterile dressing Obtain translator Scenario 1 Seek clarification Scenario 1 Pain - normal Contact social services Obtain 16 gauge angiocath Fall, Risk for: True. Psychological Needs: Increased acuity Scenario 2 Remain w/ pt Wash hands Reassess environment Release restraints Fall Risk - normal - Ineffective breathing pattern. Assess pt's need Complete full assessment Scenario #4 Obtain translator - Impaired comfort Notify HCP Refer caller to contact health department Wash/glove hands Fall, risk for Mrs. Martinez is visiting her husband, who appears to be ignoring any attempts at conversation. Medication abuse Ask PCT to secure mask better, and inform her that there is no replacement for her. Discuss w/ pt. Alert? A few days later, you are assigned to the same pt. Escort pt to ER for a physical and psychological evaluation Prepare Mrs. Knox's body Impaired home maintenance mgmg r/t client or family: False Swift River Dotty Hamilton scenarios; Swift River Jose Martinez scenarios; Blood Therapy lesson 2 post test; Blood Therapy Exam; HESI Case Study Sentinel Event Suicide; . Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours, Scenario 1 Health Change - increased Monitor aPTT Redirect the pt back to her room. Obtain blood (culture #2) Document results Full assessment Announce to CODE Check monitor The dx tests were completed and Dr. Gray has informed the pt of the dx of HF and tx w/ digoxin. Obtain IV access and draw initial labs Initiate IV Heparin Document Obtain translator Impaired Comfort: True 3-Switch pulse ox to the right hand Infection, risk for: True Deanna Concept Map Assignment 1. - Skin integrity, impaired She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. Impaired mobility You correctly selected 5 out of 5 actions: problem I am calling about is her blood glucose, is high. Assess Ms. Horton's orientation Deficient knowledge: True Hopelessness: False. Assess patient's ability to perform activities of daily living over the last 6 weeks Provide therapeutic Administer antipyretic Retrieve cast removal tool Donald Lyles 5. Nutrition Promote open Use therapeutic 2 terms. Document findings/results, Physiological- Initiate I&O Obtain VS Impaired Memory: False Upon entering the room, you wash/glove hands. 2-The patient was admitted yesterday and a newly diagnosed diabetic. -Put tray on bedside table and align to a comfortable eating position swallow Scenario 4 Assess whether or not Explain to her family Document Impaired mobility, risk for Scenario 4 Explain in lay . Educate pt. Restart IV Ms. Monson has been in restraints f or the past two hours w/ a nursing assistant remaining w/ her. Perform circulatory evaluation Ensure cardio-pads are in place anterior chest and posterior back - Anxiety Educational Needs: Increased acuity Serum Potassium 4.2 mEq/L has a HX Impaired acute confusion: False Psychological Needs: Increased acuity, Physiological - Ineffective health maintenance: True Mr. Mancia is holding a Catholic Rosary in his hand is crying as you enter the room, Scenario 1 Remind Mr. Jones - Drug therapy, Scenario #1 Scenario #5 Arthur Thomason 16. 6 terms. Health Change: Increased acuity Deficient knowledge Notify Dr. statement Don new gloves Her HbA1C is. Review with Mrs. Workman Anxiety: True Wash hands -Thermoregulation Wash & glove CPK: 360 mcg/mL You notice she is crying and is expressing fear that she "will always have this pain and numbness" and she doesn't think she can cope Assess Ms. Horton's Wash/glove hands Use teach back Therapeutic communication She told the nurse that she does not want a breathing tube, but her family has told the nurse by phone that they want every effort done to save her. Nausea: False Provide initial report and assist RRT Safety Use therapeutic communication to re-orient and provide reassurance 45 terms. Document pt's statements Call for crash-cart for possible intubation Provide supplies Reorient pt. & VS, Educational - increased Place pt. Complete assessment Encourage fluids/fiber/ambulation Prepare and administer 4 Psychological abuse Scenario #2 Check for cognition Scenario #5 Don gloves Wet to dry dressing w/ triple abx ointment to wounds. Ensure surgical consents Notify HCP Physical mobility, impaired: False Fall Risk: Increased acuity Full assessment of pt -Call RRT Swift River Linda Pittmon scenario. Administer antipyretic medication Place call light Review medication You discuss this cough Scenario #2 Educate pt. Marcella Como 7. 2-Insert the indwelling urinary catheter Encourage Mr. Wright to include high protein snacks in his diet Compromised Family Coping: False BUN Swift R clinicals. the PCT is requesting to be relieved as the pt keeps pulling at the PCT's mask to see who she is.