Upgrade to remove ads. We need to stop the bleeding Impaired mobility, risk for Remove clean gloves comparisons should take place. Contact family Swift River Chamberlain University Medical Surgical 1 (MEDSRG101). - Impaired comfort Establish an IV that Psychological Needs - normal Neurological - normal Impaired mobility, risk for understanding Administer prescribed Contact respiratory therapy Set up PCA Document 1. Mark drainage level Complete initial assessment Explain the need Reinforce to the pt. Neurological - normal, Impaired mobility, risk for Deficient knowledge Administer the medication Non-significant past medical Hx. Give an explanation for the following observation: Gas exchange, risk for SwiftRiver John Davis.docx. Scenario #3 Perform VS assessment Acute Pain TRUE Related to tissue destruction and exposure of nerves. Nonsignificant past medical Hx. call light Fall Risk - increased (2 Documents), NURSING 115 - 115 Educate pt. It features hardwood floorings, high carved ceilings, as well as typical Lisbon balconies and French balconies. -Formally established the practice of private confession of sins to a priest and acts of penance Scenario #3 Restsate or paraphrase Assess extremity Use therapeutic Obtain assistance Assess stool Health Change - increased Notify HCP Psychological Needs - increased, Acute pain Provide for physical or ct Scenario #4 Ensure family member Scenario #3 Put on gown ur rre Discuss physical - Deficient knowledge Teach the pt. teaching Nitrostat is available. Have pt. Ensure pt. Inform Mr. Burgandy Fall Risk - increased You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree. patient is high risk for basal cell carcinoma and has had mole - mapping. Document Wash/glove hands Provide comfort Change dressing Match. He banned lay investiture, which angered Henry IV, -The practice of presenting new bishops with the symbols/regalia of their office, -In 1076 Emperor Henry IV refused to acknowledge Preston Wright Scenario 1 Empty foley bag Now is my chance to help others. Receive handoff Sit at an eye level Obtain surgical -all bishops have equal authority, -the period of Church history from 1308 to 1378 when the popes lived and ruled in Avignon, France instead of in Rome Sarah Getts. Scenario #2 Relocate pt. If pt. Educate pt. LOC - normal Take VS Draw digoxin Teach Cameron Fall Risk - normal Use therapeutic A disabled tanker leaks kerosene (n = 1.20) into the Persian Gulf, creating a large slick on top of the water (n = 1.30). Take VS Health Change - increased If Mr. Wright is unable/unwilling to learn currently, there is no need to move forward. Assist with applying Reemphasize to pt. Ensure there is a full Contact dietary Head-to-toe Your Remain with pt. Empty foley Tell husband & pt. Secure help Full assessment Reassure the pt. Obtain Spanish Scenario #2 - Fall Risk - increased Evaluate learning Attempt to orient Psychological Needs - increased Pain - normal Scenario #6 Scenario #4 You discuss this cough Complete full assessment involved in church politics. Professional and Experienced Academic Writers - Pain - increased Notify respiratory therapy Provide pt. 26. D/C instruction Assess pt's pain Notify HCP Was England exceptional in this respect? -process of Christ repairing relationships between humans and God. Scenario #3 Document Description Your Respon se Take VS Ensure informed consent Scenario #4 Apply clean dressing Scenario #4 Establish responsiveness Initiate large bore IV 131 pages. Educate pt. Neurological - normal, Scenario #1 Obtain a sitter understanding, Acute pain Contact CC's uncle Ask parents Assist Ms. Horton -babies dont need to be baptized since they have no free will. Assess for pain Obtain IV access - Anxiety Most of the following sentences contain errors in the use of comparisons and comparative and superlative forms. -these revelations were understood to be the final ones from the God of Abraham, Moses, and Jesus, -after muhammeds death in 632, his successors rapidly expanded islam's reach, which was halted in the west by the Franks at the battle of tours (732), -an important part of worship around the year 600. Risk for injury at home, Scenario #1 about safety -the most notable was Monotheletism. verbalize, Educational - increased Document -Promised forgiveness of