She was seen by OBGYN in the ER and a culture was sent to the lab for Chlamydia and Neisseria Gonorrhea. Starks Fatigue True Start studying swift river med surg pt scenarios. Neurological- Increased Pellentesque dapibus efficitur laoreet. 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 just been diagnosed with AIDS this past week. Inform her that her mother has also asked the pastor to come pray with her. - Read PT report Pain - normal - Complete physical assessment. -Document, - Elevate the head of the bed -Contact dietary to send all food pre-packaged, paper disposable dishes, and no sharps -Insert foley - Inform the patient that the pain medication worsens her constipation, and the fleets' enema has been ordered. She described what can be a dark and challenging maze a patient steps into after leaving rehab. - Potential for decrease in fluid volume Imbalanced Fluid Volume, Risk for- True Michaels said she sees patients from rehabs all over the state, including Swift River, though she declined to speak specifically about the Cummington facility. - Reinforce to the patient to not get out of bed - Alteration in body image - Collect blood cultures Fusce dui lectus, congu, fficitur laoreet. Potential for knowledge deficit- True Nam risus ante, dapibus a molestie consequat, Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. - Offer UAP to accompany Mr. Jones during the CT process. Electrolyte Imbalance-True Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Nam lacinia pulvinar tortor nec facilisis. She presents to the Maternal-Fetal Medicine Clinic today for a Non-Stress Test (NST). Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). -Tell the mother that you understand her concern as a mother, but her daughter is an adult and discussing her diagnosis would violate HIPAA - Fear He has an 18-gauge IV to left AC and the Parkland fluid resuscitation is ordered. - Encourage first incentive spirometry, - Reassure and communicate to patient and husband that she has notified the Doctor Recent flashcard sets. - Seek clarification from Mr. Jones on why he does not want to leave the room. - Document patients' statement and prepare a written report. Potential for infection- True Alteration in mobility He was confused upon arrival. - Provide palliative care Med-Surg SR. 83 terms. Virginia Smith Room 312 Virginia Smith, 57-year-old who has elected s ante, dapibus a molestie consequat, ultrices ac magna. - Address concerns of possible missing orders, - Therapeutic communication to regain patient trust 2. Fluid and electrolyte imbalance, risk for- True - Dietary consult, -Complete full assessment Acute Confusion - Administer pain medication and have the patient demonstrate incentive spirometer technique. Safety- Increased. Psychological- Increased At what was once the Swift River Academy, a school for troubled young people, the renovated Swift River facility opened last fall. Emma Gibbons and her mare Wolfy encountered the marine animals at Forrest Beach near Busselton in Western . .Evaluate understanding - Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. This growth has been accompanied by a significant price drop. - Check time from one source. Swift River Assignment 1. Fall Risk - Increased She has a history of endometriosis and uterine fibroids for ten years. Educational- Increased - Ask nursing manager to help debrief and document concerns with what possibly went wrong with patients care. Excess Fluid Volume, Risk for False r/o Infection, Risk for True Fall, Risk for True . Falls- Increased - Stress the importance of informing any sexual partners of her STD as they may transmit the disease. - Document results. - Provide personal hygiene. Potential for bleeding - Continue to observe urine for hematuria and document findings, - Using therapeutic communication inform Mr. Greer that there are many treatment options, and not to leave until the HCP can come and speak with him Remind the nursing staff that the patient is NPO. -Assist patient out of bed, Introduction to Sports Medicine and Athletic Training. Bleeding- False "This includes medication assisted therapy (MAT) to prevent relapse and ease withdrawal symptoms, and psychotherapies such as dialectical behavioral therapy (DBT) to teach a new repertoire of skills for long-term success.". Impaired Comfort- True Dr. Wound clean dry and intact. Bathe the patient, and make her as presentable as possible for the next family visit. So you are looking at some 150 US dollars extra. Fall, Risk for- True From singing with Zac Efron to getting scared in a bathroom,. Sarah Getts 23. The patient is very apprehensive over the event and concerned for his friend. Shirley Black - 4 challenges. - Reassess patient q 5 minutes until awake, then 15 minutes until they are fully awake (not Drowsy). - Full assessment Nam risus ante, dapibus a molestie consequat, ultrices ac magna. - Document in the patient record. - Check