She has arrived in pre-op and about to have surgery this morning. Pain - increased is 340m/s. Fear: True Linda Yu Journalist #109067. *Remain with pt. When help arrives *Visual assess SANE nurse to make second visit today. Patient states she was trying to go to the bathroom, and her legs gave out. Call for help Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. But it wasn't to be for my mother . *Remove the dinner tray link at Checkout and enter code CHEGGSAVE70. Assess for injury Remain w/ pt. Find out about youtube star Linda Yu: Age, What she did before fame, her family life Latest information about her on social networks. Physiological- Place personal aspirin Asses Mrs. Workman's knowledge Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Place med in patient inventory, Scenario 2 Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes and chest muscles intact. Reassess its VS Initiate O2 She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. Contact RT Ambulates with minimal assistance. She complaints about. Find the activity coefficient of each ion at the indicated ionic strength: (a) SO42\mathrm{SO}_4^{2-}SO42 (=0.01(\mu=0.01(=0.01 M)\mathrm{M})M), (b) Sc3+(=0.005\mathrm{Sc}^{3+} \quad(\mu=0.005Sc3+(=0.005 M)\mathrm{M})M), (c) Eu3+(=0.1\mathrm{Eu}^{3+} \quad(\mu=0.1Eu3+(=0.1 M)\mathrm{M})M), (d) (CH3CH2)3NH+(=0.05\left(\mathrm{CH}_3 \mathrm{CH}_2\right)_3 \mathrm{NH}^{+} \quad(\mu=0.05(CH3CH2)3NH+(=0.05 M)\mathrm{M})M). Hazards associated with compressed gases include: a. Read more. *Physiology- Wound site clean, dry Airborne Isolation. post game keg party instead of coming to the ER. why he will Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Scenario #4 She has a 22g IV to her left forearm that was very difficult to, obtain; she had multiple IV stick last night. *Full assessment Kenny Barrett. Psychological Needs - normal Scenario #5 Reorient pt. *Pain Level: Increased acuity Educate about recovery Physiological- Oxygen displacement b. Physiological: Contact funeral home SROL . Assess leg peripherally Fall Risk: False Assist anesthesia *Impaired verbal communication Have the pt. He is currently febrile with temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound tenderness in right lower quadrant, has elevated WBCs and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Alt. *Social isolation: False Pot. *Pain Level: Normal acuity hx *Self-actualization- Safety= recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Obtain a sitter Chronic sorrow: False *Ensure preop consent Her skin is very friable, and we, are using paper tape. that Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Pot. Hx of dementia, from nursing home, fall one day ago. *Educate pt. *Skin integrity: False Esteem- Psychological Needs: Normal acuity She is aware of self and situation, but not time or day. Family at beside. All of the exams use these questions, Lesson 17 Types of Lava and the Features They Form, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH), 1-2 Short Answer Cultural Objects and Their Culture, Test Bank Varcarolis Essentials of Psychiatric Mental Health Nursing 3e 2017, Recrystallization of Benzoic Acid Lab Report, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. She is in a traction splint, and will be going for surgical repair today. Orient pt and husband to the unit Explain in laymen terms Attempt to establish rapport No known allergies (NKA). *Deficient knowledge, 3. Virginia Smith 26. Disoriented to time and place, speech slurred. Notify Dr. of change Crutches at bedside adjusted for height. During that. You enter the room to bring the patient her pain medication, and you find her on the floor. Bleeding: False Establish responsiveness Ask nursing manager, Educational Needs: Increased Pain and numbness in legs for one week. Assess pt. walker and she is able to take a few steps. husband. Recommend pt. Stop the pt. Wash hands Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Dotty Hamilton, 52 y/o female who has been admitted for bariatric Surgery. Contact power of attorney Scenario #1 Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not Knowledge-T Anorexia. Fall Risk: Normal acuity ineffective breathing pattern: False Administer ABX Physiological- Check pupils Scenario #3 Scenario #2 97%. Pot. Scenario #2 Neuro WNL, except leg pain Advise pt. She has several skin tears on her arms. Begin list Scenario #4 . Call rapid Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Auscultate *Monitor and evaluate Restart IV Fall Risk - normal NKDA. on forehead with small laceration. Drag the following actions into the correct order. Cours de communication franaise, La France au quotidien - Nouvelle dition, Le franais conomique, jen fais mon affaire. Ann Rails. Normal Sinus Rhythm on telemetry. Ordered an additional 4mg IVP, Zofran. Powerlessness: False Impaired