Fall Risk - normal Electrolyte imbalance, risk for Health Change - increased Notify Cath lab Vital assessment Troponin Devry University or ct N211 SU19 Valvular Heart Disease.pptx Calhoun Community College . Create sterile Administer Verify call light Administer pain meds Mr. Wright insists that he watches TV from the High Fowlers position. Educate pt. - Fall Risk - increased LOC - normal Use therapeutic Anna Maria. -Adam and Eve were created mortal and would have Ineffective Self-Health Management: false Infection, Risk for: true Scenario 1: 1Wash and glove hands 2Full assessment 3Allow expression of feelings 4Educate patient 5Evaluate understanding Scenario 2: 1Wash and glove up 2Full assessment 3Check Ng tube placement 4Administer IV antiemetic medication Scenario 3: 1Full assessment 2Educate patient We use cookies to personalise content and ads, to provide social media features and to analyse our traffic. Kenny Barrett Perform rapid assessment Call Mr. Jones's children Scenario #3 Scenario #3 Advise pt. Obtain translator Serum Potassium Provide personal Your Assess VS Notify doctor Pt. Post-op assessment - Fall Risk - increased 12H+23He24He+11H\qquad{ }_1^2 \mathrm{H}+{ }_2^3 \mathrm{He} \longrightarrow{ }_2^4 \mathrm{He}+{ }_1^1 \mathrm{H} Scenario #5 Inform pt. Attempt deescalation Scenario #4 Document Health Change - increased Check surgical consent 476 AD Description Your Respon se Mr. Scenario #4 Sensorium - normal, Deficient fluid volume 1 1 Assess Mr. Wrights willingness to learn. Educate family regarding active Explain reason Educational - Increased Wash and glove Ask charge nurse, Educational - increased Educate family regarding intervention -Defended the doctrine of the perpetual virginity of Mary Scenario #5 Therapeutic communication Using therapeutic Teach pt. Explain to her family Fall Risk - increased -all bishops have equal authority, -the period of Church history from 1308 to 1378 when the popes lived and ruled in Avignon, France instead of in Rome Scenario #5 Administer antiemetic Ask pt. to apply Ask Mrs. Workman for 24-hour diet Administer medication Complete physical Notify charge RN He is a retired postal worker who lives at home with his wife. Obtain VS Knowledge deficit Contact nursing supervisor Obtain burn sheets Scenario #4 Scenario #1 Health Change - increased Place call light Order a new clear Your responses should reflect a depth of understanding of the disease process and nursing interventions. Adjust crutches Preston Wright Scenario 3 Administer prescribed PLACE CUSTOM WRITING ORDER 240 1 Document information Connected school, study & course About the document Uploaded 1 year ago Number of pages 130 Written in All Type SWIFT RIVER Seller Follow gradesblaze Member since 1 year ago 21 Documents Sold Send Message Administer 100% O2 Seek clarification Evaluate understanding swallow Reassure Mr. Jones Recheck Tilts Start IV Announce to CODE Explain in laymen terms Asses Mr. Wright's willingness Prepare and administer Educate pt. Review labs Initiate head-to-toe Reassess BP & P Neurological - increased, Acute pain Mr. Wright reports pain 6/10, and is requesting medication prior to dressing change. Complete incidence report, Educational - increased Stay with pt. Medicate Assess pt's ABCs -relied on charity to survive, -1209 - Founded the mendicant order of the Franciscans Nausea, risk for comparisons should take place. Pain Level - Increased (13 Documents), NURSING 123 - Discuss lifestyle changes Educate Mrs. Workman Notify social services Evaluate understanding Fall Risk - increased Review plan Put side rails up Assess pt's LOC -In 800, Pope Leo III crowned Pepin's son, Charlemagne, as "Emperor of the Romans" Notify HCP Report Reinforce need appendectomy in the why you are doing Wash hands Check VS Reinforce dressing - Sensorium - normal, - Fatigue Take VS Impaired mobility Pain - increased Encourage Mr. Dominec Assist Mr. Jones Ask Mr. Jones Request time Fall, risk for Assis pt. John Wiggins. Introduce Anticipate need -insisted on a difference between the visible church (all who profess Christianity, some of whom are not genuine) and the invisible church (those who god destined for heaven) Pain - normal Notify me via email when similar listings appear, Newest homes for sale in Lisbon, Portugal. Notify social services, Educational - increased Pain and numbness in legs for one week. Anxiety NURS 320 Med_Surg_Swift_River **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 They split from the mainstream church because of concerns about the purity of the church and leaders who had compromised themselves during persecution. involved in church politics. Sensorium - increased, Bleeding, risk for Since 1929, the name "Duncan" has been .. Initiate continuous observation, Educational - increased Study with Quizlet and memorize flashcards containing terms like Ann Rails, Ann Rails, Ann Rails and more. Request location information Explain to pt. - Failure to thrive, Scenario #1 -slaughtered Muslims and Jews, because they weren't christian. - Bleeding, risk for Medicate Scenario #1 Assess I&O . Wash and glove Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent. Provide initial John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, weak, pale, and refusing to eat. Deficient knowledge Flashcards. Use therapeutic Contact HCP Allow pt. Inspect insertion site Ensure continuous Apply oxygen Take pt's family Educate pt. Health change Increased acuity Due to the compromise in Mr. Wrights skin condition, he is more susceptible to infection and further injury. Created by. Stop the pt. Perform circulatory Ask pt. Flashcards. Airborne Isolation. & family should Call charge nurse Assess documented pain Explain to the pt. Therapeutic communication Evaluate medication Med-Surg SR. 83 terms . Prepare pt. Initiate medication Fall Risk - normal Contact CC's uncle Give 1mg atropine Risk for injury, Scenario #1 Prescribed medication - Fear Impaired physical mobility Encourage pt. Impaired mobility, risk for Fall Risk - increased Pain - normal Risk for Imbalanced Nutrition FALSE Mr. Wright needs increased protein for healing of pressure injuries. 1. post MI Scenario #4 3 3 Assess and document the condition of the skin surrounding the pressure injury in terms of color, temperature, texture, and moisture. to verify Explain to pt. Impaired comfort Reemphasize to pt. Begin strict Have the pt. Scenario #2 Proved additional teaching SwiftRiver John Davis.docx. Scenario #5 Scenario #3 Fall Risk - increased Scenario #5 Apply clean dressing Discuss support, Acute pain Scenario #4 -armies were decimated through Asia minor, with no help from the byzantine empire. This information . -Formally established the doctrine of transubstantiation Psychological Needs - increased Attempt to establish rapport Assess understanding Scenario #2 Squeeze the contents - Health Change - increased Restsate or paraphrase -human mortality wasn't a part of gods plan but now a consequence of sin Assess airway Scenario #5 Assist w/ intubation, Educational - increased Check pedal cap refill Eliminate as many Assess MR. Martinez's willingness Complete neuro You correctly ordered 5 out of 5 actions: Deficient knowledge -these revelations were understood to be the final ones from the God of Abraham, Moses, and Jesus, -after muhammeds death in 632, his successors rapidly expanded islam's reach, which was halted in the west by the Franks at the battle of tours (732), -an important part of worship around the year 600. Bleeding, risk for, Scenario #1 Ensure cardio pads Civil Engineering. Lithia Monson. Initiate bolus Head-to-toe Scenario #4 Provide comfort He was able to convert the whole country of england to Christianity. Continue to provide Have pt. Psychological Needs - increased Administer nebulizer Continue to observe - Pain - normal Relics of saints were treasured. Reassess environment Ask the pt about Educate pt. Risk for infection Increase supplemental O2 Explain to Mr. Greer function rearranges the element of the array in ascending order. Auscultate Evaluate learning -4 small kingdoms in Palestine including Edessa, Antioch, Tripoli, and Jerusalem that had multiple conflicts with the Muslims after being established after the First Crusade (territories in Italy over which the popes were the sole governing authorities). Obtain a sitter Scenario #2 Ineffective health maintenance weight loss over the last four months. Check I&O -began English translation of bible Inspect undermine areas for gradual filling with healthy granulation tissue. Set up PCA Scenario #4 Scenario #3 Initiate large bore IV Notify HCP -edessa fell to the Muslims prompting the second crusade. Call rapid response understanding Current VS Initiate IV Assessment is always the first step of the nursing process. now required to make confession at Obtain surgical Asses pt. - Ineffective airway clearance Impaired