Ineffective Coping False She is also investigating bone marrow transplantation. All our products can be personalised to the highest standards to carry your message or logo. Your response to all of them would be: Scenario 1 Scenario #3. Swallowing: Intact Dysphagia Aspiration Precautions Educate patient Lung sounds are worse. Ms. Getts is being transferred as an emergency to Critical Care. Tom Richardson Mr. Duncan is now complaining of feeling "dizzy" when he stands. Document findings Replace oxygen nasal cannula that had become disconnected Psychological Needs Increased acuity Fall Risk Increased acuity Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ 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. Increased fall risk. Notify family Vital sign assessments Scenario 4 Palliative care. It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Vital assessment Fall, Risk for True Fall, risk for: True Provide emotional support. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Senario 5 Hep-Lock in place left AC. He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Deficient Knowledge True Genitourinary Assessment Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Safety Acute pain: False Administer PRN constipation medications Fall, Risk for True Notify lead nurse/doctor Scenario 3 Document results -Start an IV -Ask the patient if it is okay to discuss his care in front of his children. The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Bleeding False Fall, Risk for True : 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. The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). -Perform neuro assess Mr. Gonzalez has been admitted to the floor to determine that his chest pain is not related to a cardiac event. -Complete initial post-op assessment LOC Increased acuity Re-assess patient Scenario 1 Deficient knowledge: True Nausea: False Stat lithotripsy treatment ordered. He is having some difficulty hearing and complains of ringing in his ears. -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall She shares concern about patient's wife who is now coughing and having night sweats. Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes and chest muscles intact. NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Notify lead nurse Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Senario 1 Insertion Site: Dry/Intact Redness/Erythema Drainage Tenderness Maceration Self-Care Deficit: True Observe closely first hour Renal diet. Provide emesis basin/cloth Excess Fluid Volume, Risk for False Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Educate patient The patient has a pneumothorax that requires a chest tube placement. Non-significant past medical history. jessdevan. -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. You arrive in room to find Ms. Monson talking to herself. Dr. Donofrio. -Use therapeutic communication/active listening He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Safety #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Encourage fluids and fiber diet Widespread Color Change: N/A pallor cyanosis jaundice erythema Bleeding, Risk for False Notify doctor -Call security for assistance and compliance officer Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. To access your Swift River Virtual Clinicals login to ATI's Student Portal and access the Virtual Clinical card in My ATI. Document results Safety The patient is being prepared for discharge and his IV has been removed. Ineffective Self-Health Management True Use therapeutic communication/Active Listening Scenario 4 -Discuss effectiveness of sitter At Risk, Impaired Comfort False Noncompliance: False Senario 5 Stay with patient for surgeon's arrival to explain intended surgical procedure Several hours later, Mr. Duncan is now complaining of nausea. Bleeding, Risk for: True Notify doctor for Foley catheter Oral Care He is restless with slight confusion but is easily orientated with attempts from nurse. Scenario 3 Acute Confusion: True Psychological Needs Increased acuity Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. -Offer nutrition and/ or toileting Hopelessness False. fallout 4 save wizard quick codes death and wheel of fortune tarot combination; gambling meaning in english urdu alpine spiced apple cider gluten free; how to use v2ray samsonas sequential gearbox subaru; lg magic remote power light stays on Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). They were also concerned about the next patient going into that room and the use of the lavatory. Regular diet. Observe closely first hour Waist belt restraint PRN; family sitter at bedside, assist with bath. Strict I&O, regular diet, intake 50%. Senario 5 Nausea/Vomiting: Yes No You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Scenario 4 Pulse Disturbed Body Image True 97.4, Resp 16 and Pulse Ox 94%. His VS are BP 122/64, P 89, R 12, SpO2 93%. -Document and contact nursing supervisor/Charge nurse Fatigue True Notify doctor 1. Scenario 4 High fall risk. Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Vital assessment Bleeding, Risk for False Document results He was recently treated for a URI with a Z pack, prednisone, and Motrin for pain. 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. Perform circulatory evaluation Physiological Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. Filmotka filmu Najvyia ponuka (2013). Skin warm dry, bruises on forehead with small laceration. 