CHOOSE ONE OF THESE SCENARIOS AND WRITE AN SBAR FOR IT.

Scenario 1:

Mr. O is 63 years old. He was dizzy and light-headed at home and almost fell. His wife brought him by car to the ER. Mr. O was admitted to AMU with syncope. This is not his first time being admitted to the hospital. He has been treated in the past for congestive heart failure and acute myocardial infarction. He feels like he is pretty healthy as he only takes NSAIDs at home for chronic back pain.

Mr. O got to AMU at 1600. His nurse is Jenny, RN. Jenny, RN assessed him and found his blood pressure 138/84, pulse 76 and regular, and his respiratory rate 16. He is afebrile at 98.6. Mr. O’s labs were normal, but his IV infiltrated during transport. Jenny, RN started a new IV and put a warm compress on the old site. Jenny, RN reported off to Ben, RN at 1900.

At 2130, the PCA found Ben, RN and told him that he had just helped get Mr. O. off the bedpan. Mr. O had a large, black tarry stool and was complaining of not feeling well. Ben, RN went into assess Mr. O. His vital signs were; blood pressure 94/66, pulse 114, and respiratory rate 24. His pulse ox was 97%. He was pale and his skin was clammy.

Ben, RN asked him how he was feeling. Mr. O said he just didn’t feel well and could not get comfortable. He asked if he could have something for his belly. "It is really hurting!" Ben, RN assessed his abdomen and found that it was distended and Mr. O had diffuse abdominal pain. He rated his pain a 6 on a scale of 1-10.

Scenario 2:

Mrs. S is a 72 year old retired school teacher. She lives alone with her dog Ginger and is very independent. She was shoveling snow on Monday morning after the big storm. While shoveling she developed a crushing sensation in her chest. This is not the first time she has had chest pain. Mrs. S has a history of angina, though she has never had a heart attack. She takes an aspirin every day at home and keeps nitroglycerin tabs in her pocket "just in case". Mrs. S took a nitroglycerin tab and an aspirin and drove herself to the hospital. Mrs. S was admitted to the hospital on Monday afternoon with chest pain, rule out myocardial infarction.

She has been a patient on cardiology for 4 days now. She has had no chest pain since Monday and has been ruled out for a heart attack. She has a IV of .9NS at keep open and expects to go home in the morning. At 2200, Mrs. S put her call light on. Her nurse Sue, RN, answered the call light. Mrs. S stated that she was having chest pain and rated it a 9/10 on the pain scale. Sue, RN, had the PCA check her vitals and get an EKG. Sue, RN, went to get her a nitroglycerin tab. Mrs. S blood pressure was 90/52. Her EKG shows ST changes. Her HR was 120. Her breathing was labored at 36 and her pulse ox was 85% on room air. Sue gave Mrs. S a nitroglycerin tab sublingually. There was no relief to her chest pain and her blood pressure decreased to 80/52. Sue, RN, placed Mrs. S on oxygen at 2L and her pulse ox improved to 91%. Mrs. S is very anxious and states she feels terrible.

Scenario 3:

Margie Colby, a 25-year-old primipara, is in the recovery room after a low forceps delivery of a nine pound, two ounce, term male. Although this was an unplanned pregnancy, Margie and her husband adjusted to the idea, and are now very excited parents. Margie plans to breast feed the baby.

Forty-five minutes after delivery, Margie’s vital signs are BP 100/60, pulse 88 and respirations 16. Her fundus is firm and is at level of umbilicus, no clots observed. She has continuous trickle of bright red lochia. No change in perineal edema, ice pack applied and peripads changed. Peripads and chux weight indicate 300cc of blood loss.

Fifteen minutes later the fundus is massaged and remains firm at umbilical level and midline. A constant trickle of bright red lochia persists with no clots expressed. Peripads and Chux weighed showing and additional 200 cc blood loss. Vital signs are now BP 90/52, pulse 110 and respirations 20.

Answers

Answer 1

Answer:

SBAR report is as follows:

Explanation:

S – Hi doctor, I am Ben, RN on AMU this side. I am currently caring for your patient Mr. O. I am concerned  because his vitals have changed and he has sudden abdominal pain with distention.  

B – Patient was admitted for syncope. Has a history of CHF and acute MI. Only medications patient  reports to take is the occasional NSAID for chronic back pain.  

A – The PCA reported to me that Mr. O is having black, tarry stools. He is having abdominal pain that he  rates as a 6 out of 10 and there is distention present. BP 94/66, pulse 114, and RR of 24, O2 is 97%. He   says he cannot get comfortable and is feeling unwell.  

R – I recommend that you come see the patient immediately, and that we remove any orders for NSAID   use and instead switch to a non NSAID such as acetaminophen. Fluids should be started to counteract  hypotensive state. Do you want any tests or labs done such as an abdominal CT scan or type and screen?


Related Questions

Identify the following foods whether it is Carbohydrates, Protein, Fats, Vitamins and Minerals.

1.Green leafy vegetables
2.Oatmeal
3.Nuts
4.Potatoes
5.Berries
6.Beefsteak
7.Tomatoes
8.Cakes
9.Pasta
10.Beans​

Answers

Explanation:

1 vitamins

2 proteins

3 proteins

4 carbohydrates

5 vitamins

6 protein

7 vitamins

8 Fats and carbs

9 carbohydrates

10 proteins

Answer:

1. Vitamin

2. Mineral

3.Fat

4. vitamin

Explanation:

Hope it helps ✌

Y’all I need help someone help !!!!!

Answers

Answer:

i do delieve it is D. define your goals

Explanation:

sorry if it is wrong

HELP ME PLEASE

A marathoner needs to shed as much fat and muscle as possible while still remaining healthy

True

False​

Answers

True I want to explain how I do both, and the tips for maintaining muscle while training for a marathon.
If you’re training for a marathon and losing weight most likely some of it’s muscle, which isn’t an entirely bad thing, just maybe not ideal for certain body composition goals.

LA You are giving your very first five-minute speech in history class and you really want your peers to like it. When you look out at the class, what would you like to see? N​

Answers

Answer:

well i would hope they would be paying attintion but hopefully i know someone in the class so i can look at them while giving the speech

Explanation:

How does physical fitness promote over health? What benefits do you get 6 points
from the physical activities you do? *
Your answer
This is a required question

Answers

Answer:

Helps your to be more active

How can understanding how your liver works help you make decisions
about your health?

Answers

Answer:

All the blood leaving the stomach and intestines passes through the liver. The liver processes this blood and breaks down, balances, and creates the nutrients and also metabolizes drugs into forms that are easier to use for the rest of the body or that are nontoxic. The importance of the liver means it needs to be kept healthy and you should look after ir

The brain is a muscle right? So can it...like...fail? Do you flatline immediately when it stops working or loses oxygen? I heard somewhere that your brain can still function for 8mins w/o oxygen. Is that true? I’m legit genuinely curious. But also kinda freaked now Are brain transplants possible? Ik that one sounds weird, but it’s a genuine question. Anyways plz answer!
Will perchance mark brainliest! So answer legitimately Or right if you know the answer!

Answers

Answer:

The brain isn't a muscle as it doesn't contract or relax and it keeps itself 'supported' via a constant supply of fluid, without the reliance on any muscular mass. Having said that, the arteries and arterioles that bring blood to the brain are formed of some muscle.

What is the main function of the urinary system?
A
It keeps your body hydrated.
B.
It expels water from your body.
С
It removes poisons from your body.

Answers

Answer:

C

Explanation:

The urinary system is used to expel waste and other stuff from your body that may cause harm to the body

can physical activity strengthen stress resistance

Answers

I don’t know the answer to this question
No physical activity does not strengthen stress resistance because stress is mentally

why employers often employ yong females instead of young males​

Answers

Answer:

Females chose to partner for people in order to increase efficiency and creativity. We agree that the atmosphere that builds up both people and women would improve efficiency.

For the improvement of productivity and innovation companies chooses women to work with men. They believe that the environment that compiles both men and women will increase the productivity. Strengthening the teams: Companies believe that women have the ability to unite people and improve the strength of the team.

Hope this helps!!!

Employers often employ young females due to various good qualities.

Why employers often employ young females?

Women have  possess qualities that make them more employable as compared to men. Women have the ability to complete multi-task and focus on many things at one time which can't do by male.

Women are energetic and natural go-getters as compared to men so we can conclude that employers often employ young females due to various good qualities.

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WILL MARK BRAINILIST
Which of the following is true about the hip flexor stretch?

A. It involves shrugging the shoulders

B. It targets the quadriceps and hips

C. It involves rotating at the waist

D. Both A & C​​

Answers

Answer:

B. it targets the quadriceps and hips

What is another term for white blood cells that circulate in the blood?

Answers

Answer:

Leukocytes is the another terms for white blood cell that circulates in the body.

I need help please anyone help???!!!

