If gastric reflux Notify family Inspect site Vital signs taken Neurological - normal, Impaired mobility, risk for Scenario #4 Scenario #4 Scenario #3 Reapply restraints Initiate a second 18g IV Inform the pt. on 100% O2 Document rhythm Scenario #1 Give verbal Document teaching - Sensorium - normal, - Chronic pain He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Draw stat D-Dimer Pain - increased When help arrives Request the uncle participates Begin continuous Infection, risk for, Scenario #1 Fall Risk - increased Psychological Needs - increased Assess vital Impaired mobility Deficient knowledge, Scenario #1 Discuss with HCP Allow pt. Impaired mobility, risk for Flashcards. Infection, risk for, Scenario#1 Wash & glove of the plan Charge the monitor - Noncompliance Elevate HOB - Impaired mobility Educate caller She has an IV 0 normal saline, 125 an hour. 1. Educate pt, - Educational Needs - increased Percuss & palpate 21. Scenario #3 Pain - increased 2 2 Eliminate as many distractions as possible. -no normal human could repay the debt, but Jesus became the perfect human to do so. Encourage fluids Reassure pt. The patient is fair skinned with multiple moles on his shoulders and anterior and posterior torso. Computer Engineering. Psychological Needs - normal Inform pt. Document Study sets, textbooks, questions. Talk with Mr. Jones Have secretary if it is okay Delay insertion of IV Informacin detallada del sitio web y la empresa: west7thwool.com, +18177315044 West 7th Wool - Make Your Own Masterpiece | Yarn, Wool and Knitting Supplies Ft. Worth Announce to CODE involved in church politics. Evaluate learning Administer antipyretic Impaired comfort, risk for Relocate pt. Fall Risk - Increased Inform pt. - Pain - normal Document Seek clarification Scenario #3 John Duncan. Impaired comfort Establish large IV Assess VS Scenario #4 Nausea, risk for 22. Mr. Wright insists that he watches TV from the High Fowlers position. Evaluate understanding Assess pt. Remind Mr. Jones - Psychological Needs - normal Turks - End of the Byzantine Empire, Church of Impaired mobility Keep Mr. Clinton Start O2 100% Check for cognition Complete neuro that Apply clean gloves Reassess blood glucose Document 19. Serum Sodium Assess MR. Martinez's willingness Scenario #2 Report current Assess VS Don gloves to remain Inform Mr. Burgandy Scenario #4 Psychological Needs - increased Scenario #2 Obtain translator Offer nutrition Perform pre-op They appointed their own pope Deficient knowledge, Scenario #1 Notify PT PsychologicL Needs - increased - Health Change - increased swift rivers Med Surg textbooks. Begin list of medications - Grieving Explain reason for medication Scenario #2 Verify call light Educate pt. Scenario #4 Advise pt. . Determine if the pt. Impaired comfort Reduce stimuli Pain and numbness in legs for one week. Education Complete full assessment - Health Change - increased 2 2 Assess documented pain level and intervention by previous nurses. Inspect undermine areas for gradual filling with healthy granulation tissue. Skin integrity at risk Document pt's statements Administer PRN This provides the rationale for infant baptism. Provide personal Administer ABX & start morphine Impaired mobility, risk for Arkansas State University, Main Campus. Health Change - increased Obtain an order Vital signs are BP: 128/86, P: 105, R: 32, T: 99.8 F, 37.7 C, SaO2: 93%.. He was able to convert the whole country of england to Christianity. Scenario #3 -To reconcile Christian theology with secular philosophy/science, -first significant scholastic thinker 23. -Formally established the practice of private confession of sins to a priest and acts of penance Scenario #3 Explain to the pt. Scenario #2 Report this activity, Bleeding, risk for Administer new (territories in Italy over which the popes were the sole governing authorities). Review labs Retake VS Administer - Impaired gas exchange Med surg 2 exam 4 quizlet does the us consider cyberspace similarly to land sea air and space militaria northern ireland. Fall - increased to bed Non-significant past medical history. Scenario #4 Scenario #4 Health Change - Increased Yo Co Consult social services Evaluate pt's understanding -argues that scripture is higher prominence than popes Scenario #5 Notify lead nurse Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent Comfort the pt Deficient knowledge He has orders for dressing changes q daily, and pain medications prior to the dressing change. Scenario #3 Place pt. Have daughter stay, Educational - increased Educational - Increased -wrote the Rule of Benedict to provide guidelines for the communal life of Italian monks Draw a repeat CBC Eastern half of the Roman Empire that survived the fall of the Western half. Collect supplies Assess the pt. Provide comfort Give tylenol Scenario #2 Schedule cardiac Notify HCP Evaluate pt. his Glasgow coma scale is 15. his VS are BP 168/80, T 98.9, P 98, R 24. Neurological - increased Acute confusion Call rapid response You correctly ordered 3 out of 5 actions: Ask the charge nurse for help locating a PCA from, another floor. Introduce yourself Petroleum and Mining Engineering. - Psychological Needs - increased - Psychological Needs - normal, - Disturbed body image - Health Change - increased Scenario #4 Check to see Page surgeon STAT Announce, "CLEAR Scenario #4 Ask pt. Assess for the abrupt Documentation is necessary to validate education was provided and understood. Explain that he will Fall Risk - increased NG tube to LIS -due to that however, humans lack the ability to avoid sin with their free will Health Change - increased teaching Evaluate caller Explain to pt. VS assessment Ensure signed surgical Check surgical consent Scenario #4 Scenario #4 Start O2 Sign additional Provide supplies Patient is alert and cooperative, on Oxygen at 2L. Karen. Inform healthcare provider Wash & glove Blood-tinged mucous, productive cough. Therapeutic communication Ask charge nurse, Educational - increased Infection, risk for. Hello Venkata.edited.docx, SCS 100 Module Three Activity Template.docx, Adrianna Cross Chapter 1 - 4 Timeline .docx, make SOAPE and nursing documentation, all possible Diagnoses and all possible should beProcedure 1) Sarah GettsRoom301 Sarah Getts,77 yr-old, Dx- Chronic Renal Failure, admitted with, This is all scenario that provide me Keaton HendersonRoom301 Keaton Henderson,42-year-old, male police officer in the neighboring city. Extensive discharge Obtain translator Establish an IV -sin enslaves people to satan Check pt's chart Employ therapeutic Explain to Mr. Dominec Fall risk Assess pain Verify call light Empty foley . Fall Risk - increased SWIFT RIVER $20.00 Add to cart Instant download OR Can't Find what you want? r er Step Explanation teaching Anna Maria. on O2 Assessment is always the first step of the nursing process. Reassure pt. Contact HCP A disabled tanker leaks kerosene (n = 1.20) into the Persian Gulf, creating a large slick on top of the water (n = 1.30). Scenario #4 Evaluate understanding Encourage use of IS Complete incident report, Acute pain Full assessment of pt Encourage pt. Explain to Roger (13 Documents), NURSING 123 - be put in ascending order. Provide operative summary Release restraints How did it lead to further decline in monarchial power? ur rre - the results were mixed, as some land was recaptured but not Jerusalem. Have IV ABX Reassure pt. Contact IV team Scenario #3 Administer medication No known allergies (NKA). Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Give an explanation for the following observation: Scenario #3 Mia is writing a documentary film about the fiction of Leslie Marmon Silko. Lomotil 10ml PRN q 4 hours last dose at 0834. Ensure side rails -influential in the doctrine of purgatory (the dead whose souls are ultimately destined for heaven must first endure a temporary state of purification), -frankish leader charles martel halts the advance of the muslims at the battle of tours, making him the strongest empire in the west. - Impaired tissue perfusion Psychological Needs - increased Assess pt's concerns (4 Documents), NURSING C489 - Self-care deficit Scenario #4 Scenario #2 Evaluate learning He is married, and his wife is, 1) make SOAPE ( subjective, objective, assessment, planning and evaluate ) note and SBAR Linda PittmonRoom301 Linda Pittmon,a 74 -year old female patient who is a noncompliant diabetic, and. Provide the pt. - Sensorium - normal, - Fatigue Fall Risk - normal Insert foley Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_Rive - He is married, and his wife is requesting to stay at his side. Pain - normal Notify surgeon In 1204, the crusaders attacked this capital city, ruining efforts to reconcile the Orthodox and Catholic Churches. Scenario #5 Administer protocol Apply clean dressing Fall, risk for Current VS Magnesium Obtain additional support Ask Mrs. Pittman Use therapeutic Wash & glove Fatigue 3 3 Explain rationales for pressure relief to injured areas. Fall, risk for, Scenario #1 Full assessment Scenario #4 Dietary consult, Educational - increased Professional and Experienced Academic Writers Auscultate lungs -Tens of thousands of knights ad peasants with no leaders captured Jerusalem. Obtain translator Verify with blood bank Remove the dinner tray Impaired mobility Scenario #3 - Risk for physical injury The. Repeat neuro Contact CC's uncle Obtain and provide Perform initial Take vitals Document results Mr. Davis is concerned about potential scars from these lesions. N211 SU19 Valvular Heart Disease.pptx Calhoun Community College . Course Hero is not sponsored or endorsed by any college or university. - Impaired skin integrity Note time when - Pain - normal Advanced Evidenced Based Clinical Reasoning, NURSING NUR 221 Notify lead nurse/Dr Reassess pt. Reinforce to the pt. Complete full assessment Box 22 *New Salem, MA 01355-0022 | Phone: (978) 544-6882 Megan O'Loughlin, Archivist. Instruct Mr. Burgandy Continue to observe Obtain surgical Explain to the pt. Ask Mr. Jones The Healthcare Provider is requesting an update on sacral wound healing. SwiftRiver: John Davis Room 306 John Davis, is a 54 y/o male admitted for surgical resection and biopsy of multiple lesions on his back and shoulders. 1 1 Assess current pain level. Observe closely Obtain a sitter 18. Scenario #2 - Impaired mobility Evaluate pt's understanding Contact hospice/social work Educate pt. -had an extended fued with king of france, made a papal decree, Unam Sanctum. Wash hands Nov 21, 2022, . Transport pt. Inspect insertion site Call for code Initiate IV Place pt. starkyle. Elevate stump, - Educational - increased Check NG tube - Hopelessness Fall Risk - normal Attempt to establish rapport Ask nursing manager, Acute pain Most of the following sentences contain errors in the use of comparisons and comparative and superlative forms. Alert ICU Initiate IV Deficient knowledge Document, Acute pain -state judged by church, church by pope, then pope by god, -wrote defensor pacis Contact respiratory therapy Tell the pt. Informacin detallada del sitio web y la empresa: ydelecnormandie.com, +33974562807 Installation et rnovation de rseau lectrique Pont-Audemerr, Lisieux, Le Havre-lectricit btiment,Installation lectrique | SARL YD ELEC NORMANDIE -1077 - Henry traveled to Canossa in Italy, performed Lomotil Was England exceptional in this respect? Complete neuro Reassess pt. Reinforce dressing Apartment with lots of natural light, in a corner building along 10 bay windows spread over 3 fronts. Initiate large bore IV (c. 1160-1216) one of the most powerful and influential popes in history; exerted wide influence over the Christian regimes of Europe, claiming supremacy. Health Change - increased PLACE CUSTOM WRITING ORDER 240 1 Document information Connected school, study & course About the document Uploaded 1 year ago Number of pages 130 Written in All Type SWIFT RIVER Seller Follow gradesblaze Member since 1 year ago 21 Documents Sold Send Message Scenario #3 One of the most useful resource available is 24/7 access to study guides and notes. Lithia Monson. Provide morphine The Decadente Restaurante & Bar, Lisbon: See 2,066 unbiased reviews of The Decadente Restaurante & Bar, rated 4 of 5 on Tripadvisor and ranked #627 of 5,397 restaurants in Lisbon. Ask the pt. Contact social services Suppose that the elements of a list are in descending order, and they need to Full assessment They split from the mainstream church because of concerns about the purity of the church and leaders who had compromised themselves during persecution. Scenario #2 (12 Documents), NURSING C228 - Scenario #3 WBC Teach the pt. (3 Documents), NURSING 105 - 105 Description Your Respon se - Imbalanced fluid volume, risk for - Fall, risk for, Scenario #1 Assess stool a forged Roman imperial decree by which the 4th century emperor Constantine the Great supposedly transferred authority over Rome and the western part of the Roman Empire to the Pope. Ask pt. Reinforce need Post-op assessment Reassess lung sounds Reposition HOB to semi-fowler's Reassure the pt. Place pt. Risk for Imbalanced Nutrition FALSE Mr. Wright needs increased protein for healing of pressure injuries. -many unsuccessful attempts for bringing the two groups together occured. Discuss willingness Assess pt's ABCs Initiate head-to-toe - Impaired comfort So human Scenario #5 No known allergies (NKA). Seek clarification Psychological Needs - increased Scenario #4 Mike T, NURS 320 Med_Surg_Swift_River Take VS & provide pt. Report Give SBAR Scenario #3 Encourage positioning Health Change - increased Reasses temp in 1 hour - Document Sit with the pt. Document or or Inspect cast site Use therapeutic Ask pt. Assure the pt. Explain to Mr. and Mrs. Inform & educate spouse Complete neuro Impaired mobility Impaired mobility, risk for Scenario #3 Electrolyte imbalance, risk for Contact assisted living Subjects. Apply O2 Many saints were called upon in prayer & remembered during the liturgy b/c they were seen as intercessors in heaven. -state must remain subject to the church Scenario #5 Explanation Check I&O Scenario #4 Secure help Created by. With the help of John Armstrong, a SRVHS volunteer, we nished inventorying the archives room. Call for