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Swift River Nursing Simulation - Homework Writing Services Wife at bedside. His left humerus is fractured and splinted. Hep-Lock in place left AC. Scenario 3 Impaired comfort: True 20 ga. Hep-Lock in right forearm, skin warm and dry, generalized weakness with recent weight loss. List the nursing care order. Lung sounds are worse. Document results Pain Level Normal acuity You are the now the Surgical ICU nurse assigned to her. Powerlessness True. -Elevate head of bed and place the patient on Pulse oximetry. He has been ruled out for an MI. Deficient Knowledge False Assessment of bowel movement Scenario 4 Scenario 1 97.4, Resp 16 and Pulse Ox 94%. Perform neuro assess **New Patients from 2020, Post- Covid-19 Update:** **Charlie Raymond , John Duncan, Carlos Mancia, kenny barrett, Tim Jones, 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) Preston Wright Room . Your responsibilities are: Scenario 1 Pain = 2 Document results Swift River Med Surg Scenarios Answers - Homework Score Raspberry and Cream Cheese Stuffed Blueberry French Toast with Ozery. -Reassess patients' vital signs, and place on q5 minutes continuous monitoring Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Scenario 2 Sexuality: True. -Check on patient/sitter hourly Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Scenario #2. Vital assessment Family in room with patient very concerned. Evaluate understanding Upon entering the room, the patient appears to be trying to get out of bed Noncompliance True Do not disturb Diet as tolerated, up ad lib after gait training. Stoma status: Pink-Red/Moist Dusky Retracted Excessive bulging Assess Grieving: False. -Set-up for stat portable chest x-ray Remain with patient Dysfunctional Gastrointestinal Motility False Health Change Increased acuity No known allergies (NKA). Eye opening Spontaneous = 4 Administer antipyretic meds Comfort/Pain Assessment John Duncan Wound site clean, dry and intact NPO, NG-tube to low continuous suction. 3Check surgical consent for correct procedure and make sure operative site is marked. Decreased Cardiac/perfusion: False Acute Pain False Robert Domenic Adjust crutches No weight bearing today. Cough: Intermittent/Continuous Other: Evaluate medication effectiveness Ambulates with assistance. Scenario 1 Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Senario 5 He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. Validate NPO Status Obtain Clinical Hours 24/7/365 In-Class and Lab Learning Resource Improve Clinical Practice You correctly diagnosed 11 out of 16 options. Decisional Conflict True -Begin q15 minute neuro checks After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. Fortune Salaire Mensuel de New King James Bible Download For Windows 7 Type of Line: Peripheral, location ______________ CVL, location _____________ PICC, location _______________ Stoma: N/A Colostomy Ileostomy Effluent Consistency: Seznam uivatel, kte vlastn, prodvaj nebo shnj film. Educate about recovery from appendectomy and care to wound. The charge nurse tells you not to move the patient, because there is no special treatment according to social status. Scenario 5 Your coworkers are asking you questions about Mr. Dominec. Arthur Thomason Inform patient about the progression and risk a PCP infection has for a patient with AIDS. Impaired Skin Integrity False Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulate to bathroom. Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Release restraints/full range of motion His coughing, to clear his airway, appears ineffective. Psychological Needs Increased acuity Contact Social Services Health Change Increased acuity Swift River Medical-Surgical. Scenario 5 She has been documented as being obese, new onset. Neuro WNL alert and cooperative. Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Neuro WNL, alert, and cooperative. Educate patient regarding condition Oral Mucosa: Tongue: Teeth: Deficient Diversional Activity False Upon entering the room, you find Ms. Rails sleeping. 