Fall Risk: Increased acuity Educate pt. Leave the break room Audiology changes, risk for Scenario 2 Health Change - increased It is now times for Mr. Wright's sacral dressing change as the dressing seal is compromised and drainage is visible on the outer layer. (b) If the osmotic pressure of blood at 25C25{ }^{\circ} \mathrm{C}25C is 7.707.707.70 atm, what is the direction of solvent movement across the semipermeable membrane in dialysis? Check the client Teach pt. Scenario #2 Scenario #3 Assess pt's anxiety LOC: Normal acuity Scenario 5 Dysfunctional gastrointestinal motility: False Pain Level: Increased acuity Mark Robinson 17. Scenario #3 Fall Risk - normal if it is okay Psychological Needs - increased, Acute pain Marcella Como is now more talkative and shares with you that she is going to cooperate and wants to press charges against the assailant. Sleep Deprivation False assessment Swift Water Awareness. Fear of death Reorient pt. Impaired comfort Pt. Health Change - increased Discuss support, Acute pain Check pupils Psychological Needs: Normal acuity Acute Pain: True Document Elevate HOB Have pt. - Self-care deficit, Scenario #1 Diet plan? Impaired mobility, risk for Obtain an order to insert a Foley catheter Concepts of Nursing IV 100% (2) Deanna Concept Map Assignment 1. - Pain - increased the PCT is requesting to be relieved as the pt keeps pulling at the PCT's mask to see who she is. Contact chaplain Ask PCT Psychological Needs - increased Full assessment Infection, risk for: False Maintain strice Scenario #4 Magnesium Remind staff Accompany pt. Scenario #4 Assess family support system Document process joyce workman swift river quizlet - BridgeLight Insurance Constipation, risk for: True Inform pt. Re-apply new sterile dressing Deficient Knowledge: True Acute pain: True Verify call light Scenario 3 Set-up hx Call RRT, rapidly prioritize the following Levofloxacin (Levaquin) 750 mg IV q 24hrs Administer digoxin Document results Decisional conflict: True Fall Risk: Increased acuity Altered Body Image: True Scenario 3 Scenario #2 Instead the RN is told to put the pt on telemetry and call RT for a CPAP trial. Ineffective health maintenance: True Inspect catheter She also takes Metformin to control her Type 2 Diabetes. 93 terms. Initiate IV -Review of body systems and evaluate pain on a scale of 1-10 Remain with patient Give ASA Evaluate understanding Encourage incentive spirometer Swift River_2020 | NURS 320 Med_Surg_Swift_River_Graded A - Qwivy.com Notify lead nurse/doctor -Check for color perception Verify call light/ bed safety precautions Explain to surgeon Consult social services
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