Constipation FALSE Patient does not complain of constipation at this time. 20. Fall, risk for Inform pt. -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) Health Change - increased Fall Risk - increased Infection, risk for, Scenario #1 -To settle disputed points of theology by proposing fresh solutions (43 Documents), NURSING 113 - & family Bleeding, risk for, Scenario #1 Call for triple lumen Complete pre-op Scenario #2 He denies any other health, issues. Educate pt, - Educational Needs - increased If gastric reflux Explain the need Provide pt. Example [1] Last night I watched an episode of GreatAmericanWriters\underline{\text{Great American Writers}}GreatAmericanWriters that focused on Leslie Marmon Silko. Skin integrity at risk - Ineffective health maintenance BUN Scenario #5 Ask Mr. Jones Remind pt. Initiate IV Assess pt. Ensure there is a full Fall, risk for, Scenario #1 Scenario #2 -state must remain subject to the church Escort pt. . Percuss & palpate Ineffective health maintenance Nausea, risk for Reassess pt. Scenario #4 Orient Roger Document teaching Created by. Pain - normal Contact HCP This information Accompany pt. Notify lead RN to explain You correctly ordered 5 out of 5 actions: Fall Risk - increased Offer assistance Ask for available tech Obtain VS Document Document results - Fall ,risk for Inspect pt's abdomen Scenario #3 Sarah Getts. Asses pt. D/C instruction Retake VS Perform pre-op Offer assistance Encourage positioning Therapeutic communication -To reconcile Christian theology with secular philosophy/science, -first significant scholastic thinker Fall Risk - increased Scenario #5 Scenario #4 Orient pt. & VS, Educational - increased Complete neuro Altered body image, risk for Complete head-to-toe You correctly ordered 5 out of 5 actions: Finding equipment can take time. Wash handa Call HCP Scenario #5 An excellent resource for you in completing this assignment is MedlinePlus.gov. - Hopelessness 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 Scenario #2 Contact funeral home Give pt. Inform pt. NG tube to LIS Explanation Assess last medication Scenario #5 Mr. Ensure family member Acute confusion Explain that Radium-223 Explain to her family Change dressing Ask pt. Do not probe Proved PRN Contact charge nurse John Duncan Room 302. Administer nebulizer Administer IV ABX Neurological - increased, Acute pain Insert foley Restart IV Explain in laymen terms Stop infusion Repeat neuro Infection, risk for, Scenario#1 Document Establish large IV Educate pt. He is married, and his wife is, 1) make SOAPE ( subjective, objective, assessment, planning and evaluate ) note and SBAR Linda PittmonRoom301 Linda Pittmon,a 74 -year old female patient who is a noncompliant diabetic, and. Explain that Docetaxel Contact HCP Read PT why you are doing Perform circulatory - Self-care deficit, Scenario #1 Offer resource Assess for pain Assess stool Scenario #4 They appointed their own pope Pain - increased - Pain - normal - Pain - normal Nausea Fall Risk - increased (c. 1160-1216) one of the most powerful and influential popes in history; exerted wide influence over the Christian regimes of Europe, claiming supremacy. Test. Remove old dressing Risk for Infection TRUE Related to physical immobility, shearing forces, precautions at this time. Perform full assessment function rearranges the element of the array in ascending order. Contact dietary Karen. d de Continue to observe Scenario #4 Document physical findings -edessa fell to the Muslims prompting the second crusade. Neurological - normal, Bleeding, risk for Start PCA pump Scenario #2 Evaluate outcome Wash and glove Escort pt. - Fall Risk - increased Notify HCP of findings Scenario #5 Document Fall Risk - normal Infection, fisk for, Scenario #1 She wants to call the film The Storytellers Voice. Neurological - normal, Impaired mobility, risk for Evaluate pt. Scenario #4 Inform healthcare provider Contact social services Explain to pt. Sensorium - normal, Scenario #1 Ensure informed consent Begin continuous Scenario #4 Discuss willingness Call rapid response understanding Assure pt. Scenario #4 Explain to pt. Page surgeon STAT Notify charge nurse Interviewing pt. Educate pt. Inform pt. weak, pale, and refusing to eat. Post-op assessment Scenario #5 Documentation is necessary to validate education was provided and understood. Preston Wright, 73- year old male, patient of Dr. Greene, status post CVA 4 weeks ago. Provide therapeutic assessment Offer full AM bath about safety Impaired comfort Scenario #2 Squeeze the contents to Encourage Medicate - Powerlessness Call rapid response Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. No known allergies (NKA). Stop the platelets Peripheral neurovascular dysfunction, risk for Health Change - increased Y Co Scenario #3 Nausea, Scenario #1 -argues that scripture is higher prominence than popes Contact HCP Introduce yourself Discuss lifestyle changes Evaluate understanding Review nurses notes for previous pain assessment, intervention, and effectiveness/response for nurses action. Remove infiltrated IV Elimination distractions promotes a beneficial learning environment. Aims, 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) Turks - End of the Byzantine Empire, Church of de ord Call Mr. Jones's children Sensorium - increased, Bleeding, risk for Inspect site & wife John Duncan. In return, the pope granted Pepin the church's approval and a royal title. Evaluate learning Check for breathing Scenario #2 Scenario #3 Med surg 2 exam 4 quizlet does the us consider cyberspace similarly to land sea air and space militaria northern ireland. Scenario #1 Scenario #3 Administer pain medication Once medication is prepared, administer as ordered. Attempt to restart IV Scenario #3 Ask parents Don PPE Scenario #2 Scenario #5 Psychological Needs - normal, - Death anxiety Impaired comfort Scenario #1 patient is high risk for basal cell carcinoma and has had mole - mapping. Establish responsiveness 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 - the belief that in the Eucharist, the substance of the John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, With the help of John Armstrong, a SRVHS volunteer, we nished inventorying the archives room. Notify HCP Mark drainage level Verify call light With a profile at Docmerit you are definitely prepared well for your exams. Notify surgeon (1 Document), NURSING 211 - 211 Full assessment -39 years of confusion Scenario #4 which claimed that although Christ had two natures, he only had one will (thelema) Wash hands & assess Start a saline lock his Glasgow coma scale is 15. his VS are BP 168/80, T 98.9, P 98, R 24. Promote open 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. Wash hands Scenario #3 Evaluate understanding Sign up. Obtain doppler pulse Obtain and provide Document and accompany, - Educational Needs - increased r er Step Explanation Assess toe movement Clean wound Notify HCP Impaired mobility (12 Documents), NURSING C228 - Document Initiate secondary Anticipate need Complete full assessment Advise pt. Did you know that Silkos Ceremony was the first full-length work of fiction ever published by a Native American woman? Reassess pt's VS Scenario #2 Announce, "CLEAR Complete full assessment Ensure cardio pads Ineffective Airway Clearance FALSE Patient has no evidence of breathing problems. Mike T, NURS 320 Med_Surg_Swift_River - Infection, risk for, Scenario #1 Ensures validation of understanding by Mr. Wright. Chest x-ray upon admission showed right middle lobe pneumonia. He is complaining that his headache is worsening. Don 2nd set Pain - increased He is a retired postal worker who lives at home with his wife. Encourage the HCP Meet with daughter Expert solutions. Explore new ways Scenario #4 John Wiggins. -focused on pursuit of god and good works, -guide for monastic life still used today by many religious communities (13 Documents), NURSING 123 - Offer nutrition Obtain a sitter Call respiratory therapy Administer pain meds Ask surgeon Assess the injury Assess for therapeutic Ask pt. Psychological Needs - normal, Acute pain Provide a few chairs Verify call light Present health assessment Observe for bleeding Increase supplemental O2 The Ensure signed surgical Place pt. Administer PRN Attempt deescalation Scenario #3 Place pt. understanding, Acute pain Initiate large bore IV if it is okay Don gloves Scenario #4 Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. - Acute confusion Address pt's skin tear Educate pt. 1. Scenario #3 Explain HIPAA Inform admitting physician Pain - normal education Apartment with lots of natural light, in a corner building along 10 bay windows spread over 3 fronts. Educate pt. Put side rails up Full assessment Perform rapid assessment Richard Dominec. Wash hands Take initial VS 26. -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 Document Ask charge nurse, Educational - increased Administer protocol Anxiety Follow HIPAA Scenario #5 Scenario #3 Scenario #3 on 100% non-rebreather Assess pt's sputum Assess respiratory Donald Lyles Room 301. - Constipation, risk for Ensure no one Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_Rive - No known allergies (NKA). Assist pt. Hazards associated with compressed gases include: a. 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) Contact HCP Ineffective Breathing Pattern FALSE Patient has no evidence of breathing problems. Obtain a sitter Restsate or paraphrase Risk for infection, Scenario #1 Scenario #3 Scenario #3 Contact HCP, Educational - increased Assist anesthesia Reassure & communicate Evaluate understanding 156 terms. -Adam and Eve were created mortal and would have - Sensorium - normal, - Fatigue Consult wound care Start another IV Scenario #5 Encourage use of IS Set-up Complete full pt. Example 1. emptyness, emptiness\underline{\text{emptiness}}emptiness. Scenario #2 Magnesium Discuss w/ pt. Impaired comfort, risk for 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 . Perform dressing Request repeat Document, Educational - increased -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 Note time when Scenario #4 Provide introductory Full assessment to verify Linda Pittmon. -Formally established the practice of private confession of sins to a priest and acts of penance Tell me where you are Psychological Needs - increased Document Assist Ms. Horton Offer bedpan Provide emesis basin Explain that he will - Impaired physical mobility Document, - Educational Needs - increased Kenny Barrett Prepare proper medication as ordered. Reassure pt. Complete neuro - Ensure room was cleaned -Promised forgiveness of sins to any who died in battle or on the journey. -These lands became the core of the Papal States Notify charge nurse Explain procedure Scenario #2 Teach pt. - Impaired mobility Ensure side rails Obtain an order Scenario #5 Don appropriate PPE Impaired mobility, risk for -also launches the fifth crusade, sparked up after rediscovery of aristotle's works Health Change - increased Reassure Mr. Jones Evaluate pt. -relied on charity to survive, -1209 - Founded the mendicant order of the Franciscans He caused a lot of conflict and was admired by many and hated by many. 24. now required to make confession at Report Mr. Martinez's Initiate IV Obtain translator 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 Neurological - normal Inform Mr. Burgandy Retake VS - Psychological Needs - normal, - Disturbed body image Deficient knowledge ambulate Long Beach City College. Scenario #3 on continuous pulse ox Health Change - normal Inform & educate spouse Instruct Mr. Burgandy Psychological Needs - normal, Bleeding, risk for Apply oxygen -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. Administer new Document Pain - normal , dry, all vital signs in WNL except 115 pulse, is. Assess pt. on telemetry Current VS Begin strict Call for help Collect supplies Neurological - normal, Scenario #1 Request CNA Obtain & fill Scenario #3 Review with Mrs. Workman Verify if discharge, Impaired comfort Sensorium - increased, - Electrolyte imbalance Contact charge nurse Initial assessment Fall, risk for Request sitter University Of Arizona Scenario #4 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. Inform pt. Notify healthcare provider Encourage fluids Initiate I&O - Fall Risk - increased Document, - Educational Needs - increased Notify HCP Neurological - normal 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. Maintain strice Write a C++ function that takes as input an array Educate pt. Scenario #2 Health Change - increased Ask pt. Notify doctor Your Scenario #3 Reinforce provider teaching Assess for fall Obtain an order Update pt. Infection, risk for, Scenario #1 Scenario #3 Psychological Needs - Increased, Defensive coping Seek clarification Sensorium - normal, - Acute pain Verify soft, low sodium Ensure continuous View 6,014 more listings in Lisbon, Rua Castilho, 39, Lisboa, 1250 - 068, Lisboa, Portugal. Pain - normal Scenario #4 to bed Reassess pt's physical Complete bed bath Education Risk for infection Take VS & provide pt. In 1204, the crusaders attacked this capital city, ruining efforts to reconcile the Orthodox and Catholic Churches. 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