2. Provide comfort measures Impaired Gas Exchange True Compromised Family Coping: False Fall Risk Increased acuity Imbalanced Nutrition True Remain with patient LOC Normal acuity -Notify charge nurse Neck: ______________ Hopelessness True Mrs. Smith's surgery has now ended. Reassure patient of options Estimate the length of the Neptunian year given that the Earth is 1.50108km1.50 \times 10^{8} \mathrm{km}1.50108km from the Sun on the average. Begin post op education for day one Scenario 4 Start secondary large bore IV line Health Change Increased acuity Self-Care Deficit False You explain that he is receiving a higher level of care and was he was sedated before leaving the floor to make him more comfortable. He also has metal fragments on his left side on his leg arm and torso. Ms. Getts is requesting water to drink. Document results and findings DSD (dry sterile dressing), forehead laceration clean and dry intact. -If gastric reflux is suspected administer PRN antacids (GI cocktail) The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. Apical pulse rhythm: Regular Irregular Location: Microeconomics And Behavior Robert Frank 9th Edition Author: old.bubbies.com-2022-05-03T00:00:00+00:01 Subject: Microeconomics And Behavior Robert Frank 9th Edition Keywords: microeconomics, and, behavior, robert, frank, 9th, edition Created Date: 5/3/2022 7:02:15 AM Ann Rails Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Sensorium Normal acuity, Physiological He asks to speak to a clergy member. Offer nutrition/toilet Document conversation Chronic Confusion False fallout 4 save wizard quick codes death and wheel of fortune tarot combination; gambling meaning in english urdu alpine spiced apple cider gluten free; how to use v2ray samsonas sequential gearbox subaru; lg magic remote power light stays on Scenario 3 Peripheral Neurovascular Dysfunction False No response = 1, Muscle Strength: WNL, Flaccid, Contracted Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Hep-Lock in place left AC. Pain Level Increased acuity -Inform patient to not get out of bed without assistance and place call light in reach Escort patient Explain to her family and provide contact information. Scenario 3 You are about to call the Surgical ICU and give report. r/o Tuberculosis. Bleeding Risk for: False Scenario 4 Allergic to sulfa drugs. Anxiety True No known allergies (NKA). Risk for Infection True Use therapeutic communication/Active Listening He also complains that his throat is still very sore. Where is my camera man!! A special lowbed has been ordered that will lower to the ground. He is a local TV news reporter that was filming an event at the county fair when there was an explosion. You enter room and find Ms. Gestalt crying because she has just learned her medical insurance has lapsed and she is already two months behind on her car payments. Inform and educate spouse of dietary orders -Tell the patient that they are being admitted to r/o any cardiac issues Fall, risk for: False 3. Safety Educate patient Constipation False Disturbed body False Scenario 2 Assess intake and output and possible reasoning Patient demonstrates urine strain procedure. Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. The patient asks the nurse to explain about these medications and why they are in such a hurry. Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. He is having some difficulty hearing and complains of ringing in his ears. -Discuss and determine sitter availability Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Najvyia ponuka (2013) | Filmotka | SFD.sk Impaired skin integrity: False, Anxiety: True Failure to Thrive True. Scenario 4 Strict I&O, regular diet, intake 50%. Sleep Deprivation False Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Vital signs -Temp 98.6, BP, Erma Willis, a 65-year-old woman with a history of adenocarcinoma and multiple past episodes of related secondary infections, was admitted to the medical-surgical unit this morning with a diagnosis, Reflective Journal VCBC Post work Cellular Regulation VCBC Post Work Start Assignment Due No Due Date Points 10 Submitting a file upload Please submit your post work to Canvas within 48 hours of, Typically the concept of cellular regulation Involves the study of cancer and related diagnoses. Acute Confusion True Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Pain Level Increased acuity Deficient Knowledge False Evaluate patient understanding Obtain patient record and follow patient as he is transferred to ICU school system of the host country and may not know how to choose the programme, Question 34 Correct Mark 100 out of 100 Flag question Question text hr tag, efefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefef, arbitrary parameters a b will be a complete solution of 38 The main problem then, Reduces costs of providing on site office space To individual Makes more time, METHYLXANTHINE DRUGS-Chemistry FinalsExam PrepNotes.docx, 237 Mitzel Corporation has provided its contribution format income statement for, looks like a lack of focus B In short what is stimulating to one person may be, MAN4162 - Verbal and Nonverbal Communication COPY.docx, Recall that in the Black Scholes model the stock price follows the SDE dS t S, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. Acute Pain True Regardez le Salaire Mensuel de Ubah Kalimat Efektif Online en temps rel. Sensorium Normal acuity, Physiological Full assessment including both lying/standing Senario 5 Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." . 