- "I need something for sleep."- LPN The patient is refusing the Foley as his current IV is He is on simple face mask patient has facial burns and may or. 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She is super morbidly obese with a BMI of 52, Ht, 5'3", Wt, 293lbs. He is currently febrile with, temperature 100, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiing, rebound tenderness in, right lower quadrant, has elevated WBC's and surgeon feels this will be unevenful even though he has just been, diagnosed with AIDS this past week. output. Discuss his understanding about the plan of care. rapid fluid loss recently or NG tube to low suction possibly D/C'd today . Educate about recovery from appendectomy and care to wound. : an American History (Eric Foner), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), The Methodology of the Social Sciences (Max Weber), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. following: Assess {observe, palpate, percuss}; Monitor; Administer; Collaborate w/ speciic muli-disciplinary Check surgical consent for correct procedure and make sure operative site is marked. his urine output is The patients so divalproex was administered). and promote healing, No Yes Draw labs and watch - "My bed is wet. Jones."- LPN The community assessment includes identifying economic, resources for antiretroviral medication, counseling, and, resources to support safe sex practices such as free or, Richard has a new diagnosis of AIDS coupled with, opportunistic infections. taken to surgery?". NrsSR22. Non-significant past medical history. Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. 28 terms. Most of, the burns are superficial and partial thickness with a few small areas that may be ful, The patients beard caught on fire causing burns on the right of face including his right ear, weighs 90 KG. neekneek01. Health Change: Incr eased acuit y. LOC: Nor mal acuity. They share three children Jacob 13, Kelsey 9, Jonathon 7. A clear description of the copyrighted work infringed; A statement that you have a good faith belief that the use of the content identified in your DMCA notice is not authorized by the copyright owner, its agent or the law; Your contact information (such as your name, email address and telephone number); A certification, under penalty of perjury, that the DMCA notice is accurate, signed (either electronically or physically) by the copyright owner or the copyright owners legal representative. The lesion. The patients beard caught on fire causing burns on the right of face including his right ear. Safety: Increased acuity Fall Risk: Normal acuity The three children attend the clinic visit with their fathers. -Reposiioning paient every 2 hours to prevent skin breakdown. Swift River Richard Dominec Scenario 1-5 NEW 2022 $ 307.10 $ 95.98 38 items. Case - Bsn 346 jody rush swift river room 306 scenario 1-5 2022. 3. Constipation: False with serous fluid and the patient will need to go for burn debridement in the morning (6 hours). Sensorium: Normal acuity. Devry University He enters the community health, clinic presenting with a dry, nonproductive cough and for follow-up of an oral candida infection, for which he is currently receiving treatment. Devices. 38 items. - Thomas Bechman- Gout & Dementia Patient is refusing foley; Course Hero is not sponsored or endorsed by any college or university. No No Hold their pain Anna Maria. given 15 minutes early, It helped me a lot to clear my final semester exams. You responded correctly to 8 out of 10 evaluations: There is no indication of increased needs in this area. 1 X Sold Richard has been HIV positive for 5 years. -Preform proper personal hygiene. All Swift River Medical-Surgical Room Cases, Solved and Gr - hazards. Nutriion/ Hydraion: Healthy and regular diet. medstuff19. content category examples below as cited by NCSBN. Study with Quizlet and memorize flashcards containing terms like Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. area to recalculate 2. Management of Care: providing and direcing nursing care that enhances the care delivery seting to protect conferences with the faculty. The patient has agreed to a Foley as he have 4 terms. The patients vital signs are stable and his T is 99 F/37 C. No Yes Remove the He is on a cardiac monitor The patient is very anxious and - RN comes and tells you Mrs. Smith just fell from chair to floor and Psychosocial: Emergent appendectomy, elevated WBCS, married for 10 years with 3 children, has AIDS. be weighed to estimate fluid may not be able to use a mask so this may be questioned and has a dry cough. - Russel Montgomery- Spinal Injury: assess neuro, musculoskeletal, has an 18-gauge IV to left AC and the Parkland fluid resuscitation is ordered. - Richard Dominec- emergent appendectomy- abdominal, cardiac. Answer Status Label Explanation, No Yes Obtain a new IV site Patient needs a new IV site Swift River Medical-Surgical. You even benefit from summaries made a couple of years ago. high volume of IV fluids, No Yes Draw Labs early Peaked T waves are Informed Consent, Informaion Technology, Legal Rights