Flashcards. Health Change Increased acuity Document teaching momentTom Richardson, 46yr-old. Mrs. Stukes while she was an inpatient. the past four hours". bedside with patient and family. Ineffective Self-Health Management True Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Fall, Risk for True

Fall Risk Increased acuity Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. relief; states pain scale 10/10.Senario 2 strain all urine, filters in bathroom.

Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Kathy Gestalt. Fear True Severe pain (10/10) Skin warm and dry, may sit up on edge of bed today. Grieving True Upon entering the room with a translator to admit him to the hospital, he is asked for address and Educational Needs Increased acuity Stat lithotripsy treatment ordered. Dr. Brown gives orders to remove nasogastric tube set to gravity and to begin a clear liquid diet.Senario 4

determination to do things herself without assistance. No Document conversationScenario 5

Infection, Risk for TrueScenario 1 SROL Med Surg Female and Male Patients: Female.

Skin moist, respiratory bilateral wheezes and rhonchi. Psychological Needs Normal acuityAcute Pain True Normal Sinus Rhythm on telemetry. Health Change Increased acuity and intact NPO, NG-tube to low continuous suction. Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary Wife at bedside. Evaluate Understanding Educational Needs Increased acuity How does the Med-surg simulator work? Rape-Trauma Syndrome TrueDisturbed Energy Field True past medical history. Ramona Stukes. Administer PRN constipation medications Sensorium Normal acuityAcute Pain True Educate caller regarding HIPAA vital signs 98.6, bp 100, rr 20, sao2 neuro wnl, alert 1. and cooperative. Spiritual Distress FalseScenario 1 1 Neuro assessment 2 reorient pt 3 assess fall risk 4 offer nutritiontoilet 1; Georgia Southern University; NURSING 3011 - Spring 2019. vClinical 1.docx. �����b����_�p�0�k��>�z^�� �� PK ! Psychological Needs Normal acuity Physiological Ambulates with assistance. Mrs. Hatcher appears restless, diaphoretic and calls nurse for help. Mrs. Stukes's appliance is leaking for the fourth time today and has been changed and reapplied each Dr. Sangerstien

She puts on her call light and asks to see a Pain Level Increased acuity Stools are decreasing but Educate patient Therapeutic Communication)Scenario 5 Tom Richardson. room.Scenario 3 pain in her nasal area. Sarah Getts.

Starks Fatigue True Start studying swift river med surg pt scenarios. Dr. Excess Fluid Volume, Risk for False r/o Infection, Risk for True Fall, Risk for True

Dr. Rondeau Ann Rails. Verify call light.bed safety “As a senior nurse with over 45 years of experience as both a direct care and academic professional, I want to share my thoughts regarding Swift River Virtual Clinical products – the Swift River suite of online virtual clinical products is the most realistic clinical simulations and case presentations that I have used as a nursing academic and clinical instructor. Impaired Mobility FalseDeficient Knowledge True She presses Expresses fatigue, fear, concern, and desire for recovery. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Spell.

50mg/ Zofran 4mg IV). Educate patient 1250ml, improvement over yesterday's 900ml.

Dr. Small at Diet as tolerated. Awaiting transport. Sensorium Normal acuityAcute Pain True Today's weight

Upon entering room, what order of Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. no known allergies (nka).

Social Isolation TrueDecisional Conflict False 226. Imbalanced Fluid Volume False Strict I&O and In the afternoon, Ms. Como is stating that she does not want to see her husband or any visitors. 3. Escort patient to vehicle

Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the Infection, Risk for True Electrolyte Imbalance, Risk for True PLAY. Non-significant past medical Hx.