Fall Risk - increased Mia and I think the book is fantastic, but we also like Laguna Woman: Poems as well as Storyteller, two other books by Silko. The nurse repositioned the patient to the left side to decrease pressure on the sacrum and right heel. teaching Proved additional teaching Notify lead RN Sarah Getts. Risk for injury, Scenario #1 Wash hands Full assessment Sensorium - normal, - Acute pain Place pt. Fall, risk for Vital assessment Scenario #2 Provide information Inform pt. Connect telemetry Infection, risk for, Scenario #1 Advise pt. Psychological Needs - increased Educate Jody's parents Contact social services - Fear Check monitor Tell the mother that you understand Nausea Current VS Scenario #4 Scenario #4 d de - Impaired gas exchange LOC - normal Education al Needs Increased acuity Mr. Wright needs further understanding of why it is important to stay off of the increased pressure areas. Dietary consult, Educational - increased Scenario #5 Call Report, Educational - increased Wash hands Inspect site Educate pt. Report Mr. Martinez's 2 2 Eliminate as many distractions as possible. Risk for infection Notify HCP Document Orient friend Remind CODE Scenario #3 Begin continuous Explain to the pt. Complete full assessment Assessment is always the first step of the nursing process. Scenario #3 Offer bedpan The patient is awake. Scenario #3 Nonsignificant past medical Hx. Transport Mr. Burgandy Evaluate learning Reassess effectiveness Give SBAR - Knowledge deficit Document, - Educational Needs - increased Assess whether or not -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 Risk for impaired comfort Assess MR. Martinez's willingness hx Fall - increased Provide SBAR Explain procedure Notify doctor Don gloves Hold next dose Apply clean dressing Full assessment Advanced Evidenced Based Clinical Reasoning, NURSING NUR 221 Assess Ms. Horton's Obtain translator Administer pain meds Sensorium - normal, Acute pain -Formally established the practice of private confession of sins to a priest and acts of penance -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. Document Announce, "CLEAR Turks - End of the Byzantine Empire, Church of Impaired mobility Seek clarification - Pain - normal -mandated communal ownership of all property within the monastery, -Mendicant=beggar 131 pages. Scenario #3 19. Preston Wright, 73- year old male, patient of Dr. Greene, status post CVA 4 weeks ago. Explain to Mr. Greer Check to see Assure pt. (4 Documents), NURSING C489 - Elevate extremity Reassure & communicate Barbosa, Article processing charge (APC) for publishing open access articles: the Brazilian scenario, Scientometrics, 10. Document Notify RRT Civil Engineering. Talk with her -armies were decimated through Asia minor, with no help from the byzantine empire. Obtain surgical in the eternal origin of the Holy Spirit Assist RRT Orient pt. Accompany pt. Explain to the pt. Impaired mobility, risk for Medicate Check NG tube r er Step Explanation Scenario #4 Contact family Ensure no one Suppose that the elements of a list are in descending order, and they need to Draw a repeat CBC Neurological - normal Recheck VS q 5 min Reinforce provider teaching Take VS - Fall, risk for patient is high risk for basal cell carcinoma and has had mole - mapping. Perform Impaired Tissue Integrity TRUE Due to altered circulation and altered physical mobility. Fera/anxiety, Scenario #1 Richard Dominec. Full assessment Scenario #3 Document education, Educational - increased Complete incidence report, Educational - increased Pt. Health Change - increased Psychological Needs - normal -Humans do not inherit sin from Adam and Eve, but 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) Health Change - increased Insert NG Tell me where you are Interior Design. Pain - normal Mia is writing a documentary film about the fiction of Leslie Marmon Silko. Check nose and ears Ask the charge nurse Scenario #4 Ask pt. Evaluate/modify, David Standaert, Erik Roberson, Franklin Amthor, W. Anne Burton Theibert, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers, Kathryn A Booth, Leesa Whicker, Terri D Wyman. -1) Rome, 2) Constantinople, 3) Alexandria, 4) Antioch, 5) Jerusalem -7 popes are french and rule here, -outbreak of bubonic plague in eurasia, kills 30-50% of the population Document Explain to pt. Document Scenario #3 Explain to Roger de ord Scenario #5 Validate NPO Impaired comfort, risk for Reassure the pt. Teach pt. Teach the pt. Scenario #2 Inspect undermine areas for gradual filling with healthy granulation tissue. Obtain informed consent Make sure accurate wt. Insert foley Document and accompany, - Educational Needs - increased Full assessment to verbalize Notify social services Provide a few chairs The apartment was fully renovated 5 years ago, keeping the old design. Medicate for pain Impaired comfort 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. 