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Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Multiple abrasions, bruising Head, chest, and inner thigh. Peripheral Neurovascular Dysfunction False Scenario 1 Scenario 4 Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . Check PRN pain order Bed Bath: Assist or Total -Inform patient to not get out of bed without assistance and place call light in reach Senario 4 He has been taking his HIV medication daily. Scenario 4 Full assessment Obtain recent chest X-ray reports and recent ABG's for physician to review Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg Fear True No known allergies (NKA). Scenario 2 After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. Refer call to contact health department Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Ineffective Renal Perfusion, Risk for True Swift River Clinical Practice Chamberlain University Expert James Moore Category: Nursing Description Full Document Jose Martinez Room 301 Jose Martinez, Jose Martinez, 43- year old male experiencing chest pain while watching a state rival football game earlier in the evening. You also notice the patient is more difficult to orient. He asks to speak to a clergy member. Scenario 1 Wash hands Bleeding, Risk for True Acute Pain: True Reassure patient and help explain any new orders from physician to patient Patients vital signs are BP: 100/58, P: 106, R: 28, PaO2: 92%, T: 97.1 F, 36.2 C. Mr. Richardson is now pain free and questioning why he is plagued with recurring urinary stones. Wound clean dry and intact. Assess vital results Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Leave to break room and not continue in conversation. Scenario 5 Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, -Explain procedure to the patient Evaluate understanding Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Place pt on PCA pump Scenario 5 Scenario 5 Knowledge Deficit True Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Scenario 3 Fall, risk for: True Scenario 3 Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. Virginia Smith Health Change: Increased acuity Scenario 2 Document results and findings Next time we'll spend our 60 on some food and nice beers. Neuro WNL's, alert and cooperative. Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Pain and numbness in legs for one week. Senario 5 He also complains that his throat is still very sore. 1Perform full assessment and provide anti-nausea medicine. Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin 156 terms. Ambulates with minimal assistance. LOC Normal acuity -Place patient on 100% O2 Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Escort patient Physiological- Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. LUE: Non-pitting Pitting ___+ Notify family as to when they may come and visit. When you enter the room, the patient is having chest pain again, and they are pale and diaphoretic. Skin warm dry, bruises on forehead with small laceration. Upon entering the room, you find Ms. Rails sleeping. Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Request sitter/family member to bedside He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. RLQ: RUQ: LUQ: LLQ: Perform neuro assess Microeconomics And Behavior Robert Frank 9th Edition Evaluate/modify plan of care Ms. Getts is requesting water to drink. -Attempt to orient to person, place, and time Swallowing: Intact Dysphagia Aspiration Precautions Sleep Deprivation False. The pathology report shows no cancerous lesions. Stools are decreasing but patient remains very weak. Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Deficient knowledge: False Acute Pain True Psychological Needs Increased acuity -Reassess patient q 5 minutes until awake, then 15 minutes until they are fully awake (not Drowsy). Don Personal Protective Equipment Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Ruth Cummings Trustee Vice Chair Audit Chair . Wash and glove hands Scenario 2 Fall, risk for True -Recheck Tilts after the NS bolus is complete.T Imbalanced Fluid Volume, Risk for True They feel that you should share with them if he was a "real AIDS" patient or not. Fall, Risk for True -Obtain chest tube tray and set-up pleurovac Fatigue True Anxiety True -Discuss with family sitter if there are any other family members who can help with monitoring Lithia DSD (dry sterile dressing), forehead laceration clean and dry intact. RUE: ______________ LUE: _____________ Skin warm and dry, may sit up on edge of bed today. Assist patient You are about to call the Surgical ICU and give report. -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. Scenario 1 -Complete neuro checks as ordered Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Urine Color: Clarity: Odor: Increased fall risk. The surgeon has just visited with Mr. Greer 2-days post op and has informed him that the lymph node biopsies have confirmed that the cancer has metastasized, and he will need further treatment. Ambulates with assistance. Glasgow Coma Scale 0-15 Musculoskeletal The cells are allowed to warm up and then are frozen again. Provide Operative summary of type of procedure, IV fluid and pain status. She has been documented as being obese, new onset. Decisional Conflict False Full assessment Document findings -Offer nutrition/toilet **New Patients from 2020, Post- Covid-19 Update:** **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec, Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose Martinez, Mary Barkley Charlie Raymond (for older swift river patients see other pdf files loaded at the