University:
Nightingale College
Course:
BSN 246 | Concepts of Nursing I
Academic year:

2023
Views:

229

Pages:

3
Author:

desgolhayp9a

Educational Needs: Increased acuity Fall Risk: Increased acuity Health Change: Increased acuity Pain Level: Increased acuity Psychological Needs: Normal acuity Sensorium: Normal acuity Physiological- Acute Pain: True Electrolyte Imbalance: False Imbalanced Nutrition: False Impaired Mobility, Risk for: True Impaired Skin Integrity, Risk for: False Impaired Urinary Elimination: True Safety- Fall, Risk for: True Sleep Deprivation: False Scenario 1 Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10 Wash and glove hands Vital assessment Administer pain medications Re-assess pt Document results Scenario 2 Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication Vital assessment Notify Dr for new pain medications administer new pain medications Re-assess pt Scenario 3 Mr. Richardson is requesting assistance to ambulated to bathroom Use therapeutic communication/Active listening Obtain Urinary Screen Assist pt Remain w/ pt Document results and findings Scenario 4 Mr. Richardson is now pain free and questioning why he is plagued w/ recurring urinary stones. Use therapeutic communication/Active Listening Educate pt Evaluate understanding Contact dietary consult Document results Scenario 5 You are now preparing for d/c. Place steps in order. D/C instructions Evaluate understanding Escort pt to vehicle Document results Notify housekeeping

Concepts of Nursing - Swift River

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