Answers

Answer:

I believe it is D

Explanation:

A B C are all symptoms that point towards a concussion but D is not

Answer:

D) Recalling events of the fall

Question 1 (5 points)
It is important for families to plan what they would do in case of emergencies like fire, bad weather, injuries, etc.
a) True
b) False

Answers

Answer:

It is important for families to plan what they would do in case of emergencies like fire, bad weather, injuries, etc.

a) True

I need food plz help

Answers

haha same i haven't had lunch yet

In a paragraph below, summarize what is taking place in your nervous system when you eat a slice of delicious cake and decide to eat more of it. Be sure to use the following vocabulary in your explanation: central nervous system, peripheral nervous system, motor neurons, and sensory neurons

Answers

Answer: The slice of delicious cake is on the table you go to pick up the fork and grab a piece of cake this means that the peripheral nervous system send through the central nervous system then the motor neurons move you hand to pick up the fork and bring it to your mouth. Then when you eat it your.

Explanation:

Sit in the dark for a few minutes to let your eyes adjust. In near darkness, stare

directly at an object and attempt to make out the details. Now look at it using your peripheral

vision (from the side). Can you make it out more clearly? How does this relate to rods and cones?

Answers

Answer and Explanation:

By observing an object in an almost dark place and then observing the same object in a bright environment through peripheral vision, it is possible to understand more clearly the functions of rods and cones.

Cones and rods are two types of cells present in the retina and very important for vision. The rods allow us to be able to see in low light environments. Therefore, when we look at an object in an almost dark place, we are able to define the shape and what the object is, even if we cannot see the details of the object. This happens thanks to the rods, however, as the environment does not have much light, we do not see the colors of the object with much definition.

On the other hand, the cones are responsible for the visualization of colors and it is because of the cones that we are able to observe the colors of objects that are outside our focus of vision, that is, that are being observed by our peripheral vision, as long as there is light in the environment to reflect the colors.

By looking at the object in the near darkness and attempt to make out the details, one can understand rods and cones.

The peripheral vision refers to the side vision of the eye. It is vital for people to see the objects that are around them without the person needing to turn his or her head.

The cones and rods are the cells that are present in the retina and are vital for vision. It should be noted that while the rods allow us to be able to see in low light environments. The cones are responsible for the visualization of colors.

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https://brainly.com/question/17621563

For the function N(t)=−3t−5, evaluate N(−4).

Answers

Answer:

7

Explanation:

N(-4)=-3(-4)-5

explain how diversity in Australia influences personal behaviour, interpersonal or professional relationships, workplace practices, perception and social expectations of others.

Answers

Answer:

Great impact.

Explanation:

Diversity in Australia has a great influences on the personal behaviour, interpersonal relationships. The increased diversity and acceptance of other cultures had increased relationships between people of different cultures and also increases understanding among different group. It also changes the perception of many people when they interact with each other and produces high expectation of people from one another so we can conclude that diversity has a great impact on the behaviour and interpersonal relationships among people.

Discuss why thoughts, feelings, or behaviors that are merely atypical or unusual would not necessarily signify the presence of a psychological disorder . Provide an example .

Answers

Answer:

Just because something is atypical or unusual does not mean it is disordered. A person may experience atypical inner experiences or exhibit unusual behaviors, but she would not be considered disordered if they are not distressing, disturbing, or reflecting a dysfunction. For example, a classmate might stay up all night studying before exams; although atypical, this behavior is unlikely to possess any of the other criteria for psychological disorder mentioned previously.

As something is atypical or unusual does not mean it is disordered. A person may experience atypical inner experiences or exhibit unusual behaviors, but she would not be considered psychological disorder if they are not distressing, disturbing, or reflecting a dysfunction.

What do you mean by psychological disorder?

A psychological disorder is an ongoing dysfunctional pattern of thought, emotion, and behavior that causes significant distress and that is considered deviant in that person's culture or society.

Moreover, certain factors may increase your risk of developing a mental illness, including: A history of mental illness in a blood relative, such as a parent or sibling. Stressful life situations, such as financial problems.

Therefore, there is no cure for mental illness, but there are lots of effective treatments. People with mental illnesses can recover and live long and healthy lives.

Learn more about psychological disorder:

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#SPJ1

can someone help me too this five question? pls​

Answers

Answer:

it's A.

I'm sure!!

:) hehehehehe

Answer:

Yes it is the answer choice A

Psychology is the scientific study of human and animal behavior. Explain the terms scientific and behavior in relation to psychology.

Please help me

Answers

Scientific means that things have been tested out and proven to be accurate. There are Scientific things related to psychology because psychologists also study neurons, nerves, etc.

