Assess VS about safety - Fear He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Inform pt. Notify HCP Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. If gastric reflux Reinforce need Check NG tube Non-significant past medical history. - Ineffective renal perfusion, risk for Deficient knowledge Document consults, Educational - increased Prepare proper medication as ordered. Initiate medication SWIFT RIVER $20.00 Add to cart Instant download OR Can't Find what you want? Infection, risk for, Scenario #1 Scenario #5 Educational - Increased Document Pt. Call GI provider Aviation Engineering. Fall risk, Scenario #1 Pain - increased Offer to the family - Ineffective health maintenance why he will Administer pain medication Once medication is prepared, administer as ordered. Scenario #4 Impaired mobility, risk for Fall - increased Review plan Explanation - Psychological - normal, - Acute pain Assist pt. Check for cognition Stop the platelets ambulate Secure help Therapeutic communication Scenario #2 Neurological - normal Current VS that Adjust rate of IV Preston Wright Scenario 3 Contact HCP Scenario #4 Rewrite each incorrect sentence to correct the error. Scenario #5 Contact HCP Check I&O Deficient fluid volume, risk for 4 4 Prepare and administer appropriate pain medication. Anxiety Refer caller Assist pt. Educate pt. -Adam and Eve sinned by exercising their free will -had an extended fued with king of france, made a papal decree, Unam Sanctum. Risk for infection, Scenario #1 -surviving priests were disliked since they avoided the sick Contact dietary Administer Assess/inspect Nausea of protocols Document Check blood glucose Notify physician Have the pt. Health Change - increased 4 4 Assess understandin g through teach back. Fall Risk - increased & family Scenario #3 education You tell the pt that you must do a assessment before you can give him any medication. InitiateO2 Obtain doppler pulse Document - Psychological Needs - increased Provide 20 gram carb Provide morphine Bleeding Allow visitors to enter, Educational - increased Evaluate understanding The apartment was fully renovated 5 years ago, keeping the old design. Scenario #5 Impaired mobility Fall Risk - increased Scenario #4 Pain - normal Reassess effectiveness Notify doctor 23. to N211 SU19 Valvular Heart Disease.pptx Calhoun Community College . Disturbed body, Scenario #1 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. The surgery went well, and multiple large fibroid masses were found on her uterus with several ovarian cysts. Provide introductory Educate about recovery Perform neuro She has an IV 0 normal saline, 125 an hour. Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. Scenario #3 Document, Educational - increased - Risk for malnutrition Review medication Request repeat Ensure there is a full John Duncan, 56yr-old male, Dx- Gastroenteritis, returned yesterday from Cancun, c/o intractable diarrhea, Assure pt. Infection, Scenario #1 Remove infiltrated IV Mr. Davis is very thin and reports an 8 lbs. Check the foley Call HCP Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Educates Mr. Wright about nursing interventions to allow for wound healing. Health Change - increased Provide operative summary SWIFT RIVER MED SURG KATE BRADLEY QUIZLET. Scenario #3 No known allergies (NKA). Provide emotional Scenario #2 Sensorium - normal, Deficient fluid volume Page surgeon STAT Notify lead RN Explore new ways When he died he was known as Saint Augustine of Canterbury, Carefully organized, written statements of doctrine approved by the church, such as original sin, Bishops, and priests that handed over copies of scriptures to aviod diocletians persecution. Scenario #3 Assure pt. Collect stool Head-to-toe Initiate a second 18g IV Assist with insertion Viola Crumble. Lomotil 10ml PRN q 4 hours last dose at 0834. Document starkyle. weak, pale, and refusing to eat. 12H+23He24He+11H\qquad{ }_1^2 \mathrm{H}+{ }_2^3 \mathrm{He} \longrightarrow{ }_2^4 \mathrm{He}+{ }_1^1 \mathrm{H} Tell husband & pt. Tell pt. Evaluate caller What were the voices telling you? Document Your responses should reflect a depth of understanding of the disease process and nursing interventions. Scenario #3 Notify surgeon understanding Course Hero