Scenario #3 Scenario 4 Provide comfort Magnesium Hand imprint on the arm It is now third day post-op, the order is for Ms. Cumble to stand by bedside on both legs for 5 minutes a day, Scenario 1 Reassess VS & obtain UA Neurological: Normal acuity Pt is scheduled for and ECG and MRI this AM. Scenario #2 Insert NG Therapeutic communication w/ pt Evaluate/modify. Reasses temp in 1 hour Document - Hopelessness Administer IV ABX Use therapeutic Scenario 5 Document consults, Educational - increased His HbgA1c is 10.6%. Pain - normal 3-Notify the physician that the patient may be suffering from alcohol withdrawal. Pain Level: Increased acuity Risk for social isolation: False, Jose Martinez Estelle Hatcher Ensure pressure dressing 1-Take her BP in both her arms Teach Cameron Deficient knowledge, Scenario #1 Infection: True. He has a history of a Myocardial Infarction, MI, one year ago, and has refused all cardiac rehab, and has not had another cardiac event. 3-Contact the provider and document the patient respiratory status. Alert Mr. Wright's case manager Scenario #4 156 terms. Full assessment Esteem- Offer nutrition and/or toileting Several hours later, Mr. Duncan is now complaining of nausea. Take VS not You discuss this cough w/ Mr. Dominec to determine how long he has had it. Contact respiratory therapy Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Scenario 1 Notify PT Impaired physical mobility 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; . Scenario 1 Nausea, Scenario #1 Wash & glove Escort pt. If gastric reflux Asses Mr. Wright's willingness Grieving Scenario #3 Pre-medicate for pain w/ prescribed medication Scenario 5 Reassess BP & P Contact social services Surgery called to the unit the Ms. Pittman is scheduled at 1300 for a BKA. Your coworkers are asking you questions about mr. Dominec. Impaired mobility -Tell the patient that the Chaplain from his church was looking for him, and is at the visitor desk I am concerned about keto-acidosis and, I am calling about Joyce Workman. Check PRN Scenario #5 Request sitter/family member to bedside Wet to dry dressing w/ triple abx ointment to wounds. diagnosis of type II diabetes. Observe closely first hour Ask the charge nurse Electrolyte imbalance: False Verify call light/bed safety precautions - Health Change - increased Document procedure Notify the charge nurse and house supervisor of the syringe found in bed Suggest Ensure foley is draining Health Change: Increased acuity Clarify Scenario 4 Deficient Fluid Volume: True Call charge nurse Dressing change q 24 hours to RT thighs and rt shoulder. Obtain a sitter/UAP Infection, risk for: True Assess and document Scenario #3 Deficient Knowledge: True Give iv morphine 2 mg IVP Give an SBAR to hospitalist, Scenario 1 -Safety Scenario 1 Call HCP Risk for post traumatic stress syndrome Post CVA, he has developed some aphasia and is having difficulty with verbal communication. Provide comfort and pain measures She was, asymptomatic upon arrival. Dotty Hamilton FUNDAMENTALS.docx - Dotty Hamilton Room 301 - Course Hero Pain - increased Have nursing personnel in the room when family visit, Gas exchange Contact HCP Neurological - increased Consult wound care Mark drainage level Contact Social Services for a new consult Pain Level: Normal acuity Deficient knowledge Medicate Reassure Mr. Jones Allow pt. Knowledge Deficit: True Deficient Fluid Volume False Psychological Needs - normal