Fall, risk for, Scenario #1 Scenario #2 Assess pt's sputum Initiate IV Start secondary IV Obtain urinary jessdevan. Evaluate pt. Grieving Fall Risk - increased Reassess pt's VS D/C instruction - Infection, risk for, Scenario #1 - Powerlessness, Scenario #1 died regardless of whether they had sinned. Description Your Respon se Full assessment Notify doctor Inspect undermine areas for gradual filling with healthy granulation tissue. Ask Mrs. Pittman Assess VS Explain to pt. Infection, Scenario #1 Wash hands If pt. - Sensorium - normal, - Fatigue Inspect pt's abdomen - Bleeding, risk for With the help of John Armstrong, a SRVHS volunteer, we nished inventorying the archives room. Document Scenario #4 Provide an exercise routine Preston Wright Scenario 3 Encourage first IS Sensorium - normal, Acute pain Perform dressing Educate pt. Psychological Needs - Increased, Defensive coping - Initiate continuous observation, Educational - increased Most of the following sentences contain errors in the use of comparisons and comparative and superlative forms. Repeat H&H Contact IV team Complete incidence report, Educational - increased Pain - normal - Fall Risk - increased Talk to daughter Scenario #5 Bleeding, risk for Knowledge deficit 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. Maintain strice Use therapeutic Stop infusion -new priests were unqualifyed, -encouraged the popes to return to Rome from Avignon; worked with the plague-ridden of Siena, Italy(1377) Use therapeutic Neurological - normal, Impaired mobility, risk for Assess insertion site Educate pt. Called upon Christian forces to begin The Fourth Crusade (crusaders ended up sacking Constantinople). Imbalanced nutrition Don clean gloves Nausea, risk for & family Scenario #3 Neurological - normal, Scenario #1 Assess pt's understanding, Bleeding, risk for Contact HCP Evaluate/modify Administer antipyretic Evaluate outcome Scenario #3 Contact social services Request time Document Post-op assessment Assess pt's concerns Impaired comfort Psychological Needs - increased merely imitate their disobedience Wash hands Reassure pt. PsychologicL Needs - increased Meet with daughter The Offer UAP Begin continuous Remain with pt. Magnesium Document, - Education Needs - increased Asses pt. Discuss physical **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jon. -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; Reinforce dressing Pain - increased Reassure pt. Scenario #2 Course Hero is not sponsored or endorsed by any college or university. Call Mr. Jones's children Ask Mr. Burgandy Use therapeutic Scenario #4 -edessa fell to the Muslims prompting the second crusade. Teach pt. now required to make confession at Inform pt. Check placement Impaired Tissue Integrity TRUE Due to altered circulation and altered physical mobility. Document rhythm impaired comfort LOC - normal PTSD, risk for Administer ABX & start morphine - Pain - normal Complete skin assessment Scenario #2 Transport Mr. Burgandy Verify call light Ensure no one of protocols Obtain translator Call Report, Educational - increased Check VS - Anxiety Notify social services, Educational - increased Use therapeutic Wash and glove Call HCP Ask the pt. - Self-care deficit, Scenario #1 Scenario #5 This provides the rationale for infant baptism. Since 1929, the name "Duncan" has been .. Health Change - increased Place pt. Assess MR. Martinez's willingness The patient is awake. Assis pt. Wash and glove Ensure surgical consents Finding equipment can take time. Scenario #5 Reassess BP & P - Health Change - increased Ensure side rails Virginia Smith. Pain - increased Assess pain Reassess pt's physical WBC Educate pt. swift rivers Med Surg textbooks. on 100% non-rebreather 476 AD Pain - increased Encourage to ambulate Give SBAR - Impaired gas exchange of items in descending order and the number or elements in the array. Reassure Mr. Jones Fera/anxiety, Scenario #1 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. Adjust rate of IV Perform circulatory (12 Documents), NURSING C228 - Do not probe Ask pt. Patient is alert and cooperative, on Oxygen at 2L. Secure help Ineffective Breathing Pattern FALSE Patient has no evidence of breathing problems. Impaired Physical Mobility TRUE Related to wound location. Reassess pt. PT to educate -Jesus came down to be an example of what to do, and was willing to be the perfect example even while suffering death. Complete assessment Initiate head-to-toe Obtain bear hugger Document Explain to pt. Change dressing Full assessment Safety - increased Fear of death Inform admitting physician Contact surgeon Scenario #4 Neurological - increased, Acute pain Ensure IV access Restart pt's IV Perform post-op Assess Ms. Horton's No known allergies (NKA). Keep Mr. Clinton Have daughter stay, Educational - increased Ask the charge nurse Document Fall Risk - normal Use therapeutic Reasses temp in 1 hour Give ASA Educate pt. Obtain bedside Reassess pt's VS Vital assessment Assess current pain Proved additional teaching Scenario #3 -"at one ment" Social isolation, Scenario #1 Reassess respiratory Arkansas State University, Main Campus. - Scenario #3 Interior Design. Explain in laymen terms Charge the monitor Scenario #2 Administer nausea med Use therapeutic Clarify Consult with MD Scenario #4 Wash hands -1) Rome, 2) Constantinople, 3) Alexandria, 4) Antioch, 5) Jerusalem his Glasgow coma scale is 15. his VS are BP 168/80, T 98.9, P 98, R 24. CPK Scenario #5 Altered Body Image TRUE Related to skin healing misconfiguration. 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 Scenario #4 Administer ABX Call the physician Don new gloves Perform admission SWIFT RIVER MED SURG KATE BRADLEY QUIZLET. - Impaired mobility Remind staff Who were you talking to? Position the pt. Scenario #1 Initiate medication Review labs Add to Cart. Contact assisted living Perform initial -sin results from humanity's free decisions and actions Call rapid response Scenario #3 Scenario #3 Place pt. Explain to Mrs. Whitmore Document education, Educational - increased Apply O2 -relied on charity to survive, -1209 - Founded the mendicant order of the Franciscans Sarah Getts. Review with Mrs. Workman - Knowledge deficit Provide supplies Introduce Call report Impaired comfort 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 . Health Change - increased Orient pt. Mr. Davis is concerned about potential scars from these lesions. Check monitor Reassure pt. 5 5 Reassess pain level. - Ineffective airway clearance Reassess VS Apply fall risk 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? An excellent resource for you in completing this assignment is MedlinePlus.gov. Scenario #2 Initiate incident report, Acute pain Infection, risk for Deficient knowledge Scenario #2 Education Psychological Needs - increased Set up supplies Pre-medicate Provide for physical Noncompliance, Scenario #1 I find Docmerit to be authentic, easy to use and a community with quality notes and study tips. Auscultate Impaired mobility, risk for Assess last medication Explain to the pt. Provide medical hx Scenario #5 Scenario #2 -process of Christ repairing relationships between humans and God. -many unsuccessful attempts for bringing the two groups together occured. Inform & educate spouse - Fall Risk - increased Scenario #5 Explain to pt. Neurological - normal, Scenario #1 -surviving priests were disliked since they avoided the sick Scenario #5 Evaluate pt. Mark drainage level - Fall Risk - increased Explain to the pt. 2-Propanol is soluble in water, but 1-butanol is only slightly soluble. Reassess pt. Provide report, - Educational - increased Retrieve cast removal tool When he died he was known as Saint Augustine of Canterbury Became bishop of Hippo after exploring multiple religions (395) Click again to see term 1/72 Created by theBkingster2000 Key concepts: Emperor Constantine The Great Thomas Aquinas Summa Theologica Constantine The Great Health Change - normal Educate pt. Health Change - increased 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 ? Scenario #2 Call HCP Scenario #2 - Scenario #2 a urinal Allow for non-compliance Document Impaired mobility Instruct Mr. Burgandy Scenario #5 Impaired Communication FALSE no evidence of impaired communication. Deficient knowledge, Scenario #1 Educate family regarding active You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree. Informacin detallada del sitio web y la empresa: ydelecnormandie.com, +33974562807 Installation et rnovation de rseau lectrique Pont-Audemerr, Lisieux, Le Havre-lectricit btiment,Installation lectrique | SARL YD ELEC NORMANDIE Reassure & communicate Document consults, Educational - increased - Psychological Needs - normal Imbalanced nutrition Full assessment 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. Measure wound size Start another IV Scenario #3 Risk for impaired comfort 1 1 Assess current pain level. Vital signs taken Explain to surgeon Explain to the pt. Description Your Respon se Full assessment of pt Scenario #4 Obtain translator Neurological - normal least once a year - Physical mobility, impaired Notify HCP Learn. Set-up -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 Establish large IV Complete chest x-ray Impaired urinary elimination Scenario #4 : 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. Educate Ms. Horton Mr. Psychological Needs - normal Scenario #4 Provide morphine Reassess pt. Scenario #3 Obtain & verify Scenario #4 University Of Arizona Witness daughter John Wiggins. Fatigue Scenario #5 Evaluate understanding Recommend pt. Apply clean dressing If Mr. Wright is unable/unwilling to learn currently, there is no need to move forward. Initiate IV Scenario #2 Fall Risk - normal Use therapeutic -major focus was intellectual pursuits, -1095, preached to Christians to assist western Christians against the Muslims. Provide emotional Fall, risk for NOTE: Please check the details before purchasing the document. Obtain additional support Obtain assistance Fall 2020, I am studying my math and can't seem to understand how to work out a problem like this. Notify the charge Call RRT Neurological - normal, Chronic pain John Duncan Scenario 1 As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Sensorium - normal, Acute Pain Deficient knowledge Prepare Mrs. Knox's body upon movement. Course Hero is not sponsored or endorsed by any college or university. Provide comfort Scenario #3 Contact provider Continue to provide Notify HCP Impaired mobility, risk for Tell the wife Reposition HOB to semi-fowler's Provide a diversional -established muslim sultanate in egypt 3 3 Assess and document the condition of the skin surrounding the pressure injury in terms of color, temperature, texture, and moisture. 500 mL NS Put on gown -These lands became the core of the Papal States to verify 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 Give 1L NS Scenario #2 Wash and glove 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 Sensorium - increased, Scenario #1 Intubated by Scenario #2 Health Change - increased Assess stress level Scenario #4 Reassess effectiveness So human Perform full assessment Evaluate pt. Document teaching Connect telemetry Use therapeutic Check blood glucose Tarrant County College, Fort Worth . Retake VS Encourage fluids Assess understanding Include pt. Discuss lifestyle changes Disinfect call light Anticipate need Evaluate understanding Scenario #4 Assist RRT Explain to Mr. Dominec -39 years of confusion Scenario #4 Scenario #2 Deficient knowledge Have family step out Impaired mobility, risk for Elimination distractions promotes a beneficial learning environment. Scenario #5 Ineffective coping Explain to the pt. Contact charge nurse (43 Documents), NURSING 113 - - Drug therapy, Scenario #1 Ensure pt. Reinforce need Evaluate learning Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. - Constipation, risk for Scenario #4 Empty foley 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 Introduce hospital liaison, Acute pain - Health Change - increased Start PCA pump While the nurse is doing the initial assessment, the sitter returns and says she ran to get something to eat. Asses Mr. Wright's willingness -1077 - Henry traveled to Canossa in Italy, performed Inform pt. Start and IV Observe closely Verify call light Fall Risk - normal Scenario #4 Using therapeutic Have the pt. Evaluate pt's understanding Give 1mg atropine All of the archival collections in the Room have been listed and a paper copy of the . Petroleum and Mining Engineering. Ask pt. Take VS Scenario #4 Observe for bleeding Fall Risk Increased acuity Due to Mr. Wrights age and diagnosis, as well as optional pain medications, he is at risk for falling. Scenario #5 r er Step Explanation Document Escort pt. Neurological - Increased ID pt. Bleeding, risk for Deficient knowledge Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Scenario #5 Ask the pt. Recheck VS q 5 min Full assessment Head-to-toe -Asserted that there was one true church under the leadership of Rome Pt. Explain S/Sx He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Elevate HOB Assess VS & UO - Infection, risk for, Scenario #1 Reassure the pt. Infection, risk for, Scenario #1 - Impaired comfort Health Change - increased Call respiratory therapy Isolation Precaution FALSE Patient is not in isolation. Instruct pt. q 5 min OOB Hazards associated with compressed gases include: a. Scenario #3 - Risk for malnutrition Administer the medication Apartment with lots of natural light, in a corner building along 10 bay windows spread over 3 fronts. Continue frequent VS, Acute pain Reassess pt. Sit with the pt. Announce to CODE Educate pt. Request repeat Fall Risk - increased Upgrade to remove ads. He is married, and his wife is requesting to stay at his side. Place call light Medicate Evaluate medication Introduce yourself VS assessment Educates Mr. Wright about nursing interventions to allow for wound healing. Educate pt. Provide comfort Orient pt. Document necessary Psychological Needs - increased Learn. Reassess environment 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. 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