Swift River- ATI Questions And Answers With Verified Solutions Graded A+
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Module
Swift River- ATI
Institution
Swift River- ATI
ARTHUR THOMASON
SCENARIO 2
Mr. Thomason appears better oriented and MD arrives unexpectedly to examine him.
Drag the following actions into the correct order. (The first item should be on top.) - 1Remind
physician to wash his hands before examining the patient
2Explain to physician what interv...
Swift River - ATI ARTHUR THOMASON SCENARIO 2 Mr. Thomason appears better oriented and MD arrives unexpectedly to examine him. Drag the following actions into the correct order. (The first item should be on top.) - 1Remind physician to wash his hands before examining the patient 2Explain to physician what interventions you have recently initiated 3Assist physician in physical exam of patient 4Obtain recent chest X -ray reports and recent ABG's for physician to review 5Reassure patient and help explain any new orders from physician to patient Arthur Thomason 56 -year -old MVA victim, fourth day post op with a splenectomy and femur repair. He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. He is restless with slight confusion but is easily orien tated with attempts from nurse. 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. Skin cool to touch and appears pale. His co ughing, to clear his airway, appears ineffective. Recent chest X -ray shows diffuse bilateral interstitial infiltrates in all lobes. Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). Mr. Thomason is anxious and is obv iously worsened from the shift before in overall condition. - Alteration in comfort: True Alteration in gas exchange: True Ineffectual airway clearance: True Potential for shock: True Prolonged confusion: True Anxiety/fear: True Potential for failure to thrive: True Arthur Thomason Scenario 4 Rapid Response team arrived including anesthesia. The MD on site makes the decision to intubate the patient and start ventilatory assistance and move the patient to Respiratory Intensive Care. Drag the following actions into the correct order. (The first item should be on top.) - 1Provide verbal report to team members who respond to rapid response 2Emergency intubation and assisted breathing is provided for Mr. Thomason 3Assume role in response team of documenter 4Obtain patient record and follow patient as he is transferred to ICU 5Provide information for MD to call family at home and explain what has just happened Arthur Thomason Scenario 5 The family arrives one hour after the event to his prior room and find Mr. Thomason's room is empty and have no idea of the events that have just occurred. You, his prior nurse, notice the family and respond to them. - 1You explain that his condition has worsened and now he has been taken to ICU.SBAR communicates Situation, Background, Assessment, Recommendation. 2You explain that he is receiving a higher level of care and was he was sedated before leaving the floor to make him more comfortable. 3You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. 4You escort them with you to the ICU. 5You call his doctor to inform him the family has arrived. ARTHUR THOMASON SCENARIO1 You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. - 1AssessAssessment is the first step of nursing process. 2Replace oxygen nasal cannula that had become disconnectedABC's are priority in patient care 3Use therapeutic communicationActive listening allows patient to express herself and is first step to understanding patient condition. 4Notify doctor and charge nurseCommunicate change in condition. ARTHUR THOMASON SCENIOR 3 You enter room one hour after the physician has left the patient. Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. Lung sounds are worse. Drag the following actions into the correct order. (The first item should be on top.) - 1Tap patient and ask, "Are you okay?" 2Elevate head of bed 3Call Rapid Response team 4Start secondary large bore IV line 5Remain with patient and reassure Charlie Raymond 65 -year -old male who was admitted to a negative pressure room on Med -Surg for COVID precautions.. He has a history of COPD, hypertension, diabetes type II, and a recent myocardial infarction. He is a retired postal worker who lives at home with his wife. He is on Claforan (cefotaxime) 2 g IV q4hr and sliding scale insulin. Initially this cardiologist was concerned about congestive heart failure and Mr. Raymond is receiving Furosemide (Lasix) 20 mg IV twice a day for pulmonary edema. Vital Si gns: BP is 145/78, Pulse 89 Respirations 24 and slightly labored, Temperature 100.2 SaO2 94% on 2L nasal cannula. The patient/family is fearing the worst due to COVID -19 Pandemic. - Acute discomfort False Alteration in body image False Alteration in gas exchange True Alteration in physical mobility True Alteration in skin integrity False .Bleeding False Death anxiety True Esteem False .Ineffectual breathing pattern True Knowledge deficit True Sudden confusion False Charlie Raymond Scenario 1
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