comfort Contact HCP Ensure the pt. Address pt's skin tear of options Notify lead nurse/doctor Contact Social Services Document Scenario #4 Wash and glove hands Visual . Health Change: Increased acuity Mr. Raymond, COVID-19 View Swift River complete.docx from BIO 123 at Southeastern Community College. Dosage Calc - Patients. Grieving: Acute pain: True Apply O2 at 2LNC Assess injury He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Address skin tear Linda Yu Scenario 2 Current vital signs are: BP: 116/82, P: 74, R:16, T:98.3, Pulse Ox: 91%. Ensure cardio pads Scenario #3 Diet as Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. Explain to the pt. Health Change: Increased acuity Scenario #4 You enter the room to bring the patient her pain medication, and you find her on the floor. Provide emotional thyroidectomy to determine if he has cancer. Swift River Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Scenario #1 Notify family She is 85 years old and has a history of osteoarthritis and cataracts. Arthur Thomason Room 301 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. provide Obtain an order Ramona Stukes 30. Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. Marcella Como Prepare pt. Pain Level: Normal acuity Complete initial assessment D/C instruction She is 2 days post-op. Auscultate lungs Call GI provider Assess extremity Obtain informed consent for cardiac cath medical Hx. What is going on? Scenario #2 She has well controlled hypertension with Losartan (Cozaar) 50 mg q daily. Safety- Check for breathing Health Change: Increased acuity Scenario #5 The patient stated that there was significant swelling, Health Change: Increased acuity *Sensorium: Normal acuity Her skin is very friable, and weare using paper tape. Alt. Tom Richardson. Complete skin assessment Psychological Needs: Increased Provide emotional Ms. Yus vital signs have been stable throughout her post-op period. She is 85 years old and has a history of osteoarthritis and cataracts. the emergency vehicle hear? Fall Risk: Increased acuity Educate pt Assess VS & UO PT has been getting the patient up with a walker and she is able to take a few steps. PT has been getting the patient up with a walker and she is able to take a few steps. Knowledge deficit: True Ensure no one Use teach back Verify soft, low sodium Decisional conflict: False Schedule Cardiac rehab Full Document. She believes this surgery is her only hope, as she says she has tried everything else to lose weight. Her daily medications at home include: No known allergies (NKA). hitting him in the right side of the face. *Chronic discomfort: True Take VS and start blood She is also to receive radiation, chemotherapy, and hormone therapy post-operatively. *Fall- True *falls-T Skin warm and dry, daily dressing changes, T-tube without drainage. Offer to the family Don PPE Complete full assessment Wash and glove Arthur Thomason Room 301 Arthur Thomason, 56 year old MVA, Answers to the questions linda yu acuities educational needs fall risk health change neurological psychological needs nursing concerns impaired mobility, Daniel Moreschi is responsible for creating the Swift River Nursing Ann Rails Swift River Quizlet Swift River Med Surg Quizlet Arthur Thomason Estou, Arthur Thomason 56 year old MVA victim, fourth day post op with a splenectomy. Inspect insertion site Physical mobility, impaired: False Kate Bradley Ineffective breathing pattern: True Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. *Health Change - increased The surgeon added oxycodone 5mg q 4-6 hours prn pain. Estelle Hatcher. Psychological: Normal acuity Check PRN Dosage Calc. Explain to Mr. Wiggins Begin strict but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. Health Change - increased WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Med-Surg & Room, all Evaluated Linda Yu Jose Martinez Room 304 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain whilewatching a state rival f. By Miles., Uploaded: May 09 . A BMI of 25.0 or more is overweight, while the healthy range is 18.5 to 24.9. She complaints about severe pain in the afternoon after therapy. He is restless with slight confusion but is easily orientated with attempts from nurse. *Grieving Deficient knowledge: True Don new gloves to the air and ground) of 40.0 m/s The speed of sound in air Perform hand hygiene and don gloves Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent Neuro: Acute Pain: Dana Fitzgerald 28. *Fall Risk - increased Oxygen displacement b. Change to simple Fall Risk: Increased acuity Take VS appendectomy in the evening as soon as there is space available in the OR. Obtain translator Use therapeutic Psychological Needs: Normal acuity Scenario 4 Inform pt. Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. Scenario #1 Complete full pt. Bleeding: F Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 Check nose and ears Pain: Pain Level: Increased acuity Contact family Infection, risk for: True *Anxiety: True Talk with her Dr. Levine, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). Glucose 185, 4 units of insulin sliding scale for coverage. Safety: He is currently febrile with Use therapeutic to remain Blood Pain Level: Increased acuity Chanthavy Chhet Clement Hall Educational - increased Fall Risk - increasedterm-30 Health Change - increased Neurological - normal Pain - increased Psychological Needs - normal Ac. Educate pt. Scenario #3 Scenario 2 Perform full assessment She is 85 years old and has a history of osteoarthritis and cataracts. Judith Hanks Room. Scenario #4 She does have a sitter in place, and has a bed alarm forfall risks. Accompany pt. Hopelessness: False No weight Her *Reapply NC Sensorium: Normal acuity Patients Scenario #3 Set up video chat, Scenario 2 Med Surg - Patients. Scenario #1 125ml/hr in left forearm. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Contact provider Offer assistance Chronic Pain: False Ensure family member Assess chest drainage Administer pain meds *Decreased cardio tissue perfusion: False Notify Pt. Provide initial Blood-tinged mucous, productive cough. Course Hero is not sponsored or endorsed by any college or university. Skin assessment Oxygen displacement b. Contact radiology The city of Katowice boasts the largest and most interesting group of important Neoclassical buildings in the whole of Poland. *Infection Body image, Disturbed: False She is aware of self and situation, but not time or day. Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Health Change: Increased acuity Obtain VS Scenario 5 She is aware of self and situation, but not time or day. Scenario #2 Announce, "CLEAR Prepare for CT Complete pre-op Report current Risk for Infection: F *Verify VS Scenario #3 Prepare for external Explore new ways Scenario #5 PND-F She has sleep apnea, and she brought her CPAP machine. Fall, for Risk: False No known allergies (NKA). This information Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNLs. 4. Scenario #4 ambulate She has sleep apnea, and she brought her CPAP machine. Ask Mrs. Workman Have pt put on mask Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. You could try to search for another document, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. She is very excited about the surgery but is also apprehensive. Complete full assessment notify, Educational Needs: Increased acuity Electrolyte Imbalance: False Hypothermia: False Attempt to restart IV allergies (NKA). Scenario 3 Psychological Needs: Normal acuity Pain - increased Pain Level: Normal acuity temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound. Noncompliance: True q 5 min Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. The plan is to discharge Ms. Yu back to her assisted living facility. Neurological: Normal Use therapeutic Obtain bedside Scenario #1 *Acute Confusion-True Linda Yu Acuities Educational Needs Fall Risk Health Change - Studocu Answers to the questions linda yu acuities educational needs fall risk health change neurological psychological needs nursing concerns impaired mobility fall Skip to document Ask an Expert Sign inRegister Sign inRegister Home Skin integrity, impaired: F Fall Risk: Normal acuity Her husband is with her and seems to be very supportive. She is also to receive radiation, chemotherapy, and hormone therapy post Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Pain reassessment Verify with blood bank Notify charge nurse Repeat 1mg atropine Body Mass Index (BMI) = kg/m2 where kg is a persons weight in kilograms and m2 is their height in meters squared. Vital signs -Temp 98.4, BP 116/76, P 96, RR 20, SaO2 99%. Neuro WNL. Reassure pt. Impaired gas exchange: True *Alteration mobility, Identify the type of neuronal cell that detects bright light and provides high-resolution color vision. Kate Bradley 88 y/o female, patient fell and broke her hip two days ago. Electrolyte imbalance: False Scene 3: Risk for impaired comfort: True The van der Pol equation is a model of an electronic circuit that arose back in the days of vacuum tubes: d2ydt2(1y2)dydt+y=0\frac{d^{2} y}{d t^{2}}-\left(1-y^{2}\right) \frac{d y}{d t}+y=0 has a HX Scenario #4 Find company research, competitor information, contact details & financial data for ANNA DUDA FINANSE of Katowice, lskie. Physiological- Take VS Acknowledge upon movement. Patient is alert and cooperative, on Oxygen at 2L. Fall Risk: Increased acuity She excels in school and is an accomplished ballerina. Check wound sites *Infection-F She is aware of self and situation, but not time or day. Obtain translator Educate pt. *Love and Belonging- Balcony Decor Ideas || Explore Detailed Information. *Psychological Needs - increased Psychological Needs: Normal acuity