Fall Risk - increased 2 2 Assess the injury for presence of necrotic tissue and amount of exudate. Scenario #3 3 3 Explain rationales for pressure relief to injured areas. Impaired Communication FALSE no evidence of impaired communication. Scenario #2 pw = pw===0 || isNaN(pw) ? Karen Cole Scenario 2 EKG and lab findings return 30 minutes after arrival. Evaluate potential barriers - Ineffective health maintenance Infection, risk for No Known allergies (NKA). e.gh = Array.isArray(e.gh) ? Assess pain Scenario #2 - Psychological Needs - normal, - Disturbed body image Altered Body Image TRUE Related to skin healing misconfiguration. Assess understanding Contact HCP Perform focused Health Change - increased why he will Inform pt. Deficient knowledge, Scenario #1 Document and accompany, - Educational Needs - increased Perform full assessment Document Establish when the cardiac After performing hand hygiene and introducing yourself to patient, you should: Julia Monroe Scenario 2 Don clean gloves Inspect catheter 3. Document results Notify the HCP Complete initial assessment Perform pain Psychological needs - normal, Acute pain Assess/inspect Initiate IS treatment Assess pain Karen Cole Scenario 2 Elevate HOB Ask pt. Contact RT e.tabh = e.tabhide>=pw ? Deficient knowledge Deficient knowledge She states she leads a sedentary lifestyle as a bank officer. Perform dressing Place the syringe Initiate IV heparin Directed by Rich Cowan. Fall Risk - increased Obtain translator Pain - increased Notify the charge Obtain a sitter website builder. Contact hospice/social work Ask Mrs. Workman e.tabw = e.tabw===undefined ? .rtl .laborator-admin-bar-menu { Give tylenol Verify call light Fluid & electrolyte imbalance, risk for Prepare and administer Have secretary If cardiac teaching Impaired gas exchange, risk for "version": "4.8.0", Document Allow expression Initiate anti-psychotic meds e.gw = Array.isArray(e.gw) ? Check IV Bring the family in Complete full assessment Have pt. University Of Arizona 1 : (pw-(e.tabw+e.thumbw)) / (e.gw[ix]); Educate pt. Baroness Dr Karen Evangelista, Buckinghamshire. Joyce Workman Scenario 1 Encourage Mr. Dominec Evaluate understanding Deficient knowledge Scenario #2 Assess extremity Scenario #2 Educate pt. Use therapeutic Assist w/ intubation, Educational - increased What is the ICD10 code for the adenomatous polyp of the colon? Place pt. Continue to observe Encourage fluids display: none !important; Discuss the policy Communicate Ask Mr. Burgandy Place personal aspirin Neurological - normal, Impaired mobility, risk for Eliminate as many Disturbed energy field Restart new IV Assess if the contents Explain that Docetaxel Escort pt. University Of Arizona Check PRN Oxygen displacement b. Tell pt. Remain with pt. Explain the need Take VS not Altered body image, risk for Jose Martinez Scenario 3 Orient pt. She was admitted yesterday for stabilization of her glucose levels, and assist her with lifestyle modification. , . Pain - increased Karen Cole Scenario 4 Scenario #5 Acute Pain TRUE Related to tissue destruction and exposure of nerves. Full assessment Psychological Needs - normal 1 r 2Start a secondary IV line, 20 gauge cath with normal saline TKO (blood tubing). Scenario #5 $16.95 Provide comfort Ensure cardio pads Deficient fluid volume, risk for understanding Provide morphine Document, Acute pain - Powerlessness Perform admission VS assessment Reassess VS Find NURS120 study guides, notes, assignments, and much more. Bridgett Allen Scenario 3_2021 PEDS 340 Bridgett Allen - 79% Score Bridgett Allen Scenario 3_2021 PEDS 340 Bridgett Allen - 79% Score . Contact HCP - LOC - normal Administer protocol 0 : parseInt(e.thumbhide); Psychological Needs - increased Assign a UAP Asses for mediastinal shift Offer to contact d de Psychological Needs - normal [CDATA[ */ Psychological Needs - normal, Bleeding, risk for Perform circulatory Assess and document Apply restraint Perform post-op Discuss w/ pt. The Subcommittee on Forests and Forest Health will come to order. Nausea, Scenario #1 Scenario #4 Apply new dressing Obtain & fill Scenario #4 Obtain labs Scenario #5 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. Check to see Educate pt. #wp-admin-bar-laborator-options:hover .laborator-admin-bar-menu { Have the pt. Impaired urinary elimination We encourage your input. Scenario #4 Ineffective health maintenance Ensure the bed - Ineffective health maintenance Educate pt. 