Unit
3
Prio
ritiz
atio
n
Proj
Step 1:
ect
You are the nurse manager on a new unit that will open today.This unit has 18 rooms, 10 are private rooms
and 8 are double rooms.Two of the single rooms have negative pressure (601 & 602).The list below tells you
what patients are being transferred to your unit.You need to assign patients to their new rooms.
In your assigned work group, complete the room assignments for these patients noting rationale for why you
assign each patient to a specific room.Submit to your faculty by due date.
SEX
Diagnosis AdditionalConsiderations
AGE
Mr. L Right lobectomy – Has 2 chest tubes with minimal bubbling in the water seal M
yesterday bottle. Orders to ambulate to door and back again 49
today.IVLR at 125ml/hour
126/86P 84R 16T 99.2
Ms. D Post-operative Wound infection for MRSA.Wet to dry dressing twice F
dehiscence daily.Self-care with assistance 55
130/72P 88R 20T 99.9
Mr.LD Legionnaire’s Reports productive cough, shortness of breath. chest pain, M
Disease nausea& vomiting 23
IV of D5W @125 ml/hour
B/P 128/84, T 101.4, P 100, R 24.
Zithromax 500 mg as a single dose on Day 1, followed by
250 mg once daily on Days 2 through 5
Ms.S CHF Shingles – left sided abdominal rash with open F
lesions.Reports pain at rash site 73
B/P 131/94, T 99.4, P 118, R 32
Pulse oximetry86%
Crackles in both bases of lung, SOB
Ms. PT Cirrhosis Pulmonary tuberculosis F
138/88P 92R 22T 100.7 54
Ms. H DM Being admitted.BS 640mg/dl F
UTI IVNormal Saline 0.9% @100ml/hr 72
CHF Change to D5W when glucose level is down to 250-300
mg/dl.
Blood sugar every 2 hours
102/72P108R 24T 98.9
Ms. T Thyroidectomythis am To come to floor from PACU96/72P 76R 18T 97.8 F
24
Mr. A Acute renal failure continuous cycler-assisted peritoneal dialysis (CCPD) M
started yesterday 69
flank pain, N&V
112/80P88R 20T 98.4
Ms. M Left Mastectomy Hemovacin place F
to be discharge in the am 55
122/78P 92r 16t 97.8
Ms. Neisseria meningitis IV cipro400 mg I.V. q 12 h F
NM B/P 118/94, T 101.4, P 118, R 32 22
O2 via nasal cannula @ 2L/m
Seizure precautions
, Mr. D Dehydration stool positive for Clostridium difficile M
IV LR 125 ml/hour 79
92/64P 116R 28T 100.1
Mr. H Hepatitis A Incontinent of stool & urine M
Nausea & vomiting & fatigue 89
B/P 128/94, T 99.4, P 118, R 32
Ms. G Guillain-Barre’ B/P 122/68, T 99.6, P 92, R 18 F
Bilateral leg weakness. No respiratory compromised at this 22
time
Ms. MI MI Coming from CCU F
Experiencingintermittent PVC 61
108/72P 76 irregR 16T 98
Mr. B Laminectomy L3 & L4 One day post-op.Orders to ambulate today M
134/88P 92R 20T 100 52
Mr.C Colectomywith a One day post-op. NG tube M
colostomy 128/72P98R 20T 97.9axillary 45
Ms. C Cervical cancer Radium implant.Foley catheter F
114/72P 76R 18T 98.8 55
Ms. Fx Fractured left femur External fixator applied two days ago F
Fat emboli. Oxygen via Venturi mask 39
132/92P100 R 20T 99.0
Mr. T TURP One day post-op M
Continual Bladderirrigation 71
OOB today. IV to be d/c
128/88P 92R 16T 99
Ms. R Rheumatoid Arthritis Noted to be in severe pain with the joints of both hands F
swollen, reddened and stiff.Unable to use upper extremities 37
for self-help activities.130/90P 82R 24T 98.9
Mr. I I & D of infected left arm Has a history of drug use 3 years ago is still smoking.Is very M
demanding about his care; up and about on the 32
unit.Watches the clock to see that his medications and every
shift dressing changes are on time.150/98P 76R 18P 97
Mr. V Venous Stasis Ulcers Has venous stasis ulcers of lower right and left extremities, M
skin around the ulcers is thickened, brown without 81
redness.Noted no palpable pedal pulses, 4+ pitting
edema.Complains of severe pain.142/90P96R 18T 99.4
Ms. F Fever of Unknown Origin Just admitted from the Emergency Room. F
Lives locally but has been travelling with a church group for 19
the past ten days.
