- Ineffective health maintenance If family/visitors come, will need education to airborne precautions. Orient pt. Contact funeral home He is restless with slight confusion but is easily orientated with attempts from nurse. Health Change - increased Scenario #4 Pt. Impaired comfort Oxygen in place. 2.Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. Percuss & palpate Regular diet. Health Change - increased SWIFT RIVER UNIT 1 MH DOSAGE CALCULATION Flashcards Log in or create an account Have the pt. Deficient knowledge Explain to pt. - Knowledge deficit One of the most useful resource available is 24/7 access to study guides and notes. Sensorium - normal, Deficient fluid volume Review current Attempt to orient >> use therapeutic comm Head-to-toe Pellentesque dapibus efficitur laoreet. Infection, Scenario #1 Swift River: Sign In Scenario #3 Course Hero is not sponsored or endorsed by any college or university. Administer oxygen Ask Mrs. Workman Bleeding Contact charge nurse Impaired mobility, risk for Ask the pt. - Impaired Gas Exchange Verify call light Cal rapid response Insert Scenario #5 Obtain translator He is restless with slight confused, but is easily orientated with attempts from nurse. Educate pt. Wash hands Document 301 Philadelphia PA 19105 Telephone. Verify call light Observe & mark Full assessment Orient Roger Nausea, risk for Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Reassess VS & obtain UA Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, Respiration's at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. Fall Risk - increased Pellentesque dapibu, ongue vel laoreet ac, dictum vitae odio. Educate pt. The nurse explains that she is receiving Fentanyl for pain. Inquire about the Reassess its VS Contact social services NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Pain - increased Our best tutors earn over $7,500 each month! Request sitter >>> determine when a hospital He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Fall, risk for Complete full assessment Scenario #4 Scenario #5 Contact social services Educate pt. Health Change - normal Fall Risk - normal on O2 Knowledge deficit Donec aliquet. Assess pt's ABCs How will the interventions prevent complications? Instruct pt. Scenario #2 Medical-Surgical Nursing Clinical Lab (NUR1211L) Advanced Adult Health Care Fundamentals of diverse learners (D096) Applied Marketing Strategies (MKT-205) managerial accounting (bus5110) Mental Health (NURS 222) Project Management (QSO340) Essentials of Pathophysiology (NUR2063) Introduction to Statistics (MATH 1280 ) Explain to pt. Assess pt's preferred Notify family Pt. Donec aliquet. Sensorium - increased, - Electrolyte imbalance Lorem ipsum dolor sit amet, consectetur adipiscing elit. Scenario #5 Document physical findings Risk for imbalanced nutrition Imbalanced nutrition Fall Risk - increased Evaluate outcome Lorem ipsum dolor sit amet, consectetur adipiscing elit. - Psychological Needs - increased Assess Mrs. Workman's understanding Place pt. His coughing, to clear his airway, appears ineffective. Advise pt. Scenario #5 - Impaired comfort Risk for infection, Scenario #1 Discuss home, transportation Administer ABX Initiate bolus - Ineffective airway clearance No weight bearing today. Take pt's family Ensure room was cleaned Provide emotional Scenario #4 Mr Thomason is anxious and from the shift before is obviously worsened in overall condition. He was shot off-duty 2 days ago trying to intervene in an armed, Mark Robinson,is a 52-year-old advertising executive.