However, these abnormal cells do not have the capability to spread to other parts of the body. He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. Scenario 5 -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. ADA diet, intake, 25%. 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. -Ensure patients is positioned in bed properly Wash and glove hands Ms. Getts is being transferred as an emergency to Critical Care. Psychological Needs Increased acuity Infection, Risk for False Place call light and check bed for safety Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Localizes pain = 5 Rapid Response team arrived including anesthesia. Dr. Anderson, Educational Needs Increased acuity You explain that his condition has worsened and now he has been taken to ICU. Scenario 3 Nausea False Oriented to: Person Place Time Review pain medication order Safety Describe the physical changes from aging and the care required. Full assessment Disturbed Sensory Perception False Acute Confusion True Anterior: ___________________________________ Posterior: ____________________________________ Adjust crutches The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Disturbed Body Image True Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Gastrointestinal Assessment ExplanationAnxiety/ fear True Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. 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. GI WNL. Safety Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. The patient got dizzy when he stood up from the commode. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. 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Document pt's statements. Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Cardiovascular Assessment Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. : 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. Genitourinary Assessment Imbalance nutrition: True Normal Sinus Rhythm on telemetry. The Swift River Nursing Simulation involves artificially representing real-world processes with sufficient fidelity to enable learning through immersion, practice, reflection, and feedback without facing the risks inherent in a similar real-life situation. Educate patient Sensorium Increased acuit, Physiological Since the finding was low-grade dysplasia and is considered the early stage of precancerous changes, the gastroenterologist recommends another endoscopy in six months, with additional follow-up every six to 12 months. -Transport Mr. Burgundy to his room Scenario 3 2. She has received a dose of Hydrocodone for PRN pain 20 minutes ago. -Reorient Patient to person, place, & time 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 Educate patient Psychological Needs Increased acuity Fear: True After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Awaiting diagnostic labs. -Notify HCP of fall, complete incident report Non-significant past medical history. Safety "I am feeling fine." No response = 1, Range of Motion: Full, Limited Ms. Cumble states that she has not had a BM for three days. Impaired mobility: False Safety Scenario 1 Wash hands Amount:________ Expresses fatigue, fear, concern, and desire for recovery. Scenario 3 Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Sleep deprivation False Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room. Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid However, he quit three years ago when he remarried; he and his wife have a nine-month-old baby. Emergency intubation and assisted breathing is provided for Mr. Thomason Non-significant past medical history. Knowledge Deficit True Inspect cast site Wash and glove hands -Explain to the patient that he has a procedure, and he cannot eat. 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. Request time she can arrive and staff to help with transfer : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Ask patient to explain to you what procedure she was expecting to have this morning. LOC Normal acuity No Known allergies (NKA). Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Scenario 5 Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). ADA diet, intake 25%. Constipation, risk for: True He was recently diagnosed with stage III prostate cancer. Noncompliance 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. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. You escort them with you to the ICU. Educational needs: Increased acuity Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. 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. LOC Increased acuity Scenario 5 Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. 1Perform full assessment and provide anti-nausea medicine. IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Also worth mentioning is the 'Alter Schwede' - a 217t . Airborne Isolation. Sa fortune s lve 2 216,00 euros mensuels Notify Physical Therapy (PT) How does the Med-surg simulator work? Pain Level Increased acuity Full head to toe neuro assessment. Scenario 1 Self-Care Deficit: True Acute pain: True Scenario 3 Scenario 4 Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. Impaired Skin Integrity, Risk for False His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Tear, Ecchymosis, Contusions, Bruising Document conversation Skin integrity at risk True Chronic Confusion False Grieving: False. Inform his partner that everything is being done to keep him comfortable. Inform patient about the progression and risk a PCP infection has for a patient with AIDS. They wanted to know and pressure you for the information. Read PT report Ineffective Coping False Scenario 4 -Assess patient LOC, by walking patient and asking them to take deep breaths. Combien gagne t il d argent ? Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. You arrive in room to check on her, after washing hands. Scenario 2 jessdevan. It was diagnosed by a portable X-ray and quickly splinted by the ER staff. You explain that he is receiving a higher level of care and was he was sedated before leaving the floor to make him more comfortable. Impaired comfort: True -Ask the patient if it is okay to discuss his care in front of his children. No Known allergies (NKA). Tom Richardson -Evaluate patient's understanding of teaching Blood Glucose 185, 4 units of insulin sliding scale for coverage. Bleeding, Risk for True -Notify HCP of neuro findings An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. You determine to apply the restraint now. Scenario 3 Skin Integrity: Intact No, describe below, Location Type Size Wound bed Drainage Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. The charge nurse tells the nurse to take Mr. Burgundy to the floor, because his room is now ready. Give verbal report Check input/output for possible dehydration Identify patient Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Swift River Clinical Practice Chamberlain University Expert James Moore Category: Nursing Description Full Document Jose Martinez Room 301 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. Scenario 2 Safety Impaired Gas Exchange True Verify call Light/bed safety precautions Senario 5 Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Suprapubic Insertion site: WNL S/S Infection : ____________________ Next time we'll spend our 60 on some food and nice beers. Scenario 2 -Explain procedure to the patient Verify call light/ bed safety precautions Perform pain re-assessment Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. The provider explains that it is a pre-cancerous stage in where the cell develops abnormal features. Use therapeutic communication/Active Listening Physiological- He has a history of hypertension and is not compliant with medication. When a physician makes an incision into a body cavity just superior to the diaphragm and inferior to the neck, what body cavity will be exposed? As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. The patient has a pneumothorax that requires a chest tube placement. Full assessment Document results Administer antiemetic medication His partner is not with him at this time but will arrive soon to facilitate his discharge home.
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