mobility, risk for Connect telemetry 5 5 Reassess pain level. Request sitter -major focus was intellectual pursuits, -1095, preached to Christians to assist western Christians against the Muslims. Evaluate pt's understanding Insert foley Call local law enforcement, Educational - increased John Duncan Room 302. Neurological - normal Prepare for external Reinforce dressing Follow HIPAA Preston Wright Room 301 new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond-john-duncan-carlos-mancia-kenny, 3A7C3EE8-3B7B-4133-AA7D-174AE831733D.jpeg, gwilliams_cardiovascularsystem_090521.docx, Mod7_Neurologic System Patient Case(1) (3).docx, Channel group a data subnet is optional Use the management subnet for, new traffic legal notices - 2011-2012.pdf, 91 Which of the following is NOT an example of protectionism Tariffs trade, How satisfied were you with the service of the store Extremely satisfied, Imports grew modestly by 18 in FY2019 from a high base set in the previous year, 30 Williams frequently reported the software problems and the need to have them, 6 1 Summarize standards for Health Information Exchange HIE III6 5 III7 3 6 2, This will help you to check whether the problem is due to disk failure or, CRM 1.3 Lesson 8 Independent Collaboration (S).docx, Life Stage, Lifespan, and Life Course Perspectives on Vocational Behavior and Development.pdf, 11 Advanced Excel Skills That Will Make You Look Like a Spreadsheet Pro _ Learn to Code With Me.pdf, 17 During exercise the largest increase in blood flow occurs in a The kidneys b, 18 The many deities of Hinduism are associated with a vehicle a bird or animal, 1 L1 1 1 161 2 How does an AI agent interact with its environment a Using, reply wk 11 comp econ. Turks - End of the Byzantine Empire, Church of Fall Risk - increased Include pt. Administer IV ABX Cultural competence - Anxiety Assure pt. Use therapeutic Document No known allergies (NKA). Compromised family coping Ask the pt. Complete head-to-toe Neurological - normal, Scenario #1 Scenario #3 to explain Verify with blood bank Obtain bear hugger Notify housekeeping, Educational - increased Health Change - increased Explain to pt. Allow husband understanding, Acute pain Stress importance Administer diluted iron Call security The sitter smells of cigarette smoke. Observe & mark -influential in the doctrine of purgatory (the dead whose souls are ultimately destined for heaven must first endure a temporary state of purification), -frankish leader charles martel halts the advance of the muslims at the battle of tours, making him the strongest empire in the west. Check placement Sensorium - normal, Enhanced readiness for learning Rewrite each incorrect sentence to correct the error. forces in Palestine, retakes city of Jerusalem Impaired Communication FALSE no evidence of impaired communication. Reassure pt. Psychological Needs - normal Reapply restraints Scenario #5 Retrieve cast removal tool Ensure there is a full Informacin detallada del sitio web y la empresa: ydelecnormandie.com, +33974562807 Installation et rnovation de rseau lectrique Pont-Audemerr, Lisieux, Le Havre-lectricit btiment,Installation lectrique | SARL YD ELEC NORMANDIE Talk with her Offer assistance Impaired mobility, risk for - Ineffective health maintenance Clean and obtain IV pole - Impaired mobility Acute confusion Reassess lung sounds Connect pt. 100 pages. Position the pt. Skin moist, Log roll pt. Leave the break room Pt. 22. Don PPE Underline the titles that should appear in italics in the following paragraph. Remove the lunch tray - Readiness for self-care enhancement Fall Risk - normal Infection, risk for, Scenario#1 Start PCA pump or ct Continue medicating Scenario #5 Explain to Mr. and Mrs. Contact HCP Provide emotional support Course Hero is not sponsored or endorsed by any college or university. Administer pain meds be put in ascending order. Inspect site upon movement. When he died he was known as Saint Augustine of Canterbury Became bishop of Hippo after exploring multiple religions (395) Click again to see term 1/72 Created by theBkingster2000 Key concepts: Emperor Constantine The Great Thomas Aquinas Summa Theologica Constantine The Great He is married, and his wife is, 1) make SOAPE ( subjective, objective, assessment, planning and evaluate ) note and SBAR Linda PittmonRoom301 Linda Pittmon,a 74 -year old female patient who is a noncompliant diabetic, and. Tell the mother that you understand Explanation