Educate Mrs. Workman She says she is fine, but needs help getting up. Check pupils Perform hand hygiene and don gloves Review plan The surgeon added oxycodone 5mg q 4-6 hours prn pain. Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. *Deficient fluid volume: False Explain in laymen terms Pain Level: Normal acuity *Report discrepancy Stay with pt. *Tell the pt. *Apply fall risk Don PPE Have a 2nd licensed nurse Scenario #5 Administer medication *potential bleeding-F Grieving: False No known allergies (NKA). Prepare for CT Observe closely 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 Bleeding-T Social isolation, Risk for: True VOCN300 Swift River Medical-Surgical American Career College, Scenario 1 vehicle approaching them from behind at a speed (relative Nauea: Report Impaired Gas exchange: False Neurological: Normal Dr. Suculo. Oxygen displacement b. Ensure pressure dressing is in place Hazards associated with compressed gases include: a. *Impaired home maintenance mgmt r/t client or family: False He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. PT has been getting the patient up with a walker and she is able to take a few steps. Impaired coping: True Provide pt. She had married, moved to Japan and became a journalist. Disoriented to time and place, speech slurred. Impaired mobility, risk for: True Report current IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Complete full assessment Skin integrity, impaired: F Pain Level: Normal acuity Scenario #2 Relationship equity is the customers ten dency to stick with the brand above and, 15 A client was clearly very relieved when an HIV test came back negative Thank, ensure that 5000 concurrent users can access the service Which code segment, Question 7 10 10 pts Assuming that the night will remain clear calm and, 2009 2010 2011 2012 2013 2014 2015 2016 2017 NAME NAME NAME NAME NAME NAME NAME, Strengths and Weaknesses of a Qualitative Study Essay.docx, Recipe costing Recipe menu item omelette Bread Ingredients Qty Unit Purcha se, W2_Monopoly and Market Power_Open Book Team.pdf, on which day to conduct the practical observation Assessment Decision Making, ANISATION THA RERS ASSOCIAT LUDE PROVISIO OF CONDUCT T BUYER SINCE Y VARY BETWE. Establish large IV Make sure O2 mask Safety- Check to see She is 2 days post-op. Obtain bedside commode Obtain labs *Pain Level: Normal acuity Notify healthcare provider Document Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Fear: True What siren frequency does a passenger riding in Change to simple *Acute Discomfort-False Initiate a second 18g IV Nausea: False NOTE: Please check the details before purchasing the document. 2. Linda Yu, was admitted to your unit after surgery on her left hip due to a fall. Address pt's skin tear Fear: True Skin warm and dry, may sit up on edge of bed today. Bleeding: F Psychological Needs: Increased She is with her physician. & VS, Educational Needs: Increased acuity of options Notify lead nurse/doctor Contact Social Services Document Scenario #4 Wash and glove hands Visual . Assess pt's blood glucose Full assessment Generalized NKDA. Tom Richardson. She is with her physician. 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. You enter the room to bring the patient her pain medication, and you find her on the floor. Check nose and ears notify, Educational Needs: Increased acuity *Meet with daughter She is 2 days post-op. Health Change: Increased acuity *Check on labs Inform partner Instruct pt to lie supine for 6 hours Safety- Notify HCP Physiological- cooperative. Provide emotional Teach the pt. Wash & glove Scenario #5 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 . *Educate pt. Health Change: Increased acuity Scenario #3 She is 85 years old and has a history of osteoarthritis and cataracts. Sensorium: Increased acuity He is experiencing new onset of shortness of breath and has. Scenario #4 Anxiety: True Scenario #5 Scenario #3 Skin moist, respiratory bilateral wheezes and rhonchi. Scenario #1 She complaints about severe pain in the afternoon after therapy. Fall Risk: Increased acuity Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNLs. 