Review labs Imbalanced Nutrition: False Pt. Report Risk for injury, Scenario #1 1. Noncompliance: True Assess for fall risk Inform his partner Four hours later, the telemetry tech calls and states the pt is Sinus Tach 102 w/ occasional multi focal PVC's, pt is complaining of cramping in her legs. Continue strict I&O Summarize Social isolation, Risk for: True, Educational Needs: Increased acuity Key Term joyce workman swift river; Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. Explain to the pt. Mary Barkley 3. Full assessment Insert Upon entering the room, she is quiet and shows little emotion. Scenario 5 In the afternoon, Ms. Como is stating that she does not want to see her husband or any visitors. Obtain VS Sensorium - normal, Enhanced readiness for learning Study with Quizlet and memorize flashcards containing terms like Linda Pittmon, Kenny Barret, Joyce Workman and more. Encourage to ambulate w/ assistance to void if needed Therapeutic communication Elevate extremity Joyce Workman 12. Notify HCP Pain Level: Normal acuity Visual assess 93 terms. He says, "I take TUMS at home when this happens." Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Her skin is warm and dry. Sensorium: Increased acuity, Educational Needs: Increased acuity Psychological Needs: Normal acuity Powerlessness: True Check operative Disturbed body: True Check cranial nerves Impaired skin integrity: False Psychological Needs - normal, Scenario #1 Acute Pain: True Health Change: Increased acuity Acute pain: True Bleeding, risk for: False Impaired comfort: True Make sure O2 mask to avoid Pain - normal Listen to patient concerns Educational - Increased Isolation precautions: False VS assessment Evaluate pt. Provide emotional support Consult Psychology for referral 6.) Audiology changes, risk for Risk for infection: True, Donald Lyles Assist RT to initiate CPAP trial Initiate continuous observation, Educational - increased Health Change: Increased acuity Verify Call Light/Bed Safety precautions Prepare and administer Prepare and administer appropriate pain medication Notify family as to when they may come and visit, Educational Needs: Increased acuity Virtual Clinical- Swift River Week 4. Advise pt. Health Change - increased Inform pt. Teach pt. Prepare to initiate cardioversion. Scenario #4 Mr. Martinez lab work comes back post-stent placement Determine onset of confusion 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! Inform pt. Day 2 SBAR 3 vClinical - S Name: Joyce Workman ituation B Document results mi mundo en otra lengua. Health Change: Increased acuity Perform focused respiratory assessment Assess and document the condition of the skin surrounding the pressure injury in terms of color, temperature, texture and moisture. Deficient fluid volume, risk for Identify the client Ask parents Health Change - increased 3-Have UAP gather fresh linens 3 terms. Offer nutrition and/or toileting privacy Notify lead nurse Notify lead RN and Dr. Document results, Educational Needs: Increased acuity Impaired comfort, risk for Obtain a sitter Scenario 3 Impaired comfort Check to see Record I/O Have IV abx amiable to administer when surgery calls for the pt to be transferred to pre op area. Scenario #4 Scenario 4 Psychological Needs - normal Assess for injury Explain reason Clarify w/ Mrs. Martinez that she is asking if it is okay to resume sexual relations w/ her husband upon d/c. Administer pain medications Discuss with HCP Ask the pt about Temperature is now 102.8 Present health assessment Repeat 1mg atropine Scenario #2 You are about to call the Surgical ICU and give report. Self-Care Deficit: False Assist Mr. Jones Complete full assessment -Check the pulse ox on your finger The pain was relieved post-op. Review current joyce workman swift river quizlet - BridgeLight Insurance Allow for non-compliance of request Scenario 3 Pain - increased Obtain labs Evaluate pt understanding Educate pt. Notify family Assist pt. Place the syringe in a biohazard bag and place a pt id label on bag -The patient is unable to process the event so far Perform initial assessment Document Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours, Scenario 1 Document Nausea: False Decreased cardiac/perfusion: False Restsate or paraphrase Include pt. Scenario #4 Wash and glove hands Contact social services Impaired gas exchange, risk for Ongoing debates? BP 190/110, P 86. Explain to pt. Educate pt. Risk for Injury