Neurological - increased, Acute pain Later in morning care, Ms. Como requests o take a shower stating she feels 'dirty'. Scenario #3 5-Notify the Provider of the patient and family's inquiry on next steps Knowledge deficit She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. Request the uncle come Scenario 4 Swift River Joyce Workman Room 304. Assess the injury for presence of necrotic tissue and amount of exudate. It is now third day post-op, the order is for Ms. Cumble to stand by bedside on both legs for 5 minutes a day, Scenario 1 Fall Risk: Increased acuity - Anxiety Administer nebulizer Health Change: Increased acuity Acquire daily weight Psychological Needs: Normal acuity Disturbed body: True She has been documented as being obese, new-onset hypertension, polyuria, and a rash on her abdomen. Mr. Duncan is now complaining of feeling "dizzy" when he stands Psychological Needs: Normal acuity, Physiological Reduce stimuli & VS, Educational - increased elisabeth_hamilton. Pre-medicate for pain w/ prescribed medication Evaluate understanding Explain HIPAA Reassess environment Call for help Scenario 3 Failure to Thrive True. Scenario #3 Recommend pt. - Pain - increased She is also anxious as a result of recent surgery. Explain to Mr. and Mrs. Scenario 5 Scenario 5 Scenario #2 Perform circulatory evaluation Her HbA1C is 10%. Scenario #5 Fall Risk: Normal acuity Obtain a sitter/UAP His partner is not with him at this time but will arrive soon to facilitate his discharge home. Psychological Needs - normal - Constipation, risk for Observe closely Hypothermia: False Obtain blood for lab testing and blood culture #1 Scenario #2 Contact hospital liaison Psychological Needs: Normal acuity She is 85 years old and has a history of osteoarthritis and cataracts. Hopelessness: False. Ineffective Coping: False Ensure surgical consents Educational Needs: Increased acuity to apply Wet to dry dressing w/ triple abx ointment to wounds. Have the pt. Ms. Barkley continues to deteriorate and is shouting for her family. Scenario #2 Scenario 2 Wash and glove hands She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Pt was admitted yesterday afternoon w/ HTN, BP 178/90, P 88. - Neurological - normal Scenario 4 IV with NS @ 125 mL/ hr. Kenny Barrett 6. Restart the IV Are you okay?" Pt. Redirect the pt back to her room. Orient pt. Discuss w/ pt identified home health needs Scenario #4 Dr. Brown gives orders to remove NG-tube set to gravity and to begin a clear liquid diet Notify lead RN/ DR of new circumstances Fall Risk - increased mary_heath32. Contact social services -Have TDD device on hand Assist pt -The patient is still anxious, continue to comfort and reassure her, -Comfort Pain Level: Increased acuity MCQs Set 1. Death anxiety: True Nutrition Introduce Scenario 3 Document results Notify doctor Notify MD Visual assessment Notify family as to when they may come and visit, Educational Needs: Increased acuity Mr. Sturgess does not have a living will or durable power of care completed. -Ensure pathway is clear Scenario #2 Robert Sturgess 4. Scenario #3 Scenario #4 Don PPE and have PCT assist w/ connecting the pt to telemetry Assess for the abrupt cessation of pain Check operative Scenario 5 Health Change - increased Communicate Assess pt's LOC Scenario #2 Review current Post op day 3 time for dressing change stump. Notify charge nurse Provide emotional Using therapeutic Evaluate medication Use therapeutic communication/Active listening -Consider warming the patient's hands to get an accurate reading Impaired comfort: True Do not probe further Fall, risk for, Scenario #1 Use therapeutic communication to re-orient and provide reassurance you take his vital signs which are T 101.3, P 88, R 24, BP 116/84 Contact charge nurse She also takes Metformin to control her Type 2 Diabetes.
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