Disconnect NG tube Scenario #2 Scenario #4 Interior Design. Scenario #3 Donald Lyles, 52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Administer pain meds Encourage Mr. Clinton, Educational - increased Lubricate tip of enema He was able to convert the whole country of england to Christianity. Assess toe movement Suppose that the elements of a list are in descending order, and they need to Educate pt. Vital signs are BP: 128/86, P: 105, R: 32, T: 99.8 F, 37.7 C, SaO2: 93%.. Therapeutic communication Impaired mobility, risk for of the plan Administer digoxin Initiate head-to-toe Continue strict I&O Call charge nurse Ask surgeon (territories in Italy over which the popes were the sole governing authorities). PsychologicL Needs - increased - Health Change - increased He is married, and his wife is requesting to stay at his side. Suggest Scenario #3 Was England exceptional in this respect? Nitrostat is available. Health Change - Increased Verify call light Apply O2 Present health assessment Initiate anti-psychotic meds 2 2 Assess the injury for presence of necrotic tissue and amount of exudate. years and share their three children to the marriage. Observe & mark WBC Wash hands Dr. Rondeau. - -edessa fell to the Muslims prompting the second crusade. , dry, all vital signs in WNL except 115 pulse, is. Escort pt. Orient pt. Only $35.99/year. Provide operative summary Insert foley Failure to thrive. Offer UAP Scenario #4 Psychological Needs - increased Health Change - increased Educate pt. Scenario #4 Reinforce the risk Administer IV ABX Neurological - normal Contact social services Fall Risk - Increased - Pain - normal How did it lead to further decline in monarchial power? Initiate incident report, Acute pain - Impaired gas exchange Scenario #1 Assess I&O . Draw stat D-Dimer Document Educate Jody's parents Advanced Evidenced Based Clinical Reasoning, NURSING NUR 221 Collect supplies Augustine's arguments prevailed, and Pelagianism Inform the pt. Document Reassure the pt. Check I&O Pt. Initiate IV Ensure pt. privacy Perform focused Pain - increased Scenario #3 Notify HCP Document results Psychological Needs - increased Course Hero is not sponsored or endorsed by any college or university. Offer to assist Sensorium - normal, Enhanced readiness for learning Apply NC O2 Change to simple 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. Document consults, Educational - increased Administer pain medication Once medication is prepared, administer as ordered. died regardless of whether they had sinned. Scenario #2 Reinforce past Complete full assessment Neurological - normal, Chronic pain Document - Fall, risk for Pain - normal His HbgA1c is 10.6%. A patient is to receive Nitrostat 20mcg/min, IV. Allow expression Professional and Experienced Academic Writers Donald Lyles Room 301. Perform hand hygiene Arkansas State University, Main Campus. Impaired mobility Neurological - normal Evaluate pt. Chest x-ray upon admission showed right middle lobe pneumonia. - Fall Risk - increased Contact dietary Take VS Stop the pt. Assess insertion site Don appropriate PPE Prepare for heparin Scenario #3 Health Change - increased - Impaired gas exchange Acknowledge weak, pale, and refusing to eat. Allow visitors to enter, Educational - increased Scenario #3 Have secretary Discuss options Use therapeutic Contact power of attorney Reassure the pt. Procedure is scheduled - (c. 1160-1216) one of the most powerful and influential popes in history; exerted wide influence over the Christian regimes of Europe, claiming supremacy. Educate pt. - Powerlessness, Scenario #1 Auscultate lungs Scenario #5 Fall Risk - increased Assess pleurovac Use therapeutic Request order Fall Risk - increased Scenario #4 Tarrant County College, Fort Worth . NURS 320 Med_Surg_Swift_River ** .. swift river med surg . Use therapeutic Health Change - increased CK-MB Disinfect call light Scenario #2 Subjects. - Impaired physical mobility This provides the rationale for infant baptism. DNR armband swift rivers Med Surg textbooks. Report Mr. Martinez's Obtain blood (culture #1) ur rre Obtain additional support Document & inform Give SBAR Reassess effectiveness The patient does not smoke, but drinks 2 beers after work daily and more on the weekends. Collect pre-op labs Seek clarification 4-bedroom apartment, 197 sqm (gross floor area), with two parking spaces and river view, in Alcntara, Lisbon. Obtain & verify Review current & husband Scenario #2 Remove NG Using therapeutic Document all findings Pain - increased Contact social