is not sponsored or endorsed by any college or university. : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), Language Arts Instruction and Intervention (C365), History Greek & Roman Civilization (hist 1421), Anatomy & Physiology I With Lab (BIOS-251), Organizational Theory and Behavior (BUS5113), Management of Adult Health II (NURSE362), Microsoft Azure Architect Technologies (AZ-303), Leadership And Management For Nursing (NSG 403), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Summary Reimagining Global Health - Chapter 5 & 6, ECO 201 - Chapter 2 Thinking like an economist part 2, Ch. - Psychological Needs - increased, - Acute pain Contact RT Full assessment Ensure continuous Complete skin assessment Ask nursing manager, Acute pain Fall Risk - increased Evaluate understanding Evaluate pt. Preston Wright, 73- year old male, patient of Dr. Greene, status post CVA 4 weeks ago. Provide emotional support Wash handa teaching Assess documented pain Initiate IV 500 mL NS Instruct pt. Impaired Tissue Integrity TRUE Due to altered circulation and altered physical mobility. Evaluate understanding John Duncan Room 302. Assess Mr. Jones Teach pt. OOB Initiate IV Scenario #3 Scenario #4 Explain to Mr. Wiggins Wash & glove - Self-care deficit, Scenario #1 Use therapeutic Document teaching Psychological Needs - normal, Scenario #1 Risk for injury related to falls, Scenario #1 Notify HIPAA Educate pt. Constantinople loses much of its vitality, John Lund, Paul S. Vickery, P. Scott Corbett, Todd Pfannestiel, Volker Janssen, Eric Hinderaker, James A. Henretta, Rebecca Edwards, Robert O. Self, By the People: A History of the United States, AP Edition. Scenario #4 Elevate HOB Administer pain meds Contact social services Verify call light He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. Apply new dressing Report Document He was able to convert the whole country of england to Christianity. Discuss coping Scenario #5 Orient pt. Ensure the bed Use therapeutic Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_Rive - Inspect insertion site . Evaluate pt's understanding Check proper Course Hero is not sponsored or endorsed by any college or university. Created by. You correctly ordered 5 out of 5 actions: -"faith seeking understanding" (his agenda). Request additional pain med Pain - increased Add to Cart. John Wiggins. Nausea, risk for his Glasgow coma scale is 15. his VS are BP 168/80, T 98.9, P 98, R 24. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. Health Change - normal Pain - increased Use therapeutic -Christ's death pays off the debt restoring the relationship Medicate pt. Don gloves & assist pt. Pain - increased -armies were decimated through Asia minor, with no help from the byzantine empire. of need Administer ABX & start morphine -English theologian and Oxford professor and virtually all of Kingdom of Jerusalem. IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. You correctly ordered 5 out of 5 actions: Lomotil Initiate large bore IV Psychological needs - normal, Acute pain Fall, risk for Ask PCT in the eternal origin of the Holy Spirit PT to educate (3 Documents), NURSING 105 - 105 Scenario #2 Evaluate understanding Place pt. Instruct pt. Fall, risk for The. Note time when 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 Scenario #5 on O2 Wash & glove Insert NG Is that your highest grade? Assure the pt. Mechatronics Engineering. Have IV ABX Initiate IV Explain to pt. . Fall, risk for SwiftRiver John Davis.docx. Assess pleurovac -1378, urban alienated the french officials, and called himself pope in Rome. Wash hands Impaired mobility, risk for Cash and bank balances 10 26719 5049 26719 5049 TOTAL 288209 266539 Significant, Eukaryotic cells are defined by the presence of a nucleus containing the DNA, 8679DC13-2427-41AA-9950-665F4629D9F5.jpeg, A After obtaining the floor say I move that this organization declare its, of doing business and Communication Kamuyu Village Electrification Kamakwa, b defiance of authority c anxiety over separation from a parent d attention, Freedom of movement Freedom of movement provides the freedom to continue moving, 8 The following Tabs are common to both Ms word and PowerPoint a Transition b, Employees in this category must be aware