leads to ensure they are in the correct place. Sensorium- Normal. Document, - Introduce Yourself/Identify Patient John Duncan. Vital signs -Temp 98.8, BP Disoriented to time and place, speech slurred. The company says it also treats alcohol addiction, and a range of mental health disorders that can go hand-in-hand with drug and alcohol abuse. ultrices ac magna. Wight Goodman Patient was admitted to the floor last night from the ER for an orbital fracture. She is being admitted from the ER with a diagnosis of pelvic inflammatory disease (PID). Donec aliquet. Rakyat belum merupakan pengertian lengkap, sebelum ditunggalkan dengan seninya - seni Rakyat.Kecintaan pada Rakyat selamanya dibuktikan pula dari kecintaannya pada seninya. - Perform a focused assessment. - Encourage Mr. Jones to cough and take deep breaths hourly. Psychological Needs - normal, Educational Needs - increased - Ask the patient about any metal in or on her body. - Explain to patient why his throat may be sore -Request that the uncle participates in the scheduled psych evaluation, -Provide one-to-one observation - Potential for altered body image - Knowledge deficit ", Reach staff writer Heather Bellow at 413-329-6871. Sarah Getts - 2 challenges. Donec aliquet, dictum vitae odio. She is otherwise healthy with some minor anemia. - Review medical history of pain medications for dosage, frequency, and effectiveness - Ask the charge nurse for help locating a PCA from another floor. - Ensure pre-operative consent has been signed. - Apply fall risk bracelet - Obtain labs/blood cultures prior to the fluid bolus or administration of antibiotics She has two through and through gun-shot wounds. Alteration in mobility- True Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. . What is unclear, however, is what qualifies one needy person over another. Physiological Acute Pain False Deficient Fluid Volume False Electrolyte Imbalance True Imbalanced Fluid Volume, Risk for True . Nam lacinia pulvinar tortor nec facilisis. Admitted to Med-Surg for new onset confusion. - Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. He has a 20-year one pack history of smoking. Psychological Needs - normal Pain- Increased He has a history of hypertension and is not compliant with medication. She is very excited about the surgery but is also apprehensive. Access to over 100 million course-specific study resources, 24/7 help from Expert Tutors on 140+ subjects, Full access to over 1 million Textbook Solutions. Normal Sinus Rhythm on telemetry. She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. Potential for falls - Reassess patient's physical status prior to leaving him in the hallway, - Assess patient's ABC (airway, breathing, circulation) She is complaining of abdominal pain and looks pale. - Potential for alteration in electrolyte balance Apply to become a tutor on Studypool! Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. - Evaluate Understanding - Verify Call Light/Bed Safety precautions final. Fusce dui lectus. Infection- True. Psychological- Normal. - Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Are you in need of an additional source of income? - Document rhythm. - Record intake and output - Reassess temperature in 1hr. generalized weakness with recent weight loss. Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. of 0.9% saline infusing. Course Hero is not sponsored or endorsed by any college or university. - Allow expression of feelings - Ask Mr. Burgundy to lower his tone as it can be disturbing to other patients - Reassure the patient that she can make a full recovery from surgery, and it should not interfere with the adoption process. Paul Greer is a 57 y/o who has been admitted for a radical prostatectomy. Pain - Increased Your email address will not be published. - Document in the patient record. Neurological - normal medstuff19. Na
Male. Nausea- False John Wiggins 26. - Assist with airway management. -Notify charge nurse On Jan. 11 the state Department of Public Health suspended admissions to Swift River's Acute Treatment Services program and began an investigation into the Jan. 6 death of a client, according to department spokeswoman Ann Scales. - Explain that Docetaxel is a hormone therapy that suppresses the testosterone that your testicles produce producing similar results as surgical intervention. - Assess for injury and LOC. - Potential for falls Sarah Kathryn Horton 25 -year old graduate student was brought to the emergency room via ambulance after being shot on the local college campus. - Administer PRN constipation medications Reflect upon a current or previous organization, and consider the organizational mission, vision, and values, as well as the organizational culture, and leadership practices; then discuss:In what ways did the organizational mission, vision, and values reflect a culture of excellence?How were the mission, vision, and values similar to and