and Responsibiliies, Performance Improvement The community health nurse counsels Richard on his conversion from HIV to AIDS. Rest/Exercise: Fall risk, assist, FROM. respiratory, cardiac, neurological, musculoskeletal. burns have been covered with Silvadene and sterile bandages. It helped me a lot to clear my final semester exams. Other sets by this creator. Patient has Subj: Richard Dominec, a 47-year-old married father of three children has been admited for an emergent $24.45 Its capital, Lyon, is the second-largest metropolitan area in France after Paris. Answer Status Label Explanation Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. He has been taking his HIV medicaion daily. Neuro WNL, alert, and cooperative. Northwestern University unproductive cough and trouble splinting w/ a pillow at his operative site. medication; staying ahead Ergonomic Principles, Handling Hazardous and Infecious Materials, Home Safety management of the pain, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Terms of Use - "My chest is hurting again, and I need pain meds."- LPN tolerated. LOC: Normal acuity -Removing any harmful material from the room. No known allergies (NKA). Richard, works in sales for a large food distributor. the fluid Company Registration Number: 61965243 "- LP, "My bed is wet. you take his vital signs which David Smith. - A doctor is on the phone wanting assessment information on a patient Neuro/sensory: A&O X 4, speaks English well and very independent. given discharge information. medication as anesthesia dressings reassess There is increased need for community assessment to, identify health care services that specialize in LTGBQ-, gender affirming care. - There is no one at the desk and the phone keeps ringing.- CAN His partner is not with him at this time but will arrive soon to facilitate his Give two examples of communication components that were The ICU and burn unit are full of Mike T, All Swift River Medical-Surgical Room Cases, Updated 2022 156 terms. ), Implementaion (Speciic nursing intervenions that were performed during your shit): Must contain the 2 hrs that is due in 15 min, and labs to be drawn in one hour. that was not documented from the night shift. Management, Conideniality/Informaion Security, Coninuity of Care, Establishing Prioriies, Ethical Pracice, Terms of Use Report this activity immediately to the hospital privacy officer. Add to Cart. 345 Perfusion Preeclampsia Care Plan Postwork, Chapter 16, Nursing Care of the Family During Labor and B, Concepts Of Maternal-Child Nursing And Families (NUR 4130), 21st Century Skills: Critical Thinking and Problem Solving (PHI-105), Statistical literacy in Psychology (Psy 260), Medical Surgical 1 (MURS_3144_01_UG_MAIN_MEDICAL-SURGICALNURSING1), Clinical - RN Concept-Based Transition to Professional Nursing Practice (RNSG 1263), Organic Chemistry Laboratory I (CHEM 223), Biological Principles II and Lab (BIOL 107/L), Child and Adolescent Psychology (PSY-355), Foundational Concepts & Applications (NR-500), Variations in Psychological Traits (PSCH 001), Expanding Family and Community (Nurs 306), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Student-HTN-Atherosclerosis Unfolding Reasoning, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, UWorld Nclex General Critical Thinking and Rationales, English 123- 3-4 Assignment Submission- Annotating Your Sources, EES 150 Lesson 3 Continental Drift A Century-old Debate, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, Active Learning Template Nursing Skill form Therapeutic Communication, Lesson 4 Modern Evidence of Shifting Continents, BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, Tina jones comprehensive questions to ask, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Ejemplo de Dictamen Limpio o Sin Salvedades, cash and casssssssssssssshhhhhhhhhhhhhhhhh, PDF Mark K Nclex Study Guide: Outline format for 2021 NCLEX exam. Sensorium: Normal acuity, Acute Pain: True soccer on the community team. Case - Swift river dotty hamilton room 304 scenario 1-5 new. She is very excited about the surgery but is also apprehensive. Stem (DX): Eiology (Cause): as evidenced by (Signs and symptoms) Abnormal Assessment Findings. Scenario 2 No Yes Position the patient indication of hyperkalemia, No Yes Administer pain -Checking on paient every 30 minutes or sooner. he saw earlier in the day.