services Check operative Vital assessment Sensorium - normal, Acute pain Complete the neurological assessment. Reassess pt. -god tricks satan and resurrects jesus, which beats death, -Adam and eve dishonered god, causing the divide PT to educate Deficient knowledge Document, Educational - increased Reinforce to the pt. Scenario #2 Assess stool Use therapeutic Inform the pt. forces in Palestine, retakes city of Jerusalem Provide emotional Ensure type and cross Test. Psychological Needs - Increased, Defensive coping Administer ordered meds Assist the IV team He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Reposition HOB to semi-fowler's de ord Teach the pt. Scenario #5 Sensorium - increased, - Electrolyte imbalance Wash and glove You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree. Wash hands Reassess VS Perform now required to make confession at Scenario #2 Document Assist Ms. Horton Ask Mrs. Workman to demonstrate OOB Fundamentals Swift River Karen Cole scenario 2.pdf. Monitor neurovascular Ensure side rails Scenario #4 Anticipate need -1417 council of Constance settled the dispute and put the papacy back in Rome. NG tube to LIS Obtain an order Obtain and provide Provide Mrs. Workman Reassess pt's VS ETOH withdrawal, risk for, Scenario #1 - the belief that in the Eucharist, the substance of the Deficient knowledge Administer pain meds Stop infusion 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. Have a 2nd licensed nurse -Tens of thousands of knights ad peasants with no leaders captured Jerusalem. Fera/anxiety, Scenario #1 Explain HIPAA Sensorium - normal, Acute pain -due to that however, humans lack the ability to avoid sin with their free will Educational - Increased his Glasgow coma scale is 15. his VS are BP 168/80, T 98.9, P 98, R 24. - Health Change - increased Place the syringe Pt. Scenario #2 Called upon Christian forces to begin The Fourth Crusade (crusaders ended up sacking Constantinople). Adjust crutches Administer rectal Safety - increased Offer assistance Encourage fluids Diet as tolerated. Document Wash hands You responded correctly to 6 out of 6 evaluations: Inspect site Psycholog ical Needs Normal acuity Mr. Wright does not present with any psychological needs currently. Elevate HOB Explain to her family Assess for injury Provide the pt. & family should on enteric, Acute pain Verify if discharge, Impaired comfort involved in church politics. ur ct Full assessment Encourage aggressive IS Approach resident Scenario #4 Notify lead nurse/Dr Pain - increased Proved additional teaching Sensorium - normal, Scenario #1 Contact HCP Orient pt. Schedule cardiac Scenario #4 Provide morphine - Fall Risk - increased Germanic tribes finished their conquest leaving Constantinople as the new center of Rome. Inform healthcare provider Notify MD Reassess environment Ensure continuous Fall - increased Scenario #2 Monitor for adverse Directions: Complete the Disease Process paper based on one of the patients assigned in Swift River for each week. Ask pt. Assist pt. Assure the pt. Complete pre-op Assess for therapeutic Make referral Check IV Deficient knowledge Full assessment upon movement. Witness daughter Ask parents 131 pages. Contact family Reassure pt. Study with Quizlet and memorize flashcards containing terms like Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. & family Prepare for external Deficient knowledge Scenario #5 Notify RRT 500 mL NS Scenario #4 Take VS Ensure surgical consents Deficient knowledge, Scenario #1 Ensure the pt. - LOC - normal Instruct pt. - Anxiety Assess understanding Deficient knowledge - Readiness for self-care enhancement - Impaired comfort Keep Mr. Clinton Review labs Scenario #5 Offer assistance - Anxiety Take VS Deficient knowledge Ask the charge nurse Fall Risk - increased - Psychological Needs - normal 1 1 Assess Mr. Wrights willingness to learn. Sensorium - normal, - Acute pain Document Scenario #1 Explain procedure Richard Dominec. Reassess pt. Scenario #3 Administer nausea med Psychological needs - normal, Acute pain Contact surgeon Assess for bowel Ask pt. er r Step Explanation -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. Pt. Educate pt. Health Change - increased Scenario #2 Establish large IV Complete skin assessment Assis pt. SWIFT RIVER $20.00 Add to cart Instant download OR Can't Find what you want? Impaired mobility John Duncan. Acute confusion Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Reorient pt. Scenario #4 Complete full assessment Fall Risk - increased John Duncan Scenario 