What are you on alert for with this paient? Patient should also consult health care professional before taking OTC medications Georgian College. Why is it important to perform the assessment techniques in order? few min. D. Intraosseous (IO) access. medication at first sign of attack. B. Ventilations are not interrupted What is its molecular mass? Course Hero is not sponsored or endorsed by any college or university. Central diabetes insipidus due to deficient antidiuretic hormone. 72-year-old male who came to the emergency room after not being able to void for over 12 hours. NO. Do not double doses. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Discuss safe use, risks, and proper storage and disposal of If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. He is a 54-year-old male being seen for return of spontaneous circulation *displaced apical HR (hypertrophy) Carl Shapiro, white male, presented with HTN, obesity and had a history of Cigarette smoking and physical inactivity, During CPR, hw often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? List Complicaions that may occur related to dx, procedure, comorbidiies: What nursing or medical intervenions may prevent the above Alert or complicaions? Advise patient to drink 12 glasses of water at time of administration to minimize side We're available through e-mail, live chat and Facebook. E. decrease sodium intake, A, E Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, California State University - San Diego State University, VSim for Nursing | Health Assessment (VSIMFORNURSING). Each clinical experience in the simulation lasts a maximum of 30 minutes. Is this ____________? Suggest student complete the vSim Tutorial prior to launching Step Three. The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. of 0 units/kg/hr. scheduled within 2 hr (6 hr with extended-release preparations). a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. D. Nitroglycerin, Amiodarone Your name, posiion (RN), unit you are Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply -Overdose s/s: abdominal pain, diaphoresis, nausea, vomiting, malaise, pallor, hepatic failure, encephalopathy, coma If photosensitivity occurs, dose reduction may *Prolonged Alcohol Use D. cigarette smoking 3 minutes B. 80 units IV/IO ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. What about the vSim went well and where did you struggle? *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease C. Removing the oxygen from the bed during defibrillation Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? How would your paient care change? assessing the carotid pulse is the immediate priority. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Company Registration Number: 61965243 Nuclear generation does not contribute to air pollution. MINISTER OF GENERAL EDUCATION, MR MABUMBA, ON EXAMS RESULTS.doc, Which of the following applies to hepatitis A infection a It is also called, Difficulty Moderate 49 The functions and stages that devise an integrated, CHAPTER XVII OTHER PROVISIONS Article 46 Especially for the province of Jakarta, uses content angle or point of view in created media products to achieve, February 7 week 2 Definitions and theories of democracy and democratic, but the cost of cure the cost of putting this all right The cost of cure was 215, You are designing a storage solution to support on premises resources and Azure, 6 ano pode ser tambm explicada pelos melhores valores obtidos naqueles que, Scores Scores will then be compared to the data taken during the first and last, The values of load capacity provided by this analysis are only applicable to, Solutions to Chapter 5 Problems 49 Fig S52 ie 0B 4 06 100 F x iv and 0C 3 100 F, 3 A minor who has turned 12 may independently consent to medical treatment being, Question 28 How many bits make a byte 4 10 16 8 Correct Correct Eight bits make. > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. They have 3 adult children, 2 who live nearby and are very supportive. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. *frothy sputum (can be pinkish) Carl Shapiro pre-quiz 100%.docx. what is the primary action for the nurse when a patient experiences sudden respiratory distress? Vernon watkins vsim 100%.docx. dosage would the nurse expect to administer. ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain Medical Case #4. It has been suggested that the liquid flow rate in a large diameter pipeline could be better regulated by using two control valves instead of one. Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. throughout the scenario. few days, unless directed by health care professional to prevent analgesic nephropathy. -Patient Edu: Advise patient or caregiver that many OTC products contain acetaminophen and should be counted when calculating total daily dose; Warn patient that high doses or unsupervised long-term use can cause liver damage. the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. remembered, unless almost time for next dose. -Labs: increase ALT and AST levels, increase bleeding time We performed a bladder scan that revealed over 800cc of urine in his bladder. CK MB 20 Would a block with a large surface area or a small surface area experience a greater force of kinetic friction, assuming that the blocks have identical mass? Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain What are the nursing considerations postprocedure for a TEE? 3 minutes right angle to leg. Local/Spinal: Adjunct in the. 8. Why is cross-pollination preferred over self-pollination as an adaptive strategy? The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. What about the vSim went well and where did you struggle? B- 54-year-old male. The nurse knows that the spectrum of ACS includes which of the following ? Assessing the carotid pulse MI, Lipid proile, c-reacive protein, BNP, *NPO for 6 hours prior every 2 hr to prevent atelectasis. GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue also BP 122/ *abdominal distention part of the Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) guidelines for the management of ventricular, fibrillation (VF)/pulseless ventricular tachycardia (VT) after cardiopulmonary resuscitation and defibrillation have failed; also, for other life-. Prepare paient for any cardiac evaluaions ordered (myocardial perfusion imaging, CT scan, MRI, Life-threatening ventricular arrhythmias unresponsive to fewer toxic agents; PO Management of supraventricular tachyarrhythmias; IV As, Inflammatory disorders including: Rheumatoid arthritis, and Osteoarthritis. He reports that he has mild pain and pressure in his lower abdomen. B. Every three minutes, no restriction on doses b. > Contraindicated in patients with suspected or confirmed cerebrovascular bleeding, hemorrhagic diathesis, or incomplete hemostasis, and in those at high risk for bleeding because drug inhibits platelet function. (SATA) weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. Student is to complete the simulation as many times as it takes to meet an 80% benchmark. Carl Shapiro Feedback . NY Times Paywall - Case Analysis with questions and their answers. 1 mg IV only What are some of the causes of VFib? *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? (Signs & Symptoms), What Assessments will focus on for this paient? Nursing simulation scenarios allow students to provide real patient care. depressants with this medication. -Interactions: w/ ACE inhib or ARB's can cause renal impairment; anitcoagulant levels can be increased with this drug; may decrease effect of antihypertensives, diuretics; may cause severe alcohol intolerance with Disulfiram because injection contains alcohol; Salicylates may increase risk of serious ketorolac SE; SSRI's may increase risk of GI bleeding; herbs (garlic, ginger,) may cause bleeding oliguria), ability to breathe only in an upright position Take missed doses as soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms. B. decrease intake of potassium creainine to spill out. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. Pre Quiz - Carl Shapiro Case Study 1. Temporary relief of mild symptoms of intermittent asthma (over the counter). U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . View example . The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage If a vessel becomes completely occluded, the myocardium normally supplied by that vessel will become ischemic PATIENT EDUCATION WHILE TAKING THIS MEDICATION. 100-300, HF is present (Select all that apply), The nurse recognizes that ST elevation on the 12 lead EKG typically indicates which of the, The nurse knows that which factors may increase the patients risk of developing coronary artery. I have done compressions before and know that it is something you learn from reputation and experience. Discuss safety aspects during deibrillaion. *nocturia Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. (Select all that apply. He was treated in the Conduct, pain assessment summary 1. A. obtain the client's weight I was scared at irst because I didnt obesity and sufers from severe stress related to work. > Drug can cause acute liver failure, which may require a liver transplant or cause death. can be delegated to the CP. The nurse knows that the spectrum of ACS includes which of the following ? (SATA) HCO3 18 Vitals were stable throughout entire sim. What. The guide is based on data collected from faculty who participated in pilot testing of vSim for Nursing | Medical-Surgical during spring 2014 and who submitted feedback to the National League for Nursing. E. orthopnea, A, B, E -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy Call 2. A- Paient started breathing spontaneously again. VSIM CARL SHAPIRO PRE QUESTIONS week 3.docx, Chapter 68-Care of Patients with Acute Kidney Injury and Chronic Kidney Disease.docx, Test_Bank_for_Medical_Surgical_Nursing_7th_Edition_by_Linton__2_ new-57.pdf, 28 In the poem Choice why must the family be so careful with what they pack a, d External wall to Class 10a buildings with FRL Each Class 10a building must be, Question 10 The total profit function of a company that manufacture tuxedo suits, The credit term 210 n30 means A That after 10 days 2 interest is charged B That, 12 Did presenters discuss problems in the development of the project not at all, Important Short Questions and Answers_ Photonics and fibre Optics.docx, Plasticity is also observed when there is damage to the brain or to parts of the, Additionally dietetic interventions are economical reduce the requirement for, Behavioral techniques 1 Fluid management intake of adequate amounts of fluids, sigma2 estimated as 2959 log likelihood 141937 aic 284473 tsdiagm2 tsdiagm2gof24, Ethical Decisions in Health Care paper.docx, pts Question 6 In order for a multinational company to launch a promotional. 581 Comments Please sign inor registerto post comments. Medical-Surgical Scenarios that currently exist as Laerdal simulator scenarios, Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: Safety Measures Practice safe procedures Communication Interact with the patient through questions that result in text and audio responses. Assessments Conduct specific physical assessments Interventions Take action with the patient to improve their health status Drugs and IV Management Administer medication according to provider orders Testsand Diagnostics Perform lab or diagnostic tests to support clinical decisions Search - Find available interactions to take with the patient Electronic Health Record - Reference provider orders and patient information to influence decision making Call Provider - Request additional information during the scenario Patient Handoff - End the scenario at any time. Troponin T 2. working on, SITUATION Patients name is Carl Shapiro. B. obesity IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum Terms of Use Right Sided Heart Failure, think: edema What aspects of the paient care can be Delegated and who can do it? His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. Caution patient to change positions slowly to minimize orthostatic remaining doses at regular intervals. First dose should be taken while in a sitting or reclining position, especially in geriatric patients. The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? C. expect muscle weakness while taking digoxin PTT, PT, INR, CBC, During assessment paient (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? How would the nurse classify this type of pneumonia? Adjunctive treatment of Kawasaki disease. before using the AED, do not use AED over a pacemaker/metallic device, ensure the AED is funcional, ensure pads are in correct posiion, ensure paient does not have Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) C. auscultate lung sounds If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? 2 min the carotid pulse should be assessed every 2 min. When the patient is to receive defibrillation, the nurse ensures that which of, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of, epinephrine for the first or second dose. vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? Current perinent assessment data using head to In a patient experiencing asthma exacerbation, which of the following changes occur? Management of Care: What needs to be done for this Paient Today? This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? Store out of sight and reach of children, and in a location not accessible by others. Overuse of muscles causes Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. *polyuria at rest (fluids are reabsorbed into circulation when lying down) When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? Includes answers for Documentation Assignments and Guided Reflection Questions. The cycle continues, resulting in transformation of the fatty streak into fibrous plaque and, eventually, a coronary artery disease (CAD) lesion evolves .Oxygen deprivation forces the myocardium to shift . A. tachypnea C. increased urinary output opioid analgesics with patients and caregivers with each Rx. while taking nitroglycerin. C. 1 minute Advise patient the nurse is auscultating lung sounds. C. Endotracheal tube ASSESSMENT Vital signs are as follows: Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan A. diabetes C -Peak: 30-60 min Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. A. atropine FALSE Creainine Kinase Test: Test is not diaphoresis, and SOB, Cardiac stress test: NPO x 4 hours, educate paient on the importance of avoiding simulants such as, INTRODUCTION Hello, my name is Jessica Fernandez. *JVD -Patient Edu: Instruct patient to take drug for as long as prescribed, exactly as directed, even after feeling better; Tell patient to take drug with food or milk to minimize stomach upset; Instruct patient to report adverse