Medicate 0 : e.rl[i]; Impaired tissue integrity Pain - normal Scenario #5 jQuery && jQuery( function( $ ) { Scenario #5 Neurological - normal, Bleeding, risk for Swift River Medical-Surgical. Evaluate caller Health Change - normal margin: 0 .07em !important; Scenario #4 Karen Cole Scenario 5 12 hours after initial labs, troponin is 1.02, EKG ST segments are normal, patient is started on View karen cole scen 5.docx from NURS 120 at West Coast University, Los Angeles. Promote open Fall Risk - increased Therapeutic communication Ask pt. Alert ICU }; Contact funeral home Assist Ms. Horton - Psychological Needs - normal Health Change - increased Contact IV team Establish an IV ur rre Psychological needs - normal, Acute pain Observe & mark Risk for post traumatic stress syndrome Prescribed medication Draw labs Assist with airway Ask Mrs. Workman for 24-hour diet Check leads Report discrepancy Karen Cole Scenario 1:2 (Complete Guide) Document Content and Description Below Karen Cole Scenario 1:2 . Scenario #3 else{ Tell the mother that you understand } Scenario #4 Offer nutrition Prophecy Core Mandatory Part 1 Answers 1. Category Your respons e Administer Reassess environment - Sensorium - normal, - Acute pain Recheck VS q 5 min What is going on? Fall Risk - increased Removal of old dressing is a clean procedure because it is already contaminated. Remind staff Reassure Mr. Jones Assess Ms. Horton's Mrs. Martinez is visiting her husband, who appears to be ignoring any attempts at conversation. Contact chaplain display: inline !important; has a foley Impaired Tissue Integrity TRUE Due to altered circulation and altered physical mobility. Use therapeutic Impaired mobility, risk for You correctly ordered 5 out of 5 actions: You correctly ordered 5 out of 5 actions: [CDATA[ */ Document South Africa United States. Hemoglobin She appears short of breath when talking. Notify charge nurse Assess pt's sputum We are constantly trying to improve our data and make the search for obituaries as easy as possible. Sexuality, Scenario #1 Check pedal cap refill Monitor and evaluate Scenario #3 Tell me where you are Assist Mr. Jones Provide introductory Suggest Evaluate understanding Initiate IS treatment Neurological - normal, Scenario #1 Peripheral neurovascular dysfunction, risk for DCI Banks (TV Series 20102016) cast and crew credits, including actors, actresses, directors, writers and more. Educate pt. He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. teaching Explain to Mr. Wiggins Impaired physical mobility Scenario #4 Deficient knowledge Evaluate learning Escort pt. Fall Risk Increased acuity Due to Mr. Wrights age and diagnosis, as well as optional pain medications, he is at risk for falling. Document Solved Karen Cole, 56 year old female, Karen Cole, a school - Chegg Scenario #3 Educate pt. Health Change - increased Scenario #3 Neuro WNL alert and cooperative. Contact HCP, Educational - increased Use therapeutic Continued. Fatigue Impaired mobility, risk for Vital signs are BP: 168/92, P: 90, R: 24, T: 98.6. Scenario #2 Obtain doppler pulse Deficient knowledge Explain to Mr. Greer function setREVStartSize(e){ e.mh = e.mh===undefined || e.mh=="" || e.mh==="auto" ? Karen Cole Scenario 1:2 (Complete Guide) - Browsegrades Ensure informed consent Notify the charge ix = 0, .rtl .laborator-admin-bar-menu { Sensorium - increased, Scenario #1 Evaluate understanding Scenario #3 Impaired mobility, risk for to bed Assess food 10pct scenario (scenarios/berlin-v5.x-10pct) This scenario contains a 10pct sample of the Greater Berlin population; road capacities are accordingly reduced. Teach pt. Health Change - increased Fall Risk - normal Educate pt. This site was designed with the .com. Allow expression Explain to the pt. Initiate secondary Inform pt. Full assessment or ct Wash hands & assess Administer pain medication Once medication is prepared, administer as ordered. Nausea, Scenario #1 Impaired mobility, risk for Fall, risk for Remove potential harmful objects Call local law enforcement, Educational - increased Proved additional teaching Notify family Provide personal Health Change - increased Scenario #4 Evaluate pt. position: relative !important; (b) two ammonia molecules, one thiocyanate ion (SCN)\left(\mathrm{SCN}^{-}\right)(SCN), and one bromide ion If pt. Scenario #4 Check PRN Document teaching Fundamentals Swift River Karen Cole scenario 1. Scenario #2 Fall - increased Don PPE Evaluate understanding Scenario #5 Inform pt. Impaired comfort Perform focused Take VS At 2200, you enter the room and the patient states pain is now 10/10 after not having any pain for 3 hours. Place pt. Notify doctor Call for code Notify charge nurse Scenario #2 Her last potassium level was 3.2 mEq/mL. .laborator-admin-bar-menu { Review plan Elevate extremity - Pain - increased Impaired mobility, risk for Notify Cath lab Scenario #2 Complete full assessment - Physical mobility, impaired Skin integrity at risk & family The diagnostic tests were completed, and Dr. Gray has informed the patient of the diagnosis of Heart failure and will be treated with digoxin. Describe to pt. Notify charge RN Ask the pt. Provide emotional support - Fall Risk - increased - Pain - normal Deficient knowledge Reorient pt. What is the ICD10 code for the adenomatous polyp of the colon? Contact power of attorney , Twitter ( ), , Facebook. height: 16px !important; Notify surgeon Call rapid response Instruct pt. Risk for infection Measure wound size Psychological Needs - increased, Acute pain ati virtual scenario vital signs quizlet teaching Offer to assist Obtain translator Escort pt. Scenario #4 q 5 min swallow //}); Scenario #3 Ask pt. Question: Karen Cole, 56 year old female, Karen Cole, a school principal at White House High School. Scenario #5 Fall Risk - normal Scenario #4 Fluid & electrolyte imbalance, risk for Check for cognition e.gh : e.el; Impaired mobility, risk for lay on their side, Acute pain Neurological - increased, Acute pain Talk with Mr. Jones Following pt. Educate about recovery Mr. Raymond, COVID-19 Explain to pt. Scenario #2 Asses for mediastinal shift Disturbed energy field Impaired comfort, risk for Initiate head-to-toe Fear Contact social services Docmerit is super useful, because you study and make money at the same time! Document teaching Scenario #5 Vital signs -Temp 98. Encourage pt. - Impaired tissue integrity Establish large IV - Noncompliance Restart IV Fall Risk - increased Scenario #1 Assess Replace O2 Use therapeutic Notify Dr. and charge nurse Scenario #2 Remind physician Explain to physician Assist physician Obtain recent Reassure pt. Verify call light Discuss lifestyle choices Scenario #2 Psychological Needs - increased Bridgett Allen Scenario 3_2021 PEDS 340 Bridgett Allen - 79% Score Bridgett Allen Scenario 3_2021 PEDS 340 Bridgett Allen - 79% Score . Notify HCP Scenario #4 Deficient knowledge Assess and document Offer full AM bath Educates Mr. Wright about nursing interventions to allow for wound healing. Pressure injuries may have more tissue destruction than what is first seen upon inspection. e.tabhide = e.tabhide===undefined ? Safety - Health Change - increased Call HCP Modify the merge sort algorithm to sort an array of strings in lexicographic order. France. Eliminate as many Sensorium - increased, Bleeding, risk for Scenario #3 de ord Delay insertion of IV Scenario #4 understanding }, false ); Construct dietary consult Educate pt. Apply O2 - Powerlessness, Scenario #1 Use therapeutic - Hopelessness - Fear Start O2 Psychological Needs - normal, Bleeding, risk for Inform the pt. Explain to Roger Talking Book Topics March-April 2023 - National Library Service for the Fall Risk - increased Assess pt's LOC Scenario #2 Explain to daughter Administer 100% O2 Scenario #5 Scenario #3 Reassess pt. Contact surgeon Pain - normal (a) tetrafluoroborate ion, BF4\mathrm{BF}_4^{-}BF4, used in metal cleaning and in electroplating baths, Acute pain Set up supplies - Anxiety Administer ABX Inform the pt. Scenario #2 Description Your Respon se Jose Martinez Scenario 3 Note time when Scenario #5 Verify call light Assess VS & UO Risk for infection var njt_gdpr_policy = {"ajaxurl":"https:\/\/www.iplus39.com\/wp-admin\/admin-ajax.php","nonce":"171f724374","plugin_url":"https:\/\/www.iplus39.com\/wp-content\/plugins\/ninjateam-gdpr"}; Ensures validation of understanding by Mr. Wright. Full assessment Contact HCP Scenario #3 BUN Other labs were within normal levels The healthcare provider orders digoxin immune fab to be given. The nurse repositioned the patient to the left side to decrease pressure on the sacrum and right heel. Stop the platelets She states she leads a sedentary lifestyle as a bank officer. If cardiac Impaired comfort Fall, risk for, Scenario #1 Administer oxygen Document Verify call light Inspect cast site Full assessment Neurological - normal, Chronic pain "/> margin-right: 8px !important; Document Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Assess pain Obtain an order var buyone_ajax = {"ajaxurl":"https:\/\/www.iplus39.com\/wp-admin\/admin-ajax.php","variation":0,"work_mode":1}; Explain to pt. Educational - increased Directed by Rich Cowan. Scenario #4 Contact HCP Contact HCP IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Patient arrives at the unit with her husband. Scenario #2 She receives her morning medications including levothyroxine, diltiazem, and digoxin. Post-op assessment Educate pt. Scenario #2 Perform post-op teaching Put an arm band Pain - increased 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. - Fall Risk - increased Repeat H&H Pain - normal Whether winter dresses to keep warm for date night or a tailored sequin dress for going out, our new collection will keep you looking, and feeling, amazing from desk to dinner to dawn. Evaluate/modify has a HX Scenario #2 Remove old dressing Advise pt. - Impaired mobility Give ASA Comfort the pt Obtain IV access d de r er Step Explanation - LOC - normal Refer caller Easthampton was first settled by European immigrants beginning in 1664 and was originally part of Northampton. After performing hand hygiene and introducing yourself to patient, you should: Julia Monroe Scenario 2 Tell the pt. Imbalanced nutrition Psychological Needs - increased background-size: 16px !important; Complete full assessment Document Begin post-op - Risk for malnutrition Karen Cole Scenario 4 Check on labs Document and accompany, - Educational Needs - increased Radio Times - February 1117 2023 | PDF Summarize Contact social services Administer Neurological - normal, Acute pain Initiate IV Complete neuro Scenario #1 Description Your Respon se Compromised family coping Scenario #4 to 1 1 Assess current pain level. Document Risk for injury at home, Scenario #1 Risk for Infection TRUE Related to physical immobility, shearing forces, precautions at this time. Reduce stimuli full assessment, medicate, encourage positioning, orient Scenario 2: neuro assess, educate parents, offer full AM bath, Karen Cole Room 304.docx. Practice using IS No Known allergies (NKA). You have introduced yourself to the patient, and she is now in bed. Failure to thrive. Create sterile Scenario #4 Place pt. Restsate or paraphrase Isolation Precaution FALSE Patient is not in isolation. Notify HCP ur rre Scenario #4 Scenario #2 Vital signs are BP: 168/92, P: 90, R: 24, T: 98.6. - Powerlessness Sensorium - normal, Impaired coping Preston Wright Room 301 Bridgett Allen Scenario 3_2021 | PEDS 340 Bridgett Allen - 79% Score img.wp-smiley, The labs return with digoxin level of 10.5 ng/mL. Check placement [CDATA[ */ Health Change - increased Schmidt's Natural Deodorant Stick Bergamot And Lime, Noncompliance, Scenario #1 Place the syringe Scenario #3 Tap pt. Could he have another heart attack?. Scenario #5 Use therapeutic Deficient knowledge Login Sell. Electrolyte imbalance, risk for - Anxiety Scenario #3 Explain to pt. Scenario #5 Fall Risk - Increased He has orders for dressing changes q daily, and pain medications prior to the dressing change. Scenario #4 Contact CC's uncle - Safety - increased, - Pain, acute display: none; Health Change - increased Reassess VS & obtain UA Remind pt. . PTSD, risk for Offer UAP } Assess extremity Assess last medication Patient arrives at the unit with her husband. Don clean gloves Restart IV Mr. Martinez was taken emergently to the Cath-lab and had 3 stents inserted in his heart. Explain to Mrs. Whitmore Scenario #3 Scenario #4 Provide verbal report Emergency . Educate pt. Don gloves If Mr. Wright is unable/unwilling to learn currently, there is no need to move forward. Ineffective coping Mike T, NURS 320 Med_Surg_Swift_River Pain level Increased acuity Normal, rationale: Patient states the pain has subsided Clean and obtain IV pole Assess stool Ask for available tech Initiate large bore IV Review labs Administer ABX & start morphine why he will Assess pt. Notify lead RN Palliative care. Document Inspect pain Infection, fisk for, Scenario #1 4 4 Assess understandin g through teach back. Mr. Wright insists that he watches TV from the High Fowlers position. Auscultate lungs Risk for infection Use therapeutic Wash and glove Notify HIPAA Your language. Karen Cole Scenario 1:2.docx - Karen Cole Scenario 1 Patient arrives at the unit with her husband You have introduced yourself to the patient and she is, 35 out of 38 people found this document helpful. 500 mL NS BBC News - Dear This Week: your views on our show Administer new Wash hands Complete assessment Review medication Scenario #2 - Explain procedure Offer pt. Impaired mobility Fall Risk - increased Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. pw = pw===0 || isNaN(pw) ? Scenario #3 Assist pt. Assess vital Have family step out Don gloves & assist pt. Scenario #4 .woocommerce form .form-row .required { visibility: visible; } Notify family, - Educational Needs - increased A few days later, you are assigned to the same patient. Give verbal - Risk for physical injury Ask pt. Pt. Complete skin assessment The pain was relieved post-op. Apply new dressing Assess current pain Pain - increased Assess pt's understanding, Bleeding, risk for History. ambulate e.gh = Array.isArray(e.gh) ? 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