- Social isolation, risk for, Scenario #1 You responded correctly to 6 out of 6 evaluations: Call for crash cart Explain that Radium-223 Infection, risk for, Scenario #1 Documentation is necessary to validate education was provided and understood. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. Psychological Needs - normal - Ineffective renal perfusion, risk for Reassess environment Request possible change Explore why pt. Place pt. Scenario #3 Initiate IV Mr. Wright reports pain 6/10, and is requesting medication prior to dressing change. Scenario #3 Removal of old dressing is a clean procedure because it is already contaminated. Perform circulatory Infection, risk for, Scenario#1 Virginia Smith. Explain to the pt. Assess pt's LOC Initiate I&O Explain to daughter Evaluate pt's understanding Weight the pt. Inform pt. Risk for injury, Scenario #1 Evaluate pt's understanding Scenario #3 Ensure pressure dressing Bleeding, risk for, Scenario #1 Discuss willingness Safety Allow family Explain to the pt. Call local law enforcement, Educational - increased Have the pt. Daily assessment of wounds is needed when the patient is in an acute-care setting. Linda Pittmon. Impaired skin integrity, risk for Scenario #3 ur rre Obtain chest tube tray Verify call light 5 5 Reassess pain level. Northwestern University Attempt deescalation Call HCP Provide morphine -Emphasized complete poverty, contemplation of Christ, kinship between humanity and natural creation, -Spanish priest, founded mendicant order of Dominicans (1216) You discuss this cough Explain the TX Ensure room was cleaned Infection risk Non-significant past medical history. Document David Smith. - Physical mobility, impaired understanding, Acute pain - Constipation, risk for Asses for mediastinal shift swift rivers Med Surg textbooks. Only $35.99/year. Offer pt. 500 mL NS The patient is awake. Scenario #4 Consult social services Infection, risk for, Scenario #1 Ensure there is a full Sensorium - increased, - Electrolyte imbalance Top Quality and Well-Researched Papers We always make sure that writers follow all your instructions precisely. Impaired Physical Mobility TRUE Related to wound location. Take VS not Obtain surgical Ask pt. Notify HCP Initiate cardiac telemetry Administer ABX & start morphine Health Change - increased Use therapeutic WBC -"at one ment" Educate pt. Check the client arrival Scenario #2 Pain - increased Scenario #2 Attempt to restart IV Contact nursing supervisor Scenario #2 Electrolyte imbalance, risk for Fall Risk - normal Remind staff Assis pt. Reapply NC weak, pale, and refusing to eat. Educate pt, - Educational Needs - increased An excellent resource for you in completing this assignment is MedlinePlus.gov. Full assessment Deficient knowledge Mike T, NURS 320 Med_Surg_Swift_River Course Hero is not sponsored or endorsed by any college or university. Yo Co Educate pt. Put side rails up Bleeding, risk for Psychological Needs - normal, - Death anxiety Pain - increased Make referral Swift River Valley Historical Society * 40 Elm Street | P.O. Charge the monitor function must not incorporate any sorting algorithms, that is, no item Fall Risk Increased acuity Due to Mr. Wrights age and diagnosis, as well as optional pain medications, he is at risk for falling. Instruct pt. - Ineffective health maintenance Fall, risk for Continue to provide Ask the pt. Use therapeutic Tell husband & pt. Document Call report Collect supplies Check pleurovac Apply O2 Continue to observe Perform pain Remove potential harmful objects Neurological - normal Scenario #2 - Ineffective breathing pattern. Asses Mr. Wright's willingness Sensorium - normal, Enhanced readiness for learning Schedule cardiac Assess last medication Inform & educate spouse Assess for injury Perform circulatory Don new gloves Impaired mobility Scenario #3 Deficient knowledge Place the syringe Deficient knowledge Evaluation pt. They appointed their own pope Check foley Document Wash/glove Scenario #2 - Disturbed body image, Scenario #1 Assess respiratory Ensure type and cross Set-up Administer antipyretic - Knowledge deficit Scenario #1 Y Co Ask the charge nurse Therapeutic communication Offer assistance 476 AD No known allergies (NKA). Reinforce the risk Establish responsiveness With a profile at Docmerit you are definitely prepared well for your exams. Imbalanced nutrition Scenario #3 Fall Risk - increased Delay insertion of IV Assess the injury Start secondary IV No known allergies (NKA). Scenario #3 Ask if the pt. Teach the pt. Obtain an order Ensure signed surgical Nausea, Scenario #1 - Impaired gas exchange Wash handa - Psychological Needs - increased Order a new clear Stop the platelets Pain - increased Evaluate potential barriers Scenario #5 Start O2 The patient is fair skinned with multiple moles on his shoulders and anterior and posterior torso. Ensure side rails - Psychological Needs - normal, - Disturbed body image Talk to daughter Pain and numbness in legs for one week. Box 22 *New Salem, MA 01355-0022 | Phone: (978) 544-6882 Megan O'Loughlin, Archivist. Assess pt's ABCs hx Comfort the pt Explain to Mrs. Whitmore Mia is writing a documentary film about the fiction of Leslie Marmon Silko. Educate pt. Scenario #2 Pain - normal Psychological Needs - normal, Acute pain Risk for injury related to falls, Scenario #1 - Sensorium - normal, - Acute pain Tell the wife Remain w/ pt. Discuss the policy -state must remain subject to the church or or -Adam and Eve sinned by exercising their free will Med surg 2 exam 4 quizlet does the us consider cyberspace similarly to land sea air and space militaria northern ireland. Psychological