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Swift River- Med Surg Correct
Questions & Solutions Verified 100%
Table of contents - ANSWER 1. Table of Contents
- Clement Hall
- Glenn Massey
- Jose Martinez
- Don Johnson
- Wright Goodman
- Calvin Umbyuma
- Ronald Burgandy
- Hildegard Lowe
- Paul Greer
- Kate Bradley
- Sarah Gette
- Joyce Workman
- Nathaniel Gonzalez
- Robert Sturgess
- Mark Robinson
- Marcella Como
- Donald Lyles
- Richard Dominec
- Dotty Hamilton
- John Wiggins
- Charlie Raymond
- Linda Yu
- Karen Cole
- Virginia Smith
- Carlos Mancia
- Dana Fitzgerald
- Tom Richardson
- Ramona Stukes
- Keaton Henderson
- Chanthavy Chhet Clement Hall - ANSWER Educational - increased Fall Risk - increasedterm- Health Change - increased Neurological - normal Pain - increased Psychological Needs - normal Ac. discomfort-T Bleeding-F
Alt. Mobility-T Infection-T Alt. El Balance-T Scenario 1- initiate isolation Admin pain Initiate bolus Ask pt Document Scenario 2- Remind pt Reassess Discuss Administer Teach Scenario 3- Remind Reassess Discuss Admin Teach Scenario 4- Assess Administer NG tube Make Address Scenario 5-
- therapeutic 2)Patient 3)Evaluate
- Make
- Dietary Glenn Massey - ANSWER Scenario 1- 1) Ensure 2) Disinfect 3) Clean 4) obtain 5) notify Scenario 2- 1) Obtain 2) Initial 3) Administer 4) Educate 5) Check Scenario 3- 1)Hand 2) Set-up 3) Apply 4)Gently 5) Clean Scenario 4- 1) Notify 2) Inform 3) Initiate 4) Give 5) Empty Scenario 5- 1) Explore 2) Educate 3) Evaluate 4) Contact 5) Involve Jose Martinez - ANSWER Educational Needs: Increased acuity Fall Risk: Increased acuity
Provide the pt. Provide a diversional When the HCP Scenario # *Complete head-to-toe *Ensure pt. privacy *Complete secondary *Reinforce to the pt. *Notify HCP Scenario # *Ask the pt. if it is okay *Explain that Docetaxel *Explain that Radium- *Ask the pt. to verbalize *Assess pt's understanding Kate Bradley - ANSWER Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs - increased Neurological - increased acute discomfort-T. Alt comfort- T. Alt. Mobility- T. Bleeding- T. Grief- F. Knowledge- T, Falls- T. Infection- T. Scenario # *Secure help *Complete Assessment *Medicate *Complete bath *Contact supervisor Scenario # *Verify VS *Notify HCP *Contact IV team *Report discrepancy *Document all findings Scenario # *Explain to surgeon *Check on labs *Contact charge nurse
*Meet with daughter *Assess pt. Scenario # *Provide therapeutic *Assess last medication *Assist the IV team *Explain to daughter *Update surgeon Scenario # *88 y/o female *Former nursing home *Pt. has a foley *Have daughter stay Sarah Getts - ANSWER Educational Needs: Increased acuity Fall Risk: Increased acuity Health Change: Increased acuity Pain Level: Normal acuity Psychological Needs: Increased acuity Sensorium: Increased acuity Physiological= *Acute Discomfort-False *Decrease Fluid volume- False *Electrolyte Imbalance- True *Imbalanced Fluid Volume- True *Impaired Skin Integrity- False *Ineffective Renal Perfusion- True Safety= *Acute Confusion-True *Disturbed Sensory- False *Fall- True *Sleep Deprivation- False *Love and belonging *Anxiety False *Failure to Thrive True Scenario # *Wash and glove *Full assessment *Monitor and evaluate *Educate pt. *Document
Discuss lifestyle choices Discuss lifestyle changes Document teaching Scenario # Asses Mrs. Workman's knowledge Ask Mrs. Workman for 24-hour diet Educate Mrs. Workman Provide Mrs. Workman Ask Mrs. Workman to demonstrate Scenario # Assess pt's preferred Ensure the pt. Provide an exercise routine Review with Mrs. Workman Use teach back Scenario # Assess pt's blood glucose Provide 20 gram carb Provide another Reassess blood glucose Proved additional teaching Scenario # Assess Mrs. Workman's understanding Explain to Mrs. Workman Explore new ways Provide information Document education Nathaniel Gonzalez - ANSWER *Educational - increased *Fall Risk - increased *Health Change - increased *Pain - increased *Psychological Needs - increased *Neurological - normal *Acute Discomfort-T *potential bleeding-F *knowledge-T *falls-T *Infection-F Wight Goodman - ANSWER Assignment: E=I, F=I, H=I, N=I, P=I, Psy=I Physiological: T,T,T Safety: T,T
Scenario 1- 1)wash 2)complete 3)check 4)pre-op 5)ask Scenario 2- 1)complete 2)Educate 3)evaluate 4)administer 5)sign Scenario 3- 1)complete 2)educate 3)inform 4)contact 5)extensive Scenario 4- 1)repeat 2)reemphasize 3)approach 4)contact 5)document Scenario 5- 1)assure 2)take 3)restart 4)obtain 5)remain Calvin Umbyuma - ANSWER Assignments: Educational - increased Fall Risk - normal Health Change - increased Pain - increased Psychological needs - normal Neurological - normal Physiological: T,F,F,F Safety: F,T,F Ronald Burgandy - ANSWER Educational - increased Fall Risk - increased Health Change - increased Pain - increased Psychological Needs= N Sensorium - normal Physiological: T,T,F,T Safety: F,T,T Scenario # Ensure there is a full Explain to the pt Start and IV Medicate Advise pt. Scenario # Explain Inform Ask Reassure pt. Reassess pt's physical Scenario # Assess pt's ABCs Take initial VS Place pt. on O Start IV Set-up Scenario # Explain procedure
*Reassess pt. q 5 min Scenario # *Restart IV *Give NS liter bolus *Recheck Tilts *Remind pt. *Draw a repeat CBC Scenario # *Assess pt's pain *If gastric reflux *If cardiac *2nd assess *Verify if discharge Robert Sturgess - ANSWER *Educational Needs: Increased acuity *Fall Risk: Increased acuity *Health Change: Increased acuity *Pain Level: Increased acuity *Psychological Needs: Increased acuity *Sensorium: Normal acuity Physiological- *Bleeding-T. *Chronic discomfort: True *Constipation, risk for: True *Decreased cardio tissue perfusion: False *Nutrition: True *Skin integrity: False Safety- *Anxiety: True *Deficient knowledge: False *Fear: True *Grieving: True *Impaired home maintenance mgmt r/t client or family: False *Ineffective self-health mgmt: T. Esteem- *Disturbed body: False *Hopelessness: True *Noncompliance: False *Powerlessness: True Scenario # Wash and glove Seek clarification
full assess Check PRN Verify call light Scenario # Full assessment Educate pt. Place pt. Observe closely Perform pain Scenario # Use therapeutic Educate pt. Notify doctor Contact social services Report Scenario # Use therapeutic Notify MD Education Insert Document Scenario # Allow family Full assessment Provide comfort Pain reassessment Document Mark Robinson - ANSWER Educational - increased Fall Risk - increased Health Change - increased Neurological - normal Pain - increased Psychological Needs - normal Alt. comfort-T Pot. bleeding-T Grief-F Knowledge-T PND-F Pot. withdrawal-T Pot. infection-F
Impaired urinary elimination: False Readiness for enhanced immunization status: True *Esteem- Decisional conflict: False Ineffective coping: True Noncompliance: False Rape/trauma syndrome: True *Safety- Chronic confusion: False Fall, Risk for: False Fear: True Grieving: True Infection, risk for: True Sleep deprivation: False *Self-actualization- Disturbed energy field: True Spiritual distress: False *Love and Belonging- Anxiety: True Body image, Disturbed: False Chronic sorrow: False Compromised family coping: True Powerlessness: False Social isolation: True Scenario # Use therapeutic Full assessment Provide emotional Document Scenario # Use therapeutic Educate pt. Provide supplies Offer to assist Scenario # Use therapeutic Ask open-ended Seek clarification Summarize Scenario # Restate or paraphrase Acknowledge
Review plan Notify social services Document Scenario # Review labs Educate pt. Provide emotional Discuss support Donald Lyles - ANSWER Educational Needs: Increased acuity Fall Risk: Normal acuity Health Change: Increased acuity Neurological: Normal acuity Pain Level: Normal acuity Psychological Needs: Normal acuity Physiological- Acute Pain: False Impaired comfort: False Knowledge deficit: True Nausea: False Safety- Fall Risk: False Risk for infection: True Scenario # Establish responsiveness Call for rapid Check for breathing Begin continuous When help arrives Scenario # Assist with airway Assist with applying Establish large IV Provide pt. hx Provide medical hx Scenario # Check time Establish when the cardiac Document rhythm Begin list Remind CODE
Discuss his understanding Discuss F/U Offer assistance Determine from medical Scenario # You discuss this cough Notify Dr. of change Explain to Mr. Dominec Explain that he will Notify charge nurse Scenario # Inform pt. Notify Pt. Await new Complete physical Document Scenario # This information Remind staff Leave the break room Report to charge Report this activity Dotty Hamilton - ANSWER Educational - increased Fall Risk - normal Health Change - normal Pain - normal Psychological Needs - increased Neurological - normal Physiological: Nausea-F Alt. Comfort-T Pot. Bleeding-T Safety: Knowledge-T PND-F Pot. Infection-T Scenario # Complete pre-op Contact Surgeon Ensure surgical consents
Check to see Assess pt Scenario # Wash hands Complete full assessment Check wound sites Use therapeutic Encourage first IS Scenario # Reassure & communicate Patient's change Administer ABX Check BG Start PCA pump Scenario # Reassure pt. Complete full pt. assessment Assess whether or not Obtain labs Notify HCP Scenario # Complete full assessment Place pt. on telemetry Check foley Explain to pt Assist anesthesia Scenario # Have family step out Offer to the family Bring family in Contact funeral home Ask nursing manager John Wiggins - ANSWER Educational Needs: Increased Fall Risk: Increased Health Change: Increased Neurological: increased Pain Level: Increased acuity Psychological Needs: Normal acuity Physiological-
Continue frequent VS Charlie Raymond - ANSWER Educational Needs: Increased acuity Fall Risk: Increased acuity Health Change: Increased acuity Neurological: Normal acuity Pain Level: Normal acuity Psychological Needs: Increased Physiological- Bleeding: False Death anxiety: True Disturbed body image: False Esteem: False Impaired acute confusion: False Impaired gas exchange: True Ineffective breathing pattern: True Knowledge deficit: False Pain, Acute: False Physical mobility, impaired: False Skin integrity: False Scenario # Don appropriate PPE Change to simple Perform focused Notify respiratory therapy Notify family Scenario # Reorient pt. Obtain a sitter Restart IV Begin strict Obtain an order Scenario # Use therapeutic Position the pt. Create sterile Instruct Lucy Insert foley Scenario # Make sure O2 mask Ensure pt.
Check the foley Notify RRT Provide initial Scenario # Mr. Raymond, COVID- Pt. has a HX Intubated by Recommend pt. Accompany pt. linda yu - ANSWER Educational Needs: Increased acuity Fall Risk: Increased acuity Health Change: Increased acuity Neurological: Normal Pain Level: Normal acuity Psychological Needs: Normal Physiological- Scenario # Assess current pain Obtain VS Complete initial assessment Educate pt. Place personal aspirin Scenario # Assess for injury Obtain assistance Take VS Complete skin assessment Notify healthcare provider Scenario # Administer medication Address pt's skin tear Obtain bedside Prepare pt. Assign a UAP Scenario # Assess leg Treat pt. Educate pt. Contact power of attorney