Behaviors are related habits, movements , speech, etc and they are all apart of the brain and that’s what psychologists study

I have no idea what I just typed but I hope it helps -,- you can just build off of it if you feel like it’s accurate

The term psychological science refers to the accumulated body of psychological knowledge (i.e., pertaining to brain, behavior, social, or mental processes) that has been generated through the systematic application of the scientific method.

identifyying the client impairments/ wellness goals and objetives is part of

treatment/ planing
evaluation
discharge
treatment

Answers

Answer:

collectable

Explanation:

collectable and info mileage

John, a 22 year old construction worker, presented to his primary care doctor with a swollen red spot on his upper back. John is overweight and has high blood pressure, for which he takes a diuretic daily. He works outdoors and since it is summer he gets hot and sweaty and will often change his shirt during the day at work. He states over the last few days he has had a sore spot on his back that has gotten larger and it now hurts when he leans back against a chair. During a physical he was found to have a low grade fever, and a fluctuant abscess that was 2cm x 3 cm ovoid, with another 2 cm in surrounding erythema. The area was very tender to the touch and so his doctor performed an I & D (incision and drainage) of the site in the office and prescribed John an oral antibiotic. The wound was packed with gauze and he was told to return in 2 days to have the gauze removed.

Required:
a. What are the most common causative agents for abscess formation?
b. If John did not go to his doctor what are some complications that could occur from not seeking treatment for his abscess?
c. What was the purpose of giving John an oral antibiotic and why was the wound packed with gauze?

Answers

Answer:

a. What are the most common causative agents for abscess formation?

An abscess is the formation of a pocket of pus in a localized area of the body, as a result of an infection by bacteria or fungi.

b. If John did not go to his doctor what are some complications that could occur from not seeking treatment for his abscess?

The infection may have spread to other parts of the body.

c. What was the purpose of giving John an oral antibiotic and why was the wound packed with gauze?

Antibiotics are used to treat infections caused by bacteria, causing bacterial death or inhibition. The gauze will absorb the drainage, allowing the abscess to heal.

Explanation:

a. What are the most common causative agents for abscess formation?

Abscesses can form in almost any part of the body and are caused by infections, mainly bacterial, such as 'Staphylococcus aureus', parasites and foreign materials. For it to occur, germs from outside must come into contact with the tissue. Sometimes, this contact is due to an alteration in the skin by a wound, erosion or puncture, the infection is encapsulating, that is, it closes on itself, remaining isolated as a bag with pus inside.

b. If John did not go to his doctor what are some complications that could occur from not seeking treatment for his abscess?

An abscess is an infection and, as such, if not treated, it can have significant consequences, such as spread of the infection locally or even widespread spread of it.

c. What was the purpose of giving John an oral antibiotic and why was the wound packed with gauze?

The antibiotic is capable of inhibiting growth or destroying a bacterial cell, fighting infection, making it difficult for bacteria to grow and multiply. The wound was packed with gauze, as it allows the pus to continue draining and prevents the abscess from re-forming, preventing it from coming into contact with pollutants, helping its recovery.

A type of stress that is never ending and can damage your health is

Answers

Answer:

Its Chronic Stress.

Explanation:

Chronic stress can come from a traumatic experience such as a childhood trauma.

infection can be spread through:
a) blood and certain body fluids.
b) airborne droplets.
c) both of the above

Answers

C is the correct answer bc stds can be transmitted through blood also flu is passed by the air like corona

Answer:

c

Explanation:

infections can be spread through spit or if you and another blood of somebody else mixes.

Which of the following statements is NOT a weight loss myth?
A
To lose weight, you must consume fewer calories than your present rate.
B
Effective and lasting weight loss means that weight gained over time should be lost over time.
C. Fad diets are a good way to quickly and permanently reduce your weight.
D To keep weight off, you need to alter your habits only until the weight is lost.

Answers

Answer: B is the answer

Explanation: I just took the test and I'm smart

Answer:

b

Explanation:

Goals should have a starting and an ending date.


False

True

Answers

Answer:

false

Explanation:

I think its True, in CAB they make us set a term for our goals to see whether they are short or long term

For the function G(x)=−x+3/6x+5, evaluate G(8).

Answers

This is posted in the health section by the way;

The answer:

[tex]G(8)=(-(8)+3)/(6(8)+5)\\G(8)=-5/53\\G(8)=-0.094[/tex]

So -5/53 Assuming you are substituting in 8 for x.

Please help is for today 50 points

Answers

our bodies are designed to regulate temperature
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