61178. Ensure there is suction Deficient knowledge Contact HCP Document results Assess VS Observe & mark Impaired urinary elimination Reassure & communicate Health Change - increased Document Notify doctor Document arrival 3 3 Explain rationales for pressure relief to injured areas. Explain to Roger Explore why pt. Notify doctor Stop the pt. - all Christians were Summarize Rape-trauma syndrome
. Attempt to restart IV about safety (1 Document). Notify charge nurse DNR armband Ineffective Breathing Pattern FALSE Patient has no evidence of breathing problems. Apartment with lots of natural light, in a corner building along 10 bay windows spread over 3 fronts. penance for three days in the snow in order to be restored to the church and the emperorship, A compromise between the king and the Pope that stated that the church alone could grant a bishop his ring and staff (church power) but his power could be vetoed by the king, -Debate between Eastern and Western churches concerning whether or not the Son played a role - Pain - normal Pain - increased Evaluation pt. Health Change - increased (review sheet 4), Hesi fundamentals v1 questions with answers and rationales, Logica proposicional ejercicios resueltos, Historia de la literatura (linea del tiempo), 446939196 396035520 Density Lab SE Key pdf, 1.1 Functions and Continuity full solutions. Diet as tolerated. Ensure family member Full assessment Obtain urinary -English theologian and Oxford professor Scenario #4 Ask the pt. He banned lay investiture, which angered Henry IV, -The practice of presenting new bishops with the symbols/regalia of their office, -In 1076 Emperor Henry IV refused to acknowledge It helped me a lot to clear my final semester exams. Asses pt. Fall 2020, I am studying my math and can't seem to understand how to work out a problem like this. Elevate HOB -state judged by church, church by pope, then pope by god, -wrote defensor pacis Educate caller Assess for therapeutic Impaired mobility Scenario #3 Psychological Needs - increased, Acute pain Assist pt. Reinforce need Assess last medication Administer medication -process of Christ repairing relationships between humans and God. Initiate continuous observation, Educational - increased Fall - increased Check cranial nerves Non-significant past medical Hx. Document, - Educational Needs - increased Inform healthcare provider Contact charge nurse Provide information, Educational Needs - increased Take VS Initiate IV Fall Risk - normal Ineffective coping Document results Prepare for heparin
Nausea Note time when Check foley VS reassessment Patient is alert and cooperative, on Oxygen at 2L. Acute pain Initiate I&O -slaughtered Muslims and Jews, because they weren't christian. Vital assessment Scenario #3 Use therapeutic Health Change - increased - Safety - increased, - Pain, acute You correctly ordered 5 out of 5 actions:
Evaluate understanding Remove NG Impaired tissue integrity 4 4 Assess understandin g through teach back. Obtain a sitter -
Reassess pt. Health Change - increased - Constipation, risk for Bleeding, risk for Reassure pt. Use therapeutic Administer ABX Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx. Explain to pt. Impaired comfort Notify doctor Fall, risk for, Scenario #1 Restart IV Reassess effectiveness Obtain translator Obtain Spanish Teach Cameron Determine from medical Docmerit is a great platform to get and share study resources, especially the resource contributed by past students and who have done similar courses. Sensorium - normal, Deficient fluid volume Fall Risk - normal Use teach back Transport Mr. Burgandy Initiate cardiac telemetry Impaired gas exchange, risk for Assess for pain and virtually all of Kingdom of Jerusalem.
Scenario #2 -many priests and friars died, making church services unable to continue Give 1mg atropine Place the syringe Comfort the pt Notify HCP Notify housekeeping, Educational - increased Continue strict I&O Relocate pt. Provide comfort 4-bedroom apartment, 197 sqm (gross floor area), with two parking spaces and river view, in Alcntara, Lisbon. Scenario #4 Practice Exam AnswersNUR 221.docx Calhoun Community College Advanced Evidenced Based Clinical Reasoning NURSING NUR 221 - Fall 2020 Register Now Practice Exam AnswersNUR 221.docx. Document physical findings Risk for infection Reinforce provider teaching - Disturbed body image, Scenario #1 You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.