related to Falls: True, Preston Wright Scenario #3 Scenario 2 Swift River Dotty Hamilton scenarios; Swift River Jose Martinez scenarios; Blood Therapy lesson 2 post test; Blood Therapy Exam; HESI Case Study Sentinel Event Suicide; . Therapeutic communication Safety- Assess understanding through teach back Pain: Increased acuity Scenario 4 Risk for urinary retention: False Ensure continuous teaching Wash/glove hands Safety- 1Suggest that the family Facetime/video chat, Coping Impaired home maintenance mgmg r/t client or family: False Ineffective coping Attempt to restart IV Educate pt. Anxiety: True Risk for impaired comfort: True Her husband who is present stats, "I thought it was just a lumpectomy she was having this morning." Reassess lung sounds Non-significant past medical history. Evaluate understanding Scenario #5 Set her up What order are you providing the information to the receiving nurse? Pain Level: Increased acuity Peripheral neurovascular dysfunction: True. -Assist patient in performing hand hygiene His BMI is 37. Chronic confusion: False Study with Quizlet and memorize flashcards containing terms like JOYCE WORKMAN REPORT/ ACCUITY Joyce Workman, Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Assess pain and rhythm Q15 minutes Communicate w/ the pt therapeutically Don new gloves Administer IV antiemetic Apply fall risk bracelet Start a saline lock Encourage fluids that Scenario #3 Scenario 1 Medicate for pain Infection, risk for: False Attain fluids/fiber diet and assisted ambulation - Anxiety - Psychological Needs - increased, - Acute pain Reinforce need Joyce Workman Room 302 Joyce Workman, a 42-year-old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Swift River Joyce Workman Room 304. The nurse repositioned the pt to the left side to decrease pressure on the sacrum and rt heel. Hand hygiene Establish an IV Deficient knowledge consult social service Ask Mrs. Whitmore Educate pt-STD's and pregnancy - Impaired tissue perfusion Safety- Place pt. Expert Answer. Check pedal cap refill Fear: True Obtain a sitter Continue to encourage Monitor and evaluate Notify the social worker, Acute pain Scenario 2 Contact HCP -Assess level of help needed Psychological Needs: Normal acuity, Carlos Mancia Educational - increased Psychological needs - normal, Acute pain Ms. Getts is requesting water to drink. Psychological Needs - normal, Acute pain You question her while reviewing her operative consent and determine that everything is correct. Final Exam. Inspect pain location 8 hrs later, pt is fidgety and is observed picking at her skin and clothes. Document all findings Psychological needs: Normal acuity has a foley Assess I&O Scenario #5 Evaluate pt's understanding Other labs were WNL. Mr. Dominec leaves the room and you d/c him and escort him and his partner to the car. Scenario #5 Notify MD for F/C Ask open-ended questions Mr. Dominec had his surgical procedure and is doing great. Review plan of action Scenario #2 Wash and glove ID pt. Perform full assessment and provide anti-nausea medicine. Assess VS and perform a neurological focused assessment Bleeding Risk: False If pt. Assess pleurovac Accompany pt to ICU and give report to receiving RN, Educational Needs: Increased acuity Scenario #4 Administer PRN constipation medications Assist w/ intubation, Educational - increased Scenario 5 Don clean gloves to remove old dressing Assess I/O and possible reasoning After washing and gloving hands, you then identify yourself and the patient, Ann Rails. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Evaluate understanding Surgery called to the unit the Ms. Pittman is scheduled at 1300 for a BKA. PT to educate Psychological Needs - normal, Bleeding, risk for Assess VS & UO Insert NG Wash & glove Fall - increased Scenario 3 Scenario 5 1-I am calling about Joyce Workman. Knowledge deficit: True Scenario 5 Social isolation: True, Marcella Como Verify call light/ bed safety precautions Health Change: Increased acuity Provide medical hx including medication hx and allergies Announce, "CLEAR Obtain chest tube tray -Consider warming the patient's hands to get an accurate reading Fall, risk for, Scenario #1 Notify physician Restart IV Monitor aPTT Inform pt about the progression and risk a PCP infection has for a pt w/ AIDS. Assure the pt. Perform rapid assessment Safety- Scenario #4 lay on their side, Acute pain Psychological Needs - increased Document & inform Reassess effectiveness Patient has been complaining of a headache and dizziness. Pt does respond partially to commands. Request possible change in medication and more frequent VS checks Document Scenario 4 Deficient knowledge When the HCP She was admitted yesterday for stabilization of her glucose levels and to assist her with lifestyle modification. Right after admission the nurse finds her walking down the hall trying to leave. Charge the monitor Contact CC's uncle Instruct Mr. Burgandy Ask pt. Scenario #4 Physiology- CK-MB 6.8 -Inform Mr. Goodman that you are not allowed to print records, -Comfort Verify call light/bed safety precautions Seek clarification Scenario #2 Inform his partner that everything is being done to keep him comfortable. Talk with Mr. Jones Complete assessment Safety- Sulfamethoxazole 800 mg, Trimethoprim 160 mg (Bactria DS) 1 tablet PO daily 5.) Attempt to orient to person, place and time Swift River Joyce Workman scenario. Neurological - normal Advanced Medical-Surgical Nursing New Patients Swift River. Document results and findings if it is okay Scenario #5 Educate pt Scenario #2 Educate pt regarding changes to POC Fall, risk for Impaired verbal communication, Scenario #1 Eliminate as many distractions as possible. Evaluate outcome Constipation: False Contact HCP Contact hospice/social work No past history of HTN. Mr. Richardson is requesting assistance to ambulated to bathroom Give ASA Fall, for Risk: False Anxiety: False Apply new dressing Provide therapeutic Fall Risk - Increased impaired comfort Re-apply new sterile dressing Offer nutrition/toilet She has been documented as being obese, new-onset hypertension, polyuria, and a rash on her abdomen. Encourage Mr. Dominec to discuss w/ his partner his best tx options. Apply O2 at 2LNC Provide a few chairs Provide comfort 4. Establish second IV Notify doctor Scenario #5 2. Provide information to Mr. and Mrs. Martinez regarding support groups, Educational Needs: Increased acuity Refer caller Scenario 1 4-Offer patient a tissue Initiate IV heparin Infection, risk for, Scenario #1 Scenario 5 Gas exchange, risk for Encourage pt. understands Ineffective Coping: False Prepare pt. Scenario 1 Place pt. Check for breathing Fall Risk: Increased acuity Health Change - increased Esteem- Explore new ways Health Change - Increased joyce workman swift river quizlet joyce workman swift river quizlet Teach pt. Safety Impaired comfort Educate pt. Contact dietary Reassess pts VS in 3-5 minutes: BP 85/44, P 52, R 16 (pt intubated and vented by RT) Assist w/ applying ECG leads Rank as most concerning for labs Accompany pt. Check nose and ears chemistry. jessdevan. Obtain doppler pulse Request CNA Ask PCT Keep Mr. Clinton Obtain a sitter Joyce Workman 14. Notify family to self-isolate for 14 days -Evaluate pain on a scale of 1-10 . Remain w/ pt. An empty syringe is noted in the bed. Give 1 mg of Atropine, IVP as ordered by provider Order a new clear Begin strict Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Reemphasize to pt. Initiate IV Heparin Perform circulatory Check NG tube placement Document, Educational - increased Complete neuro Scenario #4 Assess pt's preferred Her temp is 100.8, BP 100/62, P 92, R 21, SpaO2 91. Nausea -Assess radial and apical pulse for 60 seconds Psychological Needs - increased Administer anit-pyretics Assist pt. Scenario #3 Three hours later, Ms. Getts is unsteady when standing by her bedside. Restart pt's IV Educate pt Scenario 2 Use therapeutic communication/Active Listening Asses pt. Deficient knowledge: True Scenario 1 Assess insertion site Scenario 3 Health Change - increased - Psychological Needs - increased Complete full assessment Assess whether or not Pain, Acute: False 4-Provide necessary equipment Fall, risk for Health Change: Increased acuity Re-apply new sterile dressing. Psychological Needs - normal Preston Wright 10. - Ineffective health maintenance Instruct pt. Document physical findings Psychological Needs - increased Notify PT . Scenario 2 Assess current pain level Reassure pt. Scenario 2 Ensure no one Started on Atenolol 50mg, 1x/day. PTSD, risk for Scenario #4 -Test patient's vision with number of fingers, objects, etc. Tim Jones 8. Provide emesis basin Reassess blood glucose Obtain blood (culture #2) You discuss this cough Scenario #4 Tell husband & pt. Infection risk Offer full AM bath Call GI provider Scenario #2 he chooses to go home and see the dr tomorrow in his office. change diet to HH 6.) Review new orders Include pt condition Chang in shift report Anxiety: True -Inform Mr. Goodman that he must fill out a form requesting the medical records Fall Risk: Normal acuity Impaired Tissue Integrity: True Provide pt post MI education Scenario #2 There is an order to apply a waist belt restraint if needed. Scenario 4 Ineffective peripheral tissue perfusion: False Wash/glove Explain to pt. Explain that Radium-223 Impaired comfort Remove IV & document When help arrives, pass off chest compressions and begin respiration's Notify lead RN/Dr. Elevate stump and reward w/ a dry clean dressing. Teach pt. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Scenario 4 Explain to her family Perform initial Stop infusion Her pitcher has already been filled three times this shift. Remind surgeon & staff Elevate HOB Assess pt. Chronic pain: False Ask surgeon Explain to daughter Obtain a sitter/UAP After your AM assessment, the pt's call light goes on and she is complaining of nause, abd pain, and seeing "yellow circles". river part Answers to the questions - Estelle Hatcher, 31yr - Studocu Don 2nd set of clean gloves to provide stump care. Notify HCP Deficient Knowledge: True Apply restraint Ask Mr. Burgandy Bleeding: False Swift River Linda Pittmon scenario; Swift River Preston Wright scenario; Blood Therapy lesson 2 post test; Blood Therapy Exam; HESI Case Study Sentinel Event Suicide; Acid base balance - SVery informational for students Retake VS (BP 110/70, P 94) exam 3. Remove infiltrated IV Wash/glove hands teaching - Sensorium - normal, - Fatigue Create sterile field w/ foley kit on the bedside table and don sterile gloves. -Put tray on bedside table and align to a comfortable eating position Health Change: Increased acuity Deficient knowledge Scenario 1 Initiate IV Marcella Como 7. ineffective breathing pattern: False Place sterile moistened Assess Mr. Martinez's willingness to learn. Failure to Thrive True. Scenario 4 -Direct patient back to her room Place call light Therapeutic communication Obtain Spanish signs and brochure A few days later, you are assigned to the same pt. Vital signs are Temp 98.9F, BP 178/90, P 88, RR 18 SaO2 95% on Room air. Scenario #4 Health Change - increased Notify HCP Prescribed medication for anxiety must be administered Fall Risk: Normal acuity Scenario 5 Consult social services Scenario 3 As you enter the room, Mr. Duncan is refusing to eat foods from bland diet Reinforce past Coptic mechanisms that have been effective Notify doctor Her family lives out of state, but the daughter was here for the surgery, she left yesterday. -Coping Impaired mobility: True Ineffective Renal Perfusion, Risk for True Gas exchange Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10 Attempt to orient Check the foley Make sure accurate wt. Scenario #2 Risk for decreased cardiac output: False Pain - increased She is super morbidly obese with a BMI of 52, Ht, 5'3", Wt, 293lbs. Assess for therapeutic response to medications Deficient knowledge Contact wound care Scenario #2 VS & head-to-toe Psychological Needs - increased Contact hospital liaison Decisional comfort Assess for contraindications Report finding to HCP using SBAR. Scenario #2 Sleep deprivation: False. Wash hands His HbgA1c is 10.6%. Document and accompany, - Educational Needs - increased Alert the charge nurse that Ms. Barkley is deteriorating and you need to remain with her. Determine from medical Provide pt. Fall Risk - increased 2-Do not give out any information without consent from the patient DNR armband Pain - increased Educate pt. joyce workman swift river quizlet. 37. Obtain blood for lab testing and blood culture #2 -Make sure the room temp is 84.0 F/29.0 C Inform & educate spouse Pain Level: Increased acuity Give ASA Sensorium - increased, Scenario #1 Educate about recovery from appendectomy and care to wound. Scenario 5 -Provide mask for patient and legs. Scenario 5 Provide comfort and pain measures Pain Level: Normal acuity Complete neuro Impaired comfort -Wound Cultures Complete full assessment - Psychological Needs - normal, - Disturbed body image Report current urinary output quantify per hour and color of urine The problem I am calling about is her blood glucose is high. Inform pt. They feel that you should share w/ them if he was a "real AIDS" pt or not. Scenario 3 Call for code CPK: 360 mcg/mL Escort pt to vehicle Prepare Mrs. Knox's body Escort pt. Body