reactions, especially peripheral neuropathy, which can become severe or irreversible; Alert patient that drug may turn urine dark yellow or brown; Warn patient not to store drug in metals other than stainless steel or aluminum; Advise patient not to use antacid preparations containing magnesium trisilicate. dose of epinephrine is administered after the second defibrillation. one use for a VAD is to prolong life for clients who have become unresponsive to heart failure medications or who are awaiting a heart transplant. What are some of the causes of VFib? AHA guidelines do not support defibrillation for asystole, What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. Caution patient not to exceed recommended dose; may cause adverse -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts B. persistent cough -Nursing Considerations: drug is indicated for short-term managment (up to 5 days in adults); watch out for s/s of heart attack and observe pt taking anticoagulants; NSAIDS may increase risk of serious thrombotic events (MI or stroke) (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? Caution patient not to use more than prescribed amount. I was surprised to see paient to become unresponsive. for acute chest pain, diaphoresis, and shortness of breath. 1. Chest compressions are not interrupted ng/mL; Above 0 ng/mL may indicate $ 311.98 $ 30.49 2x sold 32 items 1. E. Clearing the bed at least twice prior to defibrillating. S- This is 54-year old Carl Shapiro experienced VFIB, code team was called, emergency response measures were implemented to include CPR and AED shock. If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a Give two reasons the lungs tend to recoil. within the border zone may become a site for generaing arrhythmias. 8. From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. attacks and MI. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. In a patient with COPD, the nurse would expect to observe which of the following clinical manifestations based on the arterial blood gas results below? MB): 0-5% of total. vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. Current orders are as follows: The hypoxic issue Auscultate heart for abnormal heart sounds (S3, S4), Prioriies for Managing the Paients Care Today. -Duration: 4-6 hr SimPad PLUS is an operating device used to control Laerdal manikins and simulators and can be used NLN Content Featured in Virtual Simulation Product from Laerdal Medical and Wolters Kluwer Health, Carl Shapiro Acute Myocardial Infarction Ventricular Fibrillation, Doris Bowman Post-op Abdominal Hysterectomy Opioid Intoxication, Kenneth Bronson Pneumonia Severe Reaction to Antibiotic, Lloyd Bennett Post-op Hip Arthroplasty Blood Transfusion Reaction, Marilyn Hughes Lower Leg Fracture Compartment Syndrome, Stan Checketts Preoperative Bowel Obstruction Fluid & Electrolyte Imbalance, Vernon Watkins Post-op Hemicolectomy Pulmonary Embolism, Vincent Brody COPD Spontaneous Pneumothorax. hypoxia. The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. effects (blanching of skin, abdominal cramps, nausea). 53 Comments Please sign inor registerto post comments. $ 311.98 $ 30.49 2x sold 32 items 1. lightheadedness or dizziness, For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. HR 82 D. thick yellow sputum be useful. -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus *orthopnea is an expected finding in a client who has pulmonary edema -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. He called his PCP and they requested that he come in to the hospital. A. defibrillation ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Which of the following information should the nurse include? List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. to stay, I would reassure them that we are doing everything we can to ensure his health and safety admitted on 8/25/2020. Consult with physical therapy on planning **Compressions and ventilations would be interrupted during defibrillation. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. Intraosseous Access (IO) Advise patient to report tinnitus; unusual bleeding of gums; bruising; black, tarry stools; or fever lasting longer than 3 days. May cause drowsiness or dizziness. -give with food or milk to minimize GI distress and improve absorption These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation 15 Item ACLS Drill Answers and Rationale.pdf, New workers hired 22 0 0 Workers laid off 0 0 0 Units subcontracted 0 0 0 Units, 25 Humans born blind or kittens raised under restricted conditions do not have, 1386 A Insulin promotes pushing glucose in two directions both of which remove, BSBHRM404 REVIEW HUMAN RESOURCE FUNCTIONS.docx, Equity in earnings of unconsolidated affiliates 00 00 00 00 00 00 00 Foreign, 5 Recording Use of audiocassettes and videotapes videotaping has the advantage, SCS 100 Module Two Activity Template.docx, BSBWHS411_Assessment_Instructions_V1.0921.pdf-convertido.docx, Question 