Medical Surgical Unit

Directions: There are three scenarios that will be used in this discussion posting. You are all responsible for the initial discussion posting and then responding to one posting in the remaining scenarios. For example, my last name is Combs, therefore my initial discussion posting will occur from scenario #1. I will then be responsible for responding to one post from scenario #2 and one post from scenario #3.Initial Discussion scenario #1: Students that have last names beginning with A thru I will post your initial discussion to this scenario.Mrs. Parker is a 56-year-old woman who was diagnosed with heart failure 4 years ago. She has been admitted to the hospital for shortness of breath (SOB). She states, “I was taking a diuretic at home but ran out 1 week ago. I have not been able to refill my prescription”. She complains of difficulty breathing and has noticed some swelling in her feel that seemed worse than usual. On physical examination, you observe that she is alert and oriented to person, place, and time; SOB on exertion; oxygen saturation is 89% o room air; fine crackles bilateral in the lower lobes; fine 2+ edema bilaterally; and vital signs are T – 37.0, BO – 130/85, P – 120, and R – 35/min. You feel that it is best to notify the physician. Prepare and post your ISBAR using the attached form.Initial Discussion scenario #2: Students that have last names beginning with J thru Q will post your initial discussion to this scenario.Mr. Edwards is an 80-year-old male with a left cerebrovascular accident (CVA) who has been in a long-term care facility for the past 2 years. He is immobile and has to be transferred with the mechanical lift. His nutritional needs are met with 6 cans of Prosource via g-tube @ 50mL/hr. You are assigned to Mr. Edwards on the evening shift and you provided hygiene care and repositioned him. Mr. Edward’s routine medications were administered at 1800 hours. His G feed is also in progress. At 2000 hours when you approach Mr. Edward’s bed, you hear him coughing, respirations are noisy and his face is flushed. His vital signs are T – 39, HR – 110 bpm, R – 32, BP – 150.90, and SpO2 is 86% on room air. You feel that it is best to notify the physician. Prepare and post your ISBAR using the attached form.Initial Discussion scenario #3: Students that have last names beginning with R thru Z will post your initial discussion to this scenario.Miss Thompson, a 28-year-old female was admitted to your Medical-Surgical unit on the previous night shift for abdominal pain not yet diagnosed. The shift report stated that vitals were stable on admission. Upon shift change, you enter her room and she was moaning loudly and complaining of severe abdominal pain. She has just returned to bed after going to the bathroom. When you looked in the toilet, you noticed that she had a large, bloody stool. She states that she has had “at least one like that each day for the past week.” She states, “I feel so tired and weak. I have never felt this bad before. I can hardly stand long enough to brush my teeth”! Her color is pale, skin cool and diaphoretic. She is alert, knows her name, the date, and where she is but she is very fatigued. Vital signs at 0800 are T – 36.5, HR – 55bpm, R – 18, BP – 105/55, and SpO2 is 97% on room air. The change in the patient’s condition warrants a call to the physician. Prepare and post your ISBAR using the attached form.

Don't use plagiarized sources. Get Your Custom Essay on
Medical Surgical Unit
Just from $13/Page
Order Essay
Order a unique copy of this paper
(550 words)

Approximate price: $22

Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our Guarantees

At 111papers.com, we value all our customers, and for that, always strive to ensure that we deliver the best top-quality content that we can. All the processes, from writing, formatting, editing, and submission is 100% original and detail-oriented. With us, you are, therefore, always guaranteed quality work by certified and experienced writing professionals. We take pride in the university homework help services that we provide our customers.

Money-Back Guarantee

As the best homework help service in the world, 111 Papers ensures that all customers are completely satisfied with the finished product before disbursing payment. You are not obligated to pay for the final product if you aren’t 100% satisfied with the paper. We also provide a money-back guarantee if you don’t feel that your paper was written to your satisfaction. This guarantee is totally transparent and follows all the terms and conditions set by the company.

Read more

Zero-Plagiarism Guarantee

All products that we deliver are guaranteed to be 100% original. We check for unoriginality on all orders delivered by our writers using the most advanced anti-plagiarism programs in the market. We, therefore, guarantee that all products that we submit to you are 100% original. We have a zero-tolerance policy for copied content. Thanks to our strict no plagiarized work rule, you can submit your homework to your professor without worrying.

Read more

Free-Revision Policy

TThis is one of the most cherished courtesy services that we provide to help ensure that our customers are completely satisfied with our finished products. Delivering the best final product to our customers takes multiple inputs. 111papers.com prides itself on delivering the best university homework help services in the writing industry. And, in part, our free revision policy is how we do it. What’s more, all our revisions are 100% free without any strings attached.

Read more

Privacy Policy

Client privacy is important to use. We know and understand just how important customers value their privacy and always want to safeguard their personal information. Thus, all the information that you share with us will always remain in safe custody. We will never disclose your personal information to any third party or sell your details to anyone. 111 Papers uses the most sophisticated, top-of-the-line security programs to ensure that our customers’ information is safe and secured.

Read more

Fair-Cooperation Guarantee

Placing your order with us means that you agree with the homework help service we provide. We, in turn, will endear to ensure that we do everything we can to deliver the most comprehensive finished product as per your requirements. We will also count on your cooperation to help us deliver on this mandate. Yes, we also need you to ensure that you have the highest-quality paper.

Read more

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency