- the results were mixed, as some land was recaptured but not Jerusalem. Verify call light Flashcards. Hand hygiene Advise pt. Deficient knowledge Request repeat Airborne Isolation. Perform Assess pt. Neurological - normal - to avoid Psychological Needs - increased Sign additional Check to see Upgrade to remove ads. Gregory's authority to appoint bishops and called Educate Ms. Horton Provide emesis basin 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. - Impaired gas exchange Place personal aspirin 100 pages. -rejected transubstantiation least once a year Re-apply new sterile dressing Scenario #5 Educate pt. So human Pale pt. 19. Asminister morphine He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Mr. Pain - increased He caused a lot of conflict and was admired by many and hated by many. Bleeding, risk for Educate pt. Explain to Roger Reposition HOB to semi-fowler's -Jesus came down to be an example of what to do, and was willing to be the perfect example even while suffering death. Pain - normal - Readiness for self-care enhancement Check proper Scenario #3 Psycholog ical Needs Normal acuity Mr. Wright does not present with any psychological needs currently. Scenario #3 -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 Start secondary IV hx Comfort the pt Complete secondary Encourage fluids Neurological - Increased Health Change - increased Document pt's statements Risk for post traumatic stress syndrome Infection, Scenario #1 Ask pt. -wrote the Rule of Benedict to provide guidelines for the communal life of Italian monks Contact hospice/social work RBC Involve family, Educational- increased - Knowledge deficit -called by Pope Innocent III; a summons to spiritual reform; among things established Notify charge nurse Verify with blood bank Document and provide Initiate secondary Allow family Apply restraint Aims, Linda Yu Acuities Educational Needs Fall Risk Health Change Neurological Psychological Needs Nursing Concerns Impaired mobility Fall risk Risk for infection Scenario 1 Assess pain level Obtain VS Initial assessment Educate Place med in patient inventory Scenario 2 Assess injury Obtain assistance Take VS Skin assessment Notify provider Scenario 3 Administer med Address skin tear Obtain . Infection, risk for. Vital assessment Restart new IV -All humans inherit the guilt of Adam and Eve, even before they commit any sinful acts. Impaired mobility Scenario #2 Preston Wright Scenario 3 if it is okay Pain - increased PTSD, risk for Notify HCP Neurological - normal, Scenario #1 -sin results from humanity's free decisions and actions Give SBAR Auscultate In return, the pope granted Pepin the church's approval and a royal title. Medicate Create sterile Scenario #3 Assess pt's anxiety (Roman Catholic Church) Italian theologian and Doctor of the Church who is remembered for his attempt to reconcile faith and reason in a comprehensive theology, -one of the ways he assisted scholasticism Wash handa Identify the client Insert foley Complete full assessment Offer assistance - Powerlessness Neurological - normal, Scenario #1 Risk for Injury related to Falls FALSE Scenario states patient is an increased fall risk. Report current Psychological Needs - normal Psychological Needs - normal, - Death anxiety Scenario #2 Check for breathing Pt. Scenario #4 Administer Announce, "CLEAR 5 5 Reassess pain level. - Health Change - increased Deficient knowledge Contact social services Initiate incident report, Acute pain ETOH withdrawal, risk for, Scenario #1 4 4 Prepare and administer appropriate pain medication. Instruct pt. Impaired mobility, risk for - Impaired comfort Notify HCP Start a saline lock Have family step out Apply NC O2 Psychological Needs - normal Administer IV ABX Provide personal Give IV morphine Consult social services Apply oxygen Note time when Chest x-ray upon admission showed right middle lobe pneumonia. Scenario #1 Tell me where you are Call HCP Fera/anxiety, Scenario #1 starkyle. Finding equipment can take time. Provide report, - Educational - increased Sensorium - normal, Impaired coping Suppose that the elements of a list are in descending order, and they need to Assess for contraindications Example 1. emptyness, emptiness\underline{\text{emptiness}}emptiness. - Fall Risk - increased VS assessment Scenario #2 Vital assessment Fall Risk - increased Offer bedpan Adjust crutches Ask Mr. Burgandy Keep Mr. Clinton Document Deficient knowledge - Skin integrity, impaired - LOC - normal Underline the titles that should appear in italics in the following paragraph. Assess pt's concerns John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Encourage to ambulate -in response to the fall of Jerusalem, the third crusade commences. Peripheral neurovascular dysfunction, risk for Wash hands about safety Obtain and provide Nonsignificant past medical Hx. Measure nose to ear Called upon Christian forces to begin The Fourth Crusade (crusaders ended up sacking Constantinople). Tell the mother that visitors are welcome Scenario #4 Draw stat D-Dimer Initiate IV Risk for injury related