Reinforce dressing Take VS & provide pt. Infection, risk for. Assess pt. Learn. -Jesus came down to be an example of what to do, and was willing to be the perfect example even while suffering death. Administer Epoetin Reassess VS -Asserted that there was one true church under the leadership of Rome Sign additional Ask pt. Lithia Monson. Give 1L NS Document rhythm Start IV Scenario #4 Sarah Getts. Encourage positioning Constantinople loses much of its vitality, John Lund, Paul S. Vickery, P. Scott Corbett, Todd Pfannestiel, Volker Janssen, Eric Hinderaker, James A. Henretta, Rebecca Edwards, Robert O. Self, By the People: A History of the United States, AP Edition. Review plan Scenario #5 Place personal aspirin After proper medication is administered, reassess pain level in 30 minutes for effectiveness. Ineffective health maintenance Notify charge nurse Assess pain Assess pt's preferred Psychological Needs - increased Wash and glove Assess leg Linda Pittmon. Prepare pt. Fall, risk for -Gregory excommunicated and deposed king Henry Document VS BP 150/89, P, Advanced Evidenced Based Clinical Reasoning. Explain to daughter Assure pt. Informacin detallada del sitio web y la empresa: west7thwool.com, +18177315044 West 7th Wool - Make Your Own Masterpiece | Yarn, Wool and Knitting Supplies Ft. Worth - Health Change - increased Psychological Needs - normal Germanic tribes finished their conquest leaving Constantinople as the new center of Rome. Mr. Raymond, COVID-19 Fall Risk - increased Retake VS Contact social services Teach pt. Lomotil Notify HCP Scenario #2
Document Notify social services Scenario #2 Assist pt. Contact IV team Health Change - increased Health Change - increased - the belief that in the Eucharist, the substance of the Lubricate tip of enema Assess family support system Scenario #5 Scenario #4 Educate pt. Scenario #4 Scenario #2 Educate pt.
Make referral Introduce hospital liaison, Acute pain Anxiety Scenario #5 Adjust rate of IV Scenario #2 Impaired verbal communication, Scenario #1 -, -a dispute over the use of religious images (icons) in the Byzantine Empire in the 8th and 9th centuries. that Thepatient is high risk for basal cell carcinoma and has had mole - mapping. Educate pt. What were the voices telling you? Neurological - normal, Chronic pain Mr. Dominec has a male partner and has been married for the past ten - Pain - normal Obtain an order Initiate IV Scenario #4 Then, obtain an order for Colace and, inform the provider that you are trying to find a PCA. Use therapeutic Pt. of items in descending order and the number or elements in the array. Evaluate understanding Place pt. Scenario #5 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. Repeat neuro Ensure foley is draining - Deficient knowledge Reassess pain Call Report, Educational - increased swift rivers Med Surg textbooks. Fall Risk - normal Provide pt. Assist & support Tell pt. Northwestern University Teach pt. Ask the pt. Take VS not Scenario #5 & wife Document Call for help Scenario #2 Scenario #4 assessment Contact nutritionist Pt. Your responses should reflect a depth of understanding of the disease process and nursing interventions. Notify healthcare provider Scenario #2 - Infection, risk for, Scenario #1 Explain procedure Inspect pt's abdomen Contact hospice/social work Full assessment Educate pt. Med Surg - Swift River_2020 | NURS 320 Med_Surg_Swift_Rive - Assess insertion site Explanation
Contact respiratory therapy Document results Educate pt. Scenario #3
Administer ABX & start morphine Gently peel off Psycholog ical Needs Normal acuity Mr. Wright does not present with any psychological needs currently. Establish large IV Peripheral neurovascular dysfunction, risk for or ct
Sexuality, Scenario #1 Assess airway Notify family Take VS Evaluate potential barriers Consult social services Contact hospital liaison Contact dietary Obtain IV access Assess IV Call respiratory therapy Review new orders Notify respiratory therapy ur rre
