-Thermoregulation Offer full AM bath Hand hygiene Inform his partner that everything is being done to keep him comfortable. He tells you he wished he "had died from the attackI'll never be the same." Pain Level: Normal acuity Fall Risk: Increased acuity Begin strict He is on a 100% nonrebreather and he keeps pulling his mask off. Charge the monitor 4. Drug therapy: True The problem I am calling about is, her blood glucose is high. Should I be concerned about having sex w/ him? Her daily medications at home include: Prednisone 5 mg, Furosemide 20 mg, and ASA 81 mg daily. Carlos Mancia 11. He has been informed that for the next 18 months he should take antithrombotic therapy daily. Scenario #3 Ms. Getts is being transferred as an emergency to Critical Care. She has just been transported from recovery. Ask charge nurse, Educational - increased Scenario 5 Provide medical hx including medication hx and allergies 5-Use disposable blood pressure cuff Encourage Mr. Jones Medicate w/ Demerol 100mg w/ Phenegran 25mg IM prior to dressing changes 5.) During the follow up nursing assessment, Ms. Hatcher complains about the NG-tube causing her pain in her nasal area. Don PPE and have PCT assist w/ connecting the pt to telemetry Sacrum pressure injury demonstrates underlying bone exposure wound measures 4cm x 6cm x 3cm depth w/ tunneling noted on the rt side. He is a patient of Dr. Adams. Perform hand hygiene Medicate Scenario 3 Obtain assistance Mrs. Smith's surgery has now ended. Physical mobility, impaired: True Infection, risk for: False Educate pt Encourage incentive spirometer Assess pt's sputum Pain - increased This morning, at shift report, she states that she is scared to leave the hospital after the shooting incident. Educational Needs: Increased acuity Contact social services Scenario #3 Leave the break room and not continue in conversation. administer new pain medications Fall Risk: Increased acuity Assess Mr. Jones Deficient knowledge Encourage Mr. Dominec - Pain - normal Scenario 4 Tell the mother that visitors are welcome Ensure cardio pads Remain w/ pt Educate pt. Scenario 3 Scenario 2 Take VS & provide pt. Scenario 5 Introduce yourself/identify pt Infection, risk for Just received an order to initiate 20mg of Furosemide (Lasix) IVP, BID. Encourage Mr. Wright to include high protein snacks in his diet Verify call light Scenario 2 Deanna Concept Map Assignment 1. Swift River- Med Surg Flashcards | Quizlet Empty foley bag Instruct Lucy to assist in maintaining pt position and field sterility Instruct pt to lie supine for 6 hours Education of F/C procedure Offer nutrition and/or toileting Encourage to ambulate w/ assistance to void if needed Check leads Ineffective health maintenance: True Educate pt. Inspect pain location