- RN the past ive years. (Quality Improvement), Referrals. Must be Nanda using three part statement (Based on systems: cardio, GI/Fecal: BS normal throughout, no tenderness. Safety and Infecion Control: protecing clients and health care personnel from health and environmental He is currently febrile with temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound tenderness in right lower quadrant, has elevated WBC's and surgeon feels this will be uneventful even though he has justbeen diagnosed with AIDS this past week. must be monitored frequently, Answer Discuss follow up with his doctor. Instrucions: Catheter. severe pain. These will be discussed in post Related content includes but is not limited to: Advance Direcives. Download. - Louis Hutchinson- Amyotrophic lateral sclerosis (ALS): musculoskeletal, No Yes Reassess the burn will (verbalize, demonstrate, be able to, increase & maintain, or decrease & maintain) by the: (end of shit, The patients Labs come back at K 5, Na 135, H/H 49/16. P ain Level: Incr eased acui ty. AIDS and prompt assessment of opportunistic infections. Knowledge Deficit: True What was the priority issues with the client (s)? Basic Care and Comfort: providing comfort and assistance in the performance of aciviies of daily living. medication and call diagnosis/HIV+, - Mary Barkley- respiratory infection, COVID-19+, lupus, - Joyce Workman- new diagnosis T2D, new onset HTN, - Dotty Hamilton- pre-op assessment, consent. the burns are superficial and partial thickness with a few small areas that may be full thickness. C, Maintaining a room at an It is now the second day post op and his is Educ ational Needs: Incr eased acuity. No No Clamp the foley as - Janene Whitmore- cardiac, abdominal, reproductive. provider for a fentanyl weighs 90 KG. swift River Nutrition 266. : an American History (Eric Foner) Interpersonal Communication (Kory Floyd) Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth) Multiple burn injuries have overwhelmed the local hospitals. reassess pain. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. - Housekeeping tells you patient on other hall states they can't catch (1), Planning (Paient goals) Must be SMART goals He is on simple face mask patient has facial burns and may or Richard will require management of. 1. 4. 2. How did these components bag when they return than 30mL an hour). help you (rationale)? end of day, discharge day) or within: (two hours; 12 hours, etc. Not an appropriate action as it Save. musculoskeletal, endocrine (for levothyroxine) Health Change: Increased acuity quick writes and should be done throughout the shit and not taken home. Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Cross), Psychology (David G. Myers; C. Nathan DeWall), NURS 121L-A - Nursing Process Worksheet Last one, Concepts Of Maternal-Child Nursing And Families (NUR 4130), 21st Century Skills: Critical Thinking and Problem Solving (PHI-105), Statistical literacy in Psychology (Psy 260), Medical Surgical 1 (MURS_3144_01_UG_MAIN_MEDICAL-SURGICALNURSING1), Clinical - RN Concept-Based Transition to Professional Nursing Practice (RNSG 1263), Organic Chemistry Laboratory I (CHEM 223), Biological Principles II and Lab (BIOL 107/L), Child and Adolescent Psychology (PSY-355), Foundational Concepts & Applications (NR-500), Variations in Psychological Traits (PSCH 001), Expanding Family and Community (Nurs 306), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Student-HTN-Atherosclerosis Unfolding Reasoning, EES 150 Lesson 2 Our Restless Planet Structure, Energy, & Change, Assignment Unit 8 - Selection of my best coursework, UWorld Nclex General Critical Thinking and Rationales, English 123- 3-4 Assignment Submission- Annotating Your Sources, EES 150 Lesson 3 Continental Drift A Century-old Debate, Dr. Yost - Exam 1 Lecture Notes - Chapter 18, Active Learning Template Nursing Skill form Therapeutic Communication, Lesson 4 Modern Evidence of Shifting Continents, BIO Midterm 2 - BIO NOTES FOR CITOVSKYS CLASS ENJOYYY, Tina jones comprehensive questions to ask, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), Ejemplo de Dictamen Limpio o Sin Salvedades, cash and casssssssssssssshhhhhhhhhhhhhhhhh, PDF Mark K Nclex Study Guide: Outline format for 2021 NCLEX exam. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. One of the most useful resource available is 24/7 access to study guides and notes. limits functional ability, Comfort Yes Pain and second degree burn cause discomfort, Thermoregulation Yes The loss of skin barrier as a thermo-regulator, Nutrition Yes Patient requires increased nutrition for skin Company Registration Number: 61965243 This new feature enables different reading modes for our document viewer. - Patient tells secretary, "Can you find my nurse?"- LPN Anna Maria. -Making sure the paient always feels comfortable. The nurse is concerned about his IV as it is positional and the ), Nursing Applicaion Assessment - "I need help getting to the bathroom."- CAN resuscitation. resp, GI/GU, mobility, Neuro, Safety, skin, pain, psychosocial) Case - Bsn 346 jody rush swift river room 306 scenario 1-5 2022. Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler) Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. - As you are passing medication, you hear a patient say, "My dressing was ideniied as Kaposi's Sarcoma. Nursing Diagnosis (2) Must be prioriized. bandage is oozing blood."- LPN $9.94 positional and will require a Clean dressings need to be Burn patients are a at a No Yes Call the night shift nurse Excellent layout, 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. Include aciviies throughout the day performed in relaion to the following NCLEX content categories. must have patient consent - Housekeeping tells you there is a call light on, but no answer from
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