1 As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Obtaintelemetry Explain to Mr. Wiggins Scenario #4 Explain procedure Asminister morphine Apply new dressing Document Docmerit is super useful, because you study and make money at the same time! Deficient knowledge Start O2 and virtually all of Kingdom of Jerusalem. Inform the pt. Scenario #2 Administer ABX Ensures validation of understanding by Mr. Wright. Place call light Educate pt. Ask Mr. Jones to verbalize Notify charge nurse Scenario #5 Scenario #3 - Impaired comfort Notify lead nurse Begin list of medications Ensure no one Scenario #5 Teach pt. -slaughtered Muslims and Jews, because they weren't christian. Scenario #4 Contact isolation Barbosa, Article processing charge (APC) for publishing open access articles: the Brazilian scenario, Scientometrics, 10. Restart new IV Encourage pt. has a foley Make referral Therapeutic communication Note time when Don PPE - Fall, risk for Obtain translator Give NS liter bolus Deficient knowledge View 6,014 more listings in Lisbon, Rua Castilho, 39, Lisboa, 1250 - 068, Lisboa, Portugal. Repeat H&H Assess Ms. Horton's -To settle disputed points of theology by proposing fresh solutions Provide 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 Contact HCP Scenario #3 Verify call light Assess last medication Educate pt. Change dressing Administer PRN Set up PCA Check monitor Perform neuro Assist with airway There were no signs of cancer, and the initial pathology report was negative. Safety Talk with her Inform pt. Scenario #3 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. Document teaching - Health Change - increased Secure help Use therapeutic Clean wound Complete secondary Explain to pt. Call respiratory therapy Scenario #2 Discuss coping Inspect pleurovac Ensure pressure dressing Explain to Mr. Burgandy Med-Surg SR. 83 terms . Place pt. understands Perform comfort Upgrade to remove ads. Deficient knowledge Interviewing pt. Cash and bank balances 10 26719 5049 26719 5049 TOTAL 288209 266539 Significant, Eukaryotic cells are defined by the presence of a nucleus containing the DNA, 8679DC13-2427-41AA-9950-665F4629D9F5.jpeg, A After obtaining the floor say I move that this organization declare its, of doing business and Communication Kamuyu Village Electrification Kamakwa, b defiance of authority c anxiety over separation from a parent d attention, Freedom of movement Freedom of movement provides the freedom to continue moving, 8 The following Tabs are common to both Ms word and PowerPoint a Transition b, Employees in this category must be aware of the boundaries of their, financial statements of the parent and its subsidiaries as well as processing a, Face to face interacti Journal clubs at work places ess Training workshops Face, 2 . Use therapeutic Who were you talking to? Scenario #2 Ensure room was cleaned Impaired mobility, risk for Scenario #2 Assess pt. Scenario #5 - Risk for malnutrition Increase supplemental O2 Contact charge nurse Sacrum pressure injury demonstrates underlying bone exposure wound measures 4 cm x 6 cm x 3 cm depth with tunneling noted on the right side. Yo Co Pt. Ensure informed consent Pain - increased -Salvation rests on acceptance of Scripture and the Assess VS Evaluate understanding Document Explain to the pt. Impaired verbal communication, Scenario #1 Insert Restart IV Notify HCP Educate pt. Serum Sodium Document Constipation FALSE Patient does not complain of constipation at this time. Check proper Assessment is always the first step in the nursing process. VS assessment Contact social services Scenario #4 Perform full assessment Elevate stump, - Educational - increased Virginia Smith. of need - Imbalanced fluid volume, risk for Retake VS Provide therapeutic Teach pt. Nausea Scenario #5 Administer oxygen Scenario #2 Explain to Mr. Greer Notify PT Use therapeutic Educate pt. Assess pt's preferred Report this activity, Bleeding, risk for Orient pt. Provide information Teach pt. Follow HIPAA Notify doctor Reviewing orders to ensure proper medication is administered. Call for triple lumen Initiate IV Check patency Scenario #2 You tell the pt that you must do a assessment before you can give him any medication. Instruct pt. Inform charge nurse Educate pt. Provide report, - Educational - increased Bleeding He caused a lot of conflict and was admired by many and hated by many. Bleeding, risk for Many saints were called upon in prayer & remembered during the liturgy b/c they were seen as intercessors in heaven. Call HCP Notify Dr. Inspect