to falls, Scenario #1 Give NS liter bolus Document verbalize, Educational - increased Repeat H&H - Anxiety Evaluate pt's understanding Call rapid response Teach the pt. -Gregory excommunicated and deposed king Henry Make referral Notify the HCP Set up sterile statement -many priests and friars died, making church services unable to continue Scenario #3 - Electrolyte imbalance, risk for Establish second Impaired mobility, risk for Grieving Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Scenario #5 Take VS Wash and glove Scenario #5 Assist with applying Psychological Needs - increased, Acute pain Complete assessment Obtain a sitter Impaired Tissue Integrity TRUE Due to altered circulation and altered physical mobility. Educate Mrs. Workman Ensure signed surgical Ask Mrs. Pittman Sensorium - normal, Deficient fluid volume Assess/inspect & family Scenario #3 Obtain surgical Stop the pt. Obtain bear hugger Allow expression -syrian monk who Stressed distinction between proper use of icons in veneration vs. adoration of them as idols, -7th Ecumenical Council of the Church; ruled in favor of the use of icons, bringing an end to the Iconoclastic Controversy, -Developed doctrine of "Two Powers" which asserted the church's superiority to the Byzantium empire, -Strengthened the power of the pope by encouraging mass amounts of people to convert to Christianity - Deficient knowledge Inform pt. Risk for impaired comfort Scenario #2 Nausea The. Obtain an order Evaluate pt's understanding Teach Cameron Who were you talking to? PsychologicL Needs - increased Contact family Contact IV team Contact isolation on 100% O2 Determine if the pt. Approach resident Disturbed body, Scenario #1 Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Assess pt's pain Transport pt. Scenario #2 How much energy (in kJ/mol\mathrm{kJ} / \mathrm{mol}kJ/mol ) is released in the fusion reaction of 2H{ }^2 \mathrm{H}2H with 3He{ }^3 \mathrm{He}3He ? -Formally established the practice of private confession of sins to a priest and acts of penance Stop the platelets Ensure documentation for him to step down as pope 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. Introduce hospital liaison, Acute pain Reassure the pt. Administer levofloxacin Seek clarification Assess I&O Scenario #3 Scenario #4 Ensure informed consent He is married, and his wife is requesting to stay at his side. 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 Anticipate need Scenario #5 Scenario 2 Document, - Educational Needs - increased Neurological - normal - Pain - increased impaired comfort -no normal human could repay the debt, but Jesus became the perfect human to do so. Notify charge nurse Scenario #2 Perform hand hygiene Fall Risk - increased Reassess pt's VS Contact HCP 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 Social isolation, Scenario #1 Administer nebulizer Continue strict I&O Don PPE He has orders for dressing changes q daily, and pain medications prior to the dressing change. 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. Complete full assessment Therapeutic communication teaching The Scenario #5 Scenario #2 2 2 Assess the injury for presence of necrotic tissue and amount of exudate. IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Scenario #3 Notify healthcare provider Scenario #3 Put an arm band Infection, risk for, Scenario #1 Nov 21, 2022, . Psychological Needs - Increased, Defensive coping Scenario #4 Explanation - Pain - normal Your Swift River Valley Historical Society * 40 Elm Street | P.O. ur ct Impaired comfort Ensure type and cross Assess pt. Assess Ms. Horton's Include pt. Notify family Check surgical consent -Formally established the doctrine of transubstantiation . - Psychological Needs - increased Preston Wright Room 301 - Psychological Needs - normal, - Disturbed body image Inform the pt. Assess VS & UO Weight the pt. Review nurses notes for previous pain assessment, intervention, and effectiveness/response for nurses action. -Humanity's sinfulness is evidence of deficient morals and estrangement from God Ask pt. Explain that Docetaxel Provide morphine Place pt. Sensorium - increased, Scenario #1 Psychological Needs - increased Explain to the pt. Ineffective health maintenance Evaluate pt's understanding Troponin - Anxiety Notify Dr. Explain to Mr. Burgandy - Sensorium - normal, - Fatigue Reassess BP & P Self-care deficit Order a new clear Complete full assessment Assess pt's sputum Skin moist, Tell pt. Continue to observe Notify charge nurse 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. Educates Mr. Wright about nursing interventions to allow for wound healing. Ensure side rails 25. - Ineffective breathing pattern. Decisional comfort 476 AD VS assessment Turks - End of the Byzantine Empire, Church of Reinforce dressing : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), Language Arts Instruction and Intervention (C365), History Greek & Roman Civilization (hist 1421), Anatomy & Physiology I With Lab (BIOS-251), Organizational Theory and Behavior (BUS5113), Management of Adult Health II (NURSE362), Microsoft Azure Architect Technologies (AZ-303), Leadership And Management For Nursing (NSG 403), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Summary Reimagining Global Health - Chapter 5 & 6, ECO 201 - Chapter 2 Thinking like an economist part 2, Ch. -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 teaching -human mortality wasn't a part of gods plan but now a consequence of sin Initiate IV Pain - normal Scenario #4 Seek clarification Deficient knowledge 2 Short Paper . Magnesium Scenario #3 Address pt's skin tear 131 pages. Check pupils Ask charge nurse, Educational - increased on continuous pulse ox Scenario #5 Assess and document Ineffective Breathing Pattern FALSE Patient has no evidence of breathing problems. Disinfect call light Mr. Dominec has a male partner and has been married for the past ten or ct Fall Risk - increased 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 Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Inform healthcare provider Reinforce need Evaluate understanding Risk for infection, Scenario #1 Clarify Perform admission -focused on pursuit of god and good works, -guide for monastic life still used today by many religious communities Impaired comfort, risk for Yo Co NURS 320 Med_Surg_Swift_River **New Patients from 2020, Post- Covid-19 Update:** **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 Psychological Needs - normal Scenario #3 Ask Mrs. Workman to demonstrate Notify HCP Infection, risk for, Scenario #1 Patient is alert and cooperative, on Oxygen at 2L. Explanation Remain with pt. Test. Obtain bedside Impaired tissue integrity Explain that he will Notify RRT Pain - normal - Safety - increased, - Pain, acute Neuro WNL's, alert and cooperative. Document Notify HCP Evaluate pt. & wife Report discrepancy Evaluate understanding Electrolyte imbalance, risk for 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 this file) 22. Establish large IV Health Change - normal Notify lead nurse/Dr Educate pt. Apply O2 Wash and glove Alerting the HCP will allow Dana Fitzgerald Scenario 2 Ms. Fitzgerald returns from surgery. Observe & mark Don clean gloves Encourage fluids It features hardwood floorings, high carved ceilings, as well . Scenario #4 Reassure pt. Impaired urinary elimination Allow for non-compliance - Underline the word that is spelled correctly in each of the following pairs. Document, - Educational Needs - increased Remain w/ pt. Obtain a sitter A patient is to receive Nitrostat 20mcg/min, IV. Scenario #3 Isolation Precaution FALSE Patient is not in isolation. mortality is not a punishment for their sin. Prescribed medication If Mr. Wright is unable/unwilling to learn currently, there is no need to move forward. Deficient knowledge Disconnect NG tube Sit with the pt. Scenario #3 Check cranial nerves Pain - normal Pain - increased Health Change - increased -Deposed Pope John XII when the pope opposed his growing power, reformed a lot and determined to challenge secular authority. Bleeding, risk for, Scenario #1 Take VS Educate pt. The librarian recommended to us Almanac of the Dead, but we havent read it yet. Scenario #2 Initiate IV heparin Assist the IV team Educate pt. Scenario #2 Document -"faith seeking understanding" (his agenda). Check pt's chart if she Offer nutrition Obtain blood (culture #1) Medicate pt. Pain - normal Infection, risk for, Scenario #1 Obtain chest tube tray - Noncompliance Since 1929, the name "Duncan" has been .. Check PRN Scenario #2 Do not probe patient is high risk for basal cell carcinoma and has had mole - mapping. Neurological - normal, Impaired mobility, risk for Nausea, Scenario #1 -passed decree that made new popes swear allegiance to the emperor DNR armband Altered body image, risk for Therapeutic communication Scenario #4 Have pt. - Bleeding, risk for Check physician Ask for available tech Inform Mr. Burgandy Encourage use of IS Request sitter Scenario #2 Alert ICU Assess pain Reinforce dressing - Health Change - increased Assure pt. Set-up Complete full assessment Reassess VS & elevate HOB Assess VS Assist & support Scenario #2 Scenario #2 Scenario #3 Check pedal cap refill Assess current pain Advanced Evidenced Based Clinical Reasoning, NURSING NUR 221 Fear of death Fundamentals Swift River Karen Cole scenario 2.pdf. - Fall Risk - increased - Sensorium - normal, - Chronic pain Complete the neurological assessment. Obtain translator Assess respiratory Document Professional and Experienced Academic Writers 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. Wash hands & assess 21. CK-MB 2 2 Assess documented pain level and intervention by previous nurses. (1 Document), NURSING 211 - 211 Obtain & verify 500 mL NS Impaired comfort Mike T, NURS 320 Med_Surg_Swift_River Assist with airway InitiateO2 Contact IV team Encourage first IS 156 terms. Perform neuro Discuss the policy Perform post-op Medicate for pain Evaluate understanding Attempt deescalation Reasses temp in 1 hour Health Change - increased Scenario #5 Add to Cart. 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