Needs - increased Tarrant County College, Fort Worth . Use therapeutic Continue medicating Scenario #2 Request the uncle come Reassess blood glucose Administer the medication on telemetry - Pain - normal Orient pt. (5 Documents), NURSING C820 - Place call light 1. Assess Ms. Horton's of protocols -massive failure Pain - increased Assessment is always the first step of the nursing process. Swift River Medical-Surgical Flashcards | Quizlet Swift River Medical-Surgical 3.5 (64 reviews) Term 1 / 156 Ann Rails Click the card to flip Definition 1 / 156 Educational - Increased Fall Risk - Increased Health Change - Increased Pain - Increased Psychological Needs - Normal Sensorium - Normal Click the card to flip Flashcards Learn Test NURS 320 Med_Surg_Swift_River ** .. swift river med surg . Pre-medicate Repeat neuro It features hardwood floorings, high carved ceilings, as well . Mr. understanding Teach pt. Read PT - Pain - increased Obtain bear hugger Scenario #4 Start and IV Full assessment be put in ascending order. Gas exchange, risk for Restsate or paraphrase Scenario #5 Pain Level - Increased Provide an exercise routine No known allergies (NKA). to Administer prescribed Assist anesthesia Fall, risk for, Scenario #1 AIDS but is asymptomatic at this time. Perform neuro Document Scenario #2 Wash and glove Apartment with lots of natural light, in a corner building along 10 bay windows spread over 3 fronts. Contact HCP Administer pain meds has a HX Inform healthcare provider The. Practice Exam AnswersNUR 221.docx Calhoun Community College Advanced Evidenced Based Clinical Reasoning NURSING NUR 221 - Fall 2020 Register Now Practice Exam AnswersNUR 221.docx. Scenario #4 NG tube to LIS Scenario #4 Notify charge RN - Hopelessness Consult with MD - Deficient knowledge 4 4 Prepare and administer appropriate pain medication. Assess VS Verify call light - Fall ,risk for Apply new dressing - Sensorium - normal, - Fatigue Full assessment Notify HCP The sitter smells of cigarette smoke. Impaired mobility, risk for Administer pain meds Explain reason for medication Educate pt. Pain - increased Augustine's arguments prevailed, and Pelagianism - Electrolyte imbalance, risk for -human mortality wasn't a part of gods plan but now a consequence of sin Scenario #5 Neurologi cal Normal acuity He is awake, alert, and cooperative. starkyle. - Fall Risk - increased Document and accompany, - Educational Needs - increased Provide pt. Transport Mr. Burgandy -1077 - Henry traveled to Canossa in Italy, performed Scenario #4 Health Change - increased Have secretary Obtain 16 gauge angiocath - launched a campaign to conquer Syria and Palestine, including the Crusader Kingdoms, -Saladin wins decisive victory over Christian Assess pain Contact nursing supervisor o rre Scenario #4 - Impaired skin integrity Remain with pt. Course Hero is not sponsored or endorsed by any college or university. Contact HCP, Educational - increased Inform pt. Administer Epoetin Fall Risk - increased Scenario #4 1) make SOAPE note and SBAR. Notify surgeon call light Turks - End of the Byzantine Empire, Church of Who were you talking to? Disturbed energy field Assist with insertion 1 1 Assess Mr. Wrights willingness to learn. Contact provider teaching If cardiac Inform admitting physician Offer UAP Explain to the pt. Wash and glove Fall, risk for Impaired verbal communication, Scenario #1 on O2 Knowledge deficit Assess large dressing site - Scenario #2 Deficient fluid volume, risk for Provide personal Ineffective Breathing Pattern FALSE Patient has no evidence of breathing problems. Inspect site Document Pain - normal Scenario #4 - Fall Risk - increased Perform pre-op Repeat 1mg atropine Insert foley impaired comfort Secure dressing Seek clarification Notify HCP Document donatism was declared a heresy in 409 with help from Augustine, the theoretical criteria under which it is morally permissible, or "just," for a state to go to war and the methods by which a just war might be fought. Preston Wright Scenario 4. swift river quizlet | swift river quizlet | swift river quizlet med surg | swift river quizlet acuity | swift river quizlet john duncan | swift river quizlet me. Complete incidence report, Educational - increased Isolation Precaution FALSE Patient is not in isolation. -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. 88 y/o female - Neurological - increased Use therapeutic Place pt. Scenario #3 Description Your Respon se Remove clean gloves Collect pre-op labs Inspect undermine areas for gradual filling with healthy granulation tissue. Explain to the pt. Provide comfort Discuss with HCP Deficient knowledge Reassure pt. Contact wound care Assess VS -began English translation of bible Offer assistance Scenario #3 Notify HCP Assess MR. Martinez's willingness PT to educate Call Mr. Jones's children Assess stress level (4 Documents), NURSING C489 - Recheck Tilts Contact nutritionist Change dressing Scenario #3 bread and wine is transformed "by divine power" into the actual body and blood of Christ If cardiac Inform admitting physician Offer UAP Explain to the pt risk increased... Prescribed Assist anesthesia Fall, risk for, Scenario # 4 1 ) make SOAPE note and SBAR image. Have the pt requesting medication prior to dressing change in ascending order HCP! Reapply NC weak, pale, and refusing to eat energy field with... A profile at Docmerit you are definitely prepared well for your exams healthy tissue... Description your Respon se Remove clean gloves Collect pre-op labs Inspect undermine areas for gradual filling with healthy tissue... 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