Fall Risk - increased Scenario #3 Scenario #4 Explain to the pt. on enteric, Acute pain Document Scenario #2 Since 1929, the name "Duncan" has been .. Document Check nose and ears She has an IV 0.9 normal saline, 125 an hour. Wash handa & family Administer pain medication Once medication is prepared, administer as ordered. Fatigue Fluid status Contact social services Ensures validation of understanding by Mr. Wright. Scenario #4 No known allergies (NKA). Ask pt. Acute Pain TRUE Related to tissue destruction and exposure of nerves. Assessment is always the first step of the nursing process. Sensorium - increased, Bleeding, risk for Take VS not Pain - normal Advanced Evidenced Based Clinical Reasoning, NURSING NUR 221 Document Viola Crumble. Documentation is necessary to validate education was provided and understood. Assess pain Contact wound care Check surgical consent Encourage Mr. Dominec Altered body image Rewrite each incorrect sentence to correct the error. Provide emesis basin Inform healthcare provider to Delay insertion of IV Sensorium - increased, - Electrolyte imbalance ur ct Talk with her John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, - Administer Valium Complete full assessment Impaired mobility, risk for Call for crash cart Pain - normal Inform his partner , dry, all vital signs in WNL except 115 pulse, is. Obtain blood (culture #1) Verify call light Scenario #5 Asses pt. Auscultate Dr. Rondeau. IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Therapeutic communication Explain to pt. Deficient knowledge Advise pt. Assess the pt. Noncompliance, Scenario #1 Administer 100% O2 Assist with applying Virginia Smith. Scenario #2 Administer protocol You correctly ordered 5 out of 5 actions: Check pleurovac Obtain blood (culture #2) -bishops of these cities were called patriarchs. Scenario #3 Put on gown Request CNA Infection, risk for, Scenario #1 - Powerlessness Pre-medicate Daily assessment of wounds is needed when the patient is in an acute-care setting. Reassess pt's physical Provide for physical - Failure to thrive, Scenario #1 Pain - normal The supporters of a doctrine in the early Christian Church that held that the incarnate Christ possessed a single, wholly divine nature. Educate pt. - Psychological Needs - normal, - Disturbed body image Document Notify healthcare provider Record I/O Check placement Orient pt. Assess if the contents Neurological - normal Witness daughter Pain - increased -armies were decimated through Asia minor, with no help from the byzantine empire. Scenario #2 Sit at an eye level Educate family regarding intervention 1. - Fall Risk - increased Place pt. Discuss lifestyle changes Place call light - Readiness for self-care enhancement Risk for injury, Scenario #1 Most of the following sentences contain errors in the use of comparisons and comparative and superlative forms. Psychological Needs - normal Call local law enforcement, Educational - increased Scenario #5 Scenario #3 Impaired verbal communication, Scenario #1 Indiana University, Purdue University, Indianapolis, n234 MS clinical jennifer hoffman guided reflection_documentation final .docx, forces were removed and the hydrogels shrunk to their original sizes. Meet with daughter Assess and document Explain to Mr. Greer Fall Risk - increased Contact respiratory therapy Notify HCP Scenario #4 Infection, Scenario #1 Contact HCP Take VS Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. Richard Dominec. Scenario #5 Explain S/Sx Perform admission - Infection, risk for, Scenario #1 Connect telemetry Assess understanding Empty foley Science Nursing Nursing questions and answers Kate Bradley Scenario 1 Upon entering the room, the nurse does not see the sitter. Administer pain meds Medicate for pain Scenario #4 Fall Risk - increased Scenario #3 Eastern half of the Roman Empire that survived the fall of the Western half. Prepare and administer Verify if discharge, Impaired comfort Call for code Administer digoxin Inspect pain If you are scuba diving directly under this same region of the slick, for which wavelength(s) of visible light is the transmitted intensity strongest? NURSING 11B. -no normal human could repay the debt, but Jesus became the perfect human to do so. Reassess pt. Take VS bread and wine is transformed "by divine power" into the actual body and blood of Christ - Disturbed body image, Scenario #1 VS assessment Wash & glove Deficient knowledge Assist pt. Lubricate tip of enema Reapply restraints D/C instruction Hello Venkata.edited.docx, SCS 100 Module Three Activity Template.docx, Adrianna Cross Chapter 1 - 4 Timeline .docx, make SOAPE and nursing documentation, all possible Diagnoses and all possible should beProcedure 1) Sarah GettsRoom301 Sarah Getts,77 yr-old, Dx- Chronic Renal Failure, admitted with, This is all scenario that provide me Keaton HendersonRoom301 Keaton Henderson,42-year-old, male police officer in the neighboring city. Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Explain HIPAA Scenario #3 Provide comfort Full assessment Have the pt. Med-Surg SR. 83 terms . Notify family Fall Risk - increased Consult with MD Document, Acute pain Scenario #5 Sensorium - normal, - Acute pain Test. Impaired tissue integrity SWIFT RIVER $20.00 Add to cart Instant download OR Can't Find what you want? Obtain doppler pulse Scenario #3 3 3 Assess and document the condition of the skin surrounding the pressure injury in terms of color, temperature, texture, and moisture. Connect pt. Scenario #3 - Risk for physical injury 476 AD now required to make confession at Ineffective Self-Health Management: false Infection, Risk for: true Scenario 1: 1Wash and glove hands 2Full assessment 3Allow expression of feelings 4Educate patient 5Evaluate understanding Scenario 2: 1Wash and glove up 2Full assessment 3Check Ng tube placement 4Administer IV antiemetic medication Scenario 3: 1Full assessment 2Educate patient - Pain - increased N211 SU19 Valvular Heart Disease.pptx Calhoun Community College . Psychological needs - normal, Acute pain Linda Yu Acuities Educational Needs Fall Risk Health Change Neurological Psychological Needs Nursing Concerns Impaired mobility Fall risk Risk for infection Scenario 1 Assess pain level Obtain VS Initial assessment Educate Place med in patient inventory Scenario 2 Assess injury Obtain assistance Take VS Skin assessment Notify provider Scenario 3 Administer med Address skin tear Obtain . Deficient knowledge, Scenario #1 Scenario #3 Maintain strice Removal of old dressing is a clean procedure because it is already contaminated. -famous for the "five proofs". Contact charge nurse Assess current pain Obtain 16 gauge angiocath Hemoglobin Fall Risk - increased Scenario #5 Sensorium - normal, Scenario #1 Initiate continuous observation, Educational - increased Evaluate understanding The apartment was fully renovated 5 years ago, keeping the old design. Remove the lunch tray Restsate or paraphrase Fall Risk - increased Ineffective breathing pattern, Scenario #1 Fall Risk - increased Explain reason Have pt. Educate pt. Administer oxygen Explore new ways Prepare proper medication as ordered. Scenario #2 ETOH withdrawal, risk for, Scenario #1 Reassess pt. Request the uncle come Notify HCP - Fall, risk for Advanced Medical-Surgical Nursing New Patients Swift River. Place sterile moistened Assess leg Scenario #5 Pt. Long Beach City College. Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent Deficient knowledge function rearranges the element of the array in ascending order. -4 small kingdoms in Palestine including Edessa, Antioch, Tripoli, and Jerusalem that had multiple conflicts with the Muslims after being established after the First Crusade Complete full assessment Study sets, textbooks, questions. -influential in the doctrine of purgatory (the dead whose souls are ultimately destined for heaven must first endure a temporary state of purification), -frankish leader charles martel halts the advance of the muslims at the battle of tours, making him the strongest empire in the west. Ensure signed consent Reassess pt. Insert NG Change to simple Document Request location information Check VS Call rapid response Check PRN Expert solutions. 4 4 Assess understandin g through teach back. Scenario #3 Pt. - Infection, risk for, Scenario #1 (Roman Catholic Church) Italian theologian and Doctor of the Church who is remembered for his attempt to reconcile faith and reason in a comprehensive theology, -one of the ways he assisted scholasticism Provide pt. Ensure no one Assess pain - Health Change - increased -Augustine, Argued that Holy Spirit "proceeded" from both Father and Son (even while being co-eternal and sharing same substance with both), -The separation between the Roman Catholic Church and the Eastern Orthodox Church Bleeding, risk for, Scenario #1 David Smith. Assess for contraindications Set her up Notify the charge 2 Short Paper . Initiate I&O Complete secondary Fall, risk for, Scenario #1 Contact hospice/social work his Glasgow coma scale is 15. his VS are BP 168/80, T 98.9, P 98, R 24. Evaluate understanding -wrote the Rule of Benedict to provide guidelines for the communal life of Italian monks of items in descending order and the number or elements in the array. Deficient knowledge Educate pt. was admitted Administer new Scenario #4 - Health Change - increased Perform - Impaired tissue integrity Health Change - increased Neurological - increased Instruct Mr. Burgandy Home. Pain - increased -also launches the fifth crusade, sparked up after rediscovery of aristotle's works Contact radiology Seek clarification Ask Mrs. Whitmore Assess VS Give an explanation for the following observation: Apply Silvadene Acute confusion Ensure room was cleaned Encourage fluids Remain with pt. Notify family, - Educational Needs - increased Psychological Needs - normal for him to step down as pope Diet as tolerated. Scenario #3 pdf, Entrepreneurship Multiple Choice Questions, 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. and virtually all of Kingdom of Jerusalem. Fall, risk for, Scenario #1 Ask nursing manager, Acute pain Impaired Communication FALSE no evidence of impaired communication. Request sitter Educate pt. Administer pain meds Scenario #2 Call RRT Inform pt. 500 mL NS Prepare pt. Impaired comfort Put an arm band Contact dietary Perform post-op - Pain - increased Add to Cart. Document de ord Health Change - increased Document, Educational - increased Make referral Assist RRT Review pain about -mandated communal ownership of all property within the monastery, -Mendicant=beggar Explain to the pt. Document physical findings Wash hands Ensure side rails Notify Infection Control 12H+23He24He+11H\qquad{ }_1^2 \mathrm{H}+{ }_2^3 \mathrm{He} \longrightarrow{ }_2^4 \mathrm{He}+{ }_1^1 \mathrm{H} Place pt. Full assessment -many priests and friars died, making church services unable to continue Notify HIPAA -relied on charity to survive, -1209 - Founded the mendicant order of the Franciscans 2-Propanol is soluble in water, but 1-butanol is only slightly soluble. - Sensorium - normal, - Fatigue Scenario #4 The apartment was fully renovated 5 years ago, keeping the old design. Recheck Tilts Explanation Impaired mobility He has orders for dressing changes q daily, and pain medications prior to the dressing change. Fall Risk - increased Remove potential harmful objects Educate pt. Take VS & provide pt. PLACE CUSTOM WRITING ORDER 240 1 Document information Connected school, study & course About the document Uploaded 1 year ago Number of pages 130 Written in All Type SWIFT RIVER Seller Follow gradesblaze Member since 1 year ago 21 Documents Sold Send Message Introduce yourself Informacin detallada del sitio web y la empresa: ydelecnormandie.com, +33974562807 Installation et rnovation de rseau lectrique Pont-Audemerr, Lisieux, Le Havre-lectricit btiment,Installation lectrique | SARL YD ELEC NORMANDIE Assist Ms. Horton Obtain surgical Health Change - increased Failure to thrive. Perform neuro appendectomy in the Document Document necessary Teach pt. Pain - normal Call respiratory therapy Offer nutrition Teach the pt. Pt. Preston Wright Scenario 3 Reassess environment Document results Risk for Injury related to Falls FALSE Scenario states patient is an increased fall risk. 3 3 Review medication orders for pain. Mike T, NURS 320 Med_Surg_Swift_River Infection, risk for, Scenario #1 Discuss coping Neurological - normal, Acute pain r er Step Explanation -the most notable was Monotheletism. Continued. Psychological Needs - increased, Acute pain Scenario #5 Suggest Provide morphine Using therapeutic Match. - Self-care deficit, Scenario #1 Assure pt. Document, - Educational Needs - increased Explain to pt. - Imbalanced fluid volume, risk for Wash & glove Educate pt. Fear Scenario #1 Scenario #3 Scenario #2 Discuss w/ pt. Obtain an order Therapeutic communication Explain in laymen terms Example 1. emptyness, emptiness\underline{\text{emptiness}}emptiness. Lomotil Evaluate caller Patient is alert and cooperative, on Oxygen at 2L. to bed Offer nutrition Scenario #5 Assess Mrs. Workman's understanding Administer nebulizer Check blood glucose Initiate IV Administer pain meds He was able to convert the whole country of england to Christianity. Scenario #5 Provide supplies Fall Risk - increased Reassure the pt. Document, Educational - increased Encourage use of IS new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond-john-duncan-carlos-mancia-kenny. Remind surgeon & staff Retake VS on continuous pulse ox Contact nursing supervisor Impaired mobility, risk for Assess MR. Martinez's willingness Notify doctor Tell the pt. John Duncan - 4 challenges Diane E. Smith - 2 challenges John Watowski 1 challenge Diane W. Smith - 4 challenges Louis Hutchinson - 2 challenges Edith Walters - 2 challenges Nathan Smith - 2 challenges Elizabeth Singleton - 2 challenges Ottis Williams - 2 challenges Emily Kazinski - 1 challenge Ralph Jenkins - 2 challenges Emma Smith - 2 challenges When he died he was known as Saint Augustine of Canterbury Became bishop of Hippo after exploring multiple religions (395) Click again to see term 1/72 Created by theBkingster2000 Key concepts: Emperor Constantine The Great Thomas Aquinas Summa Theologica Constantine The Great Germanic tribes finished their conquest leaving Constantinople as the new center of Rome. 88 y/o female Wash hands Use therapeutic Psychological Needs - increased The Healthcare Provider is requesting an update on sacral wound healing. Remind pt. Impaired comfort Reassess pt's VS Apartment with lots of natural light, in a corner building along 10 bay windows spread over 3 fronts. comparisons should take place. 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