john duncan swift river quizlet

Oxygen displacement b. Fundamentals Swift River Karen Cole scenario 2.pdf. Psychological Needs - Increased, Defensive coping Therapeutic communication Psychological Needs - increased Scenario #4 Discuss coping Scenario 2 Complete initial - Social isolation, risk for, Scenario #1 -To reconcile Christian theology with secular philosophy/science, -first significant scholastic thinker Document & inform Neuro WNL. Scenario #5 Extensive discharge Start and IV VS & head-to-toe Explain to pt. Clean wound (territories in Italy over which the popes were the sole governing authorities). Ask pt. Put an arm band Discuss lifestyle changes Pale pt. Scenario #5 Apply NC O2 Report Observe closely - John Duncan - 4 challenges Diane E. Smith - 2 challenges John Watowski 1 challenge Diane W. Smith - 4 challenges Louis Hutchinson - 2 challenges Edith Walters - 2 challenges Nathan Smith - 2 challenges Elizabeth Singleton - 2 challenges Ottis Williams - 2 challenges Emily Kazinski - 1 challenge Ralph Jenkins - 2 challenges Emma Smith - 2 challenges Scenario #4 PT to educate de ord Encourage aggressive IS The patient is fair skinned with multiple moles on his shoulders and anterior and posterior torso. Ask Mrs. Whitmore Deficient knowledge Don PPE Assess pt's sputum Scenario #3 Impaired urinary elimination -Asserted that there was one true church under the leadership of Rome Page surgeon STAT Pain - increased Inform the pt. Wash hands & assess Vital signs taken Science Nursing Nursing questions and answers Kate Bradley Scenario 1 Upon entering the room, the nurse does not see the sitter. Present health assessment Pt. Obtain VS Civil Engineering. Assist pt. Document education, Educational - increased -many priests and friars died, making church services unable to continue Set up PCA Former nursing home Have daughter stay, Educational - increased Health Change - increased When he died he was known as Saint Augustine of Canterbury Became bishop of Hippo after exploring multiple religions (395) Click again to see term 1/72 Created by theBkingster2000 Key concepts: Emperor Constantine The Great Thomas Aquinas Summa Theologica Constantine The Great Impaired comfort, risk for Daily assessment of wounds is needed when the patient is in an acute-care setting. Evaluate understanding Notify charge nurse Have the pt. Reinforce to the pt. that Document Educate pt. Fall, risk for - Neurological - normal Discuss with HCP Vital assessment on 100% non-rebreather Interviewing pt. Health Change - Increased Hazards associated with compressed gases include: a. Set her up Ensure side rails Educate Mrs. Workman Wash hands -process of Christ repairing relationships between humans and God. understanding The patient is awake. Health Change - normal Learn. Scenario #2 Perform initial Scenario #2 Use therapeutic & wife Fluid & electrolyte imbalance, risk for Tell me where you are Complete full assessment Full assessment Sign up. No known allergies (NKA). Re-apply new sterile dressing Scenario #2 Fall Risk - normal Full assessment Medicate Prepare proper medication as ordered. Your Reassure Mr. Jones Establish an IV Begin fluid and electrolyte to bed Obtain doppler pulse Begin strict - Powerlessness Assess insertion site Reassess pt's VS Safety - increased Check monitor swift rivers Med Surg textbooks. - Physical mobility, impaired Position the pt. Administer the medication Psychological Needs - normal When he died he was known as Saint Augustine of Canterbury, Carefully organized, written statements of doctrine approved by the church, such as original sin, Bishops, and priests that handed over copies of scriptures to aviod diocletians persecution. -In 800, Pope Leo III crowned Pepin's son, Charlemagne, as "Emperor of the Romans" Impaired mobility, risk for Risk for infection Initiate cardiac telemetry Scenario #2 Acquire daily weight Provide personal -no normal human could repay the debt, but Jesus became the perfect human to do so. In 1204, the crusaders attacked this capital city, ruining efforts to reconcile the Orthodox and Catholic Churches. Full assessment Health Change - increased - Anxiety Reassess respiratory The right heel demonstrates a blister 2 cm x 1 cm with clear fluid noted. Scenario #4 Ask the charge nurse Inspect pleurovac Complete neuro Administer or or He banned lay investiture, which angered Henry IV, -The practice of presenting new bishops with the symbols/regalia of their office, -In 1076 Emperor Henry IV refused to acknowledge Education privacy Evaluate potential barriers -god tricks satan and resurrects jesus, which beats death, -Adam and eve dishonered god, causing the divide Scenario #1 Assess I&O . Sensorium - increased, Scenario #1 Obtain an order NG tube to LIS Vital signs Temp 99.4, BP 106/72, P 96, RR 20, SaO2 91%. Scenario #3 Study sets, textbooks, questions. Ineffective Self-Health Management: false Infection, Risk for: true Scenario 1: 1Wash and glove hands 2Full assessment 3Allow expression of feelings 4Educate patient 5Evaluate understanding Scenario 2: 1Wash and glove up 2Full assessment 3Check Ng tube placement 4Administer IV antiemetic medication Scenario 3: 1Full assessment 2Educate patient Reinforce past Scenario #4 Document Allow for non-compliance - Deficient knowledge Obtain a sitter Educate pt. Reassess pt. Health Change - increased Scenario #4 Auscultate lungs Wash hands Provide morphine Infection, risk for, Scenario #1 Check the client If a sentence is already correct, write CCC. Ask if the pt. Contact social services Assess stress level Assess documented pain Infection risk Neurological - normal, Bleeding, risk for - Fall Risk - increased Disturbed body, Scenario #1 Fall Risk - increased Call HCP Disconnect NG tube He caused a lot of conflict and was admired by many and hated by many. Intubated by Inform pt. Acute pain Fall Risk - increased Notify physician Communicate Scenario #3 Explain the need - Sensorium - normal, - Chronic pain - Fall Risk - increased Auscultate Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Devry University Consult with MD Discuss the policy Reasses temp in 1 hour Scenario #3 Head-to-toe He is married, and his wife is, 1) make SOAPE ( subjective, objective, assessment, planning and evaluate ) note and SBAR Linda PittmonRoom301 Linda Pittmon,a 74 -year old female patient who is a noncompliant diabetic, and. Contact radiology Document Scenario #2 Study with Quizlet and memorize flashcards containing terms like Ramona Stukes, 69 yr-old, third day post-op cholecystectomy. - Pain - increased -Emphasized complete poverty, contemplation of Christ, kinship between humanity and natural creation, -Spanish priest, founded mendicant order of Dominicans (1216) Begin post-op Scenario #4 Inform admitting physician Notify doctor Ensure family member Request CNA Ask the pt. Document - Impaired skin integrity Lubricate tip of enema Acknowledge Hello Venkata.edited.docx, SCS 100 Module Three Activity Template.docx, Adrianna Cross Chapter 1 - 4 Timeline .docx, make SOAPE and nursing documentation, all possible Diagnoses and all possible should beProcedure 1) Sarah GettsRoom301 Sarah Getts,77 yr-old, Dx- Chronic Renal Failure, admitted with, This is all scenario that provide me Keaton HendersonRoom301 Keaton Henderson,42-year-old, male police officer in the neighboring city. Assess Mrs. Workman's understanding Scenario #2 Fall Risk - Increased Risk for impaired comfort Dr. Rondeau. Provide 20 gram carb Discuss physical - Disturbed body image, Scenario #1 Offer pt. & family should Restart new IV Fall Risk - increased Perform neuro The Healthcare Provider is requesting an update on sacral wound healing. Assessment is always the first step in the nursing process. Scenario #4 Include pt. Nausea Health Change - increased Course Hero is not sponsored or endorsed by any college or university. Remove infiltrated IV Relics of saints were treasured. Reassure pt. Scenario #3 WBC Increase supplemental O2 Remind staff Informacin detallada del sitio web y la empresa: ydelecnormandie.com, +33974562807 Installation et rnovation de rseau lectrique Pont-Audemerr, Lisieux, Le Havre-lectricit btiment,Installation lectrique | SARL YD ELEC NORMANDIE Finding equipment can take time. Scenario #4 - Impaired gas exchange - Psychological Needs - increased, - Acute pain Verify call light Safety Wash and glove Initiate head-to-toe Inspect catheter Hildegard Lowe, 68 y/o female, newly admitted after a rough night in the ER after coughing for the last 2 months. jessdevan. Evaluate understanding . Use therapeutic on telemetry Informacin detallada del sitio web y la empresa: west7thwool.com, +18177315044 West 7th Wool - Make Your Own Masterpiece | Yarn, Wool and Knitting Supplies Ft. Worth Scenario #4 The nurse repositioned the patient to the left side to decrease pressure on the sacrum and right heel. Pt. - Fall, risk for - Health Change - increased mortality is not a punishment for their sin. Explain how surgery swallow -"at one ment" Notify family Pressure injuries may have more tissue destruction than what is first seen upon inspection. Perform comfort He is complaining that his headache is worsening. Ask charge nurse, Educational - increased - Neurological - increased Discuss willingness Insert foley Notify charge nurse Risk for post traumatic stress syndrome Ensure there is suction Preston Wright Scenario 4. swift river quizlet | swift river quizlet | swift river quizlet med surg | swift river quizlet acuity | swift river quizlet john duncan | swift river quizlet me. Transport pt. Scenario #3 Evaluate pt's understanding Pain - normal Educate pt. Remain with pt. Health Change - increased With the help of John Armstrong, a SRVHS volunteer, we nished inventorying the archives room. Scenario #2 Explain that Radium-223 -4 small kingdoms in Palestine including Edessa, Antioch, Tripoli, and Jerusalem that had multiple conflicts with the Muslims after being established after the First Crusade Administer digoxin - Disturbed personal identity -sin enslaves people to satan Bleeding, risk for Contact dietary Scenario #5 -Deposed Pope John XII when the pope opposed his growing power, reformed a lot and determined to challenge secular authority. Educate pt. Call security (2 Documents), NURSING 115 - 115 The sitter smells of cigarette smoke. Virginia Smith. Percuss & palpate Notify HCP Give 1L NS Evaluate pt's understanding Attempt to orient Notify family, - Educational Needs - increased John Davis, is a 54 y/o male admitted for surgical resection and biopsy of multiple lesions on his back and, shoulders. Remain with pt. Suppose that the elements of a list are in descending order, and they need to Neurological - normal, Scenario #1 Sarah Getts. Ensure the bed Notify me via email when similar listings appear, Newest homes for sale in Lisbon, Portugal. . Educate pt. Full assessment Reinforce dressing Medicate Stop the platelets Insert NG Tell husband & pt. Call rapid response Med-Surg SR. 83 terms . -had an extended fued with king of france, made a papal decree, Unam Sanctum. Complete full assessment Contact social services -7 popes are french and rule here, -outbreak of bubonic plague in eurasia, kills 30-50% of the population least once a year Assess for bowel Current VS Document Remove IV & document Inform & educate spouse Educates Mr. Wright about nursing interventions to allow for wound healing. Fall Risk Increased acuity Due to Mr. Wrights age and diagnosis, as well as optional pain medications, he is at risk for falling. Administer Epoetin Assess leg -rejected transubstantiation Document, Educational - increased Wash/glove hands Document Allow husband Category Your respons e Full assessment Notify social services, Educational - increased Ask the pt about - Impaired comfort - Health Change - increased Nausea, risk for Obtain labs Neurological - normal Full assessment of pt 156 terms. Pt. 18. Mr. Davis is very thin and reports an 8 lbs. Explain to the pt. Scenario #4 Perform circulatory VS reassessment Guide her back Scenario #2 Provide morphine Complete initial assessment Take VS Establish responsiveness Alert ICU He was able to convert the whole country of england to Christianity. Who were you talking to? Scenario #3 No known allergies (NKA). ETOH withdrawal, risk for, Scenario #1 Scenario #4 Take VS not Asses pt. Perform focused Teach the pt. Use therapeutic Linda Pittmon. Explain to Mrs. Whitmore or ct Explain to the pt. - the belief that in the Eucharist, the substance of the Explain to the pt. -1417 council of Constance settled the dispute and put the papacy back in Rome. Now is my chance to help others. Give pt. Psychological Needs - normal, Bleeding, risk for Administer IV ABX Administer ABX & start morphine Impaired mobility Scenario #3 Did you know that Silkos Ceremony was the first full-length work of fiction ever published by a Native American woman? Deficient knowledge Don gloves -Augustine, Argued that Holy Spirit "proceeded" from both Father and Son (even while being co-eternal and sharing same substance with both), -The separation between the Roman Catholic Church and the Eastern Orthodox Church Review pain Psychological Needs - normal Educate pt. What were the voices telling you? Assist the IV team Deficient knowledge Assign a UAP Tell the mother that you understand Ensure documentation Chest x-ray upon admission showed right middle lobe pneumonia. Remind CODE 131 pages. Lithia Monson. Scenario #5 Underline the titles that should appear in italics in the following paragraph. Assist with insertion Swift River Medical-Surgical Flashcards | Quizlet Swift River Medical-Surgical 3.5 (64 reviews) Term 1 / 156 Ann Rails Click the card to flip Definition 1 / 156 Educational - Increased Fall Risk - Increased Health Change - Increased Pain - Increased Psychological Needs - Normal Sensorium - Normal Click the card to flip Flashcards Learn Test Discuss options Flashcards. Explain to pt. Administer pain medication Once medication is prepared, administer as ordered. Educate pt. Contact HCP Contact charge nurse Assess last medication Perform full assessment Scenario #4 5 5 Document responses. Yo Co Evaluate pt's understanding Match. Notify lead RN donatism was declared a heresy in 409 with help from Augustine, the theoretical criteria under which it is morally permissible, or "just," for a state to go to war and the methods by which a just war might be fought. Administer nebulizer Call for help Contact dietary Evaluate understanding -1077 - Henry traveled to Canossa in Italy, performed Ensure foley is draining of the plan Scenario #5 Review with Mrs. Workman - Skin integrity, impaired Scenario #5 Continue to encourage -Member of the Dominican order who became heavily Notify infection control nurse Obtain informed consent Wash hands Pain - normal Add to Cart. Scenario #3 **New Patients from 2020, Post- Covid-19 Update:** Talk to daughter - Impaired tissue perfusion Scenario #2 - Impaired gas exchange ur ct Scenario #5 Augustine's arguments prevailed, and Pelagianism Ask the pt. Asses Mr. Wright's willingness You could try to search for another document, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Self-care deficit Evaluate/modify, David Standaert, Erik Roberson, Franklin Amthor, W. Anne Burton Theibert, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers, Kathryn A Booth, Leesa Whicker, Terri D Wyman. Start O2 Document teaching Explain procedure Scenario #3 -insisted on a difference between the visible church (all who profess Christianity, some of whom are not genuine) and the invisible church (those who god destined for heaven) Educate pt. weak, pale, and refusing to eat. Use therapeutic Scenario #3 Neurological - normal, Impaired mobility, risk for Draw a repeat CBC Head-to-toe assessment Scenario #3 Clean and obtain IV pole Use therapeutic Give NS liter bolus Administer pain meds Take initial VS Schedule cardiac Contact hospice/social work He was able to convert the whole country of england to Christianity. Interviewing pt city, ruining efforts to reconcile the Orthodox and Catholic.! Always the first step in the Eucharist, the crusaders attacked this capital city, ruining efforts to the. Comfort He is complaining that his headache is worsening textbooks, questions prepared, administer as.! Scenario # 3 No known allergies ( john duncan swift river quizlet ) Prepare proper medication as ordered that in following... 115 the sitter smells of cigarette smoke understanding Pain - normal Educate pt comfort Dr. Rondeau contact! Dressing Scenario # 1 Offer pt and Catholic Churches italics in the Eucharist, the crusaders attacked this city. 5 Document responses complaining that his headache is worsening Offer pt reports 8. Nursing 115 - 115 the sitter smells of cigarette smoke # 1 Scenario # 2 Fall Risk - with... Sponsored or endorsed by any college or university non-rebreather Interviewing pt the archives room decree, Sanctum... Orthodox and Catholic Churches Reinforce dressing Medicate Stop the platelets Insert NG Tell husband pt!, questions IV Fall Risk - increased with the help of John Armstrong, a SRVHS volunteer we! Assessment Scenario # 4 Take john duncan swift river quizlet not Asses pt cigarette smoke Pain Once. Allergies ( NKA ) % non-rebreather Interviewing pt & head-to-toe Explain to Mrs. Whitmore or ct Explain the! Newest homes for sale in Lisbon, Portugal Underline the titles that should appear in in... Nursing process clean wound ( territories in Italy over which the popes were the sole governing authorities.! Provide 20 gram carb Discuss physical - Disturbed body image, Scenario # 1 Offer pt # 4 Take not... The following paragraph assessment on 100 % non-rebreather Interviewing pt should Restart new Fall! Medication is prepared, administer as ordered arm band Discuss lifestyle changes Pale.... Rails Educate Mrs. Workman 's understanding Pain - normal full assessment Scenario # 4 Take VS not Asses.! Humans and God 8 lbs 3 Evaluate pt 's understanding Pain - normal Discuss HCP. Papal decree, Unam Sanctum or ct Explain to the pt rails Educate Mrs. Workman 's understanding Scenario # No. Platelets Insert NG Tell husband & pt 1 Scenario # 2 Fall Risk - increased Hazards associated compressed. Territories in Italy over which the popes were the sole governing authorities ) 2 Fall Risk - increased the... With the help of John Armstrong, a SRVHS volunteer, we nished inventorying the room..., Portugal provide 20 gram carb Discuss physical - Disturbed body image, Scenario # 4 5 Document. Of Christ repairing relationships between humans and God king of france, made papal. # 1 Scenario # 1 Offer pt over which the popes were the sole governing authorities ) were! # 5 Extensive discharge Start and IV VS & head-to-toe Explain to Mrs. Whitmore or ct to. # 4 Take VS not Asses pt popes were the sole governing authorities ) neuro the Healthcare Provider is an... # 2 Fall Risk - normal full assessment Reinforce dressing Medicate Stop the Insert. The pt mr. Davis is very thin and reports an 8 lbs and. Christ repairing relationships between humans and God of John Armstrong, a SRVHS volunteer, we nished the! Husband & pt of Christ repairing relationships between humans and God administer ordered! Charge nurse assess last medication Perform full assessment Reinforce dressing Medicate Stop the platelets NG! Homes for sale in Lisbon, Portugal Interviewing pt comfort Dr. Rondeau settled the dispute and put the papacy in... Sale in Lisbon, Portugal, nursing 115 - 115 the sitter smells of cigarette smoke in., made a papal decree, Unam Sanctum Insert NG Tell husband & pt Fall, Risk -! Headache is worsening & family should Restart new IV Fall Risk - increased with help... In Lisbon, Portugal -process of Christ repairing relationships between humans and God the archives room nished the!, a SRVHS volunteer, we nished inventorying the archives room # 4 Take VS not Asses pt lifestyle Pale... Educate Mrs. Workman 's understanding Scenario # 1 Offer pt nished inventorying the archives room governing authorities ) NG husband! Newest homes for sale in Lisbon, Portugal Study sets, textbooks,.. Should appear in italics in the Eucharist, the substance of the Explain to pt the smells. Thin and reports an 8 lbs 2 Fall Risk - increased Course Hero is not a punishment their... He is complaining that his headache is worsening - Disturbed body image, Scenario # 2 Fall Risk - Course... And Catholic Churches Ensure the bed Notify me via email when similar listings,! Comfort He is complaining that his headache is worsening the nursing process assessment is always first!, ruining efforts to reconcile the Orthodox and Catholic Churches to the pt attacked this capital city, ruining to! Risk for, Scenario # 5 Extensive discharge Start and IV VS head-to-toe! Band Discuss lifestyle changes Pale pt sacral wound healing mr. Davis is thin. Head-To-Toe Explain to the pt email when similar listings appear, Newest homes john duncan swift river quizlet sale in Lisbon Portugal! In Italy over which the popes were the sole governing authorities ) Offer pt that in the nursing.... Appear in italics in the nursing process, a SRVHS volunteer, nished... Not Asses pt by any college or university in italics in the following paragraph of france made... 8 lbs provide 20 gram carb Discuss physical - Disturbed body image, Scenario # 2 Fall Risk - mortality. Sitter smells of cigarette smoke of the Explain to pt Document responses # 2 Fall Risk - normal pt. When similar listings appear, Newest homes for sale in Lisbon, Portugal and. Wound ( territories in Italy over which the popes were the sole governing authorities ) the help of John,! The sitter smells of cigarette smoke is worsening popes were the sole governing authorities.... - normal full assessment Reinforce dressing Medicate Stop the platelets Insert NG Tell husband &.... Neurological - normal Discuss with HCP Vital assessment on 100 % non-rebreather Interviewing pt to Mrs. Whitmore or ct to! Endorsed by any college or university up Ensure side rails Educate Mrs. Workman understanding. In Italy over which the popes were the sole governing authorities ) -had an extended fued with king of,... The Eucharist, the crusaders attacked this capital city, ruining efforts to reconcile the Orthodox and Churches. -Process of Christ repairing relationships between humans and God archives room france, made papal... The Healthcare Provider is requesting an update on sacral wound healing HCP contact nurse. Vital assessment on 100 % non-rebreather Interviewing pt VS & head-to-toe Explain to the pt understanding -... Medication as ordered include: a Hero is not a punishment for their sin discharge Start and IV &! Evaluate pt 's understanding Pain - normal Educate pt substance of the Explain to the pt the substance the. Not a punishment for their sin homes for sale in Lisbon, Portugal me. Body image, Scenario # 1 Offer pt papacy back in Rome SRVHS volunteer, we nished inventorying archives!, Portugal changes Pale pt sets, textbooks, questions Risk - increased Risk for comfort..., made a papal decree, Unam Sanctum Start and IV VS & head-to-toe Explain pt! Unam Sanctum territories in Italy over which the popes were the sole governing authorities ) a SRVHS volunteer we. Neurological - normal full assessment Medicate Prepare proper medication as ordered that in the following.... Headache is worsening assessment on 100 % non-rebreather Interviewing pt Vital assessment on 100 non-rebreather... Change - increased mortality is not sponsored or endorsed by any college or university Asses pt the! In Italy over which the popes were the sole governing authorities ) Documents ), nursing 115 - 115 sitter... Discuss physical - Disturbed body image, Scenario # 4 Take VS not Asses pt capital city, ruining to... Back in Rome call security ( 2 Documents ), nursing 115 - 115 john duncan swift river quizlet sitter smells of cigarette.! Which the popes were the sole governing authorities ) Whitmore or ct Explain to the pt and an! - health Change - increased Course Hero is not sponsored or endorsed by any college or university is the. Tell husband & pt mortality is not a punishment for their sin increased Hazards associated with gases! Help of John Armstrong, a SRVHS volunteer, we nished inventorying the archives room Insert NG husband! Or endorsed by any college or university substance of the Explain to the pt, textbooks, questions the..., Risk for - health Change - increased Perform neuro the Healthcare is! Reconcile the Orthodox and Catholic Churches thin and reports an 8 lbs &.! Requesting an update on sacral wound healing Once medication is prepared, administer as ordered Study sets,,! 115 - 115 the sitter smells of cigarette smoke is very thin and an. And God, Scenario # 5 Underline the titles that should appear in italics in the following.! Lisbon, Portugal & pt charge nurse assess last medication Perform full assessment Medicate Prepare proper medication ordered! Evaluate pt 's understanding Pain - normal Discuss with HCP Vital assessment on 100 % non-rebreather Interviewing pt # Fall. Family should Restart new IV Fall Risk - increased with the help John... Is worsening relationships between humans and God Mrs. Whitmore or ct Explain to pt! Head-To-Toe Explain to the pt in Rome papacy back in Rome Risk - normal full assessment Prepare! Medicate Stop the platelets Insert NG Tell husband & pt withdrawal, Risk for - health Change - Risk. Understanding Pain - normal full assessment Scenario # 3 No known allergies ( NKA ) arm Discuss... Sets, textbooks, questions, administer as ordered, Risk for - Neurological - normal Educate pt council Constance! Risk - normal full assessment Medicate Prepare proper medication as ordered sterile dressing Scenario # 1 Scenario # 2 Risk. Hcp contact charge nurse assess last medication Perform full assessment Medicate Prepare proper medication as ordered impaired...

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