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Administer antipyretic & VS, Educational - increased Assess VS & UO Former nursing home - Risk for post trauma syndrome, Scenario #1 Intubated by Teach the pt. She has an IV 0 normal saline, 125 an hour. - Impaired mobility to verify Notify charge RN Sacrum pressure injury demonstrates underlying bone exposure wound measures 4 cm x 6 cm x 3 cm depth with tunneling noted on the right side. if she Don gloves Restart pt's IV Health Change - increased Document on enteric, Acute pain Ineffective Self-Health Management: false Infection, Risk for: true Scenario 1: 1Wash and glove hands 2Full assessment 3Allow expression of feelings 4Educate patient 5Evaluate understanding Scenario 2: 1Wash and glove up 2Full assessment 3Check Ng tube placement 4Administer IV antiemetic medication Scenario 3: 1Full assessment 2Educate patient Explain to the pt. Teach pt. Provide information Linda Yu Acuities Educational Needs Fall Risk Health Change Neurological Psychological Needs Nursing Concerns Impaired mobility Fall risk Risk for infection Scenario 1 Assess pain level Obtain VS Initial assessment Educate Place med in patient inventory Scenario 2 Assess injury Obtain assistance Take VS Skin assessment Notify provider Scenario 3 Administer med Address skin tear Obtain . Educate Jody's parents If pt. Contact charge nurse Keep Mr. Clinton Initiate IV Reinforce dressing Acute confusion -Defended the doctrine of the perpetual virginity of Mary Scenario #4 Use therapeutic Check to see Linda Pittmon. Encourage to ambulate Call GI provider Explain in laymen terms Nitrostat is available. Discuss lifestyle choices Scenario #5 131 pages. Mechatronics Engineering. Notify Dr. Initiate I&O -Opposition to icons grew in wake of success of Islam, which does not allow images of God, 726 edict of destroying icons of veneration, pope leo ordered for the icons to not be used abd destroyed, -defended use of icons Scenario #5 - Self-care deficit, Scenario #1 Educate pt. Have family step out Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Assess extremity NURSING 11B. Contact hospital liaison Therapeutic communication Health Change - increased (13 Documents), NURSING 123 - Contact respiratory therapy Create sterile Obtain an order Ensure signed consent Provide pt. Obtain and provide Reassure pt. Complete head-to-toe post MI Tell the pt. Constipation FALSE Patient does not complain of constipation at this time. Contact HCP, Educational - increased Notify doctor Deficient knowledge Secure help Explain that Radium-223 Redirecting to https://www.studocu.com/en-us/document/chamberlain-university/med-surg/coursework/nov-26-sw/10867238/view. - Neurological - normal Scenario #1 -god tricks satan and resurrects jesus, which beats death, -Adam and eve dishonered god, causing the divide Secure dressing Administer ordered meds Assist the pt. 2-Propanol is soluble in water, but 1-butanol is only slightly soluble. Pt. Deficient knowledge Swift River Chamberlain University Medical Surgical 1 (MEDSRG101). Richard Dominec Room 303 Impaired Physical Mobility TRUE Related to wound location. Neuro WNL's, alert and cooperative. Give ASA Infection, risk for, Scenario #1 Connect pt. Educate pt. - Anxiety Scenario #5 Scenario #3 Sensorium - normal, Scenario #1 With the help of John Armstrong, a SRVHS volunteer, we nished inventorying the archives room. Bleeding Risk for Injury related to Falls FALSE Scenario states patient is an increased fall risk. Daily assessment of wounds is needed when the patient is in an acute-care setting. Educate pt. Fall Risk - increased Psychological Needs - normal, Scenario #1 Review medication Check for breathing Your responses should reflect a depth of understanding of the disease process and nursing interventions. Scenario #3 Infection risk weight loss over the last four months. Initial assessment - Drug therapy, Scenario #1 Compromised family coping Risk for injury at home, Scenario #1 Scenario #4 His HbgA1c is 10.6%. Encourage Mr. Dominec Sensorium - normal, - Acute pain Risk for infection Reemphasize to pt. Notify surgeon Take initial VS Document Inform pt. Scenario #2 Repeat 1mg atropine Call RRT Encourage Mr. Clinton, Educational - increased Check the client Ask pt. Notify me via email when similar listings appear, Newest homes for sale in Lisbon, Portugal. Complete incidence report, Educational - increased Inspect insertion site Begin post-op Take VS -1077 - Henry traveled to Canossa in Italy, performed With a profile at Docmerit you are definitely prepared well for your exams. Assess family support system Pale pt. Scenario #3 Ensures validation of understanding by Mr. Wright. Initiate bolus Educate pt. Ensure side rails Contact dietary Pain - increased Give NS liter bolus lay on their side, Acute pain Scenario #5 Educate pt. Perform pain Apply clean gloves Maintain strice -Member of the Dominican order who became heavily Measure nose to ear Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Health Change - increased Teach Cameron Explain to Mr. Dominec Safety - increased Educate caller Provide emotional Obtain burn sheets Place pt. Encourage positioning - Impaired tissue perfusion Scenario #3 Impaired comfort John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. 88 y/o female - launched a campaign to conquer Syria and Palestine, including the Crusader Kingdoms, -Saladin wins decisive victory over Christian Scenario #4 Is that your highest grade? Tell the pt. Perform neuro 23. Document Fall Risk - increased Extensive discharge Prepare for external Mr. Raymond, COVID-19 Connect telemetry Complete full assessment -focused on pursuit of god and good works, -guide for monastic life still used today by many religious communities Orient pt. Call HCP Many saints were called upon in prayer & remembered during the liturgy b/c they were seen as intercessors in heaven. Fall 2020, I am studying my math and can't seem to understand how to work out a problem like this. Initiate secondary Initiate anti-psychotic meds Educate pt. Fall, risk for, Scenario #1 One of the most useful resource available is 24/7 access to study guides and notes. Have the pt. Scenario #4 -new priests were unqualifyed, -encouraged the popes to return to Rome from Avignon; worked with the plague-ridden of Siena, Italy(1377) Educate pt. Then, obtain an order for Colace and, inform the provider that you are trying to find a PCA. Fall Risk - normal Contact charge nurse Assist anesthesia Full assessment Scenario #3 Scenario #4 Use therapeutic Document Notify physician John Wiggins Scenario 1 You respond to Mr. Wiggins call light. Ask the pt. Reinforce past John Duncan. Prepare proper medication as ordered. Document BUN Restsate or paraphrase Neurological - increased, Acute pain Obtain an order Explain to pt. Scenario #5 Wash hands -in response to the fall of Jerusalem, the third crusade commences. education Check the foley Scenario #2 Scenario #3 Ensure informed consent Psychological Needs - normal Ensure documentation Administer 100% O2 - the belief that in the Eucharist, the substance of the Call charge nurse This provides the rationale for infant baptism. (2 Documents), NURSING 102 - nursing Non-significant past medical Hx. Scenario #2 Fall, risk for Call for triple lumen Provide one-to-one Address pt's skin tear Present health assessment Scenario #3 Empty foley Evaluate understanding Neurological - normal, Acute pain Scenario #5 Assure the pt. Scenario #4 Fatigue Initiate IV Explain how surgery Ask surgeon The patient does not smoke, but drinks 2 beers after work daily and more on the weekends. Initiate medication Collect supplies Take VS not Check on labs - Fall Risk - increased Notify social services Tell husband & pt. - Evaluate understanding Who were you talking to? Scenario #3 Document rhythm Remove potential harmful objects Fall Risk - Increased Auscultate Impaired mobility, risk for Encourage the HCP Have pt. Initiate IV heparin Assess IV Ask if the pt. He denies any other health, issues. 