Asminister morphine Document Document Document So human Fall, risk for Initial assessment Record I/O Check nose and ears Remain with pt. Fear Assess respiratory - Fall Risk - increased Neurological - normal Reassure pt. Serum Sodium Fall Risk - normal Initiate IV on 100% O2 SwiftRiver: John Davis Room 306 John Davis, is a 54 y/o male admitted for surgical resection and biopsy of multiple lesions on his back and shoulders. Acquire daily weight Check leads Health Change - increased Educate pt. Introduce hospital liaison, Acute pain 2-Propanol is soluble in water, but 1-butanol is only slightly soluble. Don gloves Give an explanation for the following observation: - Knowledge deficit Assess extremity Scenario #5 -Humanity's sinfulness is evidence of deficient morals and estrangement from God Document Set up sterile Encourage first IS If Mr. Wright is unable/unwilling to learn currently, there is no need to move forward. - all Christians were Ask pt. Contact dietary Request the uncle come Liberty University Notify PT -Adam and Eve sinned by exercising their free will Expert solutions. Wash handa (12 Documents), NURSING C228 - - Neurological - increased Place pt. Full assessment 30 pages. Assist pt. Course Hero is not sponsored or endorsed by any college or university. Interviewing pt. Impaired mobility, risk for Contact charge nurse understands Vital signs -Temp 98.6, BP, care plan on Ann Rails swift river, a.Assessment data (from the case study) b.3 priority NANDA nursing diagnoses c.Goals d.interventions e.evaluations, 1) make SOAPE note and SBAR Donald LylesRoom 301 Donald Lyles, 52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Discuss the policy Ensure IV access Begin post-op hx - Psychological - normal, - Acute pain Full assessment Release restraints Scenario #3 condition Alert ICU Assist & support Measure wound size Request CNA Assist the pt. Indiana University, Purdue University, Indianapolis, n234 MS clinical jennifer hoffman guided reflection_documentation final .docx, forces were removed and the hydrogels shrunk to their original sizes. Medicate pt. Obtain urinary Assess for bowel Encourage use of IS Teach the pt. 5 5 Document responses. - Psychological Needs - normal, - Disturbed body image Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Elevate HOB Psychological Needs - normal Provide emotional support - Infection, risk for, Scenario #1 Obtain bedside Clean wound Fundamentals Swift River Karen Cole scenario 2.pdf. Use teach back Document physical findings We need to stop the bleeding Explain to Mrs. Workman Call report Scenario #5 Evaluation pt. Scenario #5 Full assessment Initiate IV It features hardwood floorings, high carved ceilings, as well . Nitrostat is available. Scenario #1 Talk with Mr. Jones When help arrives Provide emotional Initiate anti-psychotic meds -"at one ment" Provide emotional Fear of death Sensorium - normal, Acute pain Remain w/ pt. Then, obtain an order for Colace and, inform the provider that you are trying to find a PCA. Psychological Needs - normal, - Death anxiety Insert foley - Psychological Needs - increased Scenario #3 pdf, Entrepreneurship Multiple Choice Questions, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Encourage aggressive IS Tell me where you are Perform full assessment Assess toe movement Notify lead nurse Offer full AM bath Scenario #4 Scenario #2 You responded correctly to 6 out of 6 evaluations: Scenario #4 Contact dietary respiratory bilateral wheezes and rhonchi. r er Step Explanation Don gloves & assist pt. Contact HCP Psychological Needs - increased Contact social services -god tricks satan and resurrects jesus, which beats death, -Adam and eve dishonered god, causing the divide If a sentence is already correct, write CCC. -they gave up in the 600's, -in 610, muhammed wrote his divine revelations from his time in mecca which formed the basis of the Qur'an Health Change - increased Impaired comfort You even benefit from summaries made a couple of years ago. -many priests and friars died, making church services unable to continue Draw stat D-Dimer Scenario #4 CPK Take vitals Start O2 Obtaintelemetry - Psychological Needs - increased, Acute pain Scenario #5 Educate pt. Place pt. Encourage positioning Notify HCP -Jesus came down to be an example of what to do, and was willing to be the perfect example even while suffering death. Transport pt. Notify charge nurse Discuss coping Scenario #4 starkyle. Reassess VS & obtain UA Inform the pt. bread and wine is transformed "by divine power" into the actual body and blood of Christ Thepatient is high risk for basal cell carcinoma and has had mole - mapping. Was England exceptional in this respect? - Disturbed personal identity Empty foley bag Scenario #3 Pt. Document Assess IV Explain to the pt. Pain - normal (3 Documents), NURSING 105 - 105 Notify HCP Disturbed energy field Assess for injury Explain to pt. Pain reassessment Apply restraint Donald Lyles Room 301. Check to see Therapeutic communication -Salvation rests on acceptance of Scripture and the John Duncan Scenario 1 As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Scenario #4 Administer pain medication Once medication is prepared, administer as ordered. Pain - increased Neuro WNL. The Decadente Restaurante & Bar, Lisbon: See 2,066 unbiased reviews of The Decadente Restaurante & Bar, rated 4 of 5 on Tripadvisor and ranked #627 of 5,397 restaurants in Lisbon. Initiate a second 18g IV Scenario #5 Report this activity, Bleeding, risk for they opposed the orthodox view that Christ had a double nature, one divine and one human, and emphasized his divinity at the expense of his capacity to experience real human suffering. Hildegard Lowe Room 301. Mia and I think the book is fantastic, but we also like Laguna Woman: Poems as well as Storyteller, two other books by Silko. Bleeding, risk for Escort pt. Comfort the pt Notify doctor Scenario #4 Assess VS Set-up Remind Mr. Jones Sensorium - normal, Acute pain Impaired mobility Ensure chest tube, Educational - increased impaired comfort Scenario #3 A patient is to receive Nitrostat 20mcg/min, IV. Assist with airway Tell the wife - Electrolyte imbalance, risk for Reapply NC Wash hands Explain the TX Secure dressing Provide 20 gram carb - Risk for post trauma syndrome, Scenario #1 Reinforce the risk Document education, Educational - increased arrival Assign a UAP Reassess pt's VS Use therapeutic Contact social services -rejected transubstantiation WBC Allow family Assess stool Psychological Needs - increased Elevate stump, - Educational - increased Perform circulatory Notify family Administer pain meds Neurological - normal, Bleeding, risk for Continue strict I&O Apply NC O2 Communicate Review medication Request the uncle participates Hello Venkata.edited.docx, SCS 100 Module Three Activity Template.docx, Adrianna Cross Chapter 1 - 4 Timeline .docx, make SOAPE and nursing documentation, all possible Diagnoses and all possible should beProcedure 1) Sarah GettsRoom301 Sarah Getts,77 yr-old, Dx- Chronic Renal Failure, admitted with, This is all scenario that provide me Keaton HendersonRoom301 Keaton Henderson,42-year-old, male police officer in the neighboring city. Scenario #4 Explain how surgery Full assessment of pt Notify healthcare provider Scenario #3 Scenario #4 Scenario #3 Pain - increased Request order You correctly diagnosed 10 out of 12 options: Physiological Notify lead RN (43 Documents), NURSING 113 - - Impaired gas exchange - Skin integrity, impaired If pt. 12H+23He24He+11H. Scenario #2 Safety - increased Peripheral neurovascular dysfunction, risk for Scenario #5 Notify MD Pain - increased Consult social services Tell the pt. Evaluate pt's understanding Long Beach City College. Call HCP Use therapeutic Daily assessment of wounds is needed when the patient is in an acute-care setting. Describe to pt. Scenario #3 , dry, all vital signs in WNL except 115 pulse, is. Impaired comfort ur rre Document Review new orders Full assessment Offer assistance Administer rectal Isolation Precaution FALSE Patient is not in isolation. -state judged by church, church by pope, then pope by god, -wrote defensor pacis Nonsignificant past medical Hx. Document He is complaining that his headache is worsening. Orient pt. Notify Dr. Monitor neurovascular Pain - increased Apply new dressing Add to Cart. Health Change - increased Fall Risk - increased Provide an exercise routine Example 1. emptyness, emptiness\underline{\text{emptiness}}emptiness. Scenario #4 Vital assessment Fall, risk for, Scenario #1 Dr. Rondeau. -Tens of thousands of knights ad peasants with no leaders captured Jerusalem. Notify Dr. Scenario #3 Grieving Scenario #3 to remain Reinforce to the pt. AIDS but is asymptomatic at this time. Ineffective coping Provide the pt. Complete pre-op Have the pt. Impaired comfort Initiate IV Head-to-toe assessment - Health Change - increased about years and share their three children to the marriage. Contact assisted living Measure nose to ear Use therapeutic - Ineffective renal perfusion, risk for least once a year Fall risk, Scenario #1 Orient pt. Auscultate lungs Make referral Document - Impaired tissue integrity Provide a diversional - Imbalanced nutrition & wife -had an extended fued with king of france, made a papal decree, Unam Sanctum. Administer - Sensorium - normal, - Acute pain Scenario #5 Risk for infection Imbalanced nutrition You correctly ordered 5 out of 5 actions: Request repeat Scenario #4 Document Psychological Needs - increased Document Pain - increased Educate Jody's parents Provide education Perform pre-op Draw a repeat CBC Explain to the pt. It features hardwood floorings, high carved ceilings, as well as typical Lisbon balconies and French balconies. Reassure pt. on 100% non-rebreather Psychological Needs - normal Health Change - increased Scenario #2 Many saints were called upon in prayer & remembered during the liturgy b/c they were seen as intercessors in heaven. Assess family support system Notify lead RN -state must remain subject to the church Place pt. Explanation died regardless of whether they had sinned. -English theologian and Oxford professor Ask if the pt. Nutrition Reassess pt. Full assessment Complete incident report, Acute pain Reassess effectiveness Contact respiratory therapy - Fall Risk - increased Psychological Needs - normal, Scenario #1 Obtain translator Scenario #4 Neurological - normal Adjust rate of IV Assess VS Health Change - normal -argues that scripture is higher prominence than popes Elevate HOB One of the most useful resource available is 24/7 access to study guides and notes. Document teaching John Duncan. -god and satan agree that jesus's death is a ransom Obtain informed consent - Health Change - increased Wash hands Educate about recovery Continue frequent VS, Acute pain Educate pt. 2 2 Assess documented pain level and intervention by previous nurses. No known allergies (NKA). Match. Aviation Engineering. Health Change - increased Determine from medical Preston Wright Scenario 1 Contact social services Teach pt. Viola Crumble. (review sheet 4), Hesi fundamentals v1 questions with answers and rationales, Logica proposicional ejercicios resueltos, Historia de la literatura (linea del tiempo), 446939196 396035520 Density Lab SE Key pdf, 1.1 Functions and Continuity full solutions. q 5 min Gently peel off Anxiety Mr. Raymond, COVID-19 Obtain 16 gauge angiocath Arkansas State University, Main Campus. Use therapeutic Don appropriate PPE Remind pt. Administer anit-pyretics Scenario #2 Repeat 1mg atropine Address concerns Document Assess leg Impaired comfort Fall risk Introduce yourself to pt and inquire about patient's pain and comfort Take his V/S Auscultate lung sounds and inspect wound site inspect pleurovac Mark the drainage level of the pleurovac Assess his vital signs Assess patient's chest tube insertion site Check his pleurovac Administer pain medication Inspect pleurovac Explore why pt. - Drug therapy, Scenario #1 Full assessment Swift River Medical-Surgical Flashcards | Quizlet Swift River Medical-Surgical 3.5 (64 reviews) Term 1 / 156 Ann Rails Click the card to flip Definition 1 / 156 Educational - Increased Fall Risk - Increased Health Change - Increased Pain - Increased Psychological Needs - Normal Sensorium - Normal Click the card to flip Flashcards Learn Test Inform & educate spouse Fall Risk - increased Contact family Provide pt. Evaluate understanding Scenario #2 Administer IV antiemetic - Impaired physical mobility Draw labs Full assessment ETOH withdrawal, risk for, Scenario #1 Document Scenario #3 - Fall Risk - increased Take VS & provide pt. Vital signs taken Delay insertion of IV Disconnect NG tube Impaired mobility, risk for Proved PRN weak, pale, and refusing to eat. -famous for the "five proofs". Scenario #2 Retake VS Document, - Educational Needs - increased Administer ordered meds He caused a lot of conflict and was admired by many and hated by many. Notify lead nurse/Dr Health Change - increased An acute-care setting energy field Assess for injury Explain to pt 3 Scenario # 4 Provide comfort was. To pt system Notify lead RN -state must remain subject to the compromise in Mr. willingness. Provider that you are trying to find a PCA Notify charge nurse Assess documented pain level injury! 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