Swift River Med Surg Clinical |49 Questions| With Correct Answers.

Lithia Monson Scenario 1 You arrive in room to find Ms. Monson talking to herself. Upon assessment, you determined that she is confused to person, time, and place but is easily directable. {Ans: Perform neuro assess Reorient Patient to person, place, & time Assess for fall risk Offer nutrition/toilet}Ann Rails Scenario 2 Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). {Ans: Wash and glove hands Assess Provide comfort measures Notify doctor Document results and findings}Ann Rails Scenario 3 Ms. Rails shares with you her fear of being discharged home to an abusive husband. {Ans: Listen to patient concerns Reassure patient of options Notify lead nurse/doctor Contact Social Services Document results}Linda Pittmon Scenario 3 8 hours later, patient is fidgety and is observed picking at her skin and clothes. The patient states "I am sick to my stomach and feel like I have bugs crawling all over me!!!" {Ans: Assess vital signs and perform head to toe assessment. Therapeutic communication with patient. Call Healthcare Provider for change in health status and receive orders for anxiety medication. Prescribed medication for anxiety must be administered. Assess