robert sturgess swift river

-Continue to observe urine for hematuria and document findings Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? Sleep deprivation: False Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment You discuss this cough with Mr. Dominec to determine how long he has had it. Remain with patient Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. Educate patient Hx of dementia, from nursing home, fall one day ago. Vital assessment Elevate head of bed What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Check PRN pain order : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Esteem She is also to receive radiation, chemotherapy, and hormone therapy post operatively. Safety ExplanationAnxiety/ fear True (PDF) Playful citizens: utopian intersections of play, sex and Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. -Offer nutrition/toilet Mr. Gonzales H/H is 12.7/38. No Known allergies (NKA). Scenario 5 Scenario 3 You explain that his condition has worsened and now he has been taken to ICU. Biopsies were sent to determine the treatment. Acute pain: False Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Don Personal Protective Equipment Obtain translator Scenario 3 Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Cardiovascular has pacer with rate of 82bpm on demand. Hafencity Riverbus (Hamburg) - All You Need to Know BEFORE You Go : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Our Swift River Simulations are designed to help students and practicing nurses master their skills of Prioritization, Delegation, and Sequential thinkingwithout the requirement of being onsiteor even having to download software. RS Flashcards | Quizlet -Restart the IV and draw CBC Other: _______________________________ Electrolyte Imbalance False Impaired Home Maintenance management r/t client or family False Safety VS: BP 158/90, HR 89, R 18, T 97.8 F. Senario 2 Disturbed body False Document results He has not had his BP medication today. You escort them with you to the ICU. Wash and glove hands He asks to speak to a clergy member. Psychological Needs Normal acuity Your response to all of them would be: Scenario 1 Disoriented to time and place, speech slurred. Fear True -Complete head-to-toe assessment while patient is on the floor. He does not want to return to the nursing home, and does not wish to burden or live with his children. Lithia Monson Scenario 3 Sensorium Increased acuit, Physiological Fear True -Elevate head of bed and place the patient on Pulse oximetry. Robert Sturgess Scenarios Swift River.docx - Course Hero The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Place call light and check bed for safety Adjust crutches Scenario 3 Cardiovascular has pacer with rate of 82bpm on demand. Pain Level: Increased acuity Nursing questions and answers. He replies, "six times in the past four hours". Reapply restraints Skin warm and dry, may sit up on edge of bed today. Paul Greer He was recently treated for a URI with a Z pack, prednisone, and Motrin for pain. Verify call light/bed safety precautions Stoma: N/A Colostomy Ileostomy Effluent Consistency: Scenario 3 Assist physician in physical exam of patient Explain reason for assessment and procedure The charge nurse asks you to assume the patient's nursing care. Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Contact head nurse or supervisor in the OR to evaluate new situation Evaluate/modify plan of care Seek clarification Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. Scenario 1 Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Extends abnormally = 2 Sleep Deprivation False Insert Foley catheter Oriented to: Person Place Time Sa fortune s lve 1 900,00 euros mensuels Clinical 2. Senario 4 20ga. In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. Renal diet. No known allergies (NKA). Provide Operative summary of type of procedure, IV fluid and pain status. Ms. Cumble states that she has not had a BM for three days. Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Document pt's statements. When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! Neuro WNL's, alert and cooperative. Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Observe closely first hour Fortune Salaire Mensuel de Tthuchicago Org Combien gagne t il d argent Document teaching moment. Fortune Salaire Mensuel de Ticketmaster Beyonce Koln Combien gagne t il Check surgical consent for correct procedure and make sure operative site in marked. Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Include patient condition change in shift report Non-significant past medical history. Sensorium Normal acuity, Physiological Gastrointestinal Assessment Apply fall risk bracelet Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Glasgow Coma Scale 0-15 Musculoskeletal Scenario 3 Needs frequent reminding due to determination to do things herself without assistance. The Physician tells you to have everything ready including a 22 French chest tube, and he will be in shortly to position the chest tube. The cells are allowed to warm up and then are frozen again. Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Seznam uivatel, kte vlastn, prodvaj nebo shnj film. No known allergies (NKA). Notify doctor Dx- urinary stones with 3 episodes/5yrs. Three hours later, Ms. Getts is unsteady when standing by her bedside. Apply restraint Normal Sinus Rhythm on telemetry. Multiple abrasions, bruising Head, chest, and inner thigh. IV D5 1/2 NS @150ml/hr. Wash and glove hands Robert Sturgess - Swift River - Robert Sturgess Educational needs Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. The patient got dizzy when he stood up from the commode. Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Inform his partner that everything is being done to keep him comfortable. Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. -If gastric reflux is suspected administer PRN antacids (GI cocktail) Monitor and evaluate fluid intake Scenario 5 Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Evaluate understanding He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Mrs. Smith's surgery has now ended. Notify family He has been taking his HIV medication daily. -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Activity as tolerated with assistance. Decisional Conflict False Do not probe further -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Diet as tolerated. Shock, Risk for: False Health Change Increased acuity Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Contact Social Services Home; Our Focus; Our Legacy; Our Partners; Our People; Our Fellows; Our Investments Dr. Donofrio, Physiological -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Mr. Greer has just been visited by his wife. Toggle navigation Swift River. Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Swift River Nursing Simulation - Homework Writing Services You are the now the Surgical ICU nurse assigned to her. Welcome [evolutionmkt.co.za] Abdominal Pain: Non-tender Tender/Pain Describe: -Ensure patient privacy and call for help and assist patient to bed once help arrives Family Health III-Pediatrics (NSG 6435) Emergency Medical Technician (EMS 1150) Applied Research In Business (MIS 781) Anatomy & Physiology I With Lab (BIOS-251) Molecular Biology (BP 723) Newest Marketing Management (D174) Professional Application in Service Learning I (LDR-461) Professional Capstone Project (PSY-495) Theology (104) Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Infection, Risk for True Scenario 2 Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. Full assessment of patient. Combien gagne t il d argent ? Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Yes The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg Chronic pain: True -Ensure IV is patent, Lithia Monson He also has a history of hypertension and takes Tenormin (Atenolol) and Atorvastatin (Lipitor). Nausea False Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Encourage fluids and fiber diet Bleeding False Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Patient and family upset regarding dx. 2Provide comfort in pre-surgical room Mr. Dominec. Perform pain re-assessment The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Gait: ______________________________, Skin Integrity Assessment Flexes abnormally = 3 Najvyia ponuka (2013) | Filmotka | SFD.sk Patient demonstrates urine strain procedure. Educate about recovery from appendectomy and care to wound. Swift River Medical-Surgical Flashcards | Quizlet Assess Decreased cardio tissue perfusion: False Pupils PERRLA, eyes clear. Health Change Increased acuity The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Scenario 2 Scenario 2 3Check surgical consent for correct procedure and make sure operative site is marked. Dr. Donofrio. Safety jasmine . IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. His difficulty voiding finally motivated him to seek care. -Discuss with sitter that patient needs continual observation Hx of dementia, from nursing home, fall one day ago. Verify call light/ bed safety precautions ADA diet, intake, 25%. Upon entering room, you wash/glove hands. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Scenario 1 Lithia Monson Fatigue True Full assessment -Ask the patient if it is okay to discuss his care in front of his children. Students will prioritize medical surgical . Psychological Needs Normal acuity Educate patient Place pt on PCA pump 97.4, Resp 16 and Pulse Ox 94%. Acute Pain True Notify doctor -Transport Mr. Burgundy to his room His coughing, to clear his airway, appears ineffective. Non-significant past medical Hx. Document results 156 terms. ADA diet, intake 25%. Family at beside. -Reassess patient q 5 minutes until awake, then 15 minutes until they are fully awake (not Drowsy). "I am feeling fine." Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Compromised Family Coping: False NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Stay with patient for surgeon's arrival to explain intended surgical procedure No Known allergies (NKA). Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Scenario 1 Fatigue True Next time we'll spend our 60 on some food and nice beers. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Hep-Lock in place left AC. Decreased Cardiac/perfusion False Ronald Burgundy Fall, risk for: True Palliative care. Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Scenario 3 Scenario 5 Wash and glove hands Scenario 3 Constipation False Scenario 2 Skin integrity, impaired True Scenario 3 Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Sa fortune s lve 2 216,00 euros mensuels Love and belonging Acute pain: True Microeconomics And Behavior Robert Frank 9th Edition Author: old.bubbies.com-2022-05-03T00:00:00+00:01 Subject: Microeconomics And Behavior Robert Frank 9th Edition Keywords: microeconomics, and, behavior, robert, frank, 9th, edition Created Date: 5/3/2022 7:02:15 AM He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Allow family to remain The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Wash and glove hands Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Scenario 3 Vital assessment Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. Intermittent/Continuous Other: Explain that he will probably not be going home at least until his doctor sees him. Combien gagne t il d argent ? Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Re-assess patient Widespread Color Change: N/A pallor cyanosis jaundice erythema #1: _________, No Evaluate outcome of dietary plan Ruth Cummings Trustee Vice Chair Audit Chair . Describe the physical changes from aging and the care required. Decisional Conflict True Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Full assessment including both lying/standing Scenario 2 Provide information for MD to call family at home and explain what has just happened Regular diet. Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Patients within the Swift River Online Simulators Med Surg - Patients SROL Med Surg Female and Male Patients Female Male Ann Rails Carlos Mancia Estelle Hatcher John Duncan Kathy Gestalt Robert Sturgess Lithia Monson Tom Richardson Marcella Como Ramona Stukes Sarah Getts Viola Cumble Dosage Calc - Patients SROL Dosage Calc Female and Male Patients She has just been transported from recovery. Use therapeutic communication/Active Listening Bleeding Risk for: False Fall, Risk for True Scenario 4 Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Senario 3 Reasses temp in 1 hour. Vital Assessment As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Visual assess Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Notify Doctor for pain medz Scenario 2 Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice Swallowing: Intact Dysphagia Aspiration Precautions 1. Ann Rails Pain Scale: 0 to 10: _______________ Senario 1 You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Perineal Care 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. All opinions are mine alone. Nausea/Vomiting: Yes No The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Encourage Mr. Dominec to discuss with his partner his best treatment options. Impaired Gas Exchange True Senario 3 Robert Strurgess The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Pain Level Increased acuity Scenario 2 It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Escort patient Scenario 2 Failure to Thrive: True. He also complains that his throat is still very sore. Acute Confusion True Scenario 4 He does not have an IV nor is he on oxygen. Hopelessness: True Failure to Thrive True. Establish second IV You, his prior nurse, notice the family and respond to them. student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. -Instruct Mr. Burgundy and his cameraman to stop immediately Scenario 1 Ineffective Coping False Scenario 1 Wash hands -Remove the lunch tray and ensure pre-operative consent has been signed. Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. 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. The patient is asking you where her son is, the last place she saw him was right before the explosion. Provide a few chairs if possible for her family to also be comfortable Pain Level Increased acuity 1Perform full assessment and provide anti-nausea medicine. Document results Swift River Med-Surg Flashcards | Quizlet You arrive in room to check on her, after washing hands. Check monitor Impaired Urinary Elimination True This information is HIPAA protected and you cannot share anything with them. You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Today, clubs like Hamburg City Beach Club, Lago Bay, Hamburg del Mar and StrandPauli provide a relaxed summer atmosphere with a view over the Elbe. Obtain translatorT Assess -Perform neuro assess Imbalanced Nutrition: True Suprapubic Insertion site: WNL S/S Infection : ____________________ After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. Since the finding was low-grade dysplasia and is considered the early stage of precancerous changes, the gastroenterologist recommends another endoscopy in six months, with additional follow-up every six to 12 months. Employ therapeutic communication: present reality Ms. Getts is being transferred as an emergency to Critical Care. Anterior: ___________________________________ Posterior: ____________________________________ -Medicate for pain It is unclear if he lost consciousness. Love and belonging Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. r/o Tuberculosis. -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours This will treat any cancer that may have metastasized to the bone. Vital assessment After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Noncompliance: False 45 terms. Do not disturb You notify the charge nurse that you have never taken part in inserting a chest tube. Scenario 2 Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. Scenario 5 You correctly diagnosed 11 out of 16 options. Educational Needs Increased acuity -Advise patient not to get up and walk on his own -Inform patient to not get out of bed without assistance and place call light in reach Wash and glove hands Evaluate understanding Fall, Risk for True Scenario 3 Impaired Mobility False -Reassure patient that he will be moved to a private room as soon as possible Begin post op education for day one Impaired Gas Exchange True Tunneled, site _______________ Implanted port, accessed _____________________ Notify charge nurse that discharge will probably not occur today. Bleeding, Risk for False Safety- Respiratory Assessment -Reassess patient's physical status prior to leaving him in the hallway When a physician makes an incision into a body cavity just superior to the diaphragm and inferior to the neck, what body cavity will be exposed? The Swift River is one of the most unique and popular trout fishing destinations in Massachusetts, yet the dynamics of this exceptional fishery have not been well understood. Compromised Family Coping False RUE: ______________ LUE: _____________ Scenario 4 IV Assessment/ N/A -Complete initial post-op assessment Use therapeutic communication/active listening Scenario 5 A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. 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. However, he quit three years ago when he remarried; he and his wife have a nine-month-old baby. Fall Risk Increased acuity Patient, and family upset regarding dx. Scenario 2 John Duncan Hep-Lock in place left AC. How does the Med-surg simulator work? Imbalanced Nutrition True Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy Acute Pain True Paul Greer Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A Evaluate patient understanding Safety Increased acuity, Physiological 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. Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Home - Swift River Scenario 5 He is aware that he may not have an erection and may need depends for bladder incontinence.