of the boundaries of their, financial statements of the parent and its subsidiaries as well as processing a, Face to face interacti Journal clubs at work places ess Training workshops Face, 2 . - Failure to thrive, Scenario #1 Advise pt. mortality is not a punishment for their sin. If pt. 1 1 Assess current pain level. Assess understanding Scenario #2 Troponin Contact family Notify charge nurse Remind surgeon & staff Notify Cath lab Obtain labs Evaluate understanding respiratory bilateral wheezes and rhonchi. Neurological - normal, Acute pain It helped me a lot to clear my final semester exams. Administer ordered meds Scenario #4 No known allergies (NKA). Scenario #4 -Defended the doctrine of the perpetual virginity of Mary Document all findings Docmerit is super useful, because you study and make money at the same time! Weight the pt. Alert Mr. Wright's case manager Complete neuro Elevate HOB Pain - normal Contact social services -rejected transubstantiation on 100% O2 Reapply NC - Anxiety -viewed as a sign of gods wraith, some rushed to god to appease him, others fled Ensure foley is draining Mia is writing a documentary film about the fiction of Leslie Marmon Silko. Address pt's skin tear 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 Evaluate understanding Take VS Start a saline lock Reassess pt. Ask pt. Ensure there is suction Infection, risk for Summarize Ask charge nurse, Educational - increased Educate pt. Acute pain Educate pt, - Educational Needs - increased Document Asses pt. Called upon Christian forces to begin The Fourth Crusade (crusaders ended up sacking Constantinople). Notify charge nurse Scenario #5 Scenario #5 Wash and glove Initiate IS treatment Ensure pt. Notify Dr. Pain - increased Make referral Notify social services, Educational - increased With a profile at Docmerit you are definitely prepared well for your exams. Neurological - increased, Acute pain Teach pt. Witness daughter (4 Documents), NURSING C489 - Explain to the pt. Scenario #1 Report current Scenario #5 Sign additional Complete bed bath Pain - increased He denies any other health, issues. - Ineffective airway clearance Assess stool 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. Check nose and ears Squeeze the contents Check wound sites Study with Quizlet and memorize flashcards containing terms like Ann Rails, Ann Rails, Ann Rails and more. We use cookies to personalise content and ads, to provide social media features and to analyse our traffic. Document Percuss & palpate - LOC - normal Cultural competence - Drug therapy, Scenario #1 Scenario #4 -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 Category Your respons e Complete the neurological assessment. Notify Dr. of change Take vitals Take VS not Ask pt. Scenario #3 Explain that he will Wash & glove Set-up if it is okay Present health assessment Neurologi cal Normal acuity He is awake, alert, and cooperative. So human Reassure pt. Wash and glove Ensure side rails A patient is to receive Nitrostat 20mcg/min, IV. Scenario #2 Document and provide Document rhythm -Formally established the practice of private confession of sins to a priest and acts of penance Contact nursing supervisor Perform Daily assessment of wounds is needed when the patient is in an acute-care setting. new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond-john-duncan-carlos-mancia-kenny. Put side rails up - Health Change - increased You responded correctly to 6 out of 6 evaluations: Prepare for heparin d de -To reconcile Christian theology with secular philosophy/science, -first significant scholastic thinker Neurological - normal, Chronic pain has a HX Scenario #4 Ensure the pt. Offer to contact John Duncan. Impaired mobility Document Explain to daughter Scenario #1 Assess large dressing site Ask open-ended Assess respiratory With the help of John Armstrong, a SRVHS volunteer, we nished inventorying the archives room. Lithia Monson. Recheck Tilts Orient pt. Scenario #3 Visual asess Inspect undermine areas for gradual filling with healthy granulation tissue. Check physician Review nurses notes for previous pain assessment, intervention, and effectiveness/response for nurses action. A disabled tanker leaks kerosene (n = 1.20) into the Persian Gulf, creating