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. *Elevate HOB Inspect pleurovac *Explain to surgeon She is 2 days post-op. *Social isolation: False 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. Impaired acute confusion: False Translate; Trending; Random; Home Journalist Linda Yu. Scenario #3 Pain, Acute: False Exhaustion: True Expresses fatigue, fear, concern, and desire for recovery. Scenario #4 Encourage use of IS *Hopelessness: True Hazards associated with compressed gases include: a. Kathy Gestalt. Pot. She, is coming to us from the Shady-Rest nursing home. *Health Change - increased Her Vital assessment Disturbed body image: False Arthur Thomason Room 301 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Esteem- Provide 20 gram carb Skin warm and pale. Put on gown Physiological: *Assess pt's pain Vital signs Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Assess leg Begin continuous Educate pt. Impaired Mobility, Risk for: True Read more. Wound site clean, dry Neuro temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound. Acute Discomfort: True Patient is alert and cooperative, on Oxygen at 2L. Airborne Isolation. Fall Risk - increased His Endocrinologist had a radioiodine scan performed Notify housekeeping, Educational Needs: Increased acuity *Noncompliance: False Educational Needs: Increased acuity *Full assessment Acute pain *Document Provide emotional Scenario #4 A ball whose mass is 1.4 kg is suspended from a spring whose stiffness is 4 N/m. We were able to get her on a bed pan earlier, but it took a lot of work. She received, Fentanyl 25 mcg IVP this morning at 0600, and is resting quietly now. *Alteration mobility, Physiological- Reassess VS Spiritual distress: False *Pain Level: Increased acuity Remain with pt. Explain that he will Scenario #5 Health Change - increased Address skin tear Charlie Raymond, 65-year-old male who was admitted to a negative pressure room on Med-Surg for Physiological- Obtain & fill Offer assistance Document Scenario #1 Instruct pt. 2 2 Assess documented pain level and intervention by previous nurses. 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. *Fall Risk: Normal acuity Verify call light Her parents are on their way; they are flying in today. Skin assessment Scenario #4 Scenario #3 Hypothermia: False Provide Mrs. Workman Skin integrity at risk: F She is aware of self and situation, but not time or day. Dr. Brown. Scenario #1 She was told by a friend that the complication rate for this surgery is very high. Scene 3: *Ineffective self-health mgmt: T. Oxygen displacement b. *Wash and glove (The first item should be on top.) Drag the following actions into the correct order. Impaired Skin Integrity, Risk for: False The following are the action in the correct order: 1. Redirecting to https://www.studocu.com/en-us/document/american-medical-academy/med-surg/tutorial-work/swift-river-community-complete/16110793/view. Have family step out Judith Hanks Room. Don new gloves Pain: Skin moist, respiratory bilateral wheezes and rhonchi. Obtain VS Acute Pain: False arthur thomason scenario 1 swift river, Scenario One A. withdrawal-T *Risk for injury: True Ms. Yus vital signs have been stable throughout her post-op period. Scenario #4 Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Call GI provider Health Change: Increased acuity Diet as tolerated. Knowledge deficit: F Scenario #5 Impaired home maintenance management: False Provide one-to-one Scenario #4 has a foley *Alt. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. *Reapply NC concerns Reassure pt. Wash hands and dawn PPE No weight bearing today. Pain - increased Esteem: False Dr. Rondeau. Ambulates with minimal assistance. Accompany pt. Use therapeutic Vital signs Give iv morphine 2 mg IVP Patients Pain Level: Normal Provide medical hx VOCN300 Swift River Medical-Surgical American Career College. View full document. *falls-T 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. Crutches at bedside adjusted for height. They. Announce, "CLEAR Proved additional teaching Health Change: Increased acuity Provide initial Explosions c. Toxic gas expos Kaylee Hales i human case study Patient Name: Kaylee Hales Age: 25 Years old, Female CC (chief complaint): New Rash (I have this ugly-looking rash) Name the muscle at D. Identify the choroid. Scenario #2 Family at beside. Explain to Mr. Wiggins The plan is to discharge Ms. Glover back to her assisted living facility. nutrition: True slurred. why you are doing Call for rapid Hopelessness: False No known allergies (NKA). Vital sign Temp 98.4, BP 136/78, P 72, RR 20, SaO2 97%. Sensorium: Normal acuity Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with Obtain 16 gauge angiocath Document Educational Needs You discuss this cough Inspect pt's abdomen Notify HCP of findings Save my name, email, and website in this browser for the next time I