Opening Title Production company Cast and crew Genre J A N U A R Y 2: The Killing of John Lennon: IFC First Take: Andrew Piddington (director/screenplay); Jonas Ball, Krisha Fairchild, Gunter Stern, Gail Kay Bell, Mie Omori, Robert C. Kirk: Crime, Drama: 4: One Missed Call: Warner Bros. Pictures / Alcon Entertainment / Kadokawa Pictures: Eric Valette (director); Andrew Klavan (screenplay . Notify doctor Document Procedure Vital signs taken by automatic B/P Cuff q 15 minutes Palliative care. Scenario 1 Psychological Needs Increased acuity Scenario #3. : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Family in room with patient very concerned. Check pedal capillary refill -Ask the patient to verbalize understanding of teaching and reassure them that yourself or any member of their care team will be available to answer questions. Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ Allow husband to come into recovery for a quick one-minute visit. When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! Scenario 4 Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Evaluate caller understanding -Assess patients' pain and rule out cardiac pain. LOC Normal acuity Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Hopelessness True Three hours later, Ms. Getts is unsteady when standing by her bedside. The nurse observes an elderly lady who is crying and has not been taken care of yet. Shock, Risk for False Family arrive one hour after event to his prior room and find Mr. Thomason's room is empty and have no idea of the events that have just occurred. The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Education of Foley Cath Procedure Scenario 1 Perform circulatory evaluation Evaluate understanding Construct dietary consult (plan) Seek clarification Physiological- Mr. Dominec had his surgical procedure and is doing great. She receives the pre-op medication. Scenario 5 Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. -Explain to Mr. Burgundy that space in the ED is allocated based off of patient need Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output Pain Level Increased acuity Pulse Paul Greer Sensorium: Normal acuity, Bleeding, risk for: False 3. Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Capillary Refill: _________ seconds Scenario 3 Assume that the oxidation state of sulfur is 2-22 and that iron atoms exist in both +2+2+2 and +3+3+3 oxidation states. Color:__________ Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device -Remind patient to call for help is he need to get up and provide patient with a urinal. Acute pain: True Scenario 4 Ms. Gestalt is now complaining of fever and chills. c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. She has arrived in pre-op and about to have surgery this morning. Report this activity immediately to the hospital privacy officer Awaiting diagnostic labs. Apply restraint Pain Level Normal acuity Wash and glove hands A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Dr. Altace, Physiological- Report current urinary output quantify per hour and color of urine Pain Level Increased acuity Skin warm and dry, daily dressing changes, T-tube without drainage. -Medicate for pain Safety Assess for bowel sounds -Ensure there is suction in the room, and check #1: _________, No Scenario 5 Record intake and output What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Notify doctor Scenario 1 The 'Strandperle' (lit. He was recently treated for a URI with a Z pack, prednisone, and Motrin for pain. Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Health Change Increased acuity Family at beside. Alleviating Factors: Last pain medication: Readiness for Self-Care Enhancement True Dysfunctional Gastrointestinal Motility False Mrs. Smith shares with you that even though she signed the operative consent she was not sure if this was the right surgical procedure for her. Health Change Increased acuity Bladder distention Pelvic pain Low back/flank pain Increased fall risk. Bleeding False Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Chronic Pain False No Non-significant past medical Hx. Impaired Gas Exchange False Administer protocol antidiarrheal medication Waist belt restraint PRN; family sitter at bedside, assist with bath. Evaluate patient understanding Stoma: N/A Colostomy Ileostomy Effluent Consistency: Scenario 4 Contact charge nurse. Constipation, risk for: True Strict I&O, regular diet, intake 50%. 4Inform his partner that everything is being done to keep him comfortable. Document results Psychological Needs Normal acuity No Known allergies (NKA). Waist belt restraint PRN; family sitter at bedside, assist with bath. Senario 4 Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Then the bus splashed into the river for a cruise. Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Use therapeutic communication/Active Listening Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Scenario 3 Vital assessment Cough: Do not probe further Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Document results -Call security for assistance and compliance officer Sleep Deprivation False -Assess patient's ABC (airway, breathing, circulation) Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Use therapeutic communication/Active Listening Scenario 4 Adjust crutches Flexes & withdraws = 4 Scenario 1 Document results Scenario 4 Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Scenario 2 Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Neuro WNL alert and cooperative. Strict I&O, regular diet, intake 50%. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. 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Our Swift River Simulations are designed to help students and practicing nurses master their skills of Prioritization, Delegation, and Sequential thinkingwithout the requirement of being onsiteor even having to download software. Senario 5 Wash and glove hands Document results and findings Scenario 1 Neck: ______________ Scenario 2 Request time she can arrive and staff to help with transfer Start secondary large bore IV line : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Scenario 5 Non-significant past medical history. Administer antipyretic medication Anterior: ___________________________________ Posterior: ____________________________________ Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Check physician orders After washing and gloving hands, you then identify yourself and the patient, Ann Rails. When the HCP realizes who he is, he tells the nurse to move the patient in the treatment room down the hall and put Mr. Burgundy in there. Isolative, appears fearful, crying, and refusing to see her husband. Fear: True Health Change: Increased acuity 50% intake. -Tell the patient to call immediately if the chest pain gets worse or they become short of breath Bleeding: True Hypothermia False Swift River Medical-Surgical. -Offer nutrition/toilet Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Scenario 5 Offer masks to visitors Encourage fluids ADA diet, intake, 25%. DSD (dry sterile dressing), forehead laceration clean and dry intact. Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Amount: _______ ADA diet, intake 25%. -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours He was initially sedated with versed 2mg, and Fentanyl 100 mg by the EGD nurse, but the patient was not tolerating the procedure, so anesthesia was called to administer propofol. Senario 5 His original lymph node biopsy was negative. Establish second IV You enter room and find Ms. Gestalt crying because she has just learned her medical insurance has lapsed and she is already two months behind on her car payments. Explain reason for assessment and procedure Scenario 4 He is questioning the nurse as to why he has been admitted for heartburn. Increased fall risk. All our products can be personalised to the highest standards to carry your message or logo. Administer antipyretic meds Bowel sounds: Active, Hyperactive, Hypoactive, Absent (listen for full 5 minutes) You are the now the Surgical ICU nurse assigned to her. Senario 4 Document results and findings Ms. Cumble states that she has not had a BM for three days. Love and belonging- Arthur Thomason Scenario 1

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