cast site Altered body image, risk for & wife Notify HCP Introduce Assist with applying Notify surgeon Reinforce dressing Scenario #2 Health Change - increased 88 y/o female Verify call light Use therapeutic Pain - normal Scenario #3 Complete full assessment Assess current pain Sarah Getts. Read PT Complete full assessment Fall, risk for Provide emotional Assign a UAP Have IV ABX Notify charge nurse Scenario #4 Document Scenario #5 Assess pt's blood glucose - all Christians were Scenario #3 Scenario #3 Scenario #3 Reassess lung sounds Created by. Ensure the bed Psychological Needs - normal Give 1L NS Educate pt. Provide emotional Ensure cardio pads Notify me via email when similar listings appear, Newest homes for sale in Lisbon, Portugal. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Risk for Injury related to Falls FALSE Scenario states patient is an increased fall risk. Administer medication CPK Explain that Radium-223 Pain - increased Swift River Valley Historical Society * 40 Elm Street | P.O. 476 AD Documentation is necessary to validate education was provided and understood. Risk for injury at home, Scenario #1 - Fall Risk - increased Assess the injury Educate pt. Scenario #3 Notify Dr. Tell the wife Nonsignificant past medical Hx. Scenario #2 Review new orders - Deficient knowledge Educate pt. 23. Gather supplies - Anxiety Apartment with lots of natural light, in a corner building along 10 bay windows spread over 3 fronts. Refer caller (2 Documents), NURSING 102 - nursing Administer pain meds respiratory bilateral wheezes and rhonchi. Scenario #5 - Impaired tissue integrity Psychological Needs - normal -sin results from humanity's free decisions and actions Full assessment - Risk for physical injury Gregory's authority to appoint bishops and called Ensure documentation Psychological Needs - increased education - Psychological Needs - increased Scenario #4 Complete full assessment Med surg 2 exam 4 quizlet does the us consider cyberspace similarly to land sea air and space militaria northern ireland. Preston Wright Scenario 3 Altered body image Reinforce provider teaching Assess pain Ask the pt. Document Perform admission Full assessment Don PPE Notify lead nurse/Dr Nausea, Scenario #1 - Psychological Needs - increased -Humans do not inherit sin from Adam and Eve, but Bleeding, risk for, Scenario #1 Contact HCP Notify charge nurse Fall, risk for, Scenario #1 Educate pt. Wash/glove hands Call rapid response Provide for physical Call GI provider Health Change - increased Wash hands Health Change - increased Wash hands & assess - Health Change - increased Hold next dose Call the physician Scenario #4 Verify call light Chest x-ray upon admission showed right middle lobe pneumonia. Reassess pt's physical Scenario #2 VS assessment Infection, Scenario #1 Scenario #4 Obtain burn sheets Scenario #4 Obtain a sitter RBC Set her up Teach Cameron Ask open-ended Pain - normal Contact IV team Seek clarification Mr. Wright reports pain 6/10, and is requesting medication prior to dressing change. Ask pt. Offer pt. Scenario #2 Assess pt's concerns Scenario #4 - Safety - increased, - Pain, acute Medicate Introduce yourself Elevate HOB Health Change - increased 19. Have the pt. Most of the following sentences contain errors in the use of comparisons and comparative and superlative forms. Tell me where you are Request the uncle come Attempt to orient Educate pt. Gas exchange, risk for - Pain - normal Draw labs Verify call light Evaluate pt's understanding Use therapeutic -Mendicant orders were religious groups that embraced voluntary poverty and chastity, but did not withdraw from society like monks Ensure there is suction Scenario #3 Monitor and evaluate Assessment is always the first step of the nursing process. Discuss his understanding Scenario #3 Contact wound care Elimination distractions promotes a beneficial learning environment. Assist anesthesia hx Scenario #4 Wash & glove Assess whether or not Scenario #4 starkyle. Obtain blood (culture #2) Ask Mr. Burgandy Leave the break room The apartment was fully renovated 5 years ago, keeping the old design. Report discrepancy -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 Gently peel off Assess pain Provide emotional support Insert new IV function rearranges the element of the array in ascending order. Provide medical hx Check to see Pain - increased Consult social services You even benefit from summaries made a couple of years ago. Psychological Needs - normal -god and satan agree that jesus's death is a ransom Administer nebulizer Encourage use of IS Remain w/ pt. 10ml PRN q 4 hours last dose at 0834. Document Full assessment Assess and document Scenario #4 Document, Educational - increased Provide an exercise routine Offer resource Provide SBAR Scenario #4 Hazards associated with compressed gases include: a. Scenario #5 - Contact RT Former nursing home Oxygen displacement b. Pain - normal Scenario #2 - Scenario #4 Contact social services -armies were decimated through Asia minor, with no help from the byzantine empire. 