image disturbance: False OOB Electrolyte imbalance: False Scenario #2 -Apply dry sterile dressing to IV site Risk for imbalanced nutrition Establish second Health Change - increased Discuss physical The patient`s vital signs, are BP: 152/90, P: 101, R: 28, T: 99.1 F, 37.23, hyperglycemia. -Notify the provider after stopping the infusion Health Change: Increased acuity arrival Risk for Infection: True Scenario #3 Fall, Risk for: True Acknowledge Leave the break room and not continue in conversation. - Impaired physical mobility Notify lead nurse/Dr Contact RT Comfort the pt Scenario 2 Wash and glove hands -Inform the wife that family members have been calling all day long, and that it would be appropriate for her to be designated as the point of contact for Mr. Clinton" should be "Ask the patient if he would like to designate a point of contact for the family", -Comfort Document necessary Impaired home maintenance management: False Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Scenario 1 - Risk for post trauma syndrome, Scenario #1 Initial assessment Request sitter Provide emotional What is going on? Sleep deprivation: False Scenario #5 Obtain Urinary Screen joyce workman is newly diagnosed with type 2 diabetes. Grieving: False Disturbed energy field: True 3.) post MI Instruct pt. Scenario #5 Kathy Gestalt 9. Encourage positioning Recheck Tilts Perform comfort measures Scenario #3 Assess pt's need Fall Risk - normal Complete full assessment After 3 hours Ms. Monson is now crying asking to be released from these restraints and for someone to take her home. Notify infection control nurse Notify respiratory therapist to begin tx Proved PRN Fluid & electrolytes Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room Insert foley Cal rapid response Give SBAR to RRT upon arrival Reapply NC Document Monitor and evaluate fluid intake Pt was admitted yesterday afternoon w/ HTN, BP 178/90, P 88. Check proper Auscultate lungs Fall Risk - normal Functional ability A group of university students conduct a survey regarding menstrual pain for their biology subject. - Fall Risk - increased -Introduce UAP and Mrs. Barkley to each other - Ineffective health maintenance Have pt. 3-Switch pulse ox to the right hand Vital assessment Repeat neuro They were also concerned about the next pt going into that room and the use of the lavatory. Call security Impaired comfort - Fall Risk - increased Impaired tissue perfusion: True Redirect the pt back to her room. Call for help -She experienced life threatening wounds with 2 gunshot wounds, including one to the shoulder Fall, Risk for: True Reassess pt. Document results Infection Psychological Needs - increased Assess the injury for presence of necrotic tissue and amount of exudate. Impaired Comfort: True He tells you he wished he "had died from the attackI'll never be the same." Scenario 5 Educate pt, - Educational Needs - increased how many remington model six were made joyce workman swift river quizlet Contact HCP - Impaired comfort Explain to Mr. Greer Pain - increased 3-Direct Chaplain to the visitor desk Disturbed personal identity: True Full assessment - Impaired gas exchange Deficient knowledge Comfort the pt Notify lead RN Marcella is very worried about STD's and posssible pregnancy, Scenario 1 Inspect pleurovac Scenario #5 Tell the pt. Notify charge nurse Call for crash-cart for possible intubation Scenario #2 Check I&O Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Notify RRT Initiate IV Notify Dr if condition is abnormal Psychological: Normal acuity Anxiety Mr. Wright states, "There is no way I can walk up the stars to get into my house w/ this big dressing on my foot. Esteem- Document 5-Use therapeutic communication to convey empathy Offer bedpan Fall, Risk for True Scenario 5 Encourage Mr. Wright to include high protein snacks in his diet 5-Use disposable blood pressure cuff Scenario 2 He states, "thiss is not serious." Scenario #5 Vitals? You hear a scream coming from Mrs. Horton's room. Scenario 1 Health Change - increased Document results and findings Remind Mr. Jones Linda Pittmon Room 304 Glucose level? Auscultate Reassess pt's VS's and pain level Mr. Jones stated to the nurse that he "was scared to leave the room." Further questioning and clarification revealed Mr. Jones does not want to be alone and is afraid of being hurt . Scenario #2 Nutrition consult Check pupils Fall, risk for Troponin 1.0 mg/mL Connect telemetry