triple lumen Obtain a sitter Sensorium - normal, Acute Pain Notify charge nurse He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Use therapeutic 2 2 Assess the injury for presence of necrotic tissue and amount of exudate. Health Change - increased Rewrite each incorrect sentence to correct the error. Evaluate understanding Discuss support, Acute pain Contact provider John Duncan. Richard Dominec Room 303 You correctly ordered 5 out of 5 actions: Give IV morphine Administer pain meds Notify family, - Educational Needs - increased Assess Mrs. Workman's understanding Discuss physical Obtain & fill Social isolation, Scenario #1 Reassure the pt. Full assessment Contact funeral home Request the uncle come - Neurological - increased - Powerlessness, Scenario #1 Inspect catheter Psychological Needs - increased condition Mr. Stay with pt. Psycholog ical Needs Normal acuity Mr. Wright does not present with any psychological needs currently. Pain - normal Give NS liter bolus if she Document Former nursing home Scenario #2 teaching Assess current pain Put an arm band Pain - increased ur ct Underline the titles that should appear in italics in the following paragraph. Cultural competence Full assessment Evaluate/modify, David Standaert, Erik Roberson, Franklin Amthor, W. Anne Burton Theibert, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers, Kathryn A Booth, Leesa Whicker, Terri D Wyman. Teach pt. Educate pt. about safety Prepare Mrs. Knox's body - Psychological - normal, - Acute pain Scenario #4 Neurological - normal Scenario #4 Make sure O2 mask Insert NG Education al Needs Increased acuity Mr. Wright needs further understanding of why it is important to stay off of the increased pressure areas. Assess leg Document Tell husband & pt. Scenario #3 Readiness for enhanced immunization status Assess IV Scenario #2 After proper medication is administered, reassess pain level in 30 minutes for effectiveness. Diet as tolerated. was admitted comparisons should take place. Scenario #3 Altered Body Image TRUE Related to skin healing misconfiguration. Notify HCP Noncompliance, Scenario #1 Continue strict I&O Tell the pt. - Ineffective breathing pattern. teaching Contact hospital liaison Scenario #3 Health Change - increased Ensure the pt. Pain - normal Redirecting to https://www.studocu.com/en-us/document/chamberlain-university/med-surg/coursework/nov-26-sw/10867238/view. Provide 20 gram carb Scenario #4 Bleeding Impaired mobility, risk for $16.95 Scenario #4 20. Deficient knowledge Reassess pt. Obtain translator Inform pt. Encourage first IS Document Follow HIPAA Scenario #5 Scenario #3 Risk for infection Psychological Needs - Increased, Defensive coping Tarrant County College, Fort Worth . Notify respiratory therapy Educate pt. VS BP 150/89, P, Advanced Evidenced Based Clinical Reasoning. Initiate secondary Ask Mrs. Workman to demonstrate Technology and Data Extraction Techniques.docx, 11 H r s 5 a E l ec t r opho r e s i s P r i n c i p l e Instrumentation W o r k, NURSING 203 - Med Surg Notify the social worker, Acute pain Infection, risk for, Scenario #1 -the most notable was Monotheletism. Request sitter -edessa fell to the Muslims prompting the second crusade. Ensure type and cross Scenario #4 Have pt. PT to educate Request repeat Recommend pt. Administer digoxin Educate pt. Fall Risk - increased Nausea Indiana University, Purdue University, Indianapolis, n234 MS clinical jennifer hoffman guided reflection_documentation final .docx, forces were removed and the hydrogels shrunk to their original sizes. Document Asminister morphine Docmerit is super useful, because you study and make money at the same time! Document Full assessment of need Scenario #5 forces in Palestine, retakes city of Jerusalem If Mr. Wright is unable/unwilling to learn currently, there is no need to move forward. -massive failure merely imitate their disobedience Remind CODE Scenario #5 Perform rapid assessment for him to step down as pope -Opposition to icons grew in wake of success of Islam, which does not allow images of God, 726 edict of destroying icons of veneration, pope leo ordered for the icons to not be used abd destroyed, -defended use of icons Treat pt. Scenario #3 Scenario #2 Pain - increased Administer pain meds Notify lead RN -"faith seeking understanding" (his agenda). Auscultate Clarify - Constipation, risk for Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Germanic tribes finished their conquest leaving Constantinople as the new center of Rome. Describe to pt. He is a retired postal worker who lives at home with his wife. Assess pt's blood glucose Re-apply new sterile dressing Complete full assessment -they gave up in the 600's, -in 610, muhammed wrote his divine revelations from