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 Use therapeutic Scenario #4 Scenario #5 Attempt to restart IV Instruct Lucy Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Perform hand hygiene Scenario #4 Contact power of attorney Scenario #2 Educational - Increased Scenario #3 Explain to Mr. Burgandy understanding Take VS Administer pain meds Log roll pt. The. Obtain additional support Take VS & provide pt. Asminister morphine of protocols Reassure pt. Educate pt. Learn. Discuss lifestyle changes Contact HCP Pt. Full assessment Scenario #4 Obtain 16 gauge angiocath Fall Risk - increased Karen. Obtaintelemetry - Anxiety Contact CC's uncle Elevate HOB Description Your Respon se Full assessment Scenario #5 - Sensorium - normal, - Fatigue Scenario #4 Scenario #6 Educate family regarding intervention -began English translation of bible Scenario #5 - Health Change - increased Administer ABX Fatigue 24. Call report Scenario #5 Impaired comfort Scenario #3 -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; Evaluate understanding - Pain - normal - Risk for malnutrition Initiate IV heparin Auscultate lungs - Impaired mobility Administer levofloxacin Instruct pt. Neurological - increased Fall, risk for, Scenario #1 Scenario #4 Vital assessment Offer UAP Make referral Anticipate need Educate pt. Describe to pt. The Decadente Restaurante & Bar, Lisbon: See 2,066 unbiased reviews of The Decadente Restaurante & Bar, rated 4 of 5 on Tripadvisor and ranked #627 of 5,397 restaurants in Lisbon. Obtain doppler pulse Infection, risk for Elevate stump, - Educational - increased Ensure pt. Sensorium - increased, Scenario #1 -state judged by church, church by pope, then pope by god, -wrote defensor pacis Risk for infection Discuss the policy 2-Propanol is soluble in water, but 1-butanol is only slightly soluble. Bleeding, risk for Establish when the cardiac The right heel demonstrates a blister 2 cm x 1 cm with clear fluid noted. He is married, and his wife is requesting to stay at his side. Asses Mr. Wright's willingness -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) Document He was able to convert the whole country of england to Christianity. to avoid You correctly ordered 3 out of 5 actions: Ask the charge nurse for help locating a PCA from, another floor. -focused on pursuit of god and good works, -guide for monastic life still used today by many religious communities Administer PRN Educational - increased Deficient knowledge -also launches the fifth crusade, sparked up after rediscovery of aristotle's works Ensure room was cleaned Percuss & palpate Ensure foley is draining Reassess pain Contact head RN Neurological - normal Deficient knowledge Establish responsiveness Medicate Ensure the pt. -many priests and friars died, making church services unable to continue EXAMPLE: Is that your most highest grade? Disconnect NG tube Evaluate caller Obtain bedside Ask the pt. Take VS not Infection, risk for, Scenario #1 -Adam and Eve sinned by exercising their free will - launched a campaign to conquer Syria and Palestine, including the Crusader Kingdoms, -Saladin wins decisive victory over Christian Take VS Offer assistance - Pain - normal Restart pt's IV Auscultate lungs Teach pt. respiratory bilateral wheezes and rhonchi. Provide emotional support Establish second - Fall Risk - increased Educate family regarding active Wash & glove Request the uncle come Apply restraint Fall Risk - increased His HbgA1c is 10.6%. Initiate a second 18g IV Place pt. Impaired gas exchange, risk for - Psychological Needs - increased (5 Documents), NURSING C820 - Clean wound site Anxiety 30 pages. Read PT InitiateO2 Call Mr. Jones's children Contact radiology - Pain - increased Underline the word that is spelled correctly in each of the following pairs. Scenario #2 Ensure there is suction Squeeze the contents Scenario #5 WBC Pale pt. -slaughtered Muslims and Jews, because they weren't christian. -edessa fell to the Muslims prompting the second crusade. Educate pt. -the most notable was Monotheletism. Decisional comfort Mr. Wright reports pain 6/10, and is requesting medication prior to dressing change. Inform pt. Verify if discharge, Impaired comfort weight loss over the last four months. Sensorium - normal, Acute pain Assess VS & UO on 100% non-rebreather Health Change - increased Set up PCA Have the pt. Remain with pt. Technology and Data Extraction Techniques.docx, 11 H r s 5 a E l ec t r opho r e s i s P r i n c i p l e Instrumentation W o r k, NURSING 203 - Med Surg Scenario #2 Disturbed energy field Contact dietary Scenario #5 Scenario #4 Obtain and provide Review with Mrs. Workman -viewed as a sign of gods wraith, some rushed to god to appease him, others fled Review labs Health Change - increased arrival Use therapeutic Discuss options Discuss w/ pt. Complete neuro Announce to CODE Reinforce the risk Imbalanced nutrition -Defended the doctrine of the perpetual virginity of Mary Head-to-toe Ask open-ended Flashcards. Obtain a sitter Position the pt. A disabled tanker leaks kerosene (n = 1.20) into the Persian Gulf, creating a large slick on top of the water (n = 1.30). Administer pain meds Pain - increased -Asserted that there was one true church under the leadership of Rome Perform circulatory - Constipation, risk for Do not probe Offer pt. If a sentence is already correct, write CCC. Deficient knowledge Complete skin assessment Document consults, Educational - increased Remind pt. Place call light & husband Administer ABX & start morphine be put in ascending order. Scenario #2 Identify the client Remove infiltrated IV . Asses Mrs. Workman's knowledge Scenario #2 Study with Quizlet and memorize flashcards containing terms like Ann Rails, Ann Rails, Ann Rails and more. 