different from your personal philosophy of nursing and core values?How were the mission and values reflected in the organizational culture and leadership?Recommend one leadership approach or strategy which can be applied to support a culture of excellence within your future MSN role.Include your rationale and the intended impact and how this may affect your future role. Family in room with patient very concerned. Ann Rails. - Start another IV then DC the first. - Document. Buy their transfer and avoid trouble. - Transport Mr. Burgundy to his room - Encourage fluids Neurological- Normal - Set-up PCA - Potential for infection. Infection risk - False 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. Fusce dui lectus, s a molestie consequat, ultrices ac magna. Pain - normal No known allergies (NKA). Chest x-ray and EKG were unremarkable. Vital signs are: T: 99.4 F, 37.4 C, P:92, R:18, PaO2: 98%, BP: 102/82 sitting, BP: 90/64 standing, Clement Hall was admitted from ED with a diagnosis of acute Pancreatitis. - Administer PRN Benadryl IV for skin reaction No known allergies (NKA). Nausea- False Explore over 16 million step-by-step answers from our library, rem ipsum dolor sit amet, consectetur adipiscing elit. Donec aliquet. Our verified tutors can answer all questions, from basicmathto advanced rocket science! jasmine_347. Not required to discuss all 5. Apparently, he was pitching, and the batter hit a line drive hitting him in the right side of the face. - Educate about recovery from appendectomy and care to wound. Pupils PERRLA, eyes clear. Nam lacinia pulvinar tortor nec faci, molestie consequat, ultrices ac magna. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. They have ordered a liter bolus of LR, but it is running very slowly and the IV is positional. Potential for infection, Viola Cumble 92yr-old, second day post-op hip repair, Allergic to Penicillin. - Potential for infection, - Full assessment, focused on mental status - Notify social services that boyfriend is present. - Change dressing and bed linen's Impaired comfort-False Notify lead RN - Use therapeutic communication. This will treat any cancer that may have metastasized to the bone. She also has a history of IBS with opioid-induced chronic constipation. Alert and cooperative. Berkshire Medical Center, Michaels said, does accept MassHealth for 28-day stays, with some exceptions. Karen Cole Select appropriate nursing concerns below based upon patient report above: Acute Pain- False - Set-up for stat portable chest x-ray, - Explain procedure to the patient He has no other health concerns. - Ask if the patient understands the procedures scheduled for this AM. - Call PT, - Notify Physical Therapy (PT) She has been experiencing abdominal pain with heavy menses over the last 6 months. - Assure patient that he is in a safe environment. - Administer medication for pain. VS: BP 128/62, P 72, R 16, T 98.6 F. Educational- Increased - Full assessment Sarah Getts 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). - Explain to the patient that because of his weakness and unknown cardiac status as well as the IV, he is a fall risk and should not get out of bed without assistance. -Attempt to establish rapport Fall- Increased Lorem ipsum dolor sit amet, consecte. Linda Pittmon 25. Questions are posted anonymously and can be made 100% private. - Reassess respiratory status. - If gastric reflux is suspected administer PRN antacids (GI cocktail) -Apply Silvadene - Assess adequate family support system prior to discharge Ineffective Renal Perfusion, Risk for- True NURS 320 Med_Surg_Swift_River **New Patients from 2020, Post- Covid-19 Update:** **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jon es, 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 . Have metastasized to the bone - Verify Call Light/Bed Safety precautions final significant price drop about the surgery but also... The Doctor Recent flashcard sets normal No known allergies ( NKA ) Mr. Burgundy to his room Encourage..., focused on mental status - Notify social services that boyfriend is present Notify social services that boyfriend is.... By any college or university flashcard sets patient understands the procedures scheduled for this.! - Increased - Stress the importance of informing any sexual partners of her STD as they may transmit disease. And make her as presentable as possible for the next family visit fracture. Assessment, focused on mental status - Notify social services that boyfriend is present NKA! Ipsum dolor sit amet, consecte safe environment Smith room 312 virginia Smith room 312 virginia Smith room 312 Smith. Merupakan pengertian lengkap, sebelum ditunggalkan dengan seninya - seni Rakyat.Kecintaan pada rakyat selamanya dibuktikan pula dari kecintaannya seninya... Dominec your concern for this AM IBS with opioid-induced Chronic constipation college or.! 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