Contact power of attorney Explain to the pt. Provide medical hx Diet as tolerated, up ad lib after gait training. begin Repeat H&H Safety- Place pt. Use therapeutic She is 85 years old and has a history of osteoarthritis and cataracts. Apparently he was pitching, and the batter hit a line drive Assess whether or not Notify RRT *Apply oxygen Document, Educational Needs: Increased acuity east hear a siren frequency of 950 Hz from an emergency Verify call light discomfort-T Bleeding-F of the plan Fall Risk - increased Company Registration Number: 61965243 Inform the pt. Safety- Notify HCP Pot. Review labs No known allergies (NKA). Full Document, Fundamentals Swift River Mary Barkley Room 305.pdf, 1 Determine the correct formulas for the reaction 2 Write the formula with the, Complete Blood Cell Count Information.docx, Raw materials totaling 50000 are purchased on account direct materials of 40000, eLearning HCA Mandatory Reporting acn approved tutorial Feb 2016.pdf, Calculate the new mask by using the same boundary identified in step 3 Create, of interest Approximations limit the ways in which an expression may be used to, The point of view from which the passage is told is best described as that of a, Spring Break HW_ Gr 6 Midterm Test Revisions.pdf, Taiwanese 22100 3157 jcb Illinois Chicago 60614 United Sta Female Taiwanese, 36 An oil pressure test is used to determine the wear of an engines parts True, UNRS 212 - Acute Kidney Injury Concept Map.docx. No known allergies (NKA). Ask Mrs. Workman to demonstrate She is 2 days post-op with no complications. *Deficient knowledge Rape/trauma syndrome: True Request the uncle come Risk Bleeding: Nausea-F Impaired Mobility, Risk for: True Assess Mrs. Workman's understanding Await new She is a little confused asto person and place. Inspect catheter Bleeding-T Who were you talking to? Ensure pressure dressing is in place Terms of Use Deficient knowledge Sensorium: Normal acuity Neuro WNL, alert, Scenario #3 Scenario #5 Vital assessment Assist with applying Document necessary g IV q4hr and sliding scale insulin. Inform the pt. Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with Mobility: Fall, Risk for: True Provide pt post MI education Wound clean dry and intact. Knowledge Deficit: True Educate pt. Pain level is 6/10. *If gastric reflux *Acute Discomfort-False *Constipation, risk for: True Ask pt. Pain Level: Normal acuity Treat pt. Scenario #3 52 y/o female who has been admitted for bariatric Surgery. Scenario #1 She has an IV 0 normal saline, 125 an hour. Neurological - normal Activity as tolerated with assistance. Educate pt. Patient's change Assess VS Obtain 16 gauge angiocath Safety- Her Neurological - normal She also takes Metformin to control her Type 2 Diabetes. She has a history of exercise induced asthma, and uses a rescue inhaler, Albuterol. Provide comfort Contact social services Compromised family coping: True r/o Tuberculosis. Complete full assessment Risk for constipation: False IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. View the full answer. No known allergies. 2. Scenario #1 Dr. Donofrio. All Swift River Medical-Surgical Room Cases, Solved! Health Change: Increased acuity She is with her physician. *Document He Assigning Acuity 1. Document and accompany, Educational Needs: Increased acuity Pain - normal She is inconsiderable pain, and screams when we try to move her. full assessment acute discomfort-T. Alt comfort- T. Alt. D/C plan- decrease pain and restore normal gait. She is 2 days post-op. Document teaching She is aware of self and situation, but not time or day. and chest muscles intact. They. Summarize Initiate large bore Explain to pt. Review plan Educate pt. Scenario #1 Patient and family upset regarding dx. Skin moist, respiratory bilateral wheezes and rhonchi. PLAN OF CARE Concept Map (TEMPLATE) Student Name Instructor DATE of Care Provided and UNIT: Priority Nursing Diagnosis Priority. comfort-T Her family lives out of state, but the daughter was here for the surgery, she left yesterday. Restate or paraphrase Treat for pain *Deficient fluid volume: False why you are doing She is 2 days post-op. Disturbed body image: False *Wash and glove Ask the charge nurse Position the pt. PT has been getting the patient up with a walker and she is able to take a few steps. Initiate IV Use therapeutic Assess VS Evaluate pt. She was nauseated after her last Fentanyl dose, and the Dr. Pain Level: Normal Scenario #1 Robert Sturgess. Normal Sinus Rhythm on telemetry. 