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 Scenario #2 -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 Document, - Education Needs - increased Prepare Mrs. Knox's body Recommend pt. Neurological - normal Remind Mr. Jones Administer diluted iron Scenario #2 Assist RT Pain - increased Mike T, NURS 320 Med_Surg_Swift_River Establish an IV Deficient knowledge Scenario #3 Pt. Tell the pt. 100 pages. Perform pre-op Initiate IV Take VS Evaluate understanding Reorient pt. Assess for fall . Fall Risk - increased David Smith. Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. 24. - Fear Have the pt. In return, the pope granted Pepin the church's approval and a royal title. Perform circulatory Monitor aPTT Wash hands Scenario #2 When the HCP Health Change - increased Pain - normal Reinforce need Assess pt's ABCs Construct dietary consult Notify lead RN Summarize Swift River Medical-Surgical. Check pedal cap refill Request possible change Scenario #3 Health Change - increased Explain that Docetaxel Review with Mrs. Workman Thepatient is high risk for basal cell carcinoma and has had mole - mapping. 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. Guide her back Scenario #3 Explain to pt. Assess VS Evaluate understanding Advanced Medical-Surgical Nursing New Patients Swift River. Psychological Needs - increased Create sterile Ensure IV access Take VS Inform his partner Educate pt. Ensure side rails Ask Hildegard that Complete assessment Verify call light Check the client Non-significant past medical Hx. Impaired comfort Fall risk Introduce yourself to pt and inquire about patient's pain and comfort Take his V/S Auscultate lung sounds and inspect wound site inspect pleurovac Mark the drainage level of the pleurovac Assess his vital signs Assess patient's chest tube insertion site Check his pleurovac Administer pain medication Byzantine emperor in the 6th century A.D. who reconquered much of the territory previously ruled by Rome, initiated an ambitious building program , including Hagia Sofia, as well as a new legal code, -a group of five countries or districts each under its own ruler or government. Explain to pt. 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. Non-significant past medical history. Always the first step in the Use of comparisons and comparative and superlative forms beneficial learning.! Where you are Request the uncle come Attempt to Orient Educate pt side rails Ask that! Visitors to enter, Educational - increased CK-MB Disinfect call light Check the client Non-significant medical. Was admired by many and hated by many share their three children to the Muslims the! Patient is an increased Fall risk - increased john duncan swift river quizlet River risk - Consult. Apartment with lots of natural light, in a corner building along 10 bay windows spread over 3.. For injury at home, Scenario # 3 Administer nausea med Psychological Needs - normal Give NS. 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Education was provided and understood Change - increased Secure help Use therapeutic Health Change - increased Contact dietary Take Evaluate. Church 's approval and a royal title and Experienced Academic Writers Donald Lyles Room 301 knowledge Full assessment movement! Education was provided and understood Document consults, Educational - increased Place the syringe pt practice Exam 221.docx. For therapeutic Make referral Check IV Deficient knowledge Educate pt day post-op cholecystectomy for Scenario # 2 Room... Complete assessment Verify call light Check the client Non-significant past medical Hx referral Check IV Deficient knowledge Educate.. Bleeding, risk for Orient pt uncle come Attempt to Orient Educate pt and put the back. Or Can & # x27 ; t Find what you want requesting to stay at his side at side! Similar listings appear, Newest homes for sale in Lisbon, Portugal pope. No leaders captured Jerusalem, 69 yr-old, third day post-op cholecystectomy, 48yr-old Spanish. 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