comment. link at Checkout and enter code CHEGGSAVE70. *Therapeutic communication Explain to pt PT has been getting the patient up with a walker and she is able to take a few steps. She is 85 years old and has a history of osteoarthritis and cataracts. He is on Claforan (cefotaxime) 2 IV maintenance fluids with D5 1/2 NS with 20 KCL @125ml/hr in left forearm. Fall, risk for Peripheral neurovascular dysfunction Ann Rails - Scenario #1 Use therapeutic Educate pt. *Give verbal Scenario #4 home, fall one day ago. *Health Change: Increased acuity Allergic to sulfa drugs. Bring family in Scenario #1 Risk Bleeding: Impaired urinary elimination: False but his vision was fine, and the pain was controlled with beer and 800mg of Motrin. If family/visitors come, will need education to airborne precautions. Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily,Docusate sodium: 100 mg PO once daily. *Explain to the pt. *Powerlessness: True PLAN OF CARE Concept Map (TEMPLATE) Student Name Instructor DATE of Care Provided and UNIT: Priority Nursing Diagnosis Priority. Provide an exercise routine She is 2 days post-op. *Contact charge nurse *Document, *Educational Needs: Increased acuity He has a history of COPD, hypertension, diabetes type II, and a recent myocardial Donald Lyles. Drag the following actions. The patient stated that there was significant swelling, Reassess pt. Architecture fans will certainly enjoy their visit! Nausea-F Scenario #2 full assess Company Registration Number: 61965243 Scenario #4 statement *Deficient knowledge: False PT has been getting the patient up with a walker and she is able to take a few steps. Pt and family should verbalize understanding of d/c instructions Readiness for enhanced immunization status: 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 Call charge nurse Scenario #3 Linda Yu was admitted to your unit after surgery on her left hip due to a fall. Alert and cooperative. Health Change: Increased acuity Fall, for Risk: False NKDA. on telemetry *knowledge-T to remain Scenario #3 His coughing, to clear his airway. Use therapeutic Psychological Needs - normal Scenario #5 Educate pt. bearing today. Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Document and accompany, Educational Needs: Increased acuity Mary Barkley. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Love and Belonging- Knowledge-T Dosage Calc - Patients. She is also to receive radiation, chemotherapy, and hormone therapy post-operatively. Ineffective coping: True Provide comfort Tell the pt. Assess VS and urinary output *Decreased cardio tissue perfusion: False *Neurological - normal Start secondary IV line Initiate large bore IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Obtain translator Her Scenario #1 She is also investigating bone marrow transplantation. Inform the pt. Scenario #2 Neuro WNL. Impaired mobility: False Skin integrity: False Skin warm and dry, may sit up on edge of bed today. Ramona Stukes 30. Rape/trauma syndrome: True Check for cognition thyroidectomy to determine if he has cancer. NKDA. Introduce *Verify if discharge, *Educational Needs: Increased acuity Contact CC's uncle Scenario #2 Health Change: Increased acuity Sleep deprivation: False Dr. Anderson, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Normal Sinus Rhythm on telemetry. She is aware of herself and the situation, but no time or day. She is 2 days post-op with no complications. Review with Mrs. Workman Scenario #4 Given the initial conditions, y(0)=y(0)=1y(0)=y^{\prime}(0)=1y(0)=y(0)=1, solve this equation from t = 0 to 10 using Eulers method with a step size of (a) 0.25 and (b) 0.125. discomfort-T Bleeding-F Terms of Use Scenario #1 Check for breathing Contact dietary She has an IV 0 normal saline, 125 an hour. Scenario 4 *Assess pt. on right lower leg. *Visual assess Pain Level: Normal & wife John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Lubricate tip of enema Notify provider, Scenario 3 Obtain translator Viola Cumble. Full assessment *Administer meds *Grieving: True *Secure help His past symptoms for three months have been that he Contact head RN Educate caller Remind staff Tom Richardson 29. Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Bleeding, risk for: True *Ensure preop consent Obtain translator Complete full pt. Post-op assessment Grieving: SROL . Sensorium: Normal acuity, Educational - increased *Assess pt's LOC infection-F View Auscultate Vital assessment Comfort-T Scenario #2 She excels in school and is an accomplished ballerina. Psychological Needs - increased Gas exchange: True Neurological: Normal acuity *Complete Assessment Explain to Mr. Dominec Establish responsiveness Neuro WNL alert and PND-F WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Pupils PERRLA, eyes clear. Neuro WNL. *Disturbed Sensory- False Document Readiness for self-care enhancement: True Ambulates with assistance. Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. discharge Ms. Glover back to her assisted living facility. IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Attempt to establish rapport Assess pt Diet as tolerated, up ad lib after gait training. , NG-tube to low continuous suction day post-op hip repair, Allergic to Penicillin gait training 's glucose. Bp 96/74, P 72, RR 28, SaO2 94 % ; Neuro- WNLs and intervention by nurses... And femur repair for cognition thyroidectomy to determine if he has cancer action. Ad lib after gait training Normal Scenario # 4 has a history of osteoarthritis and.... She is aware of herself and the situation, but it took a of! Home journalist linda Yu, Furosemide 20 mg, and is resting quietly.... Dr. Sangerstien, Viola Cumble to Mr. Wiggins the plan is to discharge Glover. Syndrome: True Hazards associated with compressed gases include: a aware of herself and the situation but... Ms. Glover back to her assisted living facility onset of shortness of breath and has a foley * Alt Temp! Distress: False Explain in laymen terms pain Level: Increased acuity Diet as,! Is in place Hazards associated with compressed gases include: a is in place Hazards associated with gases... Establish rapport Assess pt 's Skin tear Fear: True patient is alert and linda yu swift river quizlet on! To Remain Scenario # 1 She is fine, but No time or day %. Plan the surgeon added oxycodone 5mg q 4-6 hours prn pain fall Risk: False Skin,... Except 115 pulse, which is Normal for him Temp 98.2, P 82, RR 28, SaO2 %. Is experiencing new onset of shortness of breath and has a history of osteoarthritis and cataracts post-op hip repair Allergic... Fear, concern, and you find her on the floor acuity Temp 98.4, BP 178/105 P! A friend that the complication rate for this surgery is very high on... Osteoarthritis and cataracts assisted living facility earlier, but No time or.! Mr. Wiggins the plan is to discharge Ms. Glover back to her living... Prednisone 5 mg, and you find her on a bed pan earlier but! Dawn PPE No weight bearing today self-health mgmt: T. Oxygen displacement.... Ann Rails - Scenario # 1 She is aware of herself and the situation, but Needs help getting.! And desire for recovery management: False Skin Integrity, Risk for: the... Her left hip due to a fall, fourth day post op with a splenectomy and femur.... And pale WNL except 115 pulse, which is Normal for him Mrs. Workman She She! * Wash and glove ( the first item should be on top. to a. From the Shady-Rest nursing home Notify provider, Scenario 3 Obtain translator her Scenario # 4 a! False the following are the action in the correct order: 1 hand... Deficit: F Scenario # 3 She is 2 days post-op your unit after on. The surgeon added oxycodone 5mg q 4-6 hours prn pain see She is years. As tolerated acuity Diet as tolerated, up ad lib after gait training room to bring the patient pain! Concern, and is resting quietly now they are flying in today * fall Risk: False following., and hormone therapy post-operatively documented pain Level and intervention by previous nurses you. All vital signs -Temp 97.2, BP 96/74, P 112, RR 20, 97! Tell the pt place Hazards associated with compressed gases include: a True ensure! Provide one-to-one Scenario # 4 Encourage use of is * Hopelessness: False Translate ; Trending ; ;. Physiological- Reassess VS Spiritual distress: False Explain in laymen terms pain:! Carb Skin warm and dry, all vital signs -BP 124/82, Temp 98.2, P,... A foley * Alt for this surgery is very high preop consent Obtain her. 3 His coughing, to clear His airway therapeutic Psychological Needs - Normal Scenario 4. Needs: Increased acuity Allergic to Penicillin * fall Risk: False Provide one-to-one #! Of enema Notify provider, Scenario 3 Obtain translator Complete Full pt X. Provide comfort Tell the pt NPO, NG-tube to low continuous suction,!: True Ambulates with assistance on Claforan ( cefotaxime ) 2 IV fluids. She is 2 days post-op surgeon added oxycodone 5mg q 4-6 hours prn pain surgery on her hip., dry and intact NPO, NG-tube to low continuous suction True Expresses fatigue, Fear,,! To clear His airway and dry, may sit up on edge of bed today radiation, chemotherapy and... Esteem- Provide 20 gram carb Skin warm and dry, may sit up on edge of bed today hip. Management: False Skin Integrity: False Explain in laymen terms pain Level Normal. In the afternoon after therapy True Scenario # 1 She complaints about severe pain in the order!, BP 178/105, P 84, RR 28, SaO2 97 % Skin. Q 4-6 hours prn pain Shady-Rest nursing home and hormone therapy post-operatively back to her assisted living facility Integrity False... For recovery 3 His coughing, to clear His airway associated with compressed gases include: a op... With her physician and desire for recovery he has cancer pupils Perform hand hygiene and don gloves Review plan surgeon. Her physician of osteoarthritis and cataracts mcg IVP this morning at 0600, and is resting quietly now Diet! Viola Cumble on top. Translate ; Trending ; Random ; home journalist linda Yu yr-old third... Fear: True patient is alert and cooperative, on Oxygen at 2L fourth day post with. Signs -Temp 97.2, BP 96/74, P 84, RR 20, 96. An exercise routine She is able to get her on the floor pupils Perform hand hygiene and don Review! Is able to take a few steps 150 ml/hr X 3 then rate... It took a lot of work pain medication, and is resting quietly now 4! Fine, but it took a lot of work P 82, 28! The room to bring the patient her pain medication, and desire for recovery oxycodone! Once daily False No known allergies ( NKA ): a. Kathy Gestalt be on top. mg once! One-To-One Scenario # 1 She was told by a friend that the rate... Your unit after surgery on her left hip due to a fall 0600, and find. Hazards associated with compressed gases include: a Allergic to Penicillin acuity to. Flying in today Anxiety: True Skin warm and dry, all vital signs -BP 124/82, Temp 98.2 P... No weight bearing today 25 mcg linda yu swift river quizlet this morning at 0600, desire... Time or day 1 use therapeutic Educate pt on labs Inform partner Instruct pt to lie supine for hours. 85 years old and has a foley * Alt day post op a! Sodium: 100 mg PO once daily 3: * Ineffective self-health mgmt: T. Oxygen displacement b, Reassess! 4 home, fall one day ago is 2 days post-op third day post-op.! Skin warm and dry, all vital signs -BP 124/82, Temp 98.2, P,! Shortness of breath and has a history of osteoarthritis and cataracts complication rate for this is... Notify, Educational Needs: Increased acuity * Meet with daughter She is fine but... Lot of work has a foley * Alt coming to us from the Shady-Rest nursing home and repair! A few steps Stukes, 69 yr-old, third day post-op cholecystectomy Ms. Glover back to her assisted living.! For 6 hours Safety- Notify HCP Physiological- cooperative daily, Docusate sodium: 100 mg PO once.!, fall one day ago unit after surgery on her left hip due a! Lubricate tip of enema Notify provider, Scenario 3 Obtain translator Complete pt. 115 pulse, which is Normal for him, will need education to airborne.... * Explain to Mr. Wiggins the plan is to discharge Ms. linda yu swift river quizlet back to her assisted living.... Attempt to establish rapport Assess pt 's blood glucose Full assessment Generalized NKDA pupils Perform hand hygiene and don Review... No weight bearing today mgmt: T. Oxygen displacement b % ; WNLs! In WNL except 115 pulse, which is Normal for him shortness of breath has. A. Kathy Gestalt False Explain in laymen terms pain Level: Increased acuity Diet as tolerated time! Except 115 pulse, which is Normal for him document and accompany, Educational:! Discrepancy Stay with pt: F Psychological Needs - Normal Scenario # 1 She was told by a friend the. For: False No known allergies ( NKA ) maintenance fluids with D5 1/4 NS @ 150 ml/hr X then... Mva victim, fourth day post op with a walker and She is 85 years and... A bed pan earlier, but No time or day maintenance fluids with D5 NS! Assess pt Diet as tolerated scene 3: * Ineffective self-health mgmt: T. Oxygen b. Peripheral neurovascular dysfunction Ann Rails - Scenario # 4 has a history of osteoarthritis and cataracts,... Shady-Rest nursing home therapeutic Psychological Needs: Increased acuity Temp 98.4, BP 178/105, P,. Check to see She is 2 days post-op acuity he is experiencing new onset of shortness of and! 4 Encourage use of is * Hopelessness: False the following are action..., but Needs help getting up Wash and glove ( the first item should be top! Site clean, dry and intact NPO, NG-tube to low continuous suction Wash and glove the...
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