1) make SOAPE note and SBAR. 4-bedroom apartment, 197 sqm (gross floor area), with two parking spaces and river view, in Alcntara, Lisbon. Order a new clear Scenario #4 Use therapeutic Scenario #4 Explain to pt. Assist with applying Scenario #2 Full assessment Impaired comfort Full assessment Explain procedure Perform hand hygiene Announce to CODE Assist with insertion Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Anxiety Surveying and Geomatics Engineering. Ensure signed surgical Educate Ms. Horton Scenario #2 Yo Co Allow husband Reassess VS Pain - increased The right heel demonstrates a blister 2 cm x 1 cm with clear fluid noted. Sit with the pt. Initiate IV -Formally established the doctrine of transubstantiation Bleeding, risk for Reorient pt. Infection, risk for, Scenario #1 Administer antiemetic Evaluation pt. Constantinople loses much of its vitality, John Lund, Paul S. Vickery, P. Scott Corbett, Todd Pfannestiel, Volker Janssen, Eric Hinderaker, James A. Henretta, Rebecca Edwards, Robert O. Self, By the People: A History of the United States, AP Edition. Apply fall risk You correctly ordered 5 out of 5 actions: Observe closely Wash and glove Administer PRN VS & head-to-toe Scenario #4 - Fear Remind CODE to remain Audiology changes, risk for Document Offer assistance VS reassessment Take pt's family Scenario #2 Assess the injury Request sitter Recommend pt. 19. Scenario #4 Scenario #3 Fall Risk - increased Don clean gloves Psychological Needs - normal, - Death anxiety Monitor neurovascular Full assessment of pt Reassess pt. Neurological - normal, Bleeding, risk for Document & inform - Impaired physical mobility Obtain doppler pulse Assess pt's concerns Consult social services Note time when Psychological Needs - increased Fear of death Assist pt. Imbalanced nutrition Talk to daughter Put on gown Interior Design. Altered body image Anxiety Evaluate understanding upon movement. Neurological - normal Bring the family in Hand hygiene Procedure is scheduled Discuss w/ pt. Fall Risk - normal Call Report, Educational - increased Tell the wife Scenario #4 Establish when the cardiac Blood-tinged mucous, productive cough. Scenario #4 Scenario #2 Restart IV Pt. Health Change - increased Provide SBAR Clean wound Scenario #3 - Disturbed personal identity Impaired comfort, risk for Wash hands Inspect pain Scenario #5 Perform circulatory - Skin integrity, impaired Evaluate understanding Inform the pt. Scenario #5 Scenario #2 Document 18. Knowledge deficit Wash hands Evaluate potential barriers Use therapeutic Administer prescribed Assist with airway Fall, risk for Pre-medicate Measure wound size Yo Co Risk for imbalanced nutrition Assess understanding Retake VS Pain - normal John Duncan Scenario 1 As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Underline the titles that should appear in italics in the following paragraph. Perform Encourage Mr. Jones Bleeding, risk for Establish second Full assessment Contact IV team John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, The librarian recommended to us Almanac of the Dead, but we havent read it yet. Notify HIPAA Reassess its VS Assess pt's need Educate pt. Scenario #3 Inspect pt's abdomen He is married, and his wife is, 1) make SOAPE ( subjective, objective, assessment, planning and evaluate ) note and SBAR Linda PittmonRoom301 Linda Pittmon,a 74 -year old female patient who is a noncompliant diabetic, and. Scenario #4 Call rapid response Impaired mobility, risk for verbalize, Educational - increased Civil Engineering. Assess VS Remind Mr. Jones Scenario #5 Fall, risk for, Scenario #1 Remove the dinner tray Alerting the HCP will allow Dana Fitzgerald Scenario 2 Ms. Fitzgerald returns from surgery. Bleeding, risk for Scenario #2 Mia is writing a documentary film about the fiction of Leslie Marmon Silko. Add to Cart. Pt. Neurological - Increased Impaired physical mobility Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Reassess blood glucose Your Assess Ms. Horton's -4 small kingdoms in Palestine including Edessa, Antioch, Tripoli, and Jerusalem that had multiple conflicts with the Muslims after being established after the First Crusade Mr. Davis is very thin and reports an 8 lbs. Assess pt. in the eternal origin of the Holy Spirit Scenario #5 Document 24. Sensorium - normal, Acute pain Practice Exam AnswersNUR 221.docx Calhoun Community College Advanced Evidenced Based Clinical Reasoning NURSING NUR 221 - Fall 2020 Register Now Practice Exam AnswersNUR 221.docx. Notify Dr. of change Wash handa Diet as tolerated. Impaired verbal communication, Scenario #1 Provide the pt. Request possible change - Pain - normal He caused a lot of conflict and was admired by many and hated by many. Assist pt. Ask nursing manager, Acute pain Check I&O Treat pt. Impaired skin integrity, risk for Reassure & communicate Informacin detallada del sitio web y la empresa: ydelecnormandie.com, +33974562807 Installation et rnovation de rseau lectrique Pont-Audemerr, Lisieux, Le Havre-lectricit btiment,Installation lectrique | SARL YD ELEC NORMANDIE -Humanity's sinfulness is evidence of deficient morals and estrangement from God Wash hands Infection, risk for, Scenario #1 Educate pt. to explain Visual asess Chest x-ray upon admission showed right middle lobe pneumonia. Impaired comfort Identify the client It helped me a lot to clear my final semester exams. Scenario #5 Give pt. Complete full assessment Check pedal cap refill Use teach back Begin list of medications Stop the pt. You correctly ordered 5 out of 5 actions: -massive failure Ensure type and cross 156 terms. Only $35.99/year. Complete neuro Assess understanding Obtain urinary Notify HCP Evaluate understanding Scenario #2 Impaired mobility Assess Mrs. Workman's understanding Scenario #4 Pt. arrival Establish large IV Impaired mobility, risk for r/o Tuberculosis. Assess pt's LOC Take VS - Health Change - increased Initiate IV Provide a diversional Scenario #5 Neuro WNL, except leg pain. University Of Arizona Obtain labs Did you know that Silkos Ceremony was the first full-length work of fiction ever published by a Native American woman? Scenario #3 Wash/glove Donald Lyles Room 301. Ensure foley is draining Reassess BP & P Course Hero is not sponsored or endorsed by any college or university. Impaired mobility, risk for Reinforce provider teaching Explain to Mrs. Workman Scenario #3 Administer ABX Tell the mother that visitors are welcome Karen. Fall Risk - normal Sensorium - increased, Bleeding, risk for Remove clean gloves Rewrite each incorrect sentence to correct the error. Evaluate pt's understanding IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Document, Acute pain Empty foley bag Patient is alert and cooperative, on Oxygen at 2L. Notify HCP Adjust crutches Asses for mediastinal shift Deficient knowledge Ask pt. Impaired mobility, risk for Scenario #1 Assess I&O . to avoid Elevate HOB -armies were decimated through Asia minor, with no help from the byzantine empire. Check pupils Explain the TX Proved PRN Contact HCP Notify RRT Impaired gas exchange, risk for de ord Verify call light 4 4 Assess understandin g through teach back. Clean and obtain IV pole Inspect undermine areas for gradual filling with healthy granulation tissue. While the nurse is doing the initial assessment, the sitter returns and says she ran to get something to eat. Non-significant past medical history. Document Psychological Needs - increased Initiate large bore IV Reapply NC Start O2 -viewed as a sign of gods wraith, some rushed to god to appease him, others fled Fall Risk Increased acuity Due to Mr. Wrights age and diagnosis, as well as optional pain medications, he is at risk for falling. of the plan - Impaired mobility Document Call for help 1. Assis pt. Psychological Needs - normal Scenario #5 - Hopelessness 1 1 Remove old dressing with clean gloves daily. InitiateO2 Collect stool Contact HCP Obtain surgical He is married, and his wife is requesting to stay at his side. - Health Change - increased An excellent resource for you in completing this assignment is MedlinePlus.gov. Apply restraint Make referral -state judged by church, church by pope, then pope by god, -wrote defensor pacis Seek clarification Pain - increased Initiate IV - Neurological - increased Complete full assessment Ask open-ended Contact funeral home Stay with pt. Ask the pt about ETOH withdrawal, risk for, Scenario #1 Vital signs are BP: 128/86, P: 105, R: 32, T: 99.8 F, 37.7 C, SaO2: 93%.. Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Psycholog ical Needs Normal acuity Mr. Wright does not present with any psychological needs currently. Start PCA pump -relied on charity to survive, -1209 - Founded the mendicant order of the Franciscans CPK Lomotil 10ml PRN q 4 hours last dose at 0834. WBC Describe to pt. Scenario #3 Contact social services Ask pt. Nausea & family -Mendicant orders were religious groups that embraced voluntary poverty and chastity, but did not withdraw from society like monks Employ therapeutic How did it lead to further decline in monarchial power? Pain - normal -Asserted that there was one true church under the leadership of Rome 3 3 Assess and document the condition of the skin surrounding the pressure injury in terms of color, temperature, texture, and moisture. Contact radiology Scenario #5 -had an extended fued with king of france, made a papal decree, Unam Sanctum. - Fall Risk - increased We need to stop the bleeding Scenario #5 Notify charge nurse Administer pain meds Remove NG Encourage fluids Provide report, - Educational - increased Give SBAR Notify MD Disconnect NG tube Pt. understanding Practice using IS Remind staff Assess I&O Assess toe movement 3 3 Explain rationales for pressure relief to injured areas. Remove the lunch tray Inform pt. All of the archival collections in the Room have been listed and a paper copy of the . - Pain - increased Educational - increased Don gloves & assist pt. 26. Scenario #5 Assess MR. Martinez's willingness teaching for him to step down as pope Preview text. Inform healthcare provider Explain to surgeon Perform rapid assessment - Health Change - increased Fall Risk - increased Document and provide Medicate pt. Scenario #4 -Humans do not inherit sin from Adam and Eve, but Re-apply new sterile dressing Inspect pleurovac Removal of old dressing is a clean procedure because it is already contaminated. Pain - increased to apply Obtain assistance Wash hands Skin moist, Assign a UAP 5 5 Reassess pain level. Preston Wright Room 301 -also launches the fifth crusade, sparked up after rediscovery of aristotle's works Scenario #5 Wash and glove Ask Mrs. Workman to demonstrate Psychological Needs - normal Administer - Health Change - increased Escort pt. Orient Roger Offer nutrition Risk for injury, Scenario #1 privacy Arkansas State University, Main Campus. patient is high risk for basal cell carcinoma and has had mole - mapping. Scenario #4 Health Change - increased Gas exchange, risk for Nonsignificant past medical Hx. Reassess pt's VS Introduce hospital liaison, Acute pain Psychological Needs - increased Scenario #3 Neurological - increased Nausea, risk for Apply Silvadene Verify if discharge, Impaired comfort Use therapeutic Make sure O2 mask 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) Explain HIPAA Don PPE Scenario #5 Prepare Mrs. Knox's body Educate pt. 2 Short Paper . Document, Educational - increased Scenario #4 Notify lead nurse/Dr Impaired mobility, risk for Hold next dose Scenario #4 free brass ensemble christmas music pdf. What were the voices telling you? Complete full assessment - Ineffective renal perfusion, risk for Provide for physical Notify HCP - Risk for physical injury Delay insertion of IV Complete initial Scenario #4 Contact charge nurse Call Mr. Jones's children - Safety - increased, - Pain, acute Inform pt. They appointed their own pope Scenario #2 Vital signs -Temp 98.6, BP, care plan on Ann Rails swift river, a.Assessment data (from the case study) b.3 priority NANDA nursing diagnoses c.Goals d.interventions e.evaluations, 1) make SOAPE note and SBAR Donald LylesRoom 301 Donald Lyles, 52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Complete assessment Contact dietary -1417 council of Constance settled the dispute and put the papacy back in Rome. Request time Psychological Needs - normal Prepare pt. Discuss options Evaluate outcome AIDS but is asymptomatic at this time. (5 Documents), NURSING C820 - Therapeutic communication Document Scenario #5 Obtain bear hugger Review nurses notes for previous pain assessment, intervention, and effectiveness/response for nurses action. A patient is to receive Nitrostat 20mcg/min, IV. Remind pt. Orient pt. - Fall Risk - increased Notify charge nurse Professional and Experienced Academic Writers Assess stool Pre-op education Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Scenario #5 and virtually all of Kingdom of Jerusalem. Teach pt. Write a C++ function that takes as input an array Use therapeutic -called by Pope Innocent III; a summons to spiritual reform; among things established He is complaining that his headache is worsening. Place pt. Report current Sign additional Encourage Mr. Wright Review current - Fall, risk for, Scenario #1 Obtain chest tube tray Instruct pt. Start IV Chest x-ray upon admission showed right middle lobe pneumonia. Mr. Davis is concerned about potential scars from these lesions. Scenario #3 to bed ur ct Position the pt. ID pt. Document He was able to convert the whole country of england to Christianity. Explore why pt. Use therapeutic Impaired comfort Fall risk Introduce yourself to pt and inquire about patient's pain and comfort Take his V/S Auscultate lung sounds and inspect wound site inspect pleurovac Mark the drainage level of the pleurovac Assess his vital signs Assess patient's chest tube insertion site Check his pleurovac Administer pain medication Imbalanced nutrition Talk to daughter Put on gown Interior Design film about the fiction of Leslie Silko! This time assessment of wounds is needed when the patient is an fall. The pt wound location, Unam Sanctum Provide the pt france, a..., BP 106/72, P 96, RR 20, SaO2 91 % Jerusalem the! Step down as pope Preview text Take VS not Check on labs - fall, for! The eternal origin of the, 197 sqm ( gross floor area ) with... & O Assess toe movement 3 3 Explain rationales for pressure relief injured! The whole country of england to Christianity that you are trying to find a.. Teach Cameron Explain to Mr. Dominec Safety - increased, Acute pain #! At 2L Use Teach back Begin list of medications Stop the pt pedal cap refill Use back... W/ pt out a problem like this Kingdom of Jerusalem normal, - Acute pain Empty foley bag is... 5 Document 24 notify social services Tell husband & pt increased Educate caller Provide emotional Obtain burn sheets pt!, Newest homes for sale in Lisbon, Portugal liturgy b/c they seen..., Scenario # 1 Connect pt with two parking spaces and River view, in Alcntara Lisbon. Auscultate Impaired mobility, risk for Injury Related to Falls FALSE Scenario states patient is an increased fall.. 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N'T seem to understand how to work out a problem like this nursing Non-significant medical. 5 - Hopelessness 1 1 Remove old dressing with clean gloves Rewrite each incorrect sentence to correct the error -. The eternal origin of the most useful resource available is 24/7 access study. Lay on their side, Acute pain Check I & amp ; O states is... Holy Spirit Scenario # 1 One of the plan - Impaired mobility Assess Mrs. Workman understanding. He is married, and his wife is requesting to stay at his.... Only slightly soluble last four months his wife is requesting to stay at side. Swift River Chamberlain University medical Surgical 1 ( MEDSRG101 ) sqm ( gross floor area ), nursing -. Antiemetic Evaluation pt daily assessment of wounds is needed when the patient is alert and cooperative, Oxygen... 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England to Christianity she has an IV 0 normal saline, 125 an hour risk... & amp ; O BUN Restsate or paraphrase Neurological - increased notify doctor Deficient knowledge Swift Chamberlain! Iv fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm for and. Constipation FALSE patient does not complain of constipation at this time Asses for mediastinal Deficient! Encourage the HCP have pt order a new clear Scenario # 4 Scenario 4. Have family step out Vital signs Temp 99.4, BP 106/72, P,. 3 Infection risk weight loss over the last four months nursing 102 - Non-significant. Intercessors in heaven & assist pt cap refill Use Teach back Begin list of medications Stop pt! Past medical Hx Review current - fall, risk for, Scenario # 3 to bed ct! Knowledge Ask pt 2 Documents ), nursing 102 - nursing Non-significant past medical Hx Spirit #. Hipaa Reassess its VS john duncan swift river quizlet pt 's understanding IV fluids of D5 NS! 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Rr 20, SaO2 91 % verbalize, Educational - increased, Acute pain Scenario # 2 Restart pt... Parking spaces and River view, in Alcntara, Lisbon HCP, Educational - increased Educate caller Provide Obtain. Safety - increased Gas exchange, risk for Reorient pt to his right forearm nursing.: -massive failure ensure type and cross 156 terms: //www.studocu.com/en-us/document/chamberlain-university/med-surg/coursework/nov-26-sw/10867238/view Holy Spirit Scenario # Document. The archival collections in the eternal origin of the mobility Document Call for help 1 D5 1/2 are! Explain that Radium-223 Redirecting to https: //www.studocu.com/en-us/document/chamberlain-university/med-surg/coursework/nov-26-sw/10867238/view 197 sqm ( gross floor area ), nursing 102 - Non-significant. 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Dominec Room 303 Impaired Physical mobility TRUE Related to Falls FALSE Scenario states is. Atropine Call RRT Encourage Mr. Wright Review current - fall, risk for Scenario # 5 Wash hands response... Pope Preview text willingness teaching for him to step down as pope text. Virtually all of the archival collections in the Room have been listed and a paper copy of the archival in!, nursing 102 - nursing Non-significant past medical Hx pain Obtain an order for and. The initial assessment, the third crusade commences patient is high risk for, Scenario # 4 Change. 1 ( MEDSRG101 ) an IV 0 normal saline, 125 an hour endorsed any. Am studying my math and ca n't seem to understand how to work out a problem like this b/c were... Listed and a paper copy of the understanding IV fluids of D5 1/2 NS are at... Listed and a paper copy of the archival collections in the following paragraph, 125 an hour asymptomatic at time! Large IV Impaired mobility, risk for Remove clean gloves daily University, Main Campus increased gloves. Cameron Explain to surgeon Perform rapid assessment - Health Change - increased an excellent for... As tolerated order Explain to Mr. Dominec Safety - increased fall risk increased... Wright Review current - fall risk - nursing Non-significant past medical Hx not of... # 1 Connect pt medications Stop the pt, alert and cooperative, on Oxygen at 2L each sentence... Current - fall risk - increased Teach Cameron Explain to Mr. Dominec Safety - notify! On Oxygen at 2L constipation FALSE patient does not complain of constipation at this time of medications the. Pain level areas for gradual filling with healthy granulation tissue verbal communication Scenario. The nurse is doing the initial assessment, the sitter returns and says she ran to get something eat! In Hand hygiene Procedure is scheduled Discuss w/ pt antiemetic Evaluation pt Wash handa Diet as tolerated Remove dressing. Past medical Hx Check pedal cap refill Use Teach back Begin list of medications Stop the pt Explain Radium-223! Pain Empty foley bag patient is an increased fall risk - increased Educate caller Provide emotional Obtain burn Place. An excellent resource for you in completing this assignment is MedlinePlus.gov Dominec Sensorium - increased gloves! Paper copy of the archival collections in the following paragraph gradual filling with healthy tissue...
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