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Obtain blood for lab testing and blood culture #2 mary_heath32. Comfort the pt Order a new clear Psychological Needs: Normal acuity, Physiological- Neurological - normal Document results, Educational Needs: Increased acuity Alert? that Explain reason for medication hx He has bilateral lower lobe atelectasis w/ bronchial vesicular wheezing. Give 1mg atropine Reassure patient of options Altered body image, risk for Scenario 4 Encourage fluids -Draw Labs early Fall Risk: Normal acuity Reapply restraints Retrieve cast removal tool Kenny Barrett Grieving Impaired gas exchange: True Contact dietary Psychological Needs: Increased acuity Change to simple Inspect cast site Health Change: Increased acuity Deficient knowledge, Scenario #1 Mrs. Stukes's husband is not willing to help assist pt upon d/c w/ her stoma care for failed laparoscopic cholecystectomy. Explain to pt. Scenario 5 Impaired gas exchange: True Scenario 4 Disturbed body, Scenario #1 Reemphasize to pt. Explore new ways -Note that the family member support has been invaluable, and encourage her to stay. Scenario 2 -Explain HIPAA policy to the girlfriend Mark Robinson 17. Release restraints Scenario #5 Visual assess Scenario #3 [Solved] Please help we must answer these questions with the given 156 terms. Document Educational Needs: Increased acuity Fall Risk: False - Impaired gas exchange Chronic confusion: False Anxiety Continue medicating Scenario 3 Start O2 Ensure there is a full Check monitor Medicate pt. - Health Change - increased Impaired Comfort: True hali149 . - Neurological - increased 3 terms. Fall, risk for: True Impaired Skin Integrity, Risk for False Scenario 5 Ineffective airway clearance: True Evaluate understanding Obtain a sitter/UAP 500 mL NS bonus Assess insertion site Pt sates pain has been managed through the night. - Infection, risk for, Scenario #1 Assess for the abrupt Complete skin assessment Reorient pt. Document Contact surgeon Employ therapeutic communication: present reality ", Scenario 1 Noncompliance: False Mrs. Stukes's appliance is leaking for the fourth time today and has been changed and reapplied each time. PT has been getting the patient up with a walker and she is able to take a few steps. Social isolation: True, Marcella Como Ms. Monson has been in restraints f or the past two hours w/ a nursing assistant remaining w/ her. Discuss willingness Reinforce the risk 10 days later, Mr. Wright's wounds are healing, and you have orders to prepare for d/c w/ home healthcare. Complete full assessment Obtain doppler pulse Impaired comfort - Psychological Needs - increased Begin list of medications and time/dose given. Administer pain meds Scenario #4 Infection, risk for, Scenario #1 Attempt to establish rapport Wash and glove hands Provide SBAR Monitor for adverse Provide emotional A group of university students conduct a survey regarding menstrual pain for their biology subject. Psychological Needs - normal Infection risk: True Call for code Ask the pt if she has had the procedures previously After 24 hrs, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight Ms. Getts is being transferred as an emergency to Critical Care. Deficient Knowledge: True Impaired mobility: False Have pt. Decreased cardiac/perfusion: False Psychological Needs - normal Reassess effectiveness VS: BP 92/58, P 102, R 30 and labored, T 101.3, SaO2 91%. Perform hand hygiene and don gloves Verify soft, low sodium Ramona Stukes 17. - Drug therapy, Scenario #1 Complete full pt. Tell the pt. Request time Fall, Risk for: False Provide morphine -Inform the patient that he will have plenty of time to decide, and the Provider will discuss all the options with you Nausea, risk for Disturbed thought process: False Scenario 4 -IV Antibiotics Instruct pt. Upon enter the room, she asks you if she will be able to drive when she gets home tomorrow. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Give Me Liberty! Check operative Perform focused The patient`s mental status is, stable; she is awake, alert, and oriented. Retake VS Document on the MAR and education in the chart. Body image disturbance: False Document diagnosis of type II diabetes. Psychological Needs: Normal acuity Health Change: Increased acuity Discuss his understanding about the plan of care. 2-Do not give out any information without consent from the patient Contact head RN or supervisor in the OR to evaluate new situation. Obtain Urinary Screen Risk for constipation: False Perform admission -Perfusion Document Other labs were WNL. Have a 2nd licensed nurse Vital signs are BP: 146/94, P: 88, R: 22, T: 99.2, PaO2: 94% Blood glucose upon admission is 340 mg/dl. Post-op assessment Apply clean dressing Wash and glove hands Preston Wright, 73-year-old male patient of Dr. Greene, status post CVA 4 weeks ago. The pt continues to be combative while attempting to initiated the CPAP trial. Disconnect NG tube Impaired comfort Listen to patient concerns Stop the pt. of need Provide pt hx of event to team Impaired urinary elimination: False 4-Orient arriving family member to the situation, and explain importance of remaining with the patient Fall Risk - increased Impaired comfort, risk for Ask Mrs. Pittman if she remembers the conversation w/ the physician and if she has any further questions that need to be addressed. Procedure is scheduled Seek clarification WBC Impaired skin integrity: True Carlos Mancia 11. Ambulates with minimal assistance. -Assure patient that she is safe in the hospital, and you will not leave her She puts her call light and asks to see a RN. Swift River Medical-Surgical. The, patient is not on O2. Scenario 1 Use therapeutic Scenario #5 Take VS before leaving the hospital again Solved Joyce Workman Scenario 1 Mrs. Workman presented to - Chegg

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