Chronic Pain True Impaired Skin Integrity, False How does the Med-surg simulator work? The pathology report shows no cancerous lesions. 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 Anxiety True Scenario 5 Scenario 4 Notify family as to when they may come and visit. Fall Risk Increased acuity Scenario 4 Vital signs are to be taken BID, and it is now time. Sleep deprivation False Vital assessment Allow for non-compliance of request Impaired Skin Integrity, Risk for False Senario 3 Imbalanced Fluid Volume, Risk for True Scenario 5 Scenario 3 Shock False Acute Pain True He is having some difficulty hearing and complains of ringing in his ears. Scenario 2 Bed Bath: Assist or Total The heartburn has become worse since he started treatment for his URI. Use therapeutic communication/Active Listening Therapeutic communication. Senario 5 You enter room one hour after the physician has left the patient. Administer antiemetic medication Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Reapply restraints -Draw a repeat CBC per HCP order to determine current Hemoglobin status Scenario 3 Continent: Yes No Occasional Incontinence Frequent Incontinence Brief Fall Risk Increased acuity Provide for physical and thermal comfort. Anxiety False Offer assistance Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. Regardez le Salaire Mensuel de Ticketmaster Beyonce Koln en temps rel. The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Fall, risk for: True Inform his partner that everything is being done to keep him comfortable. Rapid Response team arrived including anesthesia. **New Patients from 2020, Post- Covid-19 Update:** **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) Preston Wright Room . Perform circulatory evaluation Verbal response Oriented converses = 5 and the GI cocktail given in the ER did relieve his CP but not completely. Temp Assess for bowel sounds Educational needs: Increased acuity Scenario 3 No response = 1, Range of Motion: Full, Limited Carlos Mancia Pregnancy and labor and delivery are not typically associated with the concept of cellular regulation, Patient: Donald Lyles,52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Senario 3 The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Senario 1 Failure to Thrive True. Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook But that's changing. Bleeding Risk for: False -Administer the medication with a small sip of water and place an NPO sign at the entrance of the patient's room. Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. Senario 4 Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy Impaired Home Maintenance Management r/t Client or Family False Wash and glove hands Scenario 4 Scenario 5 Infection, Risk for False Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles He was recently treated for a URI with a Z pack, prednisone, and Motrin for pain. Document and prepare to transfer to Surgical ICU Scenario 2 Multiple abrasions, bruising Head, chest, and inner thigh. The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Fear/Anxiety True. c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. Microeconomics And Behavior Robert Frank 9th Edition Make-Up Clinic Day 3 MS - Swift River Assignment: Make-up Day 3 Swift Ruth Cummings - The Nathan Cummings Foundation Home - Swift River Acute Confusion False 3Check surgical consent for correct procedure and make sure operative site is marked. Impaired Skin Integrity, Risk for True Ineffective self-health mgmt: False, Disturbed body: False Senario 4 No Known allergies (NKA). ExplanationAnxiety/ fear True Escort patient to vehicle Increased fall risk. Check pedal capillary refill Safety You arrive in room to find Ms. Monson talking to herself. -Set-up for stat portable chest x-ray The patient is awake, alert, and oriented. -Medicate for pain Hopelessness True Scenario 2 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. The patient will be discharged today, and he will be ordering new prescriptions. Taking HIV Meds prophylaxis. Gastrointestinal Assessment Assess -Explain to patient why his throat may be sore Scenario 2 He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. -Assess patient's ABC (airway, breathing, circulation) Senario 2 Chronic Sorrow False Peripheral Neurovascular Dysfunction False Impaired Urinary Elimination True Scenario 2 Linen Change Scenario 1 Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only IV Assessment/ N/A Document results and findings Diet as tolerated, up ad lib after gait training. Chronic Pain False Observe closely first hour You question her while reviewing her operative consent and determine that everything is correct. Procedure is canceled for the day and rescheduled later allowing for new consent. Impaired Comfort True Apical/Radial Pulse Deficit: No Yes Murmur Valve Click Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. Scenario #2. Senario 1 Continent: Yes No Brief/Diaper Bleeding False Verify call light/ bed safety precautions Neuro WNL, except leg pain upon movement. Students will prioritize medical surgical . She is with her physician. Scenario 4 Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Ronald Burgundy The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. ADA diet, intake, 25%. Diet as tolerated. Explain that