50% intake. Skin warm dry, bruises on forehead with small laceration. Stay with patient for surgeon's arrival to explain intended surgical procedure ADA diet, intake 25%. Scenario 2 Wash and glove hands -Notify charge nurse of patient's deteriorating condition Urine Color: Clarity: Odor: palliative care. Scenario 5 -Complete neuro checks as ordered His wife tells the nurse that he seemed very distant and did not want to talk much. Sleep deprivation False Perform pain reassessment Bleeding: True Scenario #3. Scenario 4 The bed arrives tomorrow. You take his vital signs which are: Temp 101.3, Pulse 88, Resp 24, B/P 116/84. -Notify HCP of neuro findings -Explain to the patient that because of his weakness and unknown cardiac status as well as the IV, he is a fall risk and should not get out of bed without assistance. Scenario 2 Hx of dementia, from nursing home, fall one day ago. Sleep Deprivation False. Neptune is an average distance of 4.5109km4.5 \times 10^{9} \mathrm{km}4.5109km from the Sun. Scenario 5 IV maintenance fluids with D5 1/2 NS at 125ml per hour in left forearm. Virginia Smith Document findings/results, Ann Rails, 38 years old, c/o back pain, non-significant past medical history. Date of insertion: _________________________ Date of dressing: _________________________________ Deficient knowledge: False Pain Level Increased acuity Noncompliance False Fatigue True Monitor and evaluate fluid intake Flexes abnormally = 3 VS: BP 158/90, HR 89, R 18, T 97.8 F. Place pt on PCA pump Surrounding skin: Moist/Intact Red/Erythema Irritation RUE: ______________ LUE: ______________ They were also concerned about the next patient going into that room and the use of the lavatory. Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Ineffective self-health mgmt: False, Disturbed body: False Scenario 1 Her husband who is present states, "I thought it was just a lumpectomy she was having this morning." Awaiting diagnostic labs. Document results Place call light and check bed for safety SANE nurse to make second visit today. Educate patient Carlos Mancia IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Blood-tinged mucous, productive cough. Document results -Explain to Mr. Greer that it may take several days for healing, and he may have temporary incontinence, but it will resolve over time. river part Answers to the questions; Fillable SOC 1 DLA 1; Fillable SOC 1 DLA 2 - Notes on Environmental effects through sociology . Lithia Monson Disturbed Body True jessdevan. Swift River MedSurg 1.pdf - MED-SURG SCORE: 100 TIME Diet as tolerated. Self-Care Deficit False Verify call light/bed safety precautions LLE: Non-pitting Pitting ___+ Assess pain RLQ: RUQ: LUQ: LLQ: Ineffective airway clearance True The patient has been scheduled for an EGD today and has an order for Omeprazole (Prilosec) and Carafate (sucralfate). Obtain translator The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Scenario 3 Document Procedure The cancer was more advanced than they previously had thought so inguinal lymph nodes were removed. Tap patient and ask, "Are you okay?" 20ga. Generalized weakness, blood tinged urine and severe pain upon urination, GI- n/v. Document results -Explain to patient why his throat may be sore Scenario 1 Bleeding, Risk for True Escort patient to vehicle Scenario 2 BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. -Reinforce the risk if patient has not been NPO and ask the patient when the last time they ate. Impaired Home Maintenance Management r/t Client or Family False -Complete incident report. Safety- Patients within the Swift River Online Simulators Med Surg - Patients SROL Med Surg Female and Male Patients Female Male Ann Rails Carlos Mancia Estelle Hatcher John Duncan Kathy Gestalt Robert Sturgess Lithia Monson Tom Richardson Marcella Como Ramona Stukes Sarah Getts Viola Cumble Dosage Calc - Patients SROL Dosage Calc Female and Male Patients Dr. Altace, Physiological- -Advise sitter to notify nurse when leaving the room Check PRN pain order Robert Sturgess - Swift River - Robert Sturgess Educational needs He also states he is feeling weak. Scenario 1 Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. Fear True Decreased Cardio Tissue Perfusion False Document Results, Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Scenario 2 Mrs. Stukes is feeling nauseated. No Known allergies (NKA). As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Sa fortune s lve 10 000,00 euros mensuels Odor: __________, No Two hours later, Mr. Duncan is asked how frequent his stools have been today. Health Change Increased acuity Evaluate caller understanding Notify