RS

Tim Jones

Tim Jones

Tim Jones Scenario 1 You begin your shift assessment w/ Mr. Jones Scenario 2 Mr. Jones is scheduled for a full body CT scan. Mr. Jones stated to the nurse that he "was scared to leave the room." Further questioning and clarification revealed Mr. Jones does not want to be alone and is afraid of being hurt Scenario 3 Later in the evening Mr. Jones falls on his way to the bathroom Scenario 4 Mr. Jones is resting quietly in the bed, R 22, slightly labored, color pink. Eyes closed. Upon assessment, Mr. Jones was noted to have bilateral wheezing, R 24, some use of accessory muscles w/ respiration's, dullness to percussion in the left lower lobe, an an unproductive cough. Based on assessment, nebulizer tx administered per MD orders. Scenario 5 Mr. Jones is now more alert and states he does not see the point in living anymore and wishes he would just die quietly. He asks to speak to a clergy member. He does not want to return to the nursing home, and does not wish to burden or live with his children. He insists that he is not hungry and refuses assistance with his meal. He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care.

John Wiggins

John Wiggins

John Wiggins Scenario 1 You respond to Mr. Wiggins call light. He is complaining that his headache is worsening. You tell the pt that you must do a assessment before you can give him any medication. his Glasgow coma scale is 15. his VS are BP 168/80, T 98.9, P 98, R 24. Complete the neurological assessment. Scenario 2 Your neurological assessment concludes the following: A/O x4 appears normal, left pupil is slightly larger than his right and is +3 to react to light, there is no evidence of any drainage, cranial checks are WNL, and extremity strength is slightly diminished. Glasgow coma scale is 13. Scenario 3 After sharing findings w/ the provider, he orders the following: 1. Contact radiology for a stat CT scan of the head. 2. Start a saline lock. #. Neurological checks q30 minutes. 4. Hold coding, administer Tylenol 1g 5. NPO Scenario 4 You accompany transport of Mr. Wiggins from radiology back to his room. You check his VS and they are: BP 185/75, P 58, R 28 and irregular, T 99.1, PaO2 98. His GCS is now 10. neuro check: A/O x2, left pupil is larger than his right and is +5 to react to light, their is no evidence of any drainage, cranial checks are all normal and pt is less cooperative for extremity strength assessment. Upon finishing the assessment, Mr. Wiggins experiences a generalized tonic/clinic seizure. Scenario 5 The HCP has heard from the radiologist that there is a sub Duran hematoma on the left side of the brain. Pt needs emergency neuro surgery in order to stop the b led and relieve the pressure on the brain. His GCS is now 7. Prepare the pt for emergency neuro surgery.

Joyce Workman

Joyce Workman

Joyce Workman Scenario 1 Mrs. Workman presented to the diabetes clinic and provided a 24-hr food recall. She was then sent to the lab for ordered lab tests. She is to notify the nurse upon return to the clinic from the lab. Pt has requested more information on her diabetes and states she does not understand why she "should be concerned" w/ blood glucose control in both the short and long term. Scenario 2 The nurse is providing information on nutrition to assist Mrs. Workman in managing her DM II. Scenario 3 Mrs. Workman presented to the Diabetes clinic for further evaluation of her diabetes, and lifestyle changes. She is planning on attending several of the classes that are being offered. Pt is requesting information on appropriate exercise programs. She has attendee the diabetic meal prep classes, but still struggles with her dx of diabetes. Scenario 4 Day 3 of hospitalization at 12:30, Mrs. Workman calls the RN and complains of cool clammy skin, anxious, weak, hungry but nauseous, and slightly confused. April 10, 1245, Blood glucose level is 40 mg/dL HCP has ordered 1.) hypoglycemia protocols for BG level < 60 mb/dL 2.) regular insulin SQ 20 unit for BG level > 160 mg/dL 3.) monitor BG levels q 4 hours and PRN 4.) IVF D5 0.45% NS at 125 mL/hr 5.) 1800 calorie ADA dietary and teach pt about diet changes Scenario 5 3 months later, Mrs. Workman has returned to the Diabetes clinic having lost 20 lbs and is requesting to stop taking the metformin (glucophage). HbA1C is 7.5%. She is also complaining of new onset diarrhea.

Marcella Como

Marcella Como

Marcella Como Scenario 1 Ms. Como is first day after sexual assault. Upon entering the room, she is quiet and shows little emotion. Scenario 2 Later in morning care, Ms. Como requests o take a shower stating she feels 'dirty'. Scenario 3 In the afternoon, Ms. Como is stating that she does not want to see her husband or any visitors. Scenario 4 Marcella Como is now more talkative and shares with you that she is going to cooperate and wants to press charges against the assailant. Scenario 5 Marcella is very worried about STD's and posssible pregnancy

Preston Wright

Preston Wright

Preston Wright Scenario 1 Mr. Wright reports pain 6/10, and is requesting medication prior to dressing change Scenario 2 Mr. Wright insists that he watches TV from the Hight Fowler's position. The nurse repositioned the pt to the left side to decrease pressure on the sacrum and rt heel. Sacrum pressure injury demonstrates underlying bone exposure wound measures 4cm x 6cm x 3cm depth w/ tunneling noted on the rt side. The rt heel demonstrates a blister 2cm x 1cm w/ clear fluid noted. Scenario 3 The HCP is requesting an update on sacral wound healing. Scenario 4 It is now times for Mr. Wright's sacral dressing change as the dressing seal is compromised and drainage is visible on the outer layer. see the plan of care: 1.) Sterile NS wet-to-dry dressing changes daily 2.) Apply triple abx ointment to edges of wound each dressing change 3.) Notify MD of worsening changes to wound based on measurements and appearance 4.) Medicate w/ Demerol 100mg w/ Phenegran 25mg IM prior to dressing changes 5.) change diet to HH 6.) DC DocuCare sodium if pt complains of diarrhea 7.) Change IV fluids to 75ml/hr 8.) Encourage PO fluids 9.) Nutrition consult Scenario 5 10 days later, Mr. Wright's wounds are healing, and you have orders to prepare for d/c w/ home healthcare. Mr. Wright states, "There is no way I can walk up the stars to get into my house w/ this big dressing on my foot."

John Duncan

John Duncan

John Duncan Scenario 1 As you enter the room, Mr. Duncan is refusing to eat foods from bland diet Scenario 2 Mr. Duncan is now complaining of feeling "dizzy" when he stands Scenario 3 Several hours later, Mr. Duncan is now complaining of nausea. Scenario 4 2-hrs later, Mr. Duncan is asked how frequent his stools have been today. He replies," six times in the past four hours". He also states he is feeling weak Scenario 5 Mr. Duncan's wife meets you in the hall asking what she could bring her husband to eat from home

Tom Richardson

Tom Richardson

Tom Richardson Scenario 1 Day 2 admission, Thomas Richardson is complaining of severe pain and is now begging you for some relief; states pain scale 10/10 Scenario 2 Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication Scenario 3 Mr. Richardson is requesting assistance to ambulated to bathroom Scenario 4 Mr. Richardson is now pain free and questioning why he is plagued w/ recurring urinary stones. Scenario 5 You are now preparing for d/c. Place steps in order.

Mary Barkley

Mary Barkley

Mary Barkley Scenario 1 Right after admission the nurse finds her walking down the hall trying to leave. Redirect the pt back to her room. Scenario 2 Mrs. Barkley is becoming more adamant about leaving while her physical condition continues to deteriorate. Her temp is 100.8, BP 100/62, P 92, R 21, SpaO2 91. The nurse auscultation fine crackles in her lungs bilaterally, but her sputum is clear. She is oriented x3 but at times seems to be talking to someone in the room when no one is present. She told the nurse that she does not want a breathing tube, but her family has told the nurse by phone that they want every effort done to save her. She pulled out her IV and it will need to be restarted for her IV I pro dose that is due now. The nurse has another high acuity admission that has just arrived from the ER. Scenario 3 Ms. Barkley continues to deteriorate and is shouting for her family. She is disoriented and believes the nursing staff is trying to kill her. Her temp is 101.3, BP 98/58, P98, R22, and PaO2 86%. the PCT is requesting to be relieved as the pt keeps pulling at the PCT's mask to see who she is. The RN calls the attending provider requesting that Ms. Barkley be txf to ICU but there are no rooms available. Instead the RN is told to put the pt on telemetry and call RT for a CPAP trial. Scenario 4 The pt continues to be combative while attempting to initiated the CPAP trial. Healthcare provider has ordered Haldol in order to sedate the pt. VS are deteriorating, BP 90/58, P 116, R 28, PaO2 85%, T 102.0. Enter the room after taking VS. Scenario 5 Ms. Barkley requires emergency intubation, and the HCP on scene suggests that the pt did not want to be intubated. You, the RN, are concerned because the family asked for everything to be done and the pt never signed a DNR order. The pt has now been sedated, and RT is temporarily maintaining their saturation's w/ effective valve mask ventilation.

Linda Yu

Richard Dominec

Richard Dominec

Richard Dominec Scenario 1 After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. His partner is at the bedside asking, "How much longer will he have to wait until taken to surgery?" Scenario 2 Mr. Dominec had his surgical procedure and is doing great. It is now the second day post op and his is given discharge information. His partner is not with him at this time but will arrive soon to facilitate his discharge home. Scenario 3 Mr. Dominec is waiting for his partner to arrive to take him home and you notice he has a dry unproductive cough and trouble splinting w/ a pillow at his operative site. you take his vital signs which are T 101.3, P 88, R 24, BP 116/84 Scenario 4 Mr. Dominec decides he does not want to see the ID MD about his new cough. he chooses to go home and see the dr tomorrow in his office. He states, "thiss is not serious." Scenario 5 Mr. Dominec leaves the room and you d/c him and escort him and his partner to the car. You return to the break room on your floor. Your coworkers are asking you questions about mr. Dominec. They feel that you should share w/ them if he was a "real AIDS" pt or not. They were also concerned about the next pt going into that room and the use of the lavatory. They wanted to know and pressure you for the information. Two housekeepers, who were refusing to clean the room, are in the break room. Your response to all of them would be:

Ramona Stukes

Ramona Stukes

Ramona Stukes Scenario 1 Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Now, third day post-op, Mrs. Stukes appears sad and depressed upon entering the room Scenario 2 Mrs. Stukes is feeling nauseated. Scenario 3 Mrs. Stukes's appliance is leaking for the fourth time today and has been changed and reapplied each time. She is frustrated and overwhelmed with the new appliance not working properly. Scenario 4 Mrs. Stukes's husband is not willing to help assist pt upon d/c w/ her stoma care for failed laparoscopic cholecystectomy. Scenario 5 Three days after d/c, you receive a phone call from Mrs. Stuke's neighbor, who is helping take care of her. She is requesting the names and home phone number for the wound care nurse who saw Mrs. Stukes while she was an inpatient.

Karen Cole

Arthur Thomason

Kenny Barrett

Kenny Barrett

Kenny Barrett Scenario 1 You have entered the room to administer the pts morning medication, atenolol 50mg. The CNA reports the blood pressure was 130/86 an hour ago Scenario 2 You return to the pts room 20 minutes later and the pt is pale, lying in bed, feels lightheaded and nauseated when he sits up. Scenario 3 Call the HCP and provide the following information utilizing SBAR: Scenario 4 The HCP prescribed the following orders, place in implementation sequence: Scenario 5 Upon entering the pts room, he is threatening to go outside and smoke, agitated and demanding to be d/c'd to have a cigarette. VS are BP 128/82, P 90, R 22, T 99.2

Lithia Monson

Lithia Monson

Lithia Monson Scenario 1 You arrive in room to find Ms. Monson talking to herself. Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Scenario 2 There is an order to apply a waist belt restraint if needed. You determine to apply the restraint now. Scenario 3 Ms. Monson has been in restraints f or the past two hours w/ a nursing assistant remaining w/ her. You arrive in room to check on her, after washing hands... Scenario 4 After 3 hours Ms. Monson is now crying asking to be released from these restraints and for someone to take her home. Scenario 5 In reassessing Ms. Monson, her VS are BP 106/82, T 98.2, P 106, R 18, SaO2 88

Charlie Raymond

Charlie Raymond

Charlie Raymond Scenario 1 The next day, he tests positive for COVID-19 and his condition has deteriorated as he is now in respiratory distress. Mr. Raymond weighs 260 lbs. VS: BP 92/58, P 102, R 30 and labored, T 101.3, SaO2 91%. He has bilateral lower lobe atelectasis w/ bronchial vesicular wheezing. Scenario 2 Mr. Raymond continues to deteriorate and becomes confused. In his confusion, he becomes combative and pulls out his IV. He is on a 100% nonrebreather and he keeps pulling his mask off. Just received an order to initiate 20mg of Furosemide (Lasix) IVP, BID. Scenario 3 Order for a Foley catheter has been obtained and Lucy Jones, LPN, is their to assist. Both RN have donned appropriate PPE and have entered the room. Scenario 4 Rank as most concerning for labs Scenario 5 Mr. Raymond is stabilized w/ RRT. Give an SBAR to hospitalist

Sarah Kathryn Horton

Sarah Kathryn Horton

Sarah Kathryn Horton Scenario 1 You hear a scream coming from Mrs. Horton's room. Upon entering the room, it was noted that she appeared to be asleep, eyes closed, possibly experiencing a bad dream Scenario 2 Ms. Horton did not rest well last night, and woke up frequently w/ episodes of crying. This morning, at shift report, she states that she is scared to leave the hospital after the shooting incident. Pt is complaining of pain in her shoulder and thigh 7/10 Scenario 3 HCP orders 1.) Dressing change q 24 hours to RT thighs and rt shoulder. 2.) Pre medicate Morphine Sulfate 4mg IV 15 minutes prior to dressing change 3.) Wet to dry dressing w/ triple abx ointment to wounds. 4.) Sulfamethoxazole 800 mg, Trimethoprim 160 mg (Bactria DS) 1 tablet PO daily 5.) Consult Psychology for referral 6.) Encourage PO fluids Scenario 4 Ms. Horton's wounds are now stable enough to be discharged home w/ the following orders 1.) d/c home 2.) Paroxetine (Paxil) 30mg PO everyday. 3.) Follow up w/ regular HCP in 1 week 4.) Sulfamethoxazole 800mg, Trimethoprim 160mg (Bactria DS) 1 tablet PO daily for 10 days 5.) Hydrocodone 5 mg Acetaminophen 325 mg (Norco 5mg) 1-2 tablets every 3-4 hrs PRN moderated to severe pain #30. Scenario 5 The nurse has Ms. Horton in the wheelchair ready to be taken down to the lobby by the UAP. As Ms. Horton is waiting by the exterior hospital door, construction workers are on the road working w/ a jackhammer. Ms. Horton hears the jackhammer and then screams and dives to the floor.

Sarah Getts

Kathy Gestalt

Kathy Gestalt

Kathy Gestalt Scenario 1 Ms. Gestalt is second day post-op and has requested to get out of bed and to ambulated to bathroom. Scenario 2 Ms. Gestalt is now complaining of fever and chills Scenario 3 After 24 hrs, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight Scenario 4 Ms. Gestalt capillary refilling is now 6 seconds below cast site, extremity is swollen and cold to the touch Scenario 5 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.

Donald Lyles

Donald Lyles

Donald Lyles Scenario 1 Mr. Lyles calls you via the call light. Upon entering the room, he asks if you have medication for "heartburn". He says, "I take TUMS at home when this happens." You tell the pt you will be glad to check-on what is available for relief of his "heartburn" after you complete his physical assessment. You begin his assessment, and he falls back in the bed and becomes unresponsive. You shouldn't, "Are you okay? Are you okay?" Scenario 2 The CODE-blue team arrives w/ a crash cart, Physician, anesthetist, and 2 critical-care nurses and 1 respiratory therapist. Scenario 3 You have now been assigned to document the ongoing event as the CODE team continues w/ the resuscitation. Scenario 4 After 15 minutes, the pts rhythm returns, but he is still unresponsive. He is now in V-tach w/ a weak pulse and BP 70/40. Prepare to initiate cardioversion. Scenario 5 Mr. Lyles responded to the first cardioversion, and is now in a sinus-Brady w/ a second-degree heart block. He is still unresponsive. VS are BP 80/40, P 46, R 16, (pt now intubated and ventilated by Respiratory Therapy)

Estelle Hatcher

Estelle Hatcher

Estelle Hatcher Scenario 1 Ms. Hatcher is second day post-op and has a NG tube set to gravity drainage only. She presses the call light w/ questions about who her RN will be and her NG-tube. Scenario 2 During the follow up nursing assessment, Ms. Hatcher complains about the NG-tube causing her pain in her nasal area. She has active bowel sounds Scenario 3 Dr. Brown gives orders to remove NG-tube set to gravity and to begin a clear liquid diet Scenario 4 Mrs. Hatcher appears restless, diaphoretic and calls the nurse for help. Upon entering the room, what is the appropriate order of events for the RN to take? Scenario 5 Several hours later, Mrs. Hatcher is feeling much better. She puts her call light and asks to see a RN. Upon enter the room, she asks you if she will be able to drive when she gets home tomorrow.

Jose Martinez

Jose Martinez

Jose Martinez Scenario 1 At 2200, you enter the room and the pt states pain is now 10/10 after not having any pain for 3 hrs. Call RRT, rapidly prioritize the following Scenario 2 Mr. Martinez was taken emergently to the cath-lab and had 3 stents inserted in his heart. The pain was relieved post-op. He has been informed that for the next 18 months he should take antithrombotic therapy daily. Scenario 3 Mr. Martinez will now start taking long term antithrombotic therapy. He is anxious that he will forget to take it or take the wrong dose. He tells you he wished he "had died from the attack...I'll never be the same." Scenario 4 Mr. Martinez lab work comes back post-stent placement Scenario 5 Mrs. Martinez is visiting her husband, who appears to be ignoring any attempts at conversation. Upon completion of the shift assessment, Mrs. Martinez quietly asked "my husband is telling me he is ready to get me home, that he is missing me. Should I be concerned about having sex w/ him? Could he have another heart attack?"

Virginia Smith

Virginia Smith

Virginia Smith Scenario 1 Mrs. Smith shares w/ you that even though she signed the operative consent she was not sure if this was the right surgical procedure for her. Her husband who is present stats, "I thought it was just a lumpectomy she was having this morning." Scenario 2 It is now 2 wks later; Mrs. Smith has returned. You question her while reviewing her operative consent and determine that everything is correct. She receives the pre-op medication. Her husband and children remain w/ her in the surgical holding area awaiting transport to the OR. Scenario 3 Mrs. Smith's surgery has now ended. You now arrive in the recovery unit one hour post-surgery and you are told that the surgery went well. Her chart reports she was exhibited upon arrival to the recovery area, received three units (3000 mL) of fluid, receiving O2 @ 4LNC, F/C in place draining QS clear yellow urine, responds to verbal stimuli, chest dressing in place remains dry and intact, and has just received a small dose of IV morphine for pain. VS are BP 112/78, T 97.4, R 16, and O2 94%. Scenario 4 You are about to call the Surgical ICU and give report. What order are you providing the information to the receiving nurse? Scenario 5 You are now the Surgical ICU nurse assigned to her. She has just been transported from recovery. List the nursing care order.

Carlos Mancia

Carlos Mancia

Julia Monroe

Carlos Mancia Scenario 1 Mr. Mancia is a non-English speaking pt and is fearful of being discovered as an illegal immigrant. Upon entering the room ww/ a translator to admit him to the hospital, he is asked for address and phone number but refuses to comply Scenario 2 Upon entering the room, you wash/glove hands. Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by the sign on the door. Scenario 3 Before entering Carlos Mancia room to administer his antipyretic medication for his recent temp of 101.2 Scenario 4 The sister of Mr. Mancia calls from home to speak w/ you. She shares her concerns about the pt's wife who is now coughing and having night sweats Scenario 5 Mr. Mancia is holding a Catholic Rosary in his hand is crying as you enter the room

Linda Pittmon

Linda Pittmon

Linda Pittman Scenario 1 Pt presents to the unit c/o numbness in the rt foot and ankle and toes "not looking the right color". All 5 toes on the right foot are necrotic, absent pedal pulses, skin cold to touch, appearance dry, cracked and black up to mid-calf. Foul odor noted w/ green drainage coming from toenail beds. Doctor orders 1.) IVF 0.9% NS peripheral line @ 100mL/hr 2.) CBC, CMP, Blood culture x 2, Hgb A1C 3.) CT scan of rt lower leg 4.) Blood lab tests 5.) Levofloxacin (Levaquin) 750 mg IV q 24hrs Scenario 2 Pt speaking incoherently and is exhibiting rapid eye movement w/ a blank stare. An empty syringe is noted in the bed. Pt does respond partially to commands. Brisk peripheral reflexes, eyes equal, round, dilated Scenario 3 8 hrs later, pt is fidgety and is observed picking at her skin and clothes. The pt states, "I am sick to my stomach and feel like I have bugs crawling all over me!!!" Scenario 4 Surgery called to the unit the Ms. Pittman is scheduled at 1300 for a BKA. Scenario 5 Post op day 3 time for dressing change stump. Pt sates pain has been managed through the night. Pulses above the stump are palpable at 2+, skin is warm and dry. Pt states she has noted some "toe pain" but that it has been <3 on a scale of 1-10.

Robert Sturgess

Robert Sturgess

Robert Sturgess Scenario 1 Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only palliative care. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Scenario 2 It is determined that Mr. Sturgess could achieve better pain control w/ a PCA pump Scenario 3 Mr. Sturgess does not have a living will or durable power of care completed. Scenario 4 Mr. Sturgess is uncomfortable w/ experiencing urinary frequency that keeps him from resting Scenario 5 Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours

Viola Cumble

Viola Cumble

Viola Cumble Scenario 1 Ms. Cumble states that she has not had a BM for three days Scenario 2 Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom Scenario 3 Vital signs are to be taken BID and it is now time Scenario 4 Temperature is now 102.8 Scenario 5 It is now third day post-op, the order is for Ms. Cumble to stand by bedside on both legs for 5 minutes a day

Ann Rails

Ann Rails

Ann Rails Scenario 1 You enter patient's room. After washing and gloving hands, you then identify yourself and the patient, Ann Rails. You notice she is crying and is expressing fear that she "will always have this pain and numbness" and she doesn't think she can cope Scenario 2 Ms. Rails was medicated with hydrocodone 5 mg PO two hours ago and is now complaining of pain (8/10 pain scale). Scenario 3 Ms. Rails shares with you her fear of being discharged home to an abusive husband. Scenario 4 Upon entering the room, you find Ms. Rails sleeping. She has received a dose of Hydrocodone for PRN pain 20 minutes ago. Scenario 5 Ms. Rails states that she has not had a bowel movement (BM) in the past two days.

Julia Monroe

Julia Monroe Scenario 1 Pt is scheduled for and ECG and MRI this AM. You are entering the room for the first time. After performing handy hygiene and introducing yourself to pt, you should... Scenario 2 The dx tests were completed and Dr. Gray has informed the pt of the dx of HF and tx w/ digoxin. Upon entering the room, the pt is crying and asks when will the medication fix her heart. Scenario 3 A few days later, you are assigned to the same pt. She receives her AM medications including levothyroxie, diltiazem and digoxin. After your AM assessment, the pt's call light goes on and she is complaining of nause, abd pain, and seeing "yellow circles". Upon entering the room, the pt is standing by the bed... Scenario 4 The labs return w/ digoxin level of 10.5 ng/mL, K 5.3 mEq/L. Other labs were WNL. HCP orders digoxin immune fab to be given. Scenario 5 Four hours later, the telemetry tech calls and states the pt is Sinus Tach 102 w/ occasional multi focal PVC's, pt is complaining of cramping in her legs. Her last K was 3.2 mEq/L. She appears short of breath when talking.

Karen Cole

Karen Cole

Sarah Getts

Sarah Getts Scenario 1 Ms. Getts is requesting water to drink. Her pitcher has already been filled three times this shift. Scenario 2 Three hours later, Ms. Getts is unsteady when standing by her bedside. Scenario 3 You observe Ms. Getts being assisted by another nurse who is being blatantly rude and disrespectful to her. Scenario 4 Ms. Getts is now complaining of sudden sharp, substernal chest pain, very short of breath and is profusely diaphoretic. Scenario 5 Ms. Getts is being transferred as an emergency to Critical Care. Your responsibilities are: