Oral Mucosa: Tongue: Teeth: Scenario 5 Skin integrity at risk True Love and belonging Notify family as to when they may come and visit. -Ask the patient if it is okay to discuss his care in front of his children. Senario 5 Assess Pain and numbness in legs for one week. Do not probe further Educate patient Document results Psychological Needs: Increased acuity Impaired Comfort True Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Ambulates with minimal assistance. He also has metal fragments on his left side on his leg arm and torso. IV D5 1/2 NS @150ml/hr. Insert Foley catheter Cardiovascular Assessment Toggle navigation Swift River. Vital signs -Temp 98.6, BP, Erma Willis, a 65-year-old woman with a history of adenocarcinoma and multiple past episodes of related secondary infections, was admitted to the medical-surgical unit this morning with a diagnosis, Reflective Journal VCBC Post work Cellular Regulation VCBC Post Work Start Assignment Due No Due Date Points 10 Submitting a file upload Please submit your post work to Canvas within 48 hours of, Typically the concept of cellular regulation Involves the study of cancer and related diagnoses. Scenario 4 Pain Level Normal acuity Localizes pain = 5 Pregnancy and labor and delivery are not typically associated with the concept of cellular regulation, Patient: Donald Lyles,52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Self-Actualization fallout 4 save wizard quick codes death and wheel of fortune tarot combination; gambling meaning in english urdu alpine spiced apple cider gluten free; how to use v2ray samsonas sequential gearbox subaru; lg magic remote power light stays on Gait: ______________________________, Skin Integrity Assessment Shock, Risk for: False Mrs. Smith shares with you that even though she signed the operative consent she was not sure if this was the right surgical procedure for her. Vital signs taken by automatic B/P Cuff q 15 minutes Scenario 2 Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Pain Level Increased acuity palliative care. IV Fluids: INT lock IV Fluids ______________@ _____________ mL/hr Date on tubing: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chronic Pain, Risk for constipation, impaired nutrition, anxie, 4 units on insulin sliding scale for coverage, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Educational needs: Increased acuity Connect telemetry He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Combien gagne t il d argent ? Senario 1 Pain Level Normal acuity Senario 4 97.4, Resp 16 and Pulse Ox 94%. In the interim, start an IV and start infusing Ringers Lactate. Review pain medication order Inform patient about the progression and risk a PCP infection has for a patient with AIDS. His original lymph node biopsy was negative. Scenario 2 Impaired Mobility True Urine Color: Clarity: Odor: Vital Assessment Impaired comfort: True Decisional Conflict False Re-assess patient Evaluate outcome of dietary plan Ms. Gestalt is now complaining of fever and chills. -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need -Complete initial post-op assessment Patients within the Swift River Online Simulators Med Surg - Patients SROL Med Surg Female and Male Patients Female Male Ann Rails Carlos Mancia Estelle Hatcher John Duncan Kathy Gestalt Robert Sturgess Lithia Monson Tom Richardson Marcella Como Ramona Stukes Sarah Getts Viola Cumble Dosage Calc - Patients SROL Dosage Calc Female and Male Patients Document results Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Vital sign assessments Reasses temp in 1 hour. Love and belonging- Leave to break room and not continue in conversation. Grieving False Therapeutic Communication Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Scenario 3 Social Isolation, Risk for True Enter the email address you signed up with and we'll email you a reset link. Scenario 3 -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Escort patient Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. Oral Care -Tell the patient to call immediately if the chest pain gets worse or they become short of breath She is having some difficulty breathing. Assess vital results Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University Scenario 5 Fall, Risk for True The bed arrives tomorrow. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Urostomy: N/A Urostomy/Ileal conduit Document results No known allergies (NKA). Notify doctor and charge nurse Cardiovascular has pacer with rate of 82bpm on demand. Crutches at bedside adjusted for height. -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg Allow for non-compliance of request Bleeding, Risk for False Electrolyte Imbalance True Vital assessment Mr. Dominec decides he does not want to see Infectious Disease doctor about his new cough. Scenario 1 Infection, Risk for True Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. NKDA Assessment The client vital signs are: Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%, Neuro WNL alert and cooperative. Senario 3 Educate patient regarding changes to POC No Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. Sensorium Increased acuity, Physiological Scenario 3 Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Acute Pain True Perform circulatory evaluation His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" Document pt's statements. His overall health is good, and he has known he has been HIV positive for the past five years. ADA diet, intake, 25%. Education of Foley Cath Procedure Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Scenario 2 Compromised Family Coping False Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Multiple abrasions, bruising Head, chest, and inner thigh. Decreased Cardiac/perfusion: False Full assessment including both lying/standing Love and belonging Scenario 1 Wash hands ADA diet, intake 25%. Ineffective Self-Health Management False Since the finding was low-grade dysplasia and is considered the early stage of precancerous changes, the gastroenterologist recommends another endoscopy in six months, with additional follow-up every six to 12 months. Use therapeutic communication/Active Listening Report and document results Offer nutrition/toilet Tom Richardson Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. Fall, risk for: True Document results/findings The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Bowel Movement Total: x________________, Hygiene Times Combien gagne t il d argent ? The patient asks the nurse to explain about these medications and why they are in such a hurry. Electrolyte Imbalance False Wound clean dry and intact. Visual assess Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Blood Glucose 185, 4 units of insulin sliding scale for coverage. Upon entering room, you wash/glove hands. Stools are decreasing but patient remains very weak. Skin warm and pale. Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Notify doctor if condition is abnormal Acute Pain: True Non-significant past medical Hx. Administer antipyretic meds Apical/Radial Pulse Deficit: No Yes Murmur Valve Click -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Evaluate understanding. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. -Discuss and determine sitter availability Oriented to: Person Place Time Scenario 3 Scenario 1 Palliative care. Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Radiofrequency ablation may be recommended after endoscopic resection. Fall Risk Increased acuity Imbalance nutrition: True Scenario 5 He tells the nurse he has called his wife and wants to be discharged now. Scenario 2 Adjust crutches You are the now the Surgical ICU nurse assigned to her. Scenario 5 Isolative, appears fearful, crying, and refusing to see her husband. Senario 2 Use therapeutic communication/active listening Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. Wash and glove hands -Medicate for pain Scenario 4 -Have patient remain in bed, head elevated 30 degrees Capillary Refill: _________ seconds Constipation False Document results and findings RLE: ______________ LLE: _____________ Chronic Pain True Self-Care Deficit False Fall, Risk for True Scenario 5 After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. Physiological- Nausea False Wash and glove hands He was recently treated for a URI with a Z pack, prednisone, and Motrin for pain. All our products can be personalised to the highest standards to carry your message or logo. Esteem Scenario 5 Kathy Gestalt river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Swift River Clinical Practice Chamberlain University Expert James Moore Category: Nursing Description Full Document Jose Martinez Room 301 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. Ineffective Airway Clearance True -Start IV BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. Attain fluids/fiber diet and assisted ambulation The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Scenario 2 His coughing, to clear his airway, appears ineffective. No response = 1, Muscle Strength: WNL, Flaccid, Contracted Nausea/Vomiting: Yes No His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Verbal command = 3 Assess Widespread Color Change: N/A pallor cyanosis jaundice erythema The oncologist is insistent that the treatment begin immediately. Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. 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In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. Scenario 2 No response = 1, Mobility: Apply restraint swift river assignment: day swift river assignments dosage minimum score 90 med minimum score 80 minimum score 90 robert sturgess linda yu linda pittmon carlos Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Keiser University Silver Creek High School (Colorado) His wife tells the nurse that he seemed very distant and did not want to talk much. She shares concern about patient's wife who is now coughing and having night sweats. John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Pain Level Increased acuity Visual assessment Sarah Getts student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. He has not had his BP medication today. Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Alert and cooperative. Observe closely first hour Robert Sturgess Scenario 1 Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Scenario 1 Evaluate understanding Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Check pedal capillary refill Fall, Risk for True IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Dr. Brown, Educational Needs Increased acuity Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Fear True Safety -Tell the patient that they are being admitted to r/o any cardiac issues Nausea: False Chronic Pain False Clear liquid diet. You arrive in room to check on her, after washing hands. Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Scenario 2 Scenario 4 Notify lead nurse/doctor -Explain procedure to the patient Provide information for MD to call family at home and explain what has just happened Senario 5 Notify doctor for Foley catheter Scenario 1 Document Procedure Impaired Skin Integrity, Risk for True Disoriented to time and place, speech slurred. You question her while reviewing her operative consent and determine that everything is correct. Head/Face: Symmetric Asymmetric Drooping He has a 20-year one pack history of smoking. Acute Pain True RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 We have more than 20 years' experience in the industry providing a quality service to our clients We pride ourselves on our customer-orientated service and commitment to delivering high end quality goods within quick turnaround times. Ms. Getts is requesting water to drink. Peripheral Neurovascular Dysfunction True. Noncompliance False She has arrived in pre-op and about to have surgery this morning. Explain that he will probably not be going home at least until his doctor sees him. Use therapeutic communication/Active Listening Mr. Sturgess does not have a living will or durable power of care completed. Verify call light/bed safety precautions Respirations Scenario 3 Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Safety Scenario 5 156 terms. Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Senario 4 Scenario 3 Chronic pain: True The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Scenario 5 Increased fall risk. Family in room with patient very concerned. Perineal Care No Known allergies (NKA). Psychological Needs Normal acuity Present health assessment including B/P and LOC and dressing. Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! Scenario 5 Scenario 5 NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. -Reassess patient He has been taking his HIV medication daily. Scenario 3 -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Fall, Risk for True Assess 20ga. Impaired Gas Exchange True Begin post op education for day one Dr. Donofrio, Physiological The patient is asking you where her son is, the last place she saw him was right before the explosion. Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Nausea: False -Call security for assistance and compliance officer His orthostasis is normalized after a second liter of NS was administered. DSD (dry sterile dressing), forehead laceration clean and dry intact. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not recognize son today which is new for her; Neuro assessment and vital signs q1 hr. VS: BP 158/90, HR 89, R 18, T 97.8 F. Today, clubs like Hamburg City Beach Club, Lago Bay, Hamburg del Mar and StrandPauli provide a relaxed summer atmosphere with a view over the Elbe. Verify call light/bed safety precautions Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment The Swift River Nursing Simulation involves artificially representing real-world processes with sufficient fidelity to enable learning through immersion, practice, reflection, and feedback without facing the risks inherent in a similar real-life situation. , a 58-year-old male patient presents to the ER CO CP 10/10. Document results Fatigue True He does not want to return to the nursing home, and does not wish to burden or live with his children. Consult Social Service -Assess patient's ABC (airway, breathing, circulation) Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin He is aware that he may not have an erection and may need depends for bladder incontinence. Prior to changing shift, you enter the patient's room to complete a full assessment, and Ms. Monson is now crying asking to for someone to take her home! Palliative care. Fear True Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. He insists that he is not hungry and refuses assistance with his meal. He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. -Explain to the patient that he has a procedure, and he cannot eat. LLE: Non-pitting Pitting ___+ Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Extends abnormally = 2 Scenario 3 Cough: Health Change Increased acuity Obtain vital signs machine -Continue to observe urine for hematuria and document findings Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Scenario 4 Eye opening Spontaneous = 4 Hypothermia False They were also concerned about the next patient going into that room and the use of the lavatory. Students will prioritize medical surgical . Fall, Risk for True Skin cool to touch and appears pale. Abdominal Pain: Non-tender Tender/Pain Describe: How does the Med-surg simulator work?

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