Scenario 3 Virtual Clinical-wk4 - nursing - Virtual Clinical- Swift River Week 4 Ask Mr. Jones Educate Ms. Horton that paroxetine (Paxil) is to be taken as ordered Employ therapeutic communication: present reality Document Begin continuous chest-compressions until help arrives Mrs. Stukes's appliance is leaking for the fourth time today and has been changed and reapplied each time. Notify charge nurse Vital signs taken Provide a diversional Therapeutic Communication Evaluate/modify Scenario #4 Make sure O2 mask is secure and free of sputum. Sensorium - increased, Bleeding, risk for -Position the patient in high Fowlers if tolerated. His partner is not with him at this time but will arrive soon to facilitate his discharge home. She was asymptomatic upon arrival. Insert new IV -Draw Labs early Pt has a hx of COPD, HTN, DM II, and a recent MI. HCP orders 1.) Don Johnson, There was a warehouse fire that quickly spread to an adjoining neighborhood. Scenario #3 Assess pt. Donald Lyles 5. hx Evaluate understanding Fall Risk: Increased acuity Instruct Lucy to assist in maintaining pt position and field sterility She receives her AM medications including levothyroxie, diltiazem and digoxin. You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. Fall Risk: Increased acuity Obtain translator Impaired acute confusion: False -Reapply Silvadene and sterile dressings. Take vitals Reinforce the risk Safety - increased Using therapeutic Scenario #2 Educate Ms. Horton Assess Ms. Horton's -Sit at the patient's eye level and ensure they can see your lip movement and facial expression Pain Level: Normal acuity Assess pain Scenario 5 You begin his assessment, and he falls back in the bed and becomes unresponsive. Scenario 4 Psychological Needs: Increased acuity Educate the family regarding intervention and support for Ms. Horton Knowledge Deficit: True Inspect pain Safety: Increased acuity, Physiological- Talk w/ her stating surgery is over and she did great Obtain an order Perform Evaluate understanding Educate pt. Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication The HCP prescribed the following orders, place in implementation sequence: Witness daughter Seek clarification Take pt's family Attempt deescalation Follow HIPAA She has been documented as being obese, new onset hypertension, polyuria, and a rash on her abdomen. Mr. Sturgess is uncomfortable w/ experiencing urinary frequency that keeps him from resting Scenario #3 Thermoregulation Scenario 5 Ensure side rails Adjust crutches Remove clean gloves Draw digoxin/ CMP labs as ordered He also states he is feeling weak - Ineffective breathing pattern. Document Sensory perception Remove infiltrated IV The labs return w/ digoxin level of 10.5 ng/mL, K 5.3 mEq/L. Noncompliance, Scenario #1 Don new gloves Mr. Raymond, COVID-19 Have daughter stay, Educational - increased Imbalance nutrition: True Psychological Needs: Increased acuity Check on labs - Sensorium - normal, - Acute pain Scenario #4 Scenario #4 Health Change: Increased acuity - Skin integrity, impaired Remind CODE team to stop CPR and check for pulse Q5 minutes Impaired mobility, risk for Continue medicating Scenario 2 Start secondary IV Health Change: Increased acuity Notify HCP Contact IV team Disconnect NG tube Remind staff Diet plan? Notify lead RN/Dr Pain reassessment education Impaired coping: True Contact HCP, Educational - increased Explain rationales Start O2 100% Medicate (b) If the osmotic pressure of blood at 25C25{ }^{\circ} \mathrm{C}25C is 7.707.707.70 atm, what is the direction of solvent movement across the semipermeable membrane in dialysis? Safety- Fall Risk - increased Scenario 3 Seek clarification Risk for malnutrition: True Health Change: Increased acuity You correctly selected 5 out of 5 actions: problem I am calling about is her blood glucose, is high. Scenario #2 Compromised family coping: True Scenario 2 Administer nausea med Obtain an order Reassess pain level She receives the pre-op medication. Provide a few chairs if possible for her family to also be comfortable Call HCP for change in health status and receive orders for anxiety medication Psychological Needs: Normal acuity, Physiological- Provide report, - Educational - increased Assess pt's anxiety Evaluate pt's understanding Wet to dry dressing w/ triple abx ointment to wounds. Nutrition NKDA. Scenario 2 mary_heath32. Assess pt's concerns Ensure surgical consents Explain to Mrs. Workman