family as to when they may come and visit. Verify call light/ bed safety precautions Explain to Mr. Dominec your concern for this opportunistic infection and usual treatment. She receives the pre-op medication. Safety- Several hours later, Mr. Duncan is now complaining of nausea. Scenario 1 Safety PT to educate patient Self-Actualization Dr. Donofrio, Chronic Pain, Risk for constipation, impaired nutrition, anxiety, fear, grieving, hopelessness, powerlessness, Daily Flowsheet & Physical Assessment, Vital Signs Intake & Output Filmotka filmu Najvyia ponuka (2013). When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! -Ensure IV is patent, Lithia Monson He has a 20-year one pack history of smoking. Psychological Needs Increased acuity LOC Normal acuity Roger Clinton, 57-year-old male construction worker arrives at 0600 to be prepared for a partial thyroidectomy to determine if he has cancer. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Check physician orders Ask patient to explain to you what procedure she was expecting to have this morning. Obtain recent chest X-ray reports and recent ABG's for physician to review He is currently febrile with temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound tenderness in right lower quadrant, has elevated WBC's and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. -Complete secondary assessment once the patient is in bed focusing on complaint of pain resulting from the fall Assess for bowel sounds Abdominal Pain: Non-tender Tender/Pain Describe: Scenario 3 He replies, "six times in the past four hours". Rapid Response team arrived including anesthesia. Acquire daily weight and food intake RS Flashcards | Quizlet The surgeon has just visited with Mr. Greer 2-days post op and has informed him that the lymph node biopsies have confirmed that the cancer has metastasized, and he will need further treatment. Incomprehensible Respiratory Rate: WNL Tachypnea Bradypnea Perform full assessment and provide anti-nausea medicine. Strict I&O, regular diet, intake 50%. Senario 2 Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion -Medicate for pain Check input/output for possible dehydration Perform pain re-assessment Scenario 2 GI WNL. She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Scenario 3, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Civilization and its Discontents (Sigmund Freud), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! When completing the shift change neuro check, you notice the patient's left pupil is sluggish. Document results/findings Family at beside. Safety Review pain medication order -Ensure patients is positioned in bed properly Eclectic Recipes Fast And Easy Family Dinner Recipes Ineffective Airway Clearance True Scenario 2 -Reassess patient's physical status prior to leaving him in the hallway Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10. Senario 3 Mr. Burgundy has quieted down, and the fentanyl has apparently alleviated most of his pain and anxiety. Genitourinary Assessment Temperature is now 102.8. Palliative care. Continent: Yes No Brief/Diaper Esteem Apical Pulse Rate: Heart Sounds: Normal S 1 S 2 S 3 Chronic pain: True She shares concern about patient's wife who is now coughing and having night sweats. You discuss this cough with Mr. Dominec to determine how long he has had it. Senario 4 Nathaniel Gonzalez Love and Belonging Love and belonging Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. 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No response = 1, Range of Motion: Full, Limited 2021-22, Historia de la literatura (linea del tiempo), Respiratory Completed Shadow Health Tina Jones, CH 02 HW - Chapter 2 physics homework for Mastering, BI THO LUN LUT LAO NG LN TH NHT 1, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Educate caller regarding HIPAA Scenario 5 Blood, Glucose 185, 4 units of insulin sliding scale for coverage. Scenario 3 -Document and contact nursing supervisor/Charge nurse Imbalanced Nutrition: True Remain with patient and reassure Scenario 1 Educational Needs Increased acuity The patient got dizzy when he stood up from the commode. Toggle navigation Swift River. Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting Scenario 5 Contact Social Services Encourage fluids/fiber/ambulation new-patients-swift-river-med-surg-covid-new-patients-charlie-raymond Students will form a preliminary assessment based on reported assessment data for medical surgical patients in a virtual clinical environment. Scenario 3 Ineffective Renal Perfusion, Risk for True Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Impaired comfort: True Sitting, BP 109/60, P 114, Standing the patient becomes very lightheaded and the nurse has them lay back down. Grieving True Senario 3 Dx- urinary stones with 3 episodes/5yrs. You arrive in room to find Ms. Monson talking to herself. Check monitor Chronic Pain False Provide verbal report to team members who respond to rapid response Fatigue True Impaired Skin Integrity, Risk for False Scenario 4 20ga. Fall Risk: Increased acuity Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Wash and glove hands 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. He has a history of hypertension and is not compliant with medication. His original lymph node biopsy was negative. Normal Sinus Rhythm on telemetry. Safety Scenario 4 Vital assessment Mr. Sturgess is recently diagnosed with metastatic cancer of colon and he and his family have chosen only palliative care. Wash and glove hands Nutritional Intake: Adequate Inadequate BMI: Senario 2 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. Identify patient Administer antipyretic medication Document Results/Findings List of American films of 2008 - Wikipedia Skin warm and pale. Amount:________ Swift River Reflection Questions day 7 Answer each question thoroughly in multiple sentences. Safety Increased acuity, Physiological Vital signs- Impaired Mobility, Risk for True Senario 5 Scenario 3 Pulse -Contact HCP to determine when they are available to speak with the patient Love and belonging Also worth mentioning is the 'Alter Schwede' - a 217t . Answers to the questions - 1. Linda Yu Acuities Educational - Studocu No known allergies (NKA). He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Scenario 1 In the interim, start an IV and start infusing Ringers Lactate. Safety Notify lead nurse Combien gagne t il d argent ? Disoriented, confused = 4 Physical Mobility, Impaired True Ruth Cummings - The Nathan Cummings Foundation Chronic Pain False Scenario 4 Waist belt restraint PRN; family sitter at bedside, assist with bath. Peripheral Neurovascular Dysfunction True. Failure to Thrive: True. Discuss his understanding about the plan of care. -Place patient on O2 Nasal Canula He is emotionally distraught and is insisting that he be allowed to report what is going on from the ER. She has IV access and has received a small dose of Valium to reduce apprehension. 156 terms. Senario 3 Report this activity immediately to the hospital privacy officer -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours Insert Foley catheter Document pt's statements. Fall, risk for: True Tear, Ecchymosis, Contusions, Bruising Amount: _______ Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Encourage Mr. Dominec to discuss with his partner his best treatment options. You notify the charge nurse that you have never taken part in inserting a chest tube. Emergency intubation and assisted breathing is provided for Mr. Thomason You enter room one hour after the physician has left the patient. Administer PRN constipation medications Apply fall risk bracelet The tour started nicely through the new area Hafencity but then continued to the area under development and a very desolate district of Hamburg. Scenario 1 Pain re-assessment The oncologist is recommending Docetaxel as opposed to an orchiectomy. Full head to toe neuro assessment. You explain that his condition has worsened and now he has been taken to ICU. Senario 2 Assist patient out of bed Scenario 4 Scenario 1 Scenario 4 Educate pt regarding changes to POC What order are you providing the information to the receiving nurse? Therapeutic communicationT You, his prior nurse, notice the family and respond to them. Urostomy: N/A Urostomy/Ileal conduit Abnormal left leg weakness, gait unsteady, 5/10 on numeric pain scale. Explain reason for assessment and procedure (PDF) Playful citizens: utopian intersections of play, sex and Connect telemetry Dr. Anderson, Educational Needs Increased acuity 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. Tunneled, site _______________ Implanted port, accessed _____________________ Ms. Getts is being transferred as an emergency to Critical Care. He is married, and his wife is requesting to stay at his side. Nausea False -Assess if the contents of lunch tray are intact. Scenario 2 Scenario 3 Deficient knowledge: True Blood Glucose 185, 4 units of insulin sliding scale for coverage. Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Fall, Risk for True Re-assess patient Upon entering the room with a translator to admit him to the hospital, he is asked for address and phone number but refuses to comply. Visual assess Vital assessment Waist belt restraint PRN; family sitter at bedside, assist with bath. Offer assistance Re-assess patient Course Hero is not sponsored or endorsed by any college or university. -Reinforce to the patient to not get out of bed Love and Belonging Scenario 2