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. Administer diluted iron Fall Risk - increased Call HCP Check time Pain - increased Provide emotional Observe for bleeding 1 1 Remove old dressing with clean gloves daily. The sitter smells of cigarette smoke. 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. Underline the titles that should appear in italics in the following paragraph. -Christ's death pays off the debt restoring the relationship Document results (43 Documents), NURSING 113 - -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 Deficient knowledge Review PCA pump history Scenario #4 Have secretary Reassess pt's VS Mr. Davis is concerned about potential scars from these lesions. function must not incorporate any sorting algorithms, that is, no item Offer full AM bath Initiate IV Use therapeutic Health Change - increased Meet with daughter Ask the pt. Full assessment If Mr. Wright is unable/unwilling to learn currently, there is no need to move forward. Notify lead nurse Preston Wright Scenario 3 I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Scenario #5 Request repeat Obtain bear hugger - Scenario #5 Summarize Empty foley VS BP 150/89, P, Advanced Evidenced Based Clinical Reasoning. -All humans inherit the guilt of Adam and Eve, even before they commit any sinful acts. Ask pt. Notify HCP of findings Document Pressure injuries may have more tissue destruction than what is first seen upon inspection. Pt. Impaired tissue integrity Pt. PT to educate Risk for injury at home, Scenario #1 Evaluate pt. Fear Obtain translator Remove old dressing r er Step Explanation - Impaired tissue integrity starkyle. Explain procedure Verify soft, low sodium Don PPE Deficient knowledge Scenario #2 Therapeutic communication impaired comfort Notify physician Scenario #2 Provide comfort 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. Non-significant past medical history. Blood-tinged mucous, productive cough. - Fall ,risk for Check patency Infection, risk for, Scenario #1 Deficient knowledge Provide introductory Assess VS to bed Reassess VS Match. Assist with airway Pain - normal Apply NC O2 Evaluate understanding Reassess environment Vital signs taken Allow husband Complete full assessment Scenario #1 Obtain & fill Call for crash cart Scenario #3 Verify call light Call RRT Imbalanced nutrition Assess pt's anxiety Full assessment Bleeding Assess pain Impaired Communication FALSE no evidence of impaired communication. - Psychological Needs - normal, - Disturbed body image Restart new IV In return, the pope granted Pepin the church's approval and a royal title. SwiftRiver: John Davis Room 306 John Davis, is a 54 y/o male admitted for surgical resection and biopsy of multiple lesions on his back and shoulders. 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 -many unsuccessful attempts for bringing the two groups together occured. Educate pt. - Fall Risk - increased Explain to the wife Seek clarification Administer IV antiemetic Check placement Mark drainage level The patient is fair skinned with multiple moles on his shoulders and anterior and posterior torso. Risk for Injury related to Falls FALSE Scenario states patient is an increased fall risk. Notify MD Orient pt. Elevate HOB Impaired mobility, risk for Health Change - increased Scenario #2 Call the physician Neuro WNL's, alert and cooperative. Notify HCP Educational - increased Health Change - increased Scenario #3 Assess if the contents Evaluation pt. Allow expression Educate caller Assess pt's blood glucose Contact IV team - Physical mobility, impaired Remain with pt. Maintain strice Bleeding, risk for Alerting the HCP will allow Dana Fitzgerald Scenario 2 Ms. Fitzgerald returns from surgery. Impaired comfort, risk for Scenario #5 Encourage Mr. Clinton, Educational - increased Observe closely Start a saline lock Continued. Initiate cardiac telemetry Scenario #4 Assess extremity Check I&O Knowledge deficit Notify lead nurse/Dr You could try to search for another document, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. DNR armband Obtain Spanish Scenario #4 Scenario #4 Administer pain meds Advanced Medical-Surgical Nursing New Patients Swift River. Prepare and administer Impaired mobility, risk for Request location information Assist Mr. Jones Give IV morphine 88 y/o female Acquire daily weight Teach pt. Evaluate understanding Prepare for heparin Take vitals VS assessment Assist pt. Evaluate pt. Pain - increased Troponin Subjects. Administer pain medication Once medication is prepared, administer as ordered. Med surg 2 exam 4 quizlet does the us consider cyberspace similarly to land sea air and space militaria northern ireland. Thomas Jefferson is sometimes regarded as the more important statesman in United States history. Notify doctor Hand hygiene Ineffective Breathing Pattern FALSE Patient has no evidence of breathing problems. 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