B/P 161/94, T 103.4, P 118, R 32.Complains of extreme
fatigue.Blood, urine& sputum cultures have to be obtained
3
Prio
ritiz
atio
n
Proj
Step 1:
ect
You are the nurse manager on a new unit that will open today.This unit has 18 rooms, 10 are private rooms
and 8 are double rooms.Two of the single rooms have negative pressure (601 & 602).The list below tells you
what patients are being transferred to your unit.You need to assign patients to their new rooms.
In your assigned work group, complete the room assignments for these patients noting rationale for why you
assign each patient to a specific room.Submit to your faculty by due date.
SEX
Diagnosis AdditionalConsiderations
AGE
Mr. L Right lobectomy – Has 2 chest tubes with minimal bubbling in the water seal M
yesterday bottle. Orders to ambulate to door and back again 49
today.IVLR at 125ml/hour
126/86P 84R 16T 99.2
Ms. D Post-operative Wound infection for MRSA.Wet to dry dressing twice F
dehiscence daily.Self-care with assistance 55
130/72P 88R 20T 99.9
Mr.LD Legionnaire’s Reports productive cough, shortness of breath. chest pain, M
Disease nausea& vomiting 23
IV of D5W @125 ml/hour
B/P 128/84, T 101.4, P 100, R 24.
Zithromax 500 mg as a single dose on Day 1, followed by
250 mg once daily on Days 2 through 5
Ms.S CHF Shingles – left sided abdominal rash with open F
lesions.Reports pain at rash site 73
B/P 131/94, T 99.4, P 118, R 32
Pulse oximetry86%
Crackles in both bases of lung, SOB
Ms. PT Cirrhosis Pulmonary tuberculosis F
138/88P 92R 22T 100.7 54
Ms. H DM Being admitted.BS 640mg/dl F
UTI IVNormal Saline 0.9% @100ml/hr 72
CHF Change to D5W when glucose level is down to 250-300
mg/dl.
Blood sugar every 2 hours
102/72P108R 24T 98.9
Ms. T Thyroidectomythis am To come to floor from PACU96/72P 76R 18T 97.8 F
24
Mr. A Acute renal failure continuous cycler-assisted peritoneal dialysis (CCPD) M
started yesterday 69
flank pain, N&V
112/80P88R 20T 98.4
Ms. M Left Mastectomy Hemovacin place F
to be discharge in the am 55
122/78P 92r 16t 97.8
Ms. Neisseria meningitis IV cipro400 mg I.V. q 12 h F
NM B/P 118/94, T 101.4, P 118, R 32 22
O2 via nasal cannula @ 2L/m
Seizure precautions
, Mr. D Dehydration stool positive for Clostridium difficile M
IV LR 125 ml/hour 79
92/64P 116R 28T 100.1
Mr. H Hepatitis A Incontinent of stool & urine M
Nausea & vomiting & fatigue 89
B/P 128/94, T 99.4, P 118, R 32
Ms. G Guillain-Barre’ B/P 122/68, T 99.6, P 92, R 18 F
Bilateral leg weakness. No respiratory compromised at this 22
time
Ms. MI MI Coming from CCU F
Experiencingintermittent PVC 61
108/72P 76 irregR 16T 98
Mr. B Laminectomy L3 & L4 One day post-op.Orders to ambulate today M
134/88P 92R 20T 100 52
Mr.C Colectomywith a One day post-op. NG tube M
colostomy 128/72P98R 20T 97.9axillary 45
Ms. C Cervical cancer Radium implant.Foley catheter F
114/72P 76R 18T 98.8 55
Ms. Fx Fractured left femur External fixator applied two days ago F
Fat emboli. Oxygen via Venturi mask 39
132/92P100 R 20T 99.0
Mr. T TURP One day post-op M
Continual Bladderirrigation 71
OOB today. IV to be d/c
128/88P 92R 16T 99
Ms. R Rheumatoid Arthritis Noted to be in severe pain with the joints of both hands F
swollen, reddened and stiff.Unable to use upper extremities 37
for self-help activities.130/90P 82R 24T 98.9
Mr. I I & D of infected left arm Has a history of drug use 3 years ago is still smoking.Is very M
demanding about his care; up and about on the 32
unit.Watches the clock to see that his medications and every
shift dressing changes are on time.150/98P 76R 18P 97
Mr. V Venous Stasis Ulcers Has venous stasis ulcers of lower right and left extremities, M
skin around the ulcers is thickened, brown without 81
redness.Noted no palpable pedal pulses, 4+ pitting
edema.Complains of severe pain.142/90P96R 18T 99.4
Ms. F Fever of Unknown Origin Just admitted from the Emergency Room. F
Lives locally but has been travelling with a church group for 19
the past ten days.
B/P 161/94, T 103.4, P 118, R 32.Complains of extreme
fatigue.Blood, urine& sputum cultures have to be obtained
