Initiate IV Provide for physical Offer assistance Assess the pt. Mr. Wright is pleasant and cooperative but needs to be reminded to avoid pressure on his heel and sacrum. Upon entering the room, what is the appropriate order of events for the RN to take? Tell pt. Scenario 3 Reassure patient of options Post-op assessment 7. Deficient knowledge Evaluate understanding Evaluate pt's understanding Evaluate/modify. Initiate anti-psychotic meds -Initiate alternative distractions for pain / anxiety interventions Complete neuro 6 terms. Introduce yourself/identify pt Deficient knowledge: False privacy Medicate Assess pt's LOC Remove infiltrated IV Esteem: False Document Request possible change in medication and more frequent VS checks Report discrepancy Apply triple abx ointment to edges of wound each dressing change 3.) Psychological Needs - normal Insert Mary Barkley 3. Current VS BP 110/70, P 94, pt is pale, dizzy and nauseated. Educate family regarding active listening and open communication -Wound Cultures Sensorium - normal, Acute pain Wash & glove -Check pulse Ox, -Cognition Document results and findings Cultural competence MAiD Bill C-14. Scenario #2 Impaired skin integrity: False call light Announce to CODE Contact social services Monitor for adverse effects Notify charge nurse that d/c will probably not occur today. -Perfusion Psychological Needs - normal Pain - increased : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Evaluate pt's understanding Fall Risk - increased Impaired tissue integrity Impaired mobility, risk for Peripheral neurovascular dysfunction, risk for Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Intubated by RRT, BP 88/58, P 110, T 101.2, SaO2 94%, ABG's are pending, F/C in place. Contact dietary consult Contact HCP Impaired mobility, risk for Vital assessment Nausea: False Provide emotional Assess/inspect Evaluation pt. Scenario #3 Take VS Infection, fisk for, Scenario #1 Nausea: False jessdevan. Fall, risk for, Scenario #1 Document in the pt record Grieving: True Tell the mother that you understand Initiate IV She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. Empty foley -Notify the provider after stopping the infusion Describe the situation and what you did to deal with the situation. Scenario 3 Impaired comfort Key Term joyce workman swift river; Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. Thanks! Secure help Scenario #3 Mr. Mancia is a non-English speaking pt and is fearful of being discovered as an illegal immigrant. Scenario 1 Offer masks Provide emesis basin/cloth Explain to pt. Request repeat Swift River Medical-Surgical. Don Johnson, There was a warehouse fire that quickly spread to an adjoining neighborhood. You are about to call the Surgical ICU and give report. Call Report, Educational - increased Scenario #5 Inspect pleurovac Constipation: False Mr. Raymond weighs 260 lbs. Sensorium - increased, Scenario #1 Orient pt and husband to the unit Reinforce dressing Psychological Needs - normal Use therapeutic communication to explain necessary procedure. Discuss willingness for alternatives to smoking Scenario #5 Tim Jones 8. Initiate secondary Full assessment Impaired comfort: True Use therapeutic communication/active listening Document results, Physiological- Constipation: False HTN was undiagnosed and was. Anxiety: False Deficient knowledge You hear a scream coming from Mrs. Horton's room. Scenario 4 Arthur Thomason 16. Ineffective health maintenance: True Perfusion, risk for At 2200, you enter the room and the pt states pain is now 10/10 after not having any pain for 3 hrs. Educate Ms. Horton that paroxetine (Paxil) is to be taken as ordered Fear: False - Risk for physical injury Notify social services Scenario #5 Assess the injury for presence of necrotic tissue and amount of exudate. Psychological Needs - increased, Acute pain -Sit quietly with the patient allowing them enough time to respond Expert Answer. Perform hand hygiene Make sure O2 mask Hopelessness: True Levofloxacin (Levaquin) 750 mg IV q 24hrs Several hours later, Mr. Duncan is now complaining of nausea. Restart IV Provide 20 gram carb Pale pt. Notify lead RN/ DR of new circumstances Scenario 5 Ineffective Self-Health Management: False Do not disturb Scenario 3 Medicate Acute Pain: True Re-apply new sterile dressing Insert new IV above prior site or opposite limb IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. -Assess his airway Refer caller to contact health department Hypothermia: False - Anxiety 2/23/22 VCBC Glucose Regulation Swift River #1 Dotty Hamilton Room 301 Dosage of metformin? Prepare Mrs. Knox's body Study with Quizlet and memorize flashcards containing terms like JOYCE WORKMAN REPORT/ ACCUITY Joyce Workman, Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Scenario #3 Risk for physical injury: True Bleeding: False Notify doctor Health Change - increased Obtain informed consent Neurological - normal, Chronic pain - Imbalanced nutrition Charge the monitor to 200 J biphasic. -Remain with the patient Check for breathing Provide report, - Educational - increased Have pt. Verify call light/bed safety precautions Health Change - increased Scenario 4 Reinforce past Scenario 1 Prepare and administer appropriate pain medication Ask the pt. Educate pt. Explain rationales Pt is scheduled for and ECG and MRI this AM. Safety: Increased acuity The labs return w/ digoxin level of 10.5 ng/mL, K 5.3 mEq/L. Upon entering the room, you wash/glove hands. Health Change: Increased acuity Infection, risk for, Scenario #1 Reassess pts VS in 3-5 minutes: BP 85/44, P 52, R 16 (pt intubated and vented by RT) Inform admitting physician -Re-position patient to up-right position and offer handwashing Dysfunctional Gastrointestinal Motility: False Obtain translator 2-Have nursing staff introduce themselves and explain their role upon entering the room Post-op assessment Asses pt. Scenario 1 Scenario 5 Document results Inspect site if it is okay Notify charge RN -Provide mask for patient Ensure pt is in Fowler's position Apply fall risk bracelet Scenario #3 Evaluate outcome Educate about recovery from appendectomy and care to wound. Reinforce to the pt. Wash hands & assess Scenario #3 She has well-controlled hypertension with Losartan (Cozaar) 50 mg q daily.

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