Document Procedure Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ Vital signs -Temp 98.4,BP 178/105, P 112, RR 28, SaO2 94%; Neuro- WNL's. Chronic Sorrow False -Notify HCP of fall, complete incident report Observe closely first hour Scenario 5 Scenario 2 Biopsies were sent to determine the treatment. Scenario 5 After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. Temperature is now 102.8. Escort patient She is with her physician. Safety- He is excited and tells the nurse he is starving and glad that he finally gets to eat. Scenario 3 Skin integrity at risk True Scenario 2 Check input/output for possible dehydration Peripheral Neurovascular Dysfunction: False Scenario 4 He has a history of hypertension and is not compliant with medication. You are concerned about preventing the patient from falling. -Determine when a hospital provided sitter will be necessary You are told that he has intermittent chest pain with substernal burning that radiates to his mid-back. Sa fortune s lve 2 000,00 euros mensuels Ruth Cummings Trustee Vice Chair Audit Chair . He has partial thickness burns to his left arm and the left side of his face. She has arrived in pre-op and about to have surgery this morning. Scenario 2 Senario 1 Remain with patient GI WNL. Discuss follow up with his doctor. No known allergies (NKA). Bleeding: True Scenario 1 Combien gagne t il d argent ? ASA is held but morphine 4 mg was given after his GI cocktail. Scenario 5 Neuro WNL's, alert and cooperative. -Teach the patient that there are several interventions for complications post-prostatectomy to include erectile dysfunction, post-op prostatectomies, and self-care involved with a foley catheter at home. Peripheral Neurovascular Dysfunction False. Scenario 4 RLE: ______________ LLE: _____________ Nausea: False Fear True After 3 hours, Ms. Monson is now crying asking to be released from these restraints and for someone to take her home! Senario 5 Course Hero is not sponsored or endorsed by any college or university. Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Scenario 4 -Discuss with sitter that patient needs continual observation Connect telemetry 20ga. -Place patient on O2 Nasal Canula He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Oriented to: Person Place Time Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University Keiser University Western Governors University Notify doctor Scenario 2 Skin warm and dry, all vital signs in WNL ADA diet, intake 25%. Dr. Altace, Physiological- Scenario 1 Ronald Burgundy Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. This will treat any cancer that may have metastasized to the bone. Senario 4 Scenario 4 Scenario 4 Inform and educate spouse of dietary orders Nathaniel Gonzalez She is also to receive radiation, chemotherapy, and hormone therapy post operatively. 20ga. Scenario 5 You discuss this cough with Mr. Dominec to determine how long he has had it. Head/Face: Symmetric Asymmetric Drooping Multiple abrasions, bruising Head, chest, and inner thigh. Notify doctor No response = 1, Mobility: Shock False Dr. Donofrio. Robert Sturgess Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Dr. Roopes, Estelle Hatcher, 31yr-old, r/o appendicitis, 1st day post-op appendectomy; No known allergies (NKA); Vital signs - Temp 101.2, BP 108/74, P 92, RR 20, SaO2 99%, alert and cooperative. Today, clubs like Hamburg City Beach Club, Lago Bay, Hamburg del Mar and StrandPauli provide a relaxed summer atmosphere with a view over the Elbe. Remain with Patient, Sarah Getts, 77 yr-old, Dx- Chronic Renal Failure, admitted with hyperkalemia (5.9, Eq/L)/hyponatremia (128mEq/L). Document results Palliative care. Assist physician in physical exam of patient Document and provide copy for Mr. Dominec to share with his follow up appointment tomorrow. Three hours later, Ms. Getts is unsteady when standing by her bedside. Assess food consumption and intake and output Encourage fluids DSD (dry sterile dressing), forehead laceration clean and dry intact. Allow for non-compliance of request Hep-Lock in place left AC. Regular diet. Perform full assessment and provide anti-nausea medicine. Therapeutic communicationT Health Change Increased acuity Stoma Status: Pink-Red/Moist Dusky Retracted Excessive bulging Robert Sturgess 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Report to charge nurse/ head nurse the need for staff education. The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Also worth mentioning is the 'Alter Schwede' - a 217t . Verify call light/bed safety precautions Safety Scenario 1 Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. Scenario 1 Family Health III-Pediatrics (NSG 6435) Emergency Medical Technician (EMS 1150) Applied Research In Business (MIS 781) Anatomy & Physiology I With Lab (BIOS-251) Molecular Biology (BP 723) Newest Marketing Management (D174) Professional Application in Service Learning I (LDR-461) Professional Capstone Project (PSY-495) Theology (104) Safety Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. Document findings He is having some difficulty hearing and complains of ringing in his ears. Evaluate understanding LOC Increased acuity Assessment of bowel movement Scenario 5 Validate NPO Status -Recheck Tilts after the NS bolus is complete.T Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes and chest muscles intact. Pupils: PERRLA Size: R: mm L: _mm Unequal Sluggish Non-reactive What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Report and document results Peripheral Neurovascular Dysfunction False Secondary: Assess vital signs, auscultate heart, lungs, and bowl sounds. Blood Glucose 185, 4 units of insulin sliding scale for coverage. jessdevan. Imbalanced Nutrition False Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. His orthostasis is normalized after a second liter of NS was administered. IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. Provide comfort in pre-surgical room Mr. Dominec. Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. 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Neuro WNL. Verify call light/bed safety precautions Document results/findings Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. Apply restraint -Instruct Mr. Burgundy and his cameraman to stop immediately Psychological Needs Increased acuity Safety Increased acuity, Physiological No known allergies. Document results and findings Regular diet. Place call light and check bed for safety Ask patient to explain to you what procedure she was expecting to have this morning. Perform circulatory evaluation : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Notify doctor of change in condition in particular: unproductive cough and low-grade fever. Senario 4 He has a 20-year one pack history of smoking. Purposive Communication Module 2, Chapter 1 - Summary Give Me Liberty! Safety Since the finding was low-grade dysplasia and is considered the early stage of precancerous changes, the gastroenterologist recommends another endoscopy in six months, with additional follow-up every six to 12 months. Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Peripheral Neurovascular Dysfunction True. -Attempt to orient to person, place, and time Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. He is pale, weak, diaphoretic, and appears anxious. Neuro WNL alert and cooperative. -Use therapeutic communication/active listening Robert Domenic Electrolyte Imbalance False He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. Non-significant past medical Hx. Administer antipyretic medication Scenario 4 Notify lead nurse Linen Change -Complete full assessment, to include neuro : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Scenario #2. Fall, risk for: True Assess The nurse was told by the gastroenterology nurse that they really struggled before they called anesthesia and they may have caused an esophageal abrasion. Compromised Family Coping: False palliative care. Impaired Skin Integrity, Risk for True Intermittent/Continuous Other: Palliative care. An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Teach patient about safety when getting out of bed Impaired Home Maintenance management r/t client or family False Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Scenario 2 Apply fall risk bracelet You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Renal diet. Tunneled, site _______________ Implanted port, accessed _____________________ It is unclear if he lost consciousness. Neuro WNL, alert, and cooperative. Safety Perform neuro assess Eye opening Spontaneous = 4 -Ensure IV is patent, Lithia Monson Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. The cells are allowed to warm up and then are frozen again. The ER nurse reports that his cardiac enzymes were borderline, (Troponin?, CK/CKMB?) Wash and glove hands Educate pt regarding changes to POC river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Esteem The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. He does not have an IV nor is he on oxygen. -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. Scenario 1 0800 1200 Students will prioritize medical surgical . They were also concerned about the next patient going into that room and the use of the lavatory. Procedure is canceled for the day and rescheduled later allowing for new consent. 1. Evaluate/Modify Mobility Plan, Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Deficient knowledge: True Full assessment sounds= 2 -Assess if the contents of lunch tray are intact. Decreased Cardiac/perfusion False No Known allergies (NKA). Document teaching moment. Vital assessment However, these abnormal cells do not have the capability to spread to other parts of the body. Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. A new graduate nurse receives a call from the hospital telling them to report to the ER immediately for a disaster. Scenario 1 Offer assistance The cycle of freezing and thawing damages the abnormal cells. Some hair on the left side of his head has been burned off, as well. Constipation, risk for: True Your coworkers are asking you questions about Mr. Dominec. View Swift River Reflection Questions (1).docx from NRSG 4412 at South College. Your response to all of them would be: Scenario 1 Heterotrophs include (1) autotrophs, saprophytes, and herbivores (2) omnivores, carnivores, and autotrophs (3) saprophytes, herbivores, and carnivores (4) herbivores, autotrophs, and omnivores. -Medicate for pain Mrs. Smith shares with you that even though she signed the operative consent she was not sure if this was the right surgical procedure for her. No response = 1, Range of Motion: Full, Limited You return to the break room on your floor. Acute pain: False Administer PRN constipation medications Wash and glove hands Scenario 3 Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Scenario 1 -Restart the IV and draw CBC Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Decreased cardio tissue perfusion: False Health Change Increased acuity Escort patient to vehicle -Perform admission assessment -Complete head-to-toe assessment while patient is on the floor. Powerlessness: True, Scenario 1 Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Due to this, the provider would like him to stay in the hospital for observation. Remain with patient Scenario 3 Notify housekeeping. Deficient knowledge: False Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. Acquire daily weight and food intake Amount: _______ Taking HIV Meds prophylaxis. Sarah Getts Present health assessment including B/P and LOC and dressing. Chronic Pain False -Tell the wife that you will speak to the husband, and this is apprehension is expected with this surgery/diagnosis. Fear: True Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Listen to patient concerns Assess for bowel sounds Notify Physical Therapy (PT) -Assess patients' pain and rule out cardiac pain. Dr. Anderson, Educational Needs Increased acuity A few hours after speaking with the sitter about the patient needing complete observation, you notice the sitter outside of the room talking on the phone. Teach Cameron. Non-significant past medical history. What order are you providing the information to the receiving nurse? Administer antipyretic meds Ineffective airway clearance True Scenario 2 Scenario 5 Scenario 3 Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment Safety Increased acuity, Physiological A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. Impaired home maintenance mgmg r/t client or family: False You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. The lesion was identified as Kaposi's Sarcoma. Document pt's statements. RUE: ______________ LUE: ______________ Chronic Pain True Shock, Risk for: False Grieving True Scenario 3 Tom Richardson, 46yr-old. Scenario 4 Family at beside. Mr. Dominec had his surgical procedure and is doing great. Document conversation Assess intake and output and possible reasoning The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Psychological Needs Increased acuity Expresses fatigue, fear, concern, and desire for recovery. Electrolyte Imbalance, Risk for True Scenario 4 Vital signs -Temp 98.2, BP 94/60, P72, RR 22, SaO2 99%. Compromised Family Coping False She has been admitted to the floor with complaints of numbness in her right foot and ankle. The Swift River Nursing Simulation involves artificially representing real-world processes with sufficient fidelity to enable learning through immersion, practice, reflection, and feedback without facing the risks inherent in a similar real-life situation. Do not disturb Mr. Thomason appears now better oriented and MD arrives unexpectedly to examine him. Scenario 3 The sister of Mr. Mancia calls from home to speak with you. Palliative care. -Inform Mr. Burgundy that he cannot report from the ED, as patient privacy is strictly protected by HIPPA Failure to Thrive False. Check pedal capillary refill This shop has been compensated by Inmar Intelligence and its advertiser. -Explain that Radium-223 mimics calcium and is absorbed during new bone growth. Gown and mask Radiofrequency ablation may be recommended after endoscopic resection. You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. Rapid Response team arrived including anesthesia. Needs frequent reminding due to determination to do things herself without assistance. -Obtain chest tube tray and set-up pleurovac Fear True Perform pain reassessment Ineffective Peripheral Tissue Perfusion False Safety- Mr. Richardson is requesting assistance to ambulate to bathroom. Administer protocol antidiarrheal medication Pain Level Increased acuity Allergic to sulfa drugs. Ambulates with assistance. John Duncan -Verify that discharge orders have been written, provide discharge instructions, and in inform provider about the chest pain. Impaired Mobility True Carotid:____ + Bilateral Other: _____________ RUE: Non-pitting Pitting ___+ -When the HCP arrives, stay in the room to determine whether you can continue care with the patient Pain, Acute True Senario 2 Educate patient Scenario 5 She has been documented as being obese, new onset. Fall, Risk for True Neuro WNL alert and cooperative. It is now two weeks later; Mrs. Smith has returned. Hypothermia False Odor: __________, *Types: Abrasion, Burn, Laceration, Puncture, Surgical, Pressure Ulcer, Vascular Ulcer, Maceration, Excoriation, Skin Bleeding, Risk for: True -Reapply the NC that he was admitted with at 2L She shares concern about patient's wife who is now coughing and having night sweats. Fall Risk Increased acuity He is aware that he may not have an erection and may need depends for bladder incontinence. Pulses: Strength & Symmetry Edema: We have more than 20 years' experience in the industry providing a quality service to our clients We pride ourselves on our customer-orientated service and commitment to delivering high end quality goods within quick turnaround times. Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." Fall, risk for True Crutches at bedside adjusted for height. Assess vital results Lithia Monson -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. -Advise sitter to notify nurse when leaving the room 50% intake. Social worker with patient this morning. Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage The heartburn has become worse since he started treatment for his URI. Full head to toe neuro assessment. Scenario 2 Sleep Deprivation False Explain to her family and provide contact information. Mrs. Smith's surgery has now ended. Review pain medication order Notify family Provide information for MD to call family at home and explain what has just happened -Ensure bed is in lowest position, and rails are in place But that's changing. Ineffective breathing pattern False -Inform patient to not get out of bed without assistance and place call light in reach His overall health is good, and he has known he has been HIV positive for the past five years. SANE nurse to make second visit today. Ms. Rails states that she has not had a bowel movement (BM) in the past two days. Chronic Pain False His original lymph node biopsy was negative. -Explain to patient why his throat may be sore Fall Risk Increased acuity Normal Sinus Rhythm on telemetry. Monitor and evaluate fluid intake Vital signs -Temp 98.8, BP 102/76, P 102- irregular, RR 22, SaO2 90%, cardiovascular on telemetry with Sinus irregular rhythm. Document results. Use therapeutic communication/Active Listening Deficient Diversional Activity False Provide Operative summary of type of procedure, IV fluid and pain status. Scenario 1 Ineffective Renal Perfusion, Risk for True Self-Care Deficit False Primary: Check LOC, Orientation, Breathing, Circulation, Brief Neuro assessment to include spinal pain or deformities, Obvious injuries. Inform his partner that everything is being done to keep him comfortable. Scenario 3 He told the nurse that he has had some changes in his bowel habits and his stools have been very dark. Capillary Refill: _________ seconds The oncologist is recommending Docetaxel as opposed to an orchiectomy. Ambulates with minimal assistance. Verify call light/ bed safety precautions Senario 1 Contact head nurse or supervisor in the OR to evaluate new situation Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Waist belt restraint PRN; family sitter at bedside, assist with bath. Adjust crutches -Notify HCP of neuro findings His partner is not with him at this time but will arrive soon to facilitate his discharge home. Senario 2 Document results Self-Actualization -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Non-significant past medical history. Kathy Gestalt, 33yr-old, Dx- second day post-op open right Tibia/Fibula fracture, plaster cast in place on right lower leg. -Explain procedure to the patient Reasses temp in 1 hour. His difficulty voiding finally motivated him to seek care. He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. Senario 5 Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. Hopelessness False. Your Swift River Virtual Clinicals account has been linked to your ATI Student account. -Complete initial post-op assessment Electrolyte Imbalance True Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. Provide a few chairs if possible for her family to also be comfortable The surgeon believes that the surgery was successful but recommends the patient have chemotherapy and radiation postoperatively. Clear liquid diet. Psychological Needs Increased acuity Skin integrity, impaired True Scenario 3 August 13, 2020 // by Angela McGowan. When the nurse retunes to the room the patient tells the nurse that when he went to the bathroom he became very lightheaded. Impaired comfort: True Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Safety Elevate Extremity IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Scenario 3 Bleeding False -Ensure patients is positioned in bed properly Neuro WNL, alert, and cooperative but worried about scarring and is reluctance regarding walking on leg. Carlos Mancia Upon entering the room, you find Ms. Rails sleeping. The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. They wanted to know and pressure you for the information. Gastrointestinal Assessment -Reassess patients' vital signs, and place on q5 minutes continuous monitoring LOC Normal acuity Skin moist, respiratory bilateral wheezes and rhonchi. Notify lead nurse/doctor Cough: Imbalanced Nutrition True Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Blood Pressure, 7a-7p Total: 7p-7a Total: Scenario 4 -Elevate head of bed and place the patient on Pulse oximetry. Evaluate patient understanding Chronic pain: True Scenario 2 Notify doctor and charge nurse Spiritual Distress False. Perform circulatory evaluation Sensorium Normal acuity, Physiological Dr. Donofrio, Physiological Nursing questions and answers. Vital signs- -Call security for assistance and compliance officer Esteem Sensorium Normal acuity, Physiological Regardez le Salaire Mensuel de Tthuchicago Org en temps rel. Attempt to orient to person, place, and time r/o Tuberculosis. Mr. Gonzalez has returned from his EGD and is still sleeping from the sedation. Document Results/Findings Comfort/Pain Assessment Remain with patient Scenario 3 Encourage to ambulate with assistance to void if needed Fall, Risk for True Neck: ______________ Full assessment of patient. The 'Strandperle' (lit. Electrolyte Imbalance False Scenario 3 Scenario 5 You arrive in room to find Ms. Monson talking to herself. #1: _________, No He has been ruled out for an MI. -Remove the dinner tray and make sure the diet is soft food. While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. IV D5 1/2 NS @150ml/hr. Imbalance nutrition: True Hx of dementia, from nursing home, fall one day ago. Family arrive one hour after event to his prior room and find Mr. Thomason's room is empty and have no idea of the events that have just occurred. -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Filmotka filmu Najvyia ponuka (2013). He also has metal fragments on his left side on his leg arm and torso. Tap patient and ask, "Are you okay?" Wash and glove hands Yes Productive Non-productive Describe Sputum: _______________________ Peripheral Neurovascular Dysfunction False Use therapeutic communication/active listening -Remove the lunch tray and ensure pre-operative consent has been signed. The emergency bathroom light goes off and the nurse finds Mr. Greer on the floor in the bathroom. Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Physiological- Notify doctor if condition is abnormal Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Notify charge nurse that discharge will probably not occur today. She has received a dose of Hydrocodone for PRN pain 20 minutes ago. The dinner tray is waiting for the patient in his room, and the nurse notices it is a regular diet. Use therapeutic communication/Active Listening No Scenario 3 Provide comfort and pain measures RLQ: RUQ: LUQ: LLQ: He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Assign nursing diagnosis and plan the appropriate intervention and evaluate outcomes while working through time pressure and distractions, including random call light requests. -Reassure patient that he will be moved to a private room as soon as possible Impaired Skin Integrity False -Ensure the bed is in lowest position, the side rails are up, the call light is in reach, and ask the patient if they need anything before you leave the room Scenario 2: 1Educate about recovery from appendectomy and care to wound. Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Construct dietary consult (plan) You notice she is crying and is expressing fear that she "will always have this pain and numbness" and she doesn't think she can cope. escape from spiderhead quotes,
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