1Perform full assessment and provide anti-nausea medicine. This shop has been compensated by Inmar Intelligence and its advertiser. 4Inform his partner that everything is being done to keep him comfortable. Scenario 2 Senario 2 Place patient on PCA pump Two hours later, Mr. Duncan is asked how frequent his stools have been today. Ms. Getts is requesting water to drink. Safety Increased acuity, Physiological Scenario 3 Document Results/Findings Diet as tolerated. Breath Sounds: Clear bilaterally. Senario 4 SANE nurse to make second visit today. No Known allergies (NKA). Skin integrity, impaired True The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Scenario 4 Vital assessment Course Hero is not sponsored or endorsed by any college or university. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Administer antipyretic medication Safety D/C plan- decrease pain and restore normal gait. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Compromised Family Coping False Administer protocol antidiarrheal medication -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. Validate NPO Status Senario 3 Extends abnormally = 2 Verify call light/bed safety precautions Lithia Monson The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Tap patient and ask, "Are you okay?" The cells are allowed to warm up and then are frozen again. Health Change Increased acuity Scenario 4 Vital re-assessment Therapeutic communicationT Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Scenario 3 He asks to speak to a clergy member. -Assess patient's ABC (airway, breathing, circulation) Your coworkers are asking you questions about Mr. Dominec. Verify call light/bed safety precautions It is now two weeks later; Mrs. Smith has returned. Senario 1 Powerlessness True. No Known allergies (NKA). Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. The patient has a Foley catheter in place and is reporting 8/10 incisional pain and he is asking why his throat is sore. Love and belonging Esteem He is aware that he may not have an erection and may need depends for bladder incontinence. Self-Care Deficit False Pain Level Increased acuity Chronic pain: True -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Sleep deprivation False Notify family as to when they may come and visit. Her husband and children remain with her in the surgical holding area awaiting transport to the OR. Grieving: False. Acquire daily weight and food intake Bleeding, Risk for True Mr. Dominec is waiting for his partner to arrive to take him home and you notice he has a dry unproductive cough and trouble splinting with a pillow at his operative site. Deficient Diversional Activity False You notify the charge nurse that you have never taken part in inserting a chest tube. Scenario 1 He states, "This is not serious." Her chart reports she was extubated upon arrival to the recovery area, received three units (3000 mL) of fluid, receiving O2 @ 4L via nasal cannula, has Foley Catheter in place draining QS clear yellow urine, responds to verbal stimulation, chest dressing in place remains dry and intact, and has just received a small dose of IV morphine for pain. IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. 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. Stools are decreasing but patient remains very weak. Gait: ______________________________, Skin Integrity Assessment You determine to apply the restraint now. Chronic Sorrow False Full assessment including both lying/standing Perform circulatory evaluation 3Check surgical consent for correct procedure and make sure operative site is marked. Scenario 3 He is excited and tells the nurse he is starving and glad that he finally gets to eat. Hx of dementia, from nursing home, fall one day ago. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. ExplanationAnxiety/ fear True Dr. Starks, Physiological -Ensure patient privacy and call for help and assist patient to bed once help arrives The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. Pain Level Increased acuity Scenario 5 -Explain to the patient that he has a procedure, and he cannot eat. Re-assess patient Senario 5 Assist physician in physical exam of patient Reapply restraints Scenario 2 Upon entering room, you wash/glove hands. 2021-22, Historia de la literatura (linea del tiempo), Respiratory Completed Shadow Health Tina Jones, CH 02 HW - Chapter 2 physics homework for Mastering, BI THO LUN LUT LAO NG LN TH NHT 1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Apply oxygen -Explain procedure to the patient Needs frequent reminding due to determination to do things herself without assistance. Fall, Risk for True Normal Sinus Rhythm on telemetry. Inform his partner that everything is being done to keep him comfortable. Offer nutrition and/ or toileting Senario 3 Strict I&O and strain all urine, filters in bathroom. Patient, and family upset regarding dx. Impaired Skin Integrity, False Deficient Knowledge False Encourage fluids/fiber/ambulation Crutches at bedside adjusted for height. Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. She receives the pre-op medication. -Give NS liter bolus The bed arrives tomorrow. LOC Normal acuity Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Patient demonstrates urine strain procedure. Evaluate understanding Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Notify lead nurse/doctor Evaluate understanding Scenario 4 His, Joyce Workman Room 303 Joyce Workman Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Scenario 1 Biopsies were sent to determine the treatment. Airborne Isolation. Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. Scenario 2 Present health assessment including B/P and LOC and dressing. The pathology report shows no cancerous lesions. Full assessment Scenario 2 Disturbed Sensory Perception True Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Acute Pain True He was recently diagnosed with stage III prostate cancer. Use therapeutic communication/Active Listening Senario 2 Scenario 2 Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Apical pulse rhythm: Regular Irregular Location: You arrive in room to check on her, after washing hands. The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Sleep deprivation: False Isolative, appears fearful, crying, and refusing to see her husband. You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Scenario 3 Intermittent/Continuous Other: Assess toe movement and capillary refilling No weight bearing today. Safety Constipation, Risk for True Vital assessment Scenario 5 Safety Increased acuity, Physiological Retrieve cast removal tool Scenario 3 -Complete full assessment, to include neuro Linen Change Blood Pressure, 7a-7p Total: 7p-7a Total: Scenario #2. Two housekeepers, who were refusing to clean the room, are in the break room. Decreased Cardiac/perfusion: False Scenario 5 Non-significant past medical Hx. Mr. Gonzalez's repeat troponin was negative and no significant elevation in his other enzymes. He chooses to go home and see the doctor tomorrow in his office. Impaired Skin Integrity, Risk for True -Tell the patient that they are being admitted to r/o any cardiac issues Paul Greer Administer antiemetic medication Fatigue True Failure to Thrive False. Emergency intubation and assisted breathing is provided for Mr. Thomason Multiple abrasions, bruising Head, chest, and inner thigh. Eye opening Spontaneous = 4 Impaired Home Maintenance management r/t client or family False Do not probe further -When the HCP arrives, stay in the room to determine whether you can continue care with the patient -Take initial vital signs (room air Pulse Ox) He has been taking his HIV medication daily. Remind staff that Universal Precautions are practiced at this hospital for all patients regardless of known infectious diseases. IV D5 1/2 NS @150ml/hr. Document results Pain = 2 Shock, Risk for False August 13, 2020 // by Angela McGowan. Notify doctor and charge nurse Capillary Refill: _________ seconds NG tube to low suction possibly D/C'd today after Dr. Levine rounds. 3. Failure to Thrive True. His original lymph node biopsy was negative. Scenario 3 Document results/findings -Notify charge nurse Educational Needs Increased acuity Scenario 2 Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Scenario 2 Evaluate outcome of dietary plan -Check on patient/sitter hourly Impaired Gas Exchange True Impaired skin integrity: False, Anxiety: True Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Teach Cameron. But that's changing. Fall Risk Increased acuity DSD (dry sterile dressing), forehead laceration clean and dry intact. Document results Surrounding skin: Moist/Intact Red/Erythema Irritation Elevate Extremity Document pt's statements. Family Health III-Pediatrics (NSG 6435) Emergency Medical Technician (EMS 1150) Applied Research In Business (MIS 781) Anatomy & Physiology I With Lab (BIOS-251) Molecular Biology (BP 723) Newest Marketing Management (D174) Professional Application in Service Learning I (LDR-461) Professional Capstone Project (PSY-495) Theology (104) He replies, "six times in the past four hours". Notify doctor Senario 3 -Reassess patient q 5 minutes until awake, then 15 minutes until they are fully awake (not Drowsy). Mr. Greer has just returned from surgery. Remind the nursing staff that the patient is NPO. Impaired Skin Integrity, Risk for False Chronic Pain False Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Teach patient about safety when getting out of bed Compromised Family Coping: False Scenario 2 Administer pain medications Pain Level: Increased acuity Electrolyte Imbalance True Scenario 2 Shock, Risk for: False Impaired Mobility True BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Notify doctor Scenario 2 Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. He also states he is feeling weak. Sensorium Normal acuity, Physiological Remind physician to wash his hands before examining the patient No known allergies (NKA). Bleeding: True Palliative care. Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Safety- Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Neuro WNL. A special lowbed has been ordered that will lower to the ground. Sa fortune s lve 1 900,00 euros mensuels Constipation, risk for: True Fall Risk Increased acuity Check pedal capillary refill Blood Glucose 185, 4 units of insulin sliding scale for coverage. 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". , a 58-year-old male patient presents to the ER CO CP 10/10. He is pale, weak, diaphoretic, and appears anxious. Fall, risk for: True Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Combien gagne t il d argent ? Respiratory Rate: WNL Tachypnea Bradypnea She has been admitted to the floor with complaints of numbness in her right foot and ankle. Acute pain: True -Ensure IV is patent, Lithia Monson Verbal command = 3 No known allergies (NKA). No Scenario 3 Employ therapeutic communication: present reality Provide Operative summary of type of procedure, IV fluid and pain status. Psychological Needs Increased acuity 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. Physiological- Safety Increased acuity, Physiological Amount:________ 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 Perform neuro assess You are now preparing for discharge, place steps in order: Senario 1 After washing and gloving hands, you then identify yourself and the patient, Ann Rails. Localizes pain = 5 Vital Assessment Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Fear True -Offer nutrition/toilet He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. Scenario 5 Scenario 5 Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Love and Belonging Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes Scenario 1 Waist belt restraint PRN; family sitter at bedside, assist with bath. Neuro WNL alert and cooperative. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. PT to educate patient -Remove the dinner tray and make sure the diet is soft food. Sensorium Increased acuity, Physiological Fall, Risk for True Acute Pain False His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Obtain vital signs machine Water/Flush: Scenario 5 Explain to physician what interventions you have recently initiated Failure to Thrive: True. If patient statement differs from the surgical consent she has signed, notify surgeon immediately Neck: ______________ The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Document results. Identify patient Health Change Increased acuity Scenario 2 Flexes & withdraws = 4 Esteem Bleeding, Risk for True Evaluate learning Scenario 3 river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Perineal Care Scenario 2 Mrs. Stukes is feeling nauseated. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Spiritual Distress False. DSD (dry sterile dressing), forehead laceration clean and dry intact. Offer masks to visitors Scenario 2 His partner is not with him at this time but will arrive soon to facilitate his discharge home. John Duncan Ineffective airway clearance True NPO with small amount of ice chips only. VS: BP 158/90, HR 89, R 18, T 97.8 F. The nurse performs tilt test, Patient vital signs lying flat, BP 118/62, P 92, R 20, T 98.5, SpO2 97. A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. -Reorient Patient to person, place, & time -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Dr. Brown, Educational Needs Increased acuity Check input/output for possible dehydration The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". References; Access My Virtual Clinicals; Medical-Surgical. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. jasmine . Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Wash and glove hands Imbalance nutrition: True Dr. Roopes, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. ADA diet, intake, 25%. No known allergies (NKA). Dr. Altace, Physiological- Scenario 2 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. However, these abnormal cells do not have the capability to spread to other parts of the body. Document results and findings Notify housekeeping. Her pitcher has already been filled three times this shift. Decisional Conflict True Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). Color:__________ Scenario 4 Respiratory Assessment Deficient Fluid Volume False Health Change Increased acuity Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Chronic Pain False 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? Psychological Needs: Increased acuity Anxiety False Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. Mr. Richardson is requesting assistance to ambulate to bathroom. -Assess for fall risk Scenario 1 Determine clinical decisions based on listening to an audible client report. Mrs. Pittmon states she has had numbness for years but "now I can't . Document results and findings Grieving False Vital signs taken by automatic B/P Cuff q 15 minutes -Start IV Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. Decreased Cardiac/perfusion False Evaluate understanding. Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Educate patient Apply nasal cannula Scenario 3 Combien gagne t il d argent ? Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Date of insertion: _________________________ Date of dressing: _________________________________ Impaired Mobility, Risk for True Educate patient Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Auscultate peripheral pulses and ROM. Full assessment Evaluate/modify plan of care You are about to call the Surgical ICU and give report. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Full assessment Attain fluids/fiber diet and assisted ambulation Document results Safety Assess for fall risk Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Also worth mentioning is the 'Alter Schwede' - a 217t . Scenario 1 Document results and findings Sa fortune s lve 2 216,00 euros mensuels Oral Mucosa: Tongue: Teeth: Discuss follow up with his doctor. Sensorium Normal acuity, Physiological She has just been transported from recovery. Safety Health Change Increased acuity Esteem Scenario 1 Scenario 3 Bladder distention Pelvic pain Low back/flank pain He is married, and his wife is requesting to stay at his side.