he will probably not be going home at least until his doctor sees him. Notify lead nurse/doctor Breath Sounds: Clear bilaterally. -Perform neuro assess Employ therapeutic communication: present reality Escort patient Pain Level: Increased acuity Senario 3 Neuro WNL. Senario 1 Read PT report Health Change Increased acuity Non-significant past medical history. The oncologist is recommending Docetaxel as opposed to an orchiectomy. Evaluate understanding Anxiety True Wash and glove hands The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Dr. Anderson, Educational Needs Increased acuity He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. -Complete full assessment, to include neuro Scenario 2 Scenario 4 Pain Level Normal acuity Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Health Change Increased acuity Esteem You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Clear liquid diet. Mrs. Pittmon states she has had numbness for years but "now I can't . Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. No Known allergies (NKA). Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. -Restart the IV and draw CBC -Elevate head of bed and place the patient on Pulse oximetry. Scenario 2 Stay with patient for surgeon's arrival to explain intended surgical procedure Skin warm and dry, all vital signs in WNL -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Where is my camera man!! Evaluate understanding. He is excited and tells the nurse he is starving and glad that he finally gets to eat. Eye opening Spontaneous = 4 Glasgow Coma Scale 0-15 Musculoskeletal You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. No known allergies (NKA). Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University Alleviating Factors: Last pain medication: Upon entering room, you wash/glove hands. This information is HIPAA protected and you cannot share anything with them. Notify lead nurse/doctor Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. Scenario 4 Identify patient -Obtain chest tube tray and set-up pleurovac Assist patient Assess for bowel sounds Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Fear True The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. 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. No known allergies (NKA). Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Neuro WNL, alert, and cooperative. Do not disturb He is restless with slight confusion but is easily orientated with attempts from nurse. Disturbed Body Image True IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. LOC Normal acuity Strict I&O, regular diet, intake 50%. Safety The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Scenario 4 Psychological Needs Increased acuity -Contact HCP to determine when they are available to speak with the patient Vital signs taken by automatic B/P Cuff q 15 minutes -Perform admission assessment Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. Safety- Family in room with patient very concerned. Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. You discuss this cough with Mr. Dominec to determine how long he has had it. Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). 50% intake. Verify Call Light/Bed Safety precautions Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. No known allergies (NKA). Cardiovascular has pacer with rate of 82bpm on demand. Scenario 3, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Contact Social Services Respirations Acute Confusion True Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. Color:__________ Neuro WNL alert and cooperative. Pain Level Normal acuity Scenario 3 The charge nurse tells you she will send someone to assist you, and to get out 2mg of Versed to have ready to sedate the patient at time of procedure. Scenario 2: 1Educate about recovery from appendectomy and care to wound. Neuro WNL's, alert and cooperative. , a 58-year-old male patient presents to the ER CO CP 10/10. Health Change Increased acuity Scenario 2 Scenario 1 Hep-Lock in place left AC. Check surgical consent for correct procedure and make sure operative site in marked. -Discuss effectiveness of sitter He is questioning the nurse as to why he has been admitted for heartburn. Full assessment -Call security for assistance and compliance officer He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Verify call Light/bed safety precautions Remain with patient and reassure Document results/findings Imbalanced Nutrition True Hep-Lock in place left AC. A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Extends abnormally = 2 00 Comments Please sign inor registerto post comments. -Start an IV Inspect cast site Scenario 1 Elevate head of bed Scenario 1 Assess His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Alert and cooperative. Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. Document conversation He has not had his BP medication today. Senario 5 She shares concern about patient's wife who is now coughing and having night sweats. Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Palliative care. Decreased Cardiac/perfusion: False Full assessment It is now third day post-op, the order is for Ms. Cumble to stand by bedside on both legs for 5 minutes, three times a day. RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Fall, Risk for True Swift River Med-Surg Flashcards | Quizlet Dr. Altace, Educational Needs Increased acuity Notify lead nurse Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. -Reassure patient that he will be moved to a private room as soon as possible Acute Pain True Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. -Notify charge nurse Scenario 4 Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Release restraints/full range of motion Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Vital assessment Document Procedure You enter room and find Ms. Gestalt crying because she has just learned her medical insurance has lapsed and she is already two months behind on her car payments. Robert Strurgess Document results Offer masks to visitors Assist patient out of bed Acute Pain False Peripheral Neurovascular Dysfunction: False His left humerus is fractured and splinted. Impaired Mobility True Self-Care Deficit False Nausea False -Recheck Tilts after the NS bolus is complete.T Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. -Discuss with sitter that patient needs continual observation Ask patient to explain to you what procedure she was expecting to have this morning. Acute pain: True Scenario 5 Begin post op education for day one Electrolyte Imbalance False Call rapid response Grieving False Deficient knowledge: False IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Acute Pain True Electrolyte Imbalance True Deficient Fluid Volume False Psychological Needs Normal acuity Document results The surgeon has just visited with Mr. Greer 2-days post op and has informed him that the lymph node biopsies have confirmed that the cancer has metastasized, and he will need further treatment. Scenario 3 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. Ineffective Airway Clearance True Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. school system of the host country and may not know how to choose the programme, Question 34 Correct Mark 100 out of 100 Flag question Question text hr tag, efefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefef, arbitrary parameters a b will be a complete solution of 38 The main problem then, Reduces costs of providing on site office space To individual Makes more time, METHYLXANTHINE DRUGS-Chemistry FinalsExam PrepNotes.docx, 237 Mitzel Corporation has provided its contribution format income statement for, looks like a lack of focus B In short what is stimulating to one person may be, MAN4162 - Verbal and Nonverbal Communication COPY.docx, Recall that in the Black Scholes model the stock price follows the SDE dS t S, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. Allow husband to come into recovery for a quick one-minute visit. Record intake and output Three hours later, Ms. Getts is unsteady when standing by her bedside. Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. Awaiting diagnostic labs. No Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Attain fluids/fiber diet and assisted ambulation The bed arrives tomorrow. Full assessment -Teach the patient that there are several interventions for complications post-prostatectomy to include erectile dysfunction, post-op prostatectomies, and self-care involved with a foley catheter at home. Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Virginia Smith Mrs. Smith's surgery has now ended. Non-significant past medical history. Assess food consumption and intake and output RS Vclinical Flowsheet - Student Name : Date: NUR 113 Assessment Swift Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. No Known allergies (NKA). nursing care plan for Linda Pittmon, a 74 -year old female patient who is a noncompliant diabetic, and frequently stays at the local homeless shelter. Scenario 3 Safety Scenario 5 Senario 3 Contact Social Services Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Skin integrity, impaired True As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Discuss his understanding about the plan of care. Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. Nausea/Vomiting: Yes No -Reassess patient's physical status prior to leaving him in the hallway Document teaching moment. Document results and findings Scenario 2 Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Senario 5 Obtain vital signs machine Electrolyte Imbalance, Risk for True Waist belt restraint PRN; family sitter at bedside, assist with bath. Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. All opinions are mine alone. Comfort/Pain Assessment Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Scenario 5 Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Renal diet. -Attempt to orient to person, place, and time Peripheral Neurovascular Dysfunction False. Evaluate understanding Love and belonging -Notify HCP of fall, complete incident report Document results. -Check on patient/sitter hourly -Remind patient to call for help is he need to get up and provide patient with a urinal. RUE: ______________ LUE: _____________ She has received a dose of Hydrocodone for PRN pain 20 minutes ago. LOC Normal acuity Sleep Deprivation False. August 13, 2020 // by Angela McGowan. Vital assessment Shock, Risk for False Estimate the length of the Neptunian year given that the Earth is 1.50108km1.50 \times 10^{8} \mathrm{km}1.50108km from the Sun on the average. -Inform patient to not get out of bed without assistance and place call light in reach Chronic Confusion False 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. Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Scenario 3 Evaluate/modify plan of care Fall Risk Increased acuity Ms. Getts is requesting water to drink. No weight bearing today. -Tell the patient that they are being admitted to r/o any cardiac issues student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Deficient Knowledge True Today's weight 226. John Duncan Assessment of bowel movement Request time she can arrive and staff to help with transfer Infection, Risk for True -Assess patient LOC, by walking patient and asking them to take deep breaths. If the source voltage for the a phase is Van=12080V\mathbf{V}_{a n}=120 \angle{ 80^{\circ}} \mathrm{V}Van=12080V, and the line impedance is zero, find the phase currents in the wye-connected source. Perineal Care You arrive in room to find Ms. Monson talking to herself. Educational Needs Increased acuity Also worth mentioning is the 'Alter Schwede' - a 217t . His orthostasis is normalized after a second liter of NS was administered. Urine Color: Clarity: Odor: Scenario 2 Assess for fall risk Safety He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Administer antipyretic medication Patient, and family upset regarding dx. Scenario 3 Fall, Risk for False He tells the nurse he has called his wife and wants to be discharged now. His partner is not with him at this time but will arrive soon to facilitate his discharge home. His wife tells the nurse that he seemed very distant and did not want to talk much. Report this activity immediately to the hospital privacy officer Wash and glove hands She is also investigating bone marrow transplantation. No known allergies (NKA). Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. 0800 1200 Scenario 3 Dr. Suculo, Physiological Diet as tolerated. Education of Foley Cath Procedure Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Verify call light/bed safety precautions Scenario 1 Incomprehensible The cycle of freezing and thawing damages the abnormal cells. Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Document results and findings Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 The patient is asking you where her son is, the last place she saw him was right before the explosion. Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Capillary Refill: _________ seconds After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! Notify doctor and charge nurse Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Scenario 4 Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, -Notify charge nurse of patient's deteriorating condition Skin warm and dry, may sit up on edge of bed today. 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. Scenario 1 Nursing questions and answers. Water/Flush: Scenario 2 His children are visiting, and they are very supportive. Viola Cumble Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. He states, "This is not serious." Other: _______________________________ Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Scenario 4 The charge nurse tells you to get the Mr. Burgundy to the hallway because six more patients are inbound, and we need to clear out our trauma-bays. Scenario 5 Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration Fortune Salaire Mensuel de New King James Bible Download For Windows 7 Love and Belonging Infection, Risk for False SANE nurse to make second visit today. The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Wash and glove hands Scenario 4 Senario 3 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. Patient and family upset regarding dx. He has been ruled out for an MI. NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. Scenario 1 Administer antipyretic medication Evaluate medication effectiveness Notify doctor Intermittent/Continuous Other: Awaiting transport. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. His past symptoms for three months have been that he noticed a slight hoarseness in speaking, a slight dry cough not related to a cold, and upon examination had a "pea-size lump on the center of his neck". Obtain recent chest X-ray reports and recent ABG's for physician to review 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. -Assess patient's understanding of the teaching and discuss home support, os de la main et de la ceinture pelvienne, Julie S Snyder, Linda Lilley, Shelly Collins. Ms. Gestalt is now complaining of fever and chills. Anterior: ___________________________________ Posterior: ____________________________________ Wash and glove hands Check PRN pain order Place pt on PCA pump He is pale, weak, diaphoretic, and appears anxious. He is a local TV news reporter that was filming an event at the county fair when there was an explosion. The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Noncompliance True. The patient describes this pain as a heavy pressure with intermittent stabbing. Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Nausea False Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Oral Care Increased fall risk. Scenario 3 Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes.
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