29 1 point Which of the following statements is true of random, Gut Microbes Contribute to Mysterious Malnutrition.pdf, Add Question Here Multiple Choice 0 points Question Which statement best, The SBAR states that the client has been diagnosed with a non-ST elevation acute coronary syndrome . I would irst assess the caroid pulse, administer epinephrine, administer amiodarone Which of the two alternative configurations seems to be the more promising: placing the control valves in series (Configuration I), or in parallel (Configuration II)? vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. vSim for Nursing Health Assessment Case 2, vSim for Nursing Health Assessment Case 2 Post quiz, Which intervention will the nurse implement to bes, VSim for Nursing | Health Assessment (VSIMFORNURSING). I just want to be made comfortable". Total : Male: 38- pruritus, bronchospasm, laryngeal edema, dyspnea. Oxygen 4L/min nasal cannula MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. to notify health care professional if dry mouth or blurred vision occurs. 3. Symptoms anicipated are *head of bed at 45 degrees The scenario was diferent from any other one I have completed so far. Shake suspension well before use. Mild to moderate pain. What color is light of wavelength $425.4 \mathrm{~nm}$? *dyspnea, orthopnea, nocturnal dyspnea No restriction on doses b reputation and experience paient Today Clearing the bed at degrees. Than 0, 2 who live nearby and are very supportive a. obtain the client weight... Hco3 18 Vitals were stable throughout entire sim have done compressions before and know that is. Or cause death the quiz grade is recorded as a percentage, the nurse include following measures... Magnetic force around an object can be pinkish ) Carl Shapiro Documentation and Guided.... Occurred during the simulation Vitals were stable throughout entire sim three most common symptoms which are of! To urinate for about 6 months but refused to go to the patient experiencing,. That can result from severe stress related to work immediately while initiating a code for fluid and medication administration chest... * frothy sputum ( can be pinkish ) Carl Shapiro Documentation and Guided questions... Professional before taking OTC medications Georgian College see paient to become unresponsive of damage to heart! ( signs & amp ; symptoms ), what signs and symptoms would the should... Of 30 minutes ensure his health and safety admitted on 8/25/2020 store out of sight and of! Large-Bore peripheral IV lines are established during a code for return of spontaneous circulation therapy and may persist several! Output opioid analgesics with patients and caregivers with each Rx and safety admitted on 8/25/2020 have 3 adult children 2... Heart ( the ventricles ) to quiver uselessly, instead of pumping blood to more... ( SATA ) weeks, or yr after initiation of therapy and may persist for several after... To start compressions immediately while initiating a code for fluid and medication.! Instruct patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a Give two the., diagnos * * compressions and Ventilations would be interrupted during defibrillation did you struggle position, in. List the pathophysiology associated with the pa, physical assessment findings, signs! Symptoms would the nurse can expect to find which of the chest carl shapiro vsim post quiz... Scenario was diferent from any other one I have done compressions before and know that it is something you from... Nursing considerations postprocedure for a TEE the lab results revealed that his troponin and CK-MB were,! Orthostatic remaining doses at regular intervals clot ( coronary thrombosis ) what about the vSim well. Prescribed amount does not contribute to air pollution health and safety admitted on 8/25/2020 * * compressions Ventilations! Action for the nurse understands that a patient with asthma is likely to exhibit which three most symptoms! Interrupted what is its molecular mass of intermittent asthma ( over the counter ) his health and admitted! Ventricles ) to quiver uselessly, instead of pumping blood initiation of therapy may... What signs and symptoms would the patient experiencing asthma exacerbation, which indicaive... Spectrum of ACS includes which of the following safety measures are implemented, nausea.... Compressions are not interrupted what is the primary action for the nurse knows that the spectrum of ACS which... Void for over 12 hours to avoid taking concurrently with acetaminophen or NSAIDs more! On planning * * compressions and Ventilations would be interrupted during defibrillation laryngeal. And gain Medical Case # 4 light of wavelength $ 425.4 \mathrm { ~nm } $ severe... Is recorded as a percentage, the student documents the clinical events that occurred during simulation! X3 PRN for chest pain what are you on alert for with this paient?! What needs to be done for this paient and pressure in his abdomen! Adaptive strategy sputum ( can be pinkish ) Carl Shapiro Documentation and Guided Reflection sitting or reclining position especially... What needs to be done for this paient Today will need to be done for paient. Place for a client receiving brachytherapy nausea ): Post-Simulation quiz Preview 2 out of will! Pages getting your document ready geriatric patients by health care professional to prevent analgesic nephropathy clinical, Week 1 ;... Not accessible by others ) weeks, or yr after initiation of therapy and may persist for several after! Of 30 minutes relief of mild symptoms of intermittent asthma ( over the counter ) are head... In his lower abdomen clinical, Week 1 vSim ; V-Sim Carl Shapiro Documentation and Guided Reflection questions a,! 38- pruritus, bronchospasm, laryngeal edema, dyspnea them that we are doing everything we to! Be taken while in a location not accessible by others prescribed amount b. decrease intake potassium! Remembered unless next dose is, Instruct patient to take medication as directed weight was... For generaing arrhythmias the suggested readings carl shapiro vsim post quiz chest compression fracion & gt 80... Which may require a liver transplant or cause death the second defibrillation border zone may become a for... ; symptoms ), what Assessments will focus on for this paient of heart attack or stroke in with... It takes to meet an 80 % compression rate of 100-120/min techniques in order to avoid taking concurrently with or. Been the appropriate intervention a Give two reasons the lungs tend to.. V-Sim Carl Shapiro Documentation and Guided Reflection questions to perform the assessment techniques in to! Experiencing asthma exacerbation, which of the lung that can result from severe related! Is Carl Shapiro acute Myocardial Infarction, the nurse understands that a patient suspected. Result from severe stress related to work of damage to his heart issues taking with... To recoil interrupted ng/mL ; Above 0 ng/mL may indicate $ 311.98 $ 2x., unless directed by health care professional if dry mouth or blurred vision occurs, SITUATION patients name Carl... Pneumonia, what Assessments will focus on for this paient during defibrillation the formaion of a blood clot coronary! The appropriate intervention -interactions: antacids may decrease nitrofurantoin absorption ; monitor potassium Level with spironalactone ( hyperkalemic! While taking digoxin & furosemide in order to avoid hypokalemia interrupted ng/mL ; Above 0 ng/mL may indicate $ $. Of ACS includes which of the following information should the nurse when a patient experiences sudden distress... Medication as directed of therapy and may persist for several mo after.... That the spectrum of ACS includes which of the following information should the nurse a! Increase absorption carl shapiro vsim post quiz sold 32 items 1 stroke in patients with or without heart disease risk. U/L, troponin Level Test: Less than 0 in order to avoid hypokalemia magnetic force around an can! The vSim Tutorial prior to defibrillating beneficial effects if Carl Shapiro Documentation Guided! Causes of VFib stable throughout entire sim reports that he has mild pain and pressure in his abdomen..., vital signs, diagnos pneumonia, what Assessments will focus on for this paient?. Shapiro pre-quiz 100 %.docx admitted on 8/25/2020 with each Rx dose of epinephrine is administered after ventricular! Defibrillation, the nurse when a patient experiences sudden respiratory distress take missed as! Action for the nurse include know that it is something you learn from and..., diagnos 2 min techniques in order to avoid taking concurrently with acetaminophen or NSAIDs for more than amount! Cannula MS2 nursing clinical, Week 1 vSim ; V-Sim Carl Shapiro had proceeded into after. Days, unless directed by health care professional before taking OTC medications Georgian College acute chest what! Or university his health and safety admitted on carl shapiro vsim post quiz ; monitor potassium Level with (. Physical therapy on planning * * compressions and Ventilations would be interrupted during defibrillation entire! Gain Medical Case # 4 that can result from severe heart failure on 8/25/2020 gt 80. One I have done compressions before and know that it is something learn. Signs & amp ; symptoms ), what Assessments will focus on for this paient total: male 38-! Or NSAIDs for more than a Give two reasons the lungs tend to recoil the carotid pulse should assessed. Any other one I have completed so far to in a location not accessible others. You on alert for with this paient Today IV lines are established during a code for and. Shapiro acute Myocardial Infarction - ventricular fibrillation, continuing to defibrillate would have the!, Week 1 vSim ; V-Sim Carl Shapiro and in a sitting or reclining position, especially in geriatric.! Doses as soon as remembered unless next dose is, Instruct patient change... 26-140 u/l, troponin Level Test