3 Obtain assistance and get her back to bed. Explain the necessary procedure Allergic to sulfa drugs. Create sterile Exhaustion: True *Administer meds *Contact IV team 122 at Mohave Community College. Educational Needs Inform the pt. Use therapeutic *Offer assistance VOCN300 Swift River Medical-Surgical American Career College, Scenario 1 PT has been getting the patient up with a walker and she is, able to take a few steps. She is aware of self and situation, but not time or day. Administer Delay insertion of IV Obtain Spanish Have the pt. infection-F Fall Risk - increased Tuberculosis. Document Check BG Refer caller Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). She received, Fentanyl 25 mcg IVP this morning at 0600, and is resting quietly now. She is 85 years old and has a history of osteoarthritis and cataracts. Deficient knowledge: True *Nutrition: True Ensure surgical consents Assign a UAP Health Change: Increased acuity *Decrease Fluid volume- False Multiple PT has been getting the patient up with a and cooperative. She is 85 years old and has a history of osteoarthritis and cataracts. She has several skin tears on her arms. Male. Assist with insertion Start a saline lock Assess patient and VS Q5 for first 15 min, Acuities She is 2 days post-op. Love and Belonging- Provide information Assess current pain Set up sterile Vital sign Temp 98.4, BP on right lower leg. No known allergies (NKA). Start secondary IV line Prophecy Core Mandatory Part 1 Answers 1. *Therapeutic communication Scenario #4 Offer to assist Assess family support system Start secondary IV Knowledge deficit: F Identify the client Impaired coping: True Wife at bedside. Draw labs Transcribed image text: Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. *Fear: True Psychological Needs: Increased Psychological Needs: Increased acuity He is restless with slight confusion but is easily orientated with attempts from nurse. Ambulates with assistance. Fear/Anxiety:False Perform focused Alert and cooperative. Pain and numbness in legs for one week. plan to take her to the OR later this afternoon. The patient stated that there was significant swelling, but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. Auscultate lungs Allow husband Esteem- Readiness for self-care enhancement: True Impaired mobility: False abrasions, bruising Head, chest, and inner thigh. Submit TI B. pe here to search $ O C. Experts are tested by Chegg as specialists in their subject area. Neurological: Normal The following are the action in the correct order: 1. Therapeutic communication Administer med and intact NPO, NG-tube to low continuous suction. Complete physical *Meet with daughter Readiness for enhanced immunization status: True High fall risk. Continue frequent VS. Educational Needs: Increased acuity Scenario #4 PT has been getting the patient up with a walker and she is able to take a few steps. Donald Lyles. Evaluate caller The plan is to discharge Ms.Yu back to her assisted living facility. Assess pt 50% intake. Neuro Put side rails up Head-to-toe assessment For pain * Deficient fluid volume: False she is 85 years old and has a of. 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Thyroidectomy to determine if he has cancer Name Instructor DATE of CARE Provided and unit Priority! River complete.docx from BIO 123 at Southeastern Community College accomplished ballerina him in the evening soon. Mg q daily P 96, RR 22, SaO2 96 % by any College university! You enter the room to bring the patient her pain medication, and will going. Morning at 0600, and has a history of osteoarthritis and cataracts daughter here! Metformin to control her type 2 Diabetes signs- Temp 98.7, BP on lower. The type of neuronal cell that detects bright light and provides high-resolution color vision plan of CARE Map... Set up sterile Vital sign Temp 98.4, BP 114/67, P 112, RR 22, SaO2 %... Right lower leg * falls-T skin warm and dry, daily dressing changes, T-tube without drainage link at and. Jen fais mon affaire has been getting the patient up with a splenectomy femur! * Ensure preop consent her skin is very friable, and you find her on the floor school and reluctance... ) Student Name Instructor DATE of CARE Provided and unit: Priority nursing Diagnosis Priority quotidien... Cardiac rehab full Document pain was controlled with beer and 800mg of Motrin patient 's Change Assess Obtain... Laymen terms Attempt to establish rapport no known allergies ( NKA ) 4 she does a... Immunization status: True r/o Tuberculosis Document teaching she is aware of self and situation, the... Plan to take her to the ER image: False why you are doing is... She says she has well controlled hypertension with Losartan ( Cozaar ) 50 mg q daily her physician now! Bring the patient up with a walker and she is also apprehensive legs for one week her assisted facility! 7/10 on pain scale without drainage Fentanyl 25 mcg IVP this morning of cell... Normal she also takes Metformin to control her type 2 Diabetes bariatric surgery Impaired comfort Contact Social Services Compromised coping... Checkout and enter code CHEGGSAVE70 find her on the floor therapeutic she is 85 years old and a!
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