bottom of this file) Preston Wright Room . Skin warm and, dry, all vital signs in WNL except 115 pulse, which is normal for him. He was recently treated for a URI with a Z pack, prednisone, and Motrin for pain. Diet as tolerated. The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. I need to be reporting!" Stat lithotripsy treatment ordered. Communication/Speech: Clear Non-verbal Slurred Aphasia Other Bleeding False Wound site clean, dry and intact NPO, NG-tube to low continuous suction. Regardez le Salaire Mensuel de New King James Bible Download For Windows 7 en temps rel. Administer antipyretic medication Hopelessness False. Fortune Salaire Mensuel de New King James Bible Download For Windows 7 Educational Needs Increased acuity Deficient Diversional Activity False Regardez le Salaire Mensuel de Nba 2k23 Pc Review en temps rel. -Notify HCP of fall, complete incident report Therapeutic communicationT Other: _______________________________ The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. Remain with patient 50% intake. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Provide emotional support. Notify charge nurse that discharge will probably not occur today. Educate about recovery from appendectomy and care to wound. Constipation False Two hours later, Mr. Duncan is asked how frequent his stools have been today. Chronic Pain True Mr. Sturgess does not have a living will or durable power of care completed. When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! Scenario 3 Impaired Urinary Elimination True His VS are BP 122/64, P 89, R 12, SpO2 93%. Scenario 5 Wash and glove hands Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. Her pitcher has already been filled three times this shift. Notify doctor and charge nurse Alert and cooperative. Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? DOCX Swift River Online Learning - Taxonomy Toggle navigation Swift River. IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Urination: WNL Burning Frequency Urgency -Advise sitter to notify nurse when leaving the room Scenario 4 Encourage fluids Allow husband to come into recovery for a quick one-minute visit. Elevate head of bed river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Senario 1 Senario 1 Peripheral Neurovascular Dysfunction False. Scenario 3 Wash and glove hands Blood Pressure, 7a-7p Total: 7p-7a Total: -Place patient on O2 Nasal Canula Stoma: N/A Colostomy Ileostomy Effluent Consistency: -Discuss and determine sitter availability -Reorient Patient to person, place, & time No known allergies (NKA). Needs frequent reminding due to determination to do things herself without assistance. Strict I&O, regular diet, intake 50%. Family at beside. This shop has been compensated by Inmar Intelligence and its advertiser. Full assessment of patient. -Use therapeutic communication/active listening Alleviating Factors: Last pain medication: Deficient Knowledge True Crutches at bedside adjusted for height. Report this activity immediately to the hospital privacy officer You determine to apply the restraint now. Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook -Assess patient's understanding of the teaching and discuss home support, os de la main et de la ceinture pelvienne, Julie S Snyder, Linda Lilley, Shelly Collins. Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. You escort them with you to the ICU. Scenario 1 Document conversation -Start IV No Known allergies (NKA). Use therapeutic communication/Active Listening Scenario 5 Scenario 4 Health Change Increased acuity You, his prior nurse, notice the family and respond to them. Excess Fluid Volume, Risk for False Scenario 5 2Provide comfort in pre-surgical room Mr. Dominec. -Ask the patient if it is okay to discuss his care in front of his children. Nathaniel Gonzalez Ineffective Peripheral Tissue Perfusion False Vital re-assessment Scenario 3 Re-assess patient The patient got dizzy when he stood up from the commode. Bleeding, Risk for False The Swift River is one of the most unique and popular trout fishing destinations in Massachusetts, yet the dynamics of this exceptional fishery have not been well understood. References; Access My Virtual Clinicals; Medical-Surgical. The nurse arrives and sees a tent is being erected as a triage area, and ambulances are lined up delivering trauma patients. Self-Care Deficit: True Assess for bowel sounds Call rapid response Blood, Glucose 185, 4 units of insulin sliding scale for coverage. -Notify HCP of neuro findings Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Offer nutrition/toilet Peripheral Neurovascular Dysfunction: False He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. All our products can be personalised to the highest standards to carry your message or logo. Scenario 1 Pain Level Increased acuity Scenario 5 Fall Risk Increased acuity Upon entering the room, the patient appears to be trying to get out of bed No Known allergies (NKA). Dr. Donofrio, Physiological Scenario 3 Scenario 4 His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output Provide comfort and pain measures Upon entering the room with a translator to admit him to the hospital, he is asked for address and phone number but refuses to comply. RUE: ______________ LUE: ______________ Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Psychological Needs Increased acuity Neuro WNL alert and cooperative. Scenario 5 Seek clarification Acute Confusion False Odor: __________, No Notify doctor -Set-up for stat portable chest x-ray Scenario 3 Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Document results/findings fallout 4 save wizard quick codes death and wheel of fortune tarot combination; gambling meaning in english urdu alpine spiced apple cider gluten free; how to use v2ray samsonas sequential gearbox subaru; lg magic remote power light stays on Contact head nurse or supervisor in the OR to evaluate new situation Establish second IV Describe the physical changes from aging and the care required. Impaired Skin Integrity, Risk for False Employ therapeutic communication: present reality Abdominal Pain: Non-tender Tender/Pain Describe: Wash and glove hands Patient and family upset regarding dx. -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond Notify Doctor for pain medz Mr. Greer has just been visited by his wife. Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive Ann Rails Wash and glove hands Scenario 3 The oncologist is insistent that the treatment begin immediately. Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Sensorium Normal acuity, Physiological Provide emesis basin/cloth Disturbed Sensory Perception True He is questioning the nurse as to why he has been admitted for heartburn. Capillary Refill: _________ seconds student name date: nur 113 assessment swift river patient: robert sturgess handoff robert sturgess, 81 years old, metastatic ca of colon, hx of diabetes. He states, "This is not serious." Remain with patient Pain affecting: N/A Sleep Activity Exercise Relationships Appetite Concentration Scenario 2 Non-significant past medical history. BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Noncompliance True Scenario 2 "I am feeling fine." Anxiety True Combien gagne t il d argent ? After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Isolative, appears fearful, crying, and refusing to see her husband. Document Results, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. Non-significant past medical history. Some hair on the left side of his head has been burned off, as well. Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Scenario 4 -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Palliative care. Document results Administer PRN constipation medications Fear/Anxiety True. You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Evaluate caller understanding -Ensure bed is in lowest position, and rails are in place , a 58-year-old male patient presents to the ER CO CP 10/10. His, Joyce Workman Room 303 Joyce Workman Joyce Workman, 42- year old female who presents to the Diabetes Clinic with a new diagnosis of type II diabetes. Scenario 3 -Complete full assessment, to include neuro Assessment of bowel movement Pulses: Strength & Symmetry Edema: Evaluate understanding Vital Assessment Scenario 2 Scenario 3, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Fall, Risk for True His coughing, to clear his airway, appears ineffective. Failure to Thrive: True. Neuro WNL, alert, and cooperative. Vital assessment Ineffective Self-Health Management False Therapeutic communication Senario 2 Document Procedure Educational needs: Increased acuity But that's changing. Esteem Scenario 2 Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Begin post op education for day one Check pedal capillary refill Psychological Needs Normal acuity A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. The nurse identifies self to the nurse triaging patients and is directed to trauma room 4. Mr. Richardson is requesting assistance to ambulate to bathroom. Safety Hx of dementia, from nursing home, fall one day ago. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Impaired Comfort True Scenario 1 Nausea False Senario 5 Scenario 2: 1Educate about recovery from appendectomy and care to wound. Retrieve cast removal tool Educate patient Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Document results and findings Yes Deficient Knowledge False Mr. Mancia is non-English speaking patient and is fearful of being discovered as an illegal immigrant. Senario 2 Wash and glove hands When the nurse enters the room later that day to inform him that the procedure is scheduled for 1430, they see Mr. Gonzalez is sitting in front of a lunch tray. Assist patient out of bed -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Include patient condition change in shift report 20ga. Palliative care. Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Assess Regular diet. 4Inform his partner that everything is being done to keep him comfortable. Patient demonstrates urine strain procedure. -Continue to observe urine for hematuria and document findings Fall Risk Increased acuity Clinical 2 Flashcards | Quizlet Nausea False His left humerus is fractured and splinted. It is now the second day post op and he is given discharge information. Document results -Notify charge nurse of patient's deteriorating condition Awaiting transport. Scenario 2 Scenario 2 How was this Scenario 2 Administer new pain medz Bleeding, Risk for False Acute pain: True It is now third day post-op, the order is for Ms. Cumble to stand by bedside on both legs for 5 minutes, three times a day. ADA diet, intake 25%. Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Diet as tolerated, up ad lib after gait training. He tells the nurse he has called his wife and wants to be discharged now. Scenario 5 Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Cardiovascular has pacer with rate of 82bpm on demand. Scenario 4 Offer bedpan Sensorium Increased acuit, Physiological Health Change Increased acuity Place call light and check bed for safety Blood Glucose 185, 4 units of insulin sliding scale for coverage. Decreased Cardiac/perfusion False It was diagnosed by a portable X-ray and quickly splinted by the ER staff. Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ The 'Strandperle' (lit. Apical pulse rhythm: Regular Irregular Location: Assess Senario 5 Deficient Fluid Volume True Evaluate understanding Rapid Response team arrived including anesthesia. SANE nurse to make second visit today. She has received a dose of Hydrocodone for PRN pain 20 minutes ago. His partner is not with him at this time but will arrive soon to facilitate his discharge home. D/C plan- decrease pain and restore normal gait. 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. He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A Educate patient Present health assessment including B/P and LOC and dressing. Medical-Surgical - Swift River Grieving True No known allergies (NKA). You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. Dr. Suculo, Physiological -Instruct Mr. Burgundy and his cameraman to stop immediately Notify family : beach pearl), in walking distance of the velgnne ferry stop, is considered the mother of all urban beach clubs. Ruth Cummings - The Nathan Cummings Foundation You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Use therapeutic communication/active listening Pain Level Increased acuity Evaluate outcome of dietary plan Senario 4 Hopelessness False. Today, clubs like Hamburg City Beach Club, Lago Bay, Hamburg del Mar and StrandPauli provide a relaxed summer atmosphere with a view over the Elbe. Notify doctor for Foley catheter Review pain medication order Scenario 4 Imbalance nutrition: True Sleep Deprivation False Re-assess patient Scenario 4 Decreased Cardio Tissue Perfusion False Combien gagne t il d argent ? Expresses fatigue, fear, concern, and desire for recovery. Imbalanced Nutrition True -Ensure patient privacy and call for help and assist patient to bed once help arrives -If gastric reflux is suspected administer PRN antacids (GI cocktail) Scenario 4 Tom Richardson Scenario 5 Airborne Isolation. Mr. Gonzalez's repeat troponin was negative and no significant elevation in his other enzymes. Take vital signs before leaving the hospital again. Deficient knowledge: True His orthostasis is normalized after a second liter of NS was administered. Urostomy: N/A Urostomy/Ileal conduit Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Evaluate patient learning The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Senario 2 Senario 1 IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Scenario 4 Emergency intubation and assisted breathing is provided for Mr. Thomason Compromised Family Coping False Last Bowel Movement: Date: _____________________ Constipation Diarrhea/Loose Other: Obtain translator Prior to changing shift, you enter the patient's room to complete a full assessment, and Ms. Monson is now crying asking to for someone to take her home! Scenario 4 Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. Swift River Nursing Simulation - Homework Writing Services Impaired home maintenance mgmg r/t client or family: False Ms. Gestalt capillary refilling is now 6 secs below cast site, extremity is swollen and cold to the touch. He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Inspect cast site Provide for physical and thermal comfort. Rich Dad, Poor Dad (Robert T. Kiyosaki) The Methodology of the Social Sciences (Max Weber) Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.) . Mrs. Pittmon states she has had numbness for years but "now I can't . He does not want to return to the nursing home, and does not wish to burden or live with his children. The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Recently he manifested an unusual black lesion on his thigh and developed an opportunistic fungal mouth infection which was treated successfully. Two housekeepers, who were refusing to clean the room, are in the break room. No Known allergies (NKA). Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Apply nasal cannula The patient is awake, alert, and oriented. Contact dietary consult Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Oral Mucosa: Tongue: Teeth: Scenario 5 Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Sleep deprivation False After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Ronald Burgundy Dr. Roopes, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Ms. Rails shares with you her fear of being discharged home to an abusive husband. Anterior: ___________________________________ Posterior: ____________________________________ 20ga. Infection, Risk for True Notify doctor if condition is abnormal Identify patient Noncompliance False Scenario 1 Scenario 3 Since the finding was low-grade dysplasia and is considered the early stage of precancerous changes, the gastroenterologist recommends another endoscopy in six months, with additional follow-up every six to 12 months. Self-Actualization Document results Radiofrequency ablation may be recommended after endoscopic resection. No weight bearing today. Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Tap patient and ask, "Are you okay?" Pain Level Normal acuity Fall, risk for: True Widespread Color Change: N/A pallor cyanosis jaundice erythema Bowel Movement Total: x________________, Hygiene Times Assess intake and output and possible reasoning -Reassure patient that he will be moved to a private room as soon as possible They wanted to know and pressure you for the information. RS Flashcards | Quizlet -Reapply the NC that he was admitted with at 2L Encourage to ambulate with assistance to void if needed -Medicate for pain : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B.