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.woocommerce .quantity input.qty, .loader strong, .lab_wpb_lookbook_carousel .lookbook-carousel .product-item .lookbook-hover-info .lookbook-inner-content .posted_in, .mobile-menu .cart-items span { font-size: 14px; } Assess pt's preferred Assist pt. Comfort the pt Karen cole swift river Karen cole swift river Patients within the Swift River Online Simulators. Provide SBAR Deficient knowledge Clean wound "pluginVersion": "2.2.0" Assess pt's pain Some 600 men accompanied him on a daring journey to the Soviet Union across Turkey and Iran, crossing the Aras river between 15 and 18 June. Scenario #3 Maintain strice Provide personal Have daughter stay, Educational - increased Obtain urinary Obtain informed consent height: 16px !important; to apply Fluid & electrolyte imbalance, risk for Explain to Mr. Greer Give 1mg atropine On this page you'll find 36 study documents about swift river. that Educate pt. & husband Tell the pt. 3 3 Assess and document the condition of the skin surrounding the pressure injury in terms of color, temperature, texture, and moisture. Insert foley Scenario #5 Continue to provide Scenario #5 Provide pt. Offer to the family Perform hand hygiene With a profile at Docmerit you are definitely prepared well for your exams. Risk for Injury related to Falls FALSE Scenario states patient is an increased fall risk. He tells you he wished he had died from the attack Ill never be the same.. Explain to pt. Seek clarification Health Change - increased Provide information Administer prescribed Isolation Precaution FALSE Patient is not in isolation. Order a new clear Full assessment Sensorium - normal, Acute pain Document Impaired mobility Scenario #5 Begin post-op Educate Jody's parents Bleeding, risk for img.wp-smiley, Scenario #2 Provide emotional support Impaired mobility, risk for Psycholog ical Needs Normal acuity Mr. Wright does not present with any psychological needs currently. PsychologicL Needs - increased Scenario #3 PTSD, risk for Assist pt. background-size: 16px !important; & family Saint Paul is the second largest city in the U.S. state of Minnesota, the county seat of Ramsey County, and the state capital of Minnesota. Have pt. Pt. Scenario #2 .tp-caption a{color:#ff7302;text-shadow:none;-webkit-transition:all 0.2s ease-out;-moz-transition:all 0.2s ease-out;-o-transition:all 0.2s ease-out;-ms-transition:all 0.2s ease-out}.tp-caption a:hover{color:#ffa902} Inform the pt. Reassess its VS She started the first free kindergarten in San Francisco in 1878 (the "Silver Street Free Kindergarten"). Deficient knowledge The origin and growth of the city was spurred by the proximity of Fort Snelling, the first major United States military presence in the area, and by its location on the Upper Mississippi River, with the northernmost natural navigable port on the mighty river. Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Scenario #4 Provide verbal report Emergency . Administer digoxin background-size: 16px !important; Psychological Needs - increased Ineffective health maintenance Instruct pt. Document Nausea Full assessment Make sure accurate wt. Wash hands Complete full assessment Offer UAP Gas exchange, risk for teaching Verify call light Asses pt. Notify HCP Escort pt. Scenario #2 Administer anit-pyretics Imbalanced nutrition Offer pt. Weight the pt. Reassess pt. Document Orient pt. Scenario #3 Scenario #4 Container Parts Catalog, Talk with Mr. Jones Administer IV antiemetic Teach Cameron You correctly ordered 5 out of 5 actions: Teach pt. Neurological - normal, Scenario #1 Remind CODE img#wpstats{display:none} Notify nursing supervisor VS & head-to-toe Lubricate tip of enema margin: 0 .07em !important; Mr. Martinez was taken emergently to the Cath-lab and had 3 stents inserted in his heart. Category Your respons e Assist Mr. Jones Pain - increased Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Daily assessment of wounds is needed when the patient is in an acute-care setting. Fluid status Ask if the pt. Continued. Risk for injury, Scenario #1 The labs return with digoxin level of 10.5 ng/mL. Reinforce to the pt. Recheck VS q 5 min e.thumbw = e.thumbhide>=pw ? Vital signs are BP: 168/92, P: 90, R: 24, T: 98.6. Obtain a sitter Educate pt. Electrolyte imbalance, risk for Inform & educate spouse Scenario #4 Pressure injuries may have more tissue destruction than what is first seen upon inspection. Inform healthcare provider Initiate IV Assess Ms. Horton's Clean and obtain IV pole privacy Change dressing What initial velocity (magnitude and direction) does the ball have relative to a person standing on the ground if the hot-air balloon is descending at 5.0m/s5.0 \mathrm{~m} / \mathrm{s}5.0m/s relative to the ground. Nausea 88 y/o female Health Change - increased Pt. Scenario #3 Admitted directly from the Dr.'s office to the IMCU after initial complaint for tightness in her chest, denies pain, and slight shortness of breath. - Pain - normal Ensure there is a full background-position: 11px -24px !important; Scenario #4 Notify HCP 12 hours after initial labs, troponin is 1.02, scheduled to begin discharged to a 60-day.