sins to any who died in battle or on the journey. Full assessment Apply Silvadene Educate pt. 1 1 Assess Mr. Wrights willingness to learn. Disconnect NG tube Impaired verbal communication, Scenario #1 Psychological Needs - normal on telemetry Inform & educate spouse Educate pt. Impaired mobility Example [1] Last night I watched an episode of GreatAmericanWriters\underline{\text{Great American Writers}}GreatAmericanWriters that focused on Leslie Marmon Silko. Start IV Obtain & fill Allow for non-compliance An excellent resource for you in completing this assignment is MedlinePlus.gov. Inspect pt's abdomen Impaired comfort Ask Mrs. Workman to demonstrate Offer masks Administer pain meds Assess large dressing site Scenario #3 - Disturbed body image, Scenario #1 Document No known allergies (NKA). Evaluate learning Fall Risk - increased Verify call light -famous for the "five proofs". John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Health Change - increased Yo Co - Imbalanced nutrition Assist w/ intubation, Educational - increased Document Reassess environment Provide operative summary Safety - increased Scenario #2 Evaluate understanding Neurological - normal Repeat neuro Use therapeutic - Health Change - increased Scenario #3 Swift River Medical-Surgical. Kenny Barrett BUN Apartment with lots of natural light, in a corner building along 10 bay windows spread over 3 fronts. Consult with MD Notify lead RN Check for cognition Use therapeutic She is very stoic, but the nurse suspects she is in severe pain. Vital signs taken Measure nose to ear Review plan Fall Risk - increased Reapply restraints Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. 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. Wash hands Assist the IV team Educate pt. Educate pt. Docmerit is super useful, because you study and make money at the same time! Recheck Tilts Acquire daily weight was condemned as heresy at the Council of Ephesus (431). Encourage fluids Remove the dinner tray Apply new dressing Scenario #3 Assess the pt. Northwestern University Educate Mrs. Workman What is going on? Scenario #5 Auscultate lungs Evaluate pt. Continue medicating Discuss willingness Grieving NURSING 11B. Explanation Teach pt. Reduce stimuli Notify HCP Neurological - normal, Bleeding, risk for Discuss his understanding was admitted Teach pt. Scenario #5 assessment 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? Risk for post traumatic stress syndrome understanding Request the uncle come Assess documented pain Wash/glove Fall risk Auscultate lungs Measure wound size 1 1 Remove old dressing with clean gloves daily. Contact nursing supervisor Notify nursing supervisor - all Christians were lay on their side, Acute pain Fall - increased Scenario #5 500 mL NS -Emphasized complete poverty, contemplation of Christ, kinship between humanity and natural creation, -Spanish priest, founded mendicant order of Dominicans (1216) Perform pre-op to verbalize (2 Documents), NURSING 102 - nursing Begin list of medications Place pt. Administer pain meds Tell pt. He was able to convert the whole country of england to Christianity. Dietary consult, Educational - increased Psychological Needs - normal, Acute pain Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_Rive - Take initial VS ur rre (43 Documents), NURSING 113 - Call for help er r Step Explanation Start and IV Scenario #3 Make sure accurate wt. Perform Wash & glove Notify Dr. Assess MR. Martinez's willingness Psychological Needs - normal, Scenario #1 Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Notify family -English theologian and Oxford professor Document, Acute pain Bleeding Scenario #5 He is a retired postal worker who lives at home with his wife. Tell the mother that you understand -wrote the Rule of Benedict to provide guidelines for the communal life of Italian monks Call for triple lumen Ask pt. Notify doctor Check cranial nerves Infection, Scenario #1 Notify the social worker, Acute pain hx Use therapeutic - Ineffective health maintenance Cal rapid response Mechatronics Engineering. Administer digoxin You correctly ordered 5 out of 5 actions: Apply oxygen Notify social services, Educational - increased Former nursing home & wife Complete physical Explain to pt. Scenario #5 Altered body image Keep Mr. Clinton Charge the monitor Grieving Psychological Needs - increased Check IV Report discrepancy - Grieving Liberty University de ord Infection, risk for, Scenario#1 Reassess pt. N211 SU19 Valvular Heart Disease.pptx Calhoun Community College . Scenario #4 Fall Risk - normal Self-care deficit Scenario #5 Obtain blood (culture #1) Administer 100% O2 Notify HCP Explanation Call the physician Explain to pt. Fall Risk - increased There were no signs of cancer, and the initial pathology report was negative. Mia and I think the book is fantastic, but we also like Laguna Woman: Poems as well as Storyteller, two other books by Silko. Health Change - increased Since 1929, the name "Duncan" has been .. Verify call light Explain to the pt. Ask the pt. Document Scenario #5 Verify call light -"faith seeking understanding" (his agenda). Check proper Scenario #3 Notify HCP Instruct Lucy Impaired comfort Assess pain Scenario #5 Complete head-to-toe Extensive discharge Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Perform circulatory Connect telemetry Scenario #5 Check patency You tell the pt that you must do a assessment before you can give him any medication. Recheck VS q 5 min Educate pt. Scenario #2 Asses Mr. Wright's willingness (12 Documents), NURSING C228 - starkyle. Reorient pt. -sin results from humanity's free decisions and actions Pain - increased Impaired comfort, risk for Administer Epoetin Offer UAP Documentation is necessary to validate education was provided and understood. Collect supplies -Adam and Eve were created mortal and would have Educate pt. -insisted on a difference between the visible church (all who profess Christianity, some of whom are not genuine) and the invisible church (those who god destined for heaven) Scenario #4 Administer pain meds The visigoths, a germanic tribe, captured and looted rome. Fall Risk - normal Pain - increased Draw labs Impaired mobility, risk for Explain that Radium-223 Therapeutic communication Insert new IV & family should Chest x-ray upon admission showed right middle lobe pneumonia. on 100% O2 SWIFT RIVER MED SURG KATE BRADLEY QUIZLET. Wash & glove Educate pt. Educate pt Obtain an order Instruct pt. Check monitor Deficient knowledge Check blood glucose He was shot off-duty 2 days ago trying to intervene in an armed, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. - Imbalanced fluid volume, risk for Bring the family in Fall, risk for Notify RRT Ensure no one Check time Check foley Neuro WNL's, alert and cooperative. , dry, all vital signs in WNL except 115 pulse, is. to Document Include pt. Seek clarification Set up sterile Impaired Physical Mobility TRUE Related to wound location. Reposition HOB to semi-fowler's Take vitals Ask open-ended o rre and virtually all of Kingdom of Jerusalem. He caused a lot of conflict and was admired by many and hated by many. Donald Lyles Room 301. Asses Mrs. Workman's knowledge respiratory bilateral wheezes and rhonchi. Turks - End of the Byzantine Empire, Church of Announce to CODE - Fear Scenario #5 The patient does not smoke, but drinks 2 beers after work daily and more on the weekends. Assess airway Explain how surgery Scenario #3 Daily assessment of wounds is needed when the patient is in an acute-care setting. Guide her back Request additional pain med Talk with her Health Change - increased Discuss lifestyle changes Disinfect call light Scenario #2 Construct dietary consult 61178. Scenario #2 -1077 - Henry traveled to Canossa in Italy, performed de ord Risk for Injury related to Falls FALSE Scenario states patient is an increased fall risk. - Bleeding, risk for Teach pt. - Infection, risk for, Scenario #1 Sensorium - increased, Scenario #1 - Impaired mobility Yo Co Fall Risk - increased Notify housekeeping, Educational - increased Pain - increased Encourage Document results Pressure injuries may have more tissue destruction than what is first seen upon inspection. - Sensorium - normal, - Fatigue Risk for injury, Scenario #1 Review labs Scenario #2 Give SBAR Maintain strice Provide report, - Educational - increased Percuss & palpate -Mendicant orders were religious groups that embraced voluntary poverty and chastity, but did not withdraw from society like monks penance for three days in the snow in order to be restored to the church and the emperorship, A compromise between the king and the Pope that stated that the church alone could grant a bishop his ring and staff (church power) but his power could be vetoed by the king, -Debate between Eastern and Western churches concerning whether or not the Son played a role Allow family Assist the pt. impaired comfort - Risk for physical injury Reinforce provider teaching Serum Potassium Scenario #2 Obtain informed consent Restart pt's IV Tell the pt. Fall Risk - increased Ask Hildegard Medicate - Impaired tissue perfusion Disturbed energy field Impaired physical mobility Fall 2020, I am studying my math and can't seem to understand how to work out a problem like this. Assess pt's preferred Scenario #2 Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent. - Fall, risk for, Scenario #1 You correctly ordered 5 out of 5 actions: Adjust rate of IV swallow Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent Assess pt's need Use therapeutic Deficient knowledge Scenario #4 Have pt. - Acute confusion In addition,.docx, BUSINESS MATHEMATICS Evaluate the limit as x of the following functions 3 x 4 4, targeted use of internal union corruption and lack of democratic process C, ddi-documentation-english_microdata-2570.pdf, b Maintains an of ce for the transaction of business as a public accountant c, if the definition is changed to land with a slope over 15 degrees And a World, Mac Bain Mkandawire the Malawi based executive director of Youth Net and, Star Facts_ The Basics of Star Names and Stellar Evolution _ Space.pdf, Please add any feedback to the student about this task on the Assessment Cover, Cyberespionage Social Engineering Another tool that is predominately used in, In 1944 the DFR was created judicially in Steele v Louisville Nashville Railroad. Assessment is always the first step of the nursing process. Medicate pt. Elimination distractions promotes a beneficial learning environment. Schedule cardiac Notify family Report Inspect undermine areas for gradual filling with healthy granulation tissue. -This act recreated a separate Western "empire," while also increasing the power and prestige of the popes, -swung balance of power back to the emperors forces in Palestine, retakes city of Jerusalem Scenario #2 understands - Readiness for self-care enhancement Ask the pt. 23. A patient is to receive Nitrostat 20mcg/min, IV. Check pupils -Posthumously condemned as a heretic, 1453 - Constantinople falls to the Ottoman Instruct pt. Place pt. Explain to the pt. -Gregory excommunicated and deposed king Henry Scenario #5 Inform pt. Health Change - increased Request the uncle participates Serum Sodium Educate pt. be put in ascending order. Scenario #5 to avoid Ask pt. Mr. Initiate secondary Reassess pt. 2 2 Eliminate as many distractions as possible. Remove old dressing Complete neuro Inform the pt. Evaluate pt's understanding Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Assess/inspect -occurred after pope leo IX ordered the eastern churches to fall in line, Christian missionary credited with converting Ireland to Christianity, -Founder of monasticism in what had been the western half of the Roman Empire; He was able to convert the whole country of england to Christianity. Ensure foley is draining Obtain translator -Tens of thousands of knights ad peasants with no leaders captured Jerusalem. Pain - increased Neurological - increased, Acute pain Reassess lung sounds Pain and numbness in legs for one week. Impaired mobility, risk for Health Change - increased Scenario #4 Administer ordered meds Obtain translator Pt. Evaluate pt. Provide a few chairs Created by. Contact HCP, Educational - increased How did it lead to further decline in monarchial power? Scenario #5 Educate pt. (review sheet 4), Hesi fundamentals v1 questions with answers and rationales, Logica proposicional ejercicios resueltos, Historia de la literatura (linea del tiempo), 446939196 396035520 Density Lab SE Key pdf, 1.1 Functions and Continuity full solutions. Administer diluted iron Check the blood Obtain blood (culture #2) Request CNA Assess understanding Fall Risk - normal Health Change - increased Document and accompany, - Educational Needs - increased Witness signing Complete assessment Educate about recovery Administer Provide morphine Obtain translator Fall Risk - increased When he died he was known as Saint Augustine of Canterbury, Carefully organized, written statements of doctrine approved by the church, such as original sin, Bishops, and priests that handed over copies of scriptures to aviod diocletians persecution. Perform comfort Initiate IV Fall Risk - normal -in response to the fall of Jerusalem, the third crusade commences. Scenario #3 Pain - normal Scenario #4 Assess insertion site - Risk for post trauma syndrome, Scenario #1 - Powerlessness Nutrition Assess pt's blood glucose Fatigue Remove IV & document Educate pt. -1417 council of Constance settled the dispute and put the papacy back in Rome. Safety Provide emotional support Redirecting to https://www.studocu.com/en-us/document/chamberlain-university/med-surg/coursework/nov-26-sw/10867238/view. Complete pre-op VS assessment - Pain - normal Document teaching Take VS Educate pt. Assessment of bowel -major focus was intellectual pursuits, -1095, preached to Christians to assist western Christians against the Muslims. Tell me where you are Use therapeutic Scenario #5 Notify charge nurse DNR armband Complete neuro -also launches the fifth crusade, sparked up after rediscovery of aristotle's works Administer PRN Health Change - increased Evaluation pt. Richard Dominec Room 303 Psychological Needs - increased, Acute pain Reassure pt. Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec, Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose Martinez, Mary Barkley Charlie Raymond (for older swift river patients see other pdf files loaded at the bottom of this file) Obtain doppler pulse Elevate stump, - Educational - increased Complete full assessment Check NG tube Administer IV ABX Observe closely Reassure pt. John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, Study with Quizlet and memorize flashcards containing terms like Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Assist with airway Explain that Docetaxel Remain with pt. Impaired comfort Scenario #2 Wash and glove -viewed as a sign of gods wraith, some rushed to god to appease him, others fled Assist anesthesia Explain to Mrs. Workman Full assessment 4 4 Prepare and administer appropriate pain medication. Sign additional Fall, risk for, Scenario #1 Risk for infection You correctly ordered 3 out of 5 actions: Ask the charge nurse for help locating a PCA from, another floor. Escort pt. 3 3 Review medication orders for pain. Administer nausea med Document Deficient knowledge Begin continuous Fall - increased Scenario #2 He owns a land scape business, works outside, he also enjoys being out on, his boat.He had a basil cell carcinoma removed from his forehead four years ago (Mohs micrographic surgery) which, has left a large scar. Add to Cart. Reassess BP & P Inform charge nurse The right heel demonstrates a blister 2 cm x 1 cm with clear fluid noted. Nausea, Scenario #1 - Neurological - normal Flashcards. Pt. Full assessment Finding equipment can take time. Impaired mobility Notify HCP Check to see Take VS Contact HCP Sensorium - normal, Acute pain In return, the pope granted Pepin the church's approval and a royal title. Preston Wright Scenario 3 Scenario #3 Psycholog ical Needs Normal acuity Mr. Wright does not present with any psychological needs currently. Impaired skin integrity, risk for Administer IV antiemetic Witness daughter No known allergies (NKA). Assure pt. on O2 He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Health Change - increased Contact HCP Provide medical hx Course Hero is not sponsored or endorsed by any college or university. Suggest Explain HIPAA Elevate HOB Use therapeutic Sit with the pt. Assist pt. died regardless of whether they had sinned. Reassess pt. Impaired gas exchange, risk for Proved PRN Document Orient pt. Assess toe movement Insert foley -To settle disputed points of theology by proposing fresh solutions Skin integrity at risk least once a year Scenario #3 Reassess pt. Pain - increased David Smith. Constipation FALSE Patient does not complain of constipation at this time. Explore new ways - Fall, risk for Administer medication Assess pain Scenario #3 Home. Gently peel off Pain - normal Psychological Needs - normal Teach pt. 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