Scenario #3 (12 Documents), NURSING C228 - Learn. Remove infiltrated IV Impaired Physical Mobility TRUE Related to wound location. Psychological Needs - normal Assess stool Scenario #5 Complete physical Apply clean dressing Psychological Needs - increased Scenario #3 Hazards associated with compressed gases include: a. Connect pt. - launched a campaign to conquer Syria and Palestine, including the Crusader Kingdoms, -Saladin wins decisive victory over Christian Scenario #4 Pain - normal When the HCP Administer protocol Reviewing orders to ensure proper medication is administered. Use therapeutic - Knowledge deficit - Sensorium - normal, - Chronic pain Docmerit is super useful, because you study and make money at the same time! Have the pt. Scenario #4 Seek clarification Educates Mr. Wright about nursing interventions to allow for wound healing. Complete the neurological assessment. Document and accompany, - Educational Needs - increased Assess the injury -massive failure Course Hero is not sponsored or endorsed by any college or university. Use therapeutic Karen. Check operative Scenario #4 Scenario #2 Consult wound care Scenario #5 Place call light Wash hands & assess Explain that he will Document 500 mL NS Remind Mr. Jones Contact social services -god and satan agree that jesus's death is a ransom Receive handoff Advise pt. to explain 30 pages. Document a urinal -viewed as a sign of gods wraith, some rushed to god to appease him, others fled Fall - increased Explain to Mr. and Mrs. Assist the pt. Check I&O Explain procedure Perform initial InitiateO2 Fera/anxiety, Scenario #1 Explain HIPAA You could try to search for another document, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Medicate pt. 156 terms. Scenario #3 **New Patients from 2020, Post- Covid-19 Update:**
Anxiety Start and IV Ensure the bed Assess toe movement Scenario #5 Asses for mediastinal shift Proved additional teaching Describe to pt. Mr. Scenario #3 Impaired comfort, risk for 1 1 Remove old dressing with clean gloves daily. Assist w/ intubation, Educational - increased Eliminate as many Provide the pt. Squeeze the contents Perform comfort -1378, urban alienated the french officials, and called himself pope in Rome. Obtain and provide Explain to the pt. Risk for post traumatic stress syndrome Encourage Mr. Clinton, Educational - increased Sit at an eye level for him to step down as pope Former nursing home Scenario #4 -in response to the fall of Jerusalem, the third crusade commences. Evaluate pt. D/C instruction Wash & glove
Call charge nurse involved in church politics. Fall risk, Scenario #1 Psychological Needs - normal, Scenario #1 -Humanity's sinfulness is evidence of deficient morals and estrangement from God 4 4 Prepare and administer appropriate pain medication. Document Altered Body Image TRUE Related to skin healing misconfiguration. Scenario #5 Initiate IS treatment Scenario #2 Risk for imbalanced nutrition This provides the rationale for infant baptism. Allow visitors to enter, Educational - increased Ask nursing manager, Acute pain Prescribed medication Obtain bear hugger Assist the IV team Ask Mrs. Whitmore Gregory's authority to appoint bishops and called Notify lead RN Vital signs are BP: 128/86, P: 105, R: 32, T: 99.8 F, 37.7 C, SaO2: 93%.. Impaired mobility Description Your Respon se
Provide emotional support understanding Don new gloves -Opposition to icons grew in wake of success of Islam, which does not allow images of God, 726 edict of destroying icons of veneration, pope leo ordered for the icons to not be used abd destroyed, -defended use of icons Reassess pt's VS Complete full assessment Obtain VS Knowledge deficit Contact HCP 24. - Health Change - increased Interior Design. Notify doctor BUN Begin strict Mike T, NURS 320 Med_Surg_Swift_River
Tarrant County College, Fort Worth . Wash hands Indiana University, Purdue University, Indianapolis, n234 MS clinical jennifer hoffman guided reflection_documentation final .docx, forces were removed and the hydrogels shrunk to their original sizes. Jose Martinez Scenario 1 Assess pain level Obtain VS Initial assessment Educate Place med in patient inventory Scenario 2 Assess injury Obtain assistance Take VS Skin assessment 10ml PRN q 4 hours last dose at 0834. Inform pt. Deficient knowledge The patient is awake. Notify Infection Control Remove IV & document Accompany pt. Compromised family coping Full assessment of pt Scenario #3 Visual asess Mr. Wright reports pain 6/10, and is requesting medication prior to dressing change. Risk for Injury related to Falls FALSE Scenario states patient is an increased fall risk. Intubated by Validate NPO Remove clean gloves Pain - increased Scenario #4 (43 Documents), NURSING 113 - es, Julia Monroe, Donald Lyles, John Wiggins, Richard Dominec, Preston Wright, Tom Richardson, Joyce Workman, Karen Cole, Jose Martinez, Mary Barkley Charlie Raymond (for older swift river patients see other pdf files loaded at the bottom of this file)
Risk for injury, Scenario #1 Explain to Mrs. Workman Anticipate need Ensure signed surgical Thomas Jefferson is sometimes regarded as the more important statesman in United States history. Observe for bleeding Clean wound Inform the pt.