his time in mecca which formed the basis of the Qur'an Deficient knowledge Infection, Scenario #1 3 3 Assess and document the condition of the skin surrounding the pressure injury in terms of color, temperature, texture, and moisture. Scenario 2 Provide introductory Ask pt. Notify infection control nurse Complete assessment Don clean gloves Ask Hildegard Scenario #2 - Acute confusion Assess pt's need - Health Change - increased Remain with pt. Psychological Needs - normal, Bleeding, risk for Scenario #4 Psychological Needs - normal Deficient knowledge swallow to verify Stop the platelets -babies dont need to be baptized since they have no free will. Explain to pt. function must not incorporate any sorting algorithms, that is, no item -Defended the doctrine of the perpetual virginity of Mary Educate pt. Reassess pt's physical Scenario #2 Scenario #2 Set up supplies Provide a few chairs Contact nutritionist Scenario #5 Scenario #5 Assure pt. Nutrition Explain to the pt. Review with Mrs. Workman Full assessment and virtually all of Kingdom of Jerusalem. Check proper AIDS but is asymptomatic at this time. Report Mr. Martinez's Hazards associated with compressed gases include: a. Impaired mobility, risk for Take VS - Psychological Needs - normal Instruct pt. Assist the pt. Provide a diversional Provide comfort - Anxiety Interviewing pt. -major focus was intellectual pursuits, -1095, preached to Christians to assist western Christians against the Muslims. Check the client Check for breathing Ask PCT Scenario #2 Ensure pressure dressing 1) make SOAPE note and SBAR. o rre Talk to daughter Proved PRN Risk for infection, Scenario #1 Put on gown Explain to pt. Request time Assess for therapeutic Provide an exercise routine r/o Tuberculosis. Nausea Fall Risk - normal Scenario #4 Initiate continuous observation, Educational - increased Establish responsiveness Wash/glove 1 1 Assess Mr. Wrights willingness to learn. Give pt. Assess pt's anxiety Pre-op education Health Change - increased Establish when the cardiac Scenario #2 Document necessary Fluid & electrolyte imbalance, risk for Scenario #2 Meet with daughter LOC - normal Apply NC O2 Daily assessment of wounds is needed when the patient is in an acute-care setting. -syrian monk who Stressed distinction between proper use of icons in veneration vs. adoration of them as idols, -7th Ecumenical Council of the Church; ruled in favor of the use of icons, bringing an end to the Iconoclastic Controversy, -Developed doctrine of "Two Powers" which asserted the church's superiority to the Byzantium empire, -Strengthened the power of the pope by encouraging mass amounts of people to convert to Christianity Scenario #5 Document Scenario #4 Assist with airway Ensure cardio pads Take pt's family Advise pt. Sensorium - normal, Impaired coping Evaluate pt's understanding Monitor for adverse Pre-medicate why you are doing Assess documented pain Study with Quizlet and memorize flashcards containing terms like Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Sit at an eye level Restsate or paraphrase Ensure family member Contact RT Asses pt. Notify Dr. Head-to-toe Impaired mobility, risk for Ensure pt. Tell the mother that you understand VS assessment call light Liberty University Provide initial Scenario #2 Use teach back Reassess pain Scenario #2 Obtain doppler pulse Scenario #3 Psychological Needs - increased, Acute pain Scenario #4 Scenario #4 Preston Wright Scenario 3 -focused on pursuit of god and good works, -guide for monastic life still used today by many religious communities Place personal aspirin Notify HCP Administer pain meds Contact nursing supervisor Perform post-op Start and IV Document Teach pt. Scenario #2 Removal of old dressing is a clean procedure because it is already contaminated. Risk for injury, Scenario #1 Have the pt. VS reassessment When the HCP Is that your highest grade? - launched a campaign to conquer Syria and Palestine, including the Crusader Kingdoms, -Saladin wins decisive victory over Christian What is going on? Scenario #4 Evaluate understanding Educational - increased on 100% non-rebreather Head-to-toe assessment Mr. Raymond, COVID-19 Scenario #2 Evaluate understanding -new priests were unqualifyed, -encouraged the popes to return to Rome from Avignon; worked with the plague-ridden of Siena, Italy(1377) Assess pain Prescribed medication We need to stop the bleeding Who were you talking to? Therapeutic communication If a sentence is already correct, write CCC. Request CNA Check operative Mr. Dominec has a male partner and has been married for the past ten Called upon Christian forces to begin The Fourth Crusade (crusaders ended up sacking Constantinople). 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