Scenario 4 Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Family at beside. Psychological Needs Normal acuity Document Procedure Deficient Knowledge False -Determine when a hospital provided sitter will be necessary The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Impaired skin integrity: False, Anxiety: True Psychological Needs Increased acuity Diet as tolerated. IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Sensorium Normal acuity, Physiological Dr. Brown, Educational Needs Increased acuity They wanted to know and pressure you for the information. Scenario 4 -Give NS liter bolus Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). Neuro WNL alert and cooperative. Needs frequent reminding due to determination to do things herself without assistance. Deficient Knowledge False Excess Fluid Volume, Risk for False Nutrition True Evaluate understanding Wife at bedside. Knowledge Deficit True Review pain medication order Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ Fall, Risk for True Decreased Cardiac/perfusion: False Widespread Color Change: N/A pallor cyanosis jaundice erythema Verify call light/ bed safety precautions Scenario 5 Assess food consumption and intake and output Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Ineffective self-health mgmt: False, Disturbed body: False Educate patient regarding condition Ann Rails The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. : 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. Mr. Dominec had his surgical procedure and is doing great. Perform circulatory evaluation Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. This will treat any cancer that may have metastasized to the bone. Sensorium Normal acuity, Physiological Peripheral Neurovascular Dysfunction False. Offer assistance Document results Nathaniel Gonzalez He asks to speak to a clergy member. Identify patient Swift River Clinical Practice Chamberlain University - Homework Score Senario 3 Safety Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. It was diagnosed by a portable X-ray and quickly splinted by the ER staff. 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. Self-Care Deficit False Swift River Reflection Questions 1 - Swift River - Course Hero
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