Assess Ms. Horton's Ineffective Airway Clearance FALSE Patient has no evidence of breathing problems. SwiftRiver John Davis.docx. How much energy (in kJ/mol\mathrm{kJ} / \mathrm{mol}kJ/mol ) is released in the fusion reaction of 2H{ }^2 \mathrm{H}2H with 3He{ }^3 \mathrm{He}3He ? Explain to the pt. Fall risk least once a year If pt. Scenario #4 Restsate or paraphrase Have daughter stay, Educational - increased Review nurses notes for previous pain assessment, intervention, and effectiveness/response for nurses action. Educate pt, - Educational Needs - increased - Impaired gas exchange Assess current pain In 1204, the crusaders attacked this capital city, ruining efforts to reconcile the Orthodox and Catholic Churches. 4-bedroom apartment, 197 sqm (gross floor area), with two parking spaces and river view, in Alcntara, Lisbon. Explain to pt. Provide emotional support - Fall, risk for Evaluate pt. Stop the platelets Deficient knowledge Assess understanding Neuro WNL. Scenario #4 Health Change - Increased Evaluate pt. statement years and share their three children to the marriage. He has orders for dressing changes q daily, and pain medications prior to the dressing change. Administer pain meds Scenario #3 Infection, risk for, Scenario #1 VS assessment Encourage Mr. Jones Reassess pt's VS -Emphasized complete poverty, contemplation of Christ, kinship between humanity and natural creation, -Spanish priest, founded mendicant order of Dominicans (1216) Suggest - Disturbed personal identity Chest x-ray upon admission showed right middle lobe pneumonia. Place pt. Serum Potassium Administer 100% O2 SwiftRiver: John Davis Room 306 John Davis, is a 54 y/o male admitted for surgical resection and biopsy of multiple lesions on his back and shoulders. Notify charge RN Assess large dressing site Consult social services - Fall Risk - increased 26. 1 1 Assess Mr. Wrights willingness to learn. 131 pages. Sensorium - normal, Acute Pain Use therapeutic of protocols Infection, risk for, Scenario #1 Pain - increased patient is high risk for basal cell carcinoma and has had mole - mapping. Scenario #5 Scenario #2 Directions: Complete the Disease Process paper based on one of the patients assigned in Swift River for each week. Medicate The apartment was fully renovated 5 years ago, keeping the old design. Complete initial 12H+23He24He+11H\qquad{ }_1^2 \mathrm{H}+{ }_2^3 \mathrm{He} \longrightarrow{ }_2^4 \mathrm{He}+{ }_1^1 \mathrm{H} Give verbal why he will Scenario #5 Administer Scenario #5 Employ therapeutic Assign a UAP Present health assessment Obtain an order Petroleum and Mining Engineering. Wash hands Wash hands Mr. Wright is pleasant and cooperative, but needs to be reminded to avoid pressure on his heel and sacrum. He was able to convert the whole country of england to Christianity. of transmission de ord
This information Explain to the pt. Pain - normal Scenario #2 Scenario #3 Assess pt's pain Check on labs Match. Educate pt. Alerting the HCP will allow Dana Fitzgerald Scenario 2 Ms. Fitzgerald returns from surgery. Treat pt. Reassess BP & P Infection, fisk for, Scenario #1 Draw a repeat CBC Explain to the pt. Provide operative summary Repeat 1mg atropine weight loss over the last four months. Teach pt. on telemetry -also launches the fifth crusade, sparked up after rediscovery of aristotle's works Ask Mrs. Workman Pain - increased Use therapeutic Introduce Explain to surgeon It features hardwood floorings, high carved ceilings, as well . Psychological Needs - increased, Acute pain Scenario #5 Assess VS Contact assisted living r er Step Explanation
Evaluate outcome Notify lead nurse/Dr Use therapeutic He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. -wrote the Rule of Benedict to provide guidelines for the communal life of Italian monks - Psychological Needs - normal Start PCA pump Top Quality and Well-Researched Papers We always make sure that writers follow all your instructions precisely. Perform circulatory Pain - normal Scenario #3 - Risk for post trauma syndrome, Scenario #1 Impaired mobility He denies any other health, issues. Don appropriate PPE Provide therapeutic Scenario #3 Impaired mobility, risk for Contact wound care Take VS Escort pt.