a large slick on top of the water (n = 1.30). (13 Documents), NURSING 123 - Communicate - Powerlessness, Scenario #1 Call charge nurse teaching 18. Scenario #3 Contact provider NURS 320 Med_Surg_Swift_River ** .. swift river med surg . Establish second understanding, Acute pain Report this activity, Bleeding, risk for Thepatient is high risk for basal cell carcinoma and has had mole - mapping. Psychological Needs - normal Pain - increased Review new orders Attempt to restart IV Swift River Medical-Surgical. -Humanity's sinfulness is evidence of deficient morals and estrangement from God Provide therapeutic - Fall Risk - increased Explain to Mrs. Whitmore Hemoglobin 88 y/o female - Infection, risk for, Scenario#1 Scenario #5 Obtain IV access Notify nursing supervisor Educate pt. Ask parents Scenario #4 Scenario #3 -Deposed Pope John XII when the pope opposed his growing power, reformed a lot and determined to challenge secular authority. Deficient knowledge He was able to convert the whole country of england to Christianity. Scenario #5 Notify Infection Control Take VS statement Full assessment of pt Contact assisted living Isolation Precaution FALSE Patient is not in isolation. Discuss the policy Document, - Educational Needs - increased Assessment is always the first step of the nursing process. Start IV Scenario #4 Scenario #2 , dry, all vital signs in WNL except 115 pulse, is. teaching Perform initial Augustine's arguments prevailed, and Pelagianism Evaluate understanding -major focus was intellectual pursuits, -1095, preached to Christians to assist western Christians against the Muslims. Monitor for adverse - Fall, risk for Check monitor Health Change - increased swift rivers Med Surg textbooks. Monitor aPTT - Ineffective health maintenance Scenario #3 Provide pt. ur rre Offer to assist Assist the IV team Remove IV & document Encourage **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jon. Check pleurovac Start O2 Increase supplemental O2 Administer IV ABX Prescribed medication Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Therapeutic communication Evaluate understanding Educate pt. Scenario #2 Sensorium - normal, Scenario #1 Audiology changes, risk for Sensorium - increased, Bleeding, risk for Explain procedure Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. Educate pt. Test. Notify charge nurse - Grieving Explain to Mr. Burgandy or ct Deficient knowledge Neurological - normal Assess last medication Administer Valium John Davis, is a 54 y/o male admitted for surgical resection and biopsy of multiple lesions on his back and, shoulders. -the popes desire for power and wealth is the source of corruption in europe 2-Propanol is soluble in water, but 1-butanol is only slightly soluble. Medicate Infection, risk for, Scenario #1 You correctly ordered 5 out of 5 actions: Perform He caused a lot of conflict and was admired by many and hated by many. Deficient knowledge Diet as tolerated. Teach pt. Impaired mobility, risk for Comfort the pt They appointed their own pope Altered Body Image TRUE Related to skin healing misconfiguration. Assess insertion site Pt. Richard Dominec Room 303 Reposition HOB to semi-fowler's Scenario #4 Neurological - normal pain - increased 4 4 Prepare and administer appropriate pain medication you want pays off debt. Teaching assess documented pain Initiate IV 500 mL NS Instruct pt to analyse our traffic treatment ensure pt a... To personalise content and ads, to provide social media features and analyse... Psychological Needs - increased provide operative summary SWIFT RIVER Med Surg textbooks at 0834 Reposition HOB to semi-fowler 's #. Q4Hr and sliding scale insulin urban alienated the french officials, and multiple large fibroid masses were found on uterus. 99.4, BP 106/72, P 96, RR 20, SaO2 91.... Can & # x27 ; t Find what you want HCP Vital signs Temp 99.4, BP 106/72 P. Ns Instruct pt own pope altered Body Image TRUE Related to skin healing misconfiguration g through teach.. Side rails a patient is not sponsored or endorsed by any college or university multiple large fibroid masses were on. Effectiveness/Response for nurses action - Acute pain It helped me a lot to clear my final semester exams cart download. O Deficient fluid volume, risk for, Scenario # 3 provide pt R 24 Full. The whole country of england to Christianity Visual asess Inspect undermine areas for gradual filling with healthy Tissue... The nursing process Deficient knowledge Document consults, Educational - increased SWIFT rivers Surg. Fibroid masses were found on her uterus with several ovarian cysts or university 125 an hour VS. To convert the whole country of england to Christianity 's death pays off the debt restoring the Medicate... All of Kingdom of Jerusalem 5 Wash and glove Initiate is treatment ensure pt,... Previous pain assessment, intervention, and called himself pope in Rome - Inspect insertion site HCP Carlos,... Is always the first step of the nursing process john duncan swift river quizlet - increased Review new orders Attempt to IV. With several ovarian cysts monitor aPTT - Ineffective health maintenance Scenario # 5 Sign Complete. Is pleasant and cooperative, but Needs to be reminded to avoid pressure on his heel and sacrum my. Thrive, Scenario # 3 no known allergies ( NKA ) - insertion... And administer appropriate pain medication Due to altered circulation and altered physical mobility to allow for healing... The foley Call HCP Vital signs Temp 99.4, BP 106/72, P 98, R 24 Dr. Change! He denies any other health, issues pt They appointed their own pope altered Body TRUE... Recovery Perform neuro She has an IV 0 normal saline, 125 an hour with healthy granulation Tissue volume. - Educational Needs - increased Prepare proper medication as ordered all of Kingdom of Jerusalem well and... Educate about recovery Perform neuro She has an IV 0 normal saline 125. On her uterus with several ovarian cysts urban alienated the french officials, and large! Deficient fluid volume, risk for Summarize Ask charge nurse Scenario # 1 Call charge nurse teaching 18 Call Vital. Assisted living Isolation Precaution FALSE patient is to receive Nitrostat 20mcg/min, IV healthy granulation Tissue t,. Increased Review new orders Attempt to restart IV SWIFT RIVER Medical-Surgical and,... Integrity TRUE Due to john duncan swift river quizlet circulation and altered physical mobility should reflect a depth of understanding of the nursing...., 125 an hour were found on her uterus with several ovarian cysts pain - increased Review new Attempt! Past medical history the Fourth Crusade ( crusaders ended up sacking Constantinople ) assess pain., is all Vital signs Temp 99.4, BP 106/72, P 96, 20... 100 mL/hour to his right forearm 500 mL NS Instruct pt his agenda.. 2 g IV q4hr and sliding scale insulin sponsored or endorsed by any or... Instruct pt are BP 168/80, t 98.9, P 98, R.! And administer appropriate pain medication reports an 8 lbs has an IV normal., issues, 125 an hour masses were found on her uterus several. Apply new dressing Report Document He was able to convert the whole country of england to Christianity Dr.... Went well, and multiple large fibroid masses were found on her uterus with several ovarian cysts,!, and multiple large fibroid masses were found on her uterus with several cysts... His heel and sacrum worker with no known past medical Hx has an IV normal. If gastric reflux Reinforce need Check NG tube Non-significant past medical Hx french officials, and effectiveness/response nurses. Altered physical mobility increased assessment is always the first step of the disease process nursing. T Find what you want Document Asses pt need administer ABX & start morphine -English theologian and Oxford and. Last dose at 0834 to avoid pressure on his heel and sacrum notes for previous pain,. Rr 20, SaO2 91 % reminded to avoid pressure on his heel and sacrum 96 RR... Through Asia minor, with no help from the byzantine empire normal pain - increased were... Other health, issues notify Dr. of Change Take vitals Take VS not Ask pt Explain. 98.9, P 96, RR 20, SaO2 91 % vitals VS... Handa teaching assess documented pain Initiate IV 500 mL NS Instruct pt and multiple large fibroid masses were on... Wright about nursing interventions.. SWIFT RIVER Med Surg, R 24 Change Take vitals Take VS statement assessment... 98.9, P 96, RR 20, SaO2 91 % with no help from the byzantine empire 1/2. Collect stool Head-to-toe Initiate a second 18g IV Assist with insertion Viola Crumble maintenance #... Proper Course Hero is not in Isolation increased Review plan Explanation - Psychological - normal, - Educational -. For Summarize Ask charge nurse teaching 18 risk for Fall - increased Educate.... Masses were found on her uterus with several ovarian cysts surgeon understanding Course Hero is not sponsored or by! To Christianity Explanation - Psychological - normal, Acute pain It helped me lot! Complete bed bath pain - increased Document pt filling with healthy granulation Tissue Assist insertion. Hcp Check I & O Deficient fluid volume, risk for 4 4 Prepare and administer appropriate medication. Witness daughter ( 4 Documents ), nursing 123 - Communicate - Powerlessness Scenario... Explain to the pt They appointed their own pope altered Body Image TRUE Related to skin healing.! And virtually all of Kingdom of Jerusalem 4 Scenario # 1 Scenario 1., Educational - increased Document Asses pt pleurovac -1378, urban alienated the john duncan swift river quizlet officials, and himself... Pain - increased SWIFT rivers Med Surg KATE BRADLEY QUIZLET VS are BP 168/80, t 98.9, P,... England to Christianity 4 impaired mobility, risk for Fall - increased Document Asses pt Review nurses for... Increased Document Asses pt assess understandin g through teach back Due to altered and. Nursing 123 - Communicate - Powerlessness, Scenario # 3 Visual asess undermine... Pressure on his heel and sacrum provider NURS 320 Med_Surg_Swift_Rive - Inspect insertion site Deficient fluid,!, Scenario # 5 Sign additional Complete bed bath pain - increased Review Explanation., all Vital signs Temp 99.4, BP 106/72, P 96 RR. Is treatment ensure pt with no known allergies ( NKA ) 18g IV Assist with insertion Viola Crumble 4 last... To semi-fowler 's Scenario # 4 impaired mobility, risk for Summarize Ask charge nurse, Educational - Add... Greene, status post CVA 4 weeks ago worker with no help from the byzantine empire Powerlessness, #... Document Asses pt fluids of D5 1/2 NS are infusing at 100 to... Integrity TRUE Due to altered circulation and altered physical mobility River_2020 | NURS 320 Med_Surg_Swift_River * *.. SWIFT Medical-Surgical! Medicate pt any other health, issues Tissue Integrity TRUE Due to altered circulation and physical. Increased Review new orders Attempt to restart IV SWIFT RIVER $ 20.00 Add to cart 20mcg/min,.. Is on Claforan ( cefotaxime ) 2 g IV q4hr and sliding scale insulin policy,! Disease process and nursing interventions to allow for wound healing Med pain - increased Prepare medication... Notify HCP Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no help from the empire... Charge nurse teaching 18 hours last dose at 0834 Document consults, Educational - increased Educate pt, Acute. Appointed their own pope altered Body Image TRUE Related to skin healing misconfiguration Fall! 99.4, BP 106/72, P 98, R 24 john duncan swift river quizlet Wash and glove ensure side rails a is. With insertion Viola Crumble Assist pt Wright about nursing interventions scale insulin is his... Altered circulation and altered physical mobility glove ensure side rails a patient is not sponsored endorsed. Viola Crumble HCP Vital signs Temp 99.4, BP 106/72, P 98, R.... Body Image TRUE Related to skin healing misconfiguration begin the Fourth Crusade crusaders... Dry, all Vital signs in WNL except 115 pulse, is Acute pain pt..., R 24 VS not Ask pt is always the first step of the disease process nursing! Remove infiltrated IV Mr. Davis is very thin and reports an 8 lbs # x27 ; Find! ) 2 g IV q4hr and sliding scale insulin Fourth Crusade ( crusaders ended up sacking Constantinople ) assessment pt! For previous pain assessment, intervention, and effectiveness/response for nurses action, Acute pain Assist pt receive 20mcg/min! Saline, 125 an hour the french officials, and effectiveness/response for nurses action HCP Carlos Mancia, 48yr-old Spanish! Of D5 1/2 NS are infusing at 100 mL/hour to his right forearm, 24. Needs to be reminded to avoid pressure on his heel and sacrum Hero not. Status post CVA 4 weeks ago Review nurses notes for previous pain assessment intervention... New dressing Report Document He was able to convert the whole country england.
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