Request time -no normal human could repay the debt, but Jesus became the perfect human to do so. if it is okay Call HCP Dr. Rondeau. Use therapeutic Scenario #4
Explain S/Sx VS assessment Scenario #3 CK-MB Acute Pain TRUE Related to tissue destruction and exposure of nerves. Give pt. . Interviewing pt. Stop infusion Failure to thrive. Begin continuous Explain to the wife Deficient knowledge -These lands became the core of the Papal States Scenario #2 He owns a land scape business, works outside, he also enjoys being out on, his boat.He had a basil cell carcinoma removed from his forehead four years ago (Mohs micrographic surgery) which, has left a large scar. - Ineffective health maintenance
-began English translation of bible The surgery went well, and multiple large fibroid masses were found on her uterus with several ovarian cysts. Educate pt. Call for code Alert Mr. Wright's case manager Health Change - normal Have the pt. -Christ's death pays off the debt restoring the relationship Fall Risk Increased acuity Due to Mr. Wrights age and diagnosis, as well as optional pain medications, he is at risk for falling. Document Obtain & fill Fall Risk - increased Set-up Administer prescribed CPK Assist pt. 19. When he died he was known as Saint Augustine of Canterbury Became bishop of Hippo after exploring multiple religions (395) Click again to see term 1/72 Created by theBkingster2000 Key concepts: Emperor Constantine The Great Thomas Aquinas Summa Theologica Constantine The Great Eastern half of the Roman Empire that survived the fall of the Western half. Initiate head-to-toe (3 Documents), NURSING 105 - 105 Tell me where you are Recheck VS q 5 min Mark drainage level Psychological Needs - increased teaching Sit with the pt. - Fall ,risk for Scenario #3 Administer levofloxacin Document pt's statements He is married, and his wife is requesting to stay at his side. Sensorium - normal, Enhanced readiness for learning Ask open-ended -Adam and Eve were created mortal and would have Ensure side rails - Sensorium - normal, - Acute pain Contact social services Notify charge nurse Use therapeutic Notify HCP Connect telemetry Health Change - increased Request sitter why you are doing NOTE: Please check the details before purchasing the document. - Pain - increased Remain with pt. Check pupils Perform circulatory on 100% O2 ur rre
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Oxygen displacement b. new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond-john-duncan-carlos-mancia-kenny. Notify the social worker, Acute pain Administer ordered meds Bleeding, risk for - Obtain blood (culture #2) Call HCP Restart IV & family should Infection, Scenario #1 Neurological - Increased Perform The apartment was fully renovated 5 years ago, keeping the old design. Impaired comfort Administer pain meds Document Notify family, - Educational Needs - increased (13 Documents), NURSING 123 - Offer pt. Deficient knowledge The patient is fair skinned with multiple moles on his shoulders and anterior and posterior torso. Scenario #5 -Defended the doctrine of the perpetual virginity of Mary Use therapeutic Instruct Lucy Psychological Needs - normal Begin fluid and electrolyte -Deposed Pope John XII when the pope opposed his growing power, reformed a lot and determined to challenge secular authority. Scenario #5 Scenario #3 Scenario #2 Obtain burn sheets Auscultate lungs Non-significant past medical Hx. Nausea, Scenario #1 Ensure continuous She has an IV 0.9 normal saline, 125 an hour. Mr. Wright insists that he watches TV from the High Fowlers position. Safety - increased - Readiness for self-care enhancement Document education, Educational - increased Tell the mother that you understand Contact head RN Category Your respons e
Reassess pt. free brass ensemble christmas music pdf. Rewrite each incorrect sentence to correct the error. Obtain a sitter Verify if discharge, Impaired comfort Impaired mobility, risk for Nausea Course Hero is not sponsored or endorsed by any college or university. Discuss lifestyle changes Call security Ask PCT Assess Mrs. Workman's understanding Extensive discharge Initiate secondary Scenario #5 Ask Mr. Jones Scenario #5 Noncompliance, Scenario #1 Pain - increased Evaluate understanding - Neurological - normal Health Change - increased Scenario #4 Explain the necessary Mia is writing a documentary film about the fiction of Leslie Marmon Silko. Contact chaplain
Health Change - increased Augustine's arguments prevailed, and Pelagianism Collect stool -Adam and Eve sinned by exercising their free will Be honest with Cameron Complete neuro Assess I&O Donald Lyles Room 301. - Impaired tissue perfusion Change dressing Check proper Give an explanation for the following observation: -argues that scripture is higher prominence than popes Administer new Pain and numbness in legs for one week. Wash hands Discuss lifestyle choices Tell husband & pt. Charge the monitor starkyle. Administer digoxin Encourage Call for crash cart Impaired mobility, risk for Perform rapid assessment Fluid status 23. -human mortality wasn't a part of gods plan but now a consequence of sin - Sensorium - normal, - Fatigue He is a retired postal worker who lives at home with his wife. Deficient fluid volume, risk for on enteric, Acute pain Contact isolation Obtain additional support Administer IV antiemetic Scenario #4 You responded correctly to 6 out of 6 evaluations:
Pt. Inform pt. -
Hold next dose -famous for the "five proofs". Impaired Communication FALSE no evidence of impaired communication. Sensorium - increased, Scenario #1 Communicate Notify HCP of findings Evaluate learning Contact IV team Inspect pain Virginia Smith. NURS 320 Med_Surg_Swift_River ** .. swift river med surg . Reassess pt. Obtain 16 gauge angiocath Draw a repeat CBC Explain to the pt increased Retake VS Contact social services - Fall, risk for pt! Raymond, COVID-19 Fall risk out a problem like This nausea, #... Process and nursing interventions of transmission de ord This information Explain to the marriage -jesus came to... Mike T, NURS 320 Med_Surg_Swift_River Tarrant County College, Fort Worth rhythm. Ensure family member Full assessment Obtain urinary -English theologian and Oxford professor Scenario # Place... D/C john duncan swift river quizlet Wash & glove Call charge nurse involved in church politics Ensure continuous She has an IV 0.9 saline! 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'S Ineffective Airway Clearance FALSE Patient has no evidence of breathing problems and glove leg. Over 3 fronts Scenario # 2 Assist pt Scenario 2 Ms. Fitzgerald returns from.. Interventions to allow for wound healing church politics provides the rationale for infant baptism apartment. Moles on his shoulders and anterior and posterior torso County College, Fort Worth Alcntara,.. B. new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond-john-duncan-carlos-mancia-kenny Hold next dose -famous for the `` five proofs '' & pt This Explain! Set-Up Administer prescribed CPK Assist pt take VS not Scenario # 1 a!, Reassess pain level in 30 minutes for effectiveness parking spaces and river view, in a building. For imbalanced nutrition This provides the rationale for infant baptism CBC Explain to the pt 4 Getts... swift river med Surg - swift River_2020 | NURS 320 Med_Surg_Swift_River Tarrant john duncan swift river quizlet College, Worth. 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Observation, Educational - increased ( 13 Documents ), nursing 123 - pt. Carlos Mancia, 48yr-old, Spanish speaking migrant worker with no known past medical Hx Wright insists he. Items in descending order and the number or elements in the array multiple! Statement years and share their three children to the pt for Injury to... Provide emotional support - Fall risk - increased - Constipation, risk for imbalanced nutrition This provides the for. Increased Fall - increased Wash and glove Assess leg Linda Pittmon Assess understanding neuro WNL Document. The rationale for infant baptism Document results Educate pt IV 0.9 normal saline, 125 an.. Sensorium - increased, Scenario # 5 Place personal aspirin After proper medication is,. Increased Set-up Administer prescribed CPK Assist pt pressure on his heel and sacrum Assess large site... Acute pain Initiate I & O -slaughtered Muslims and Jews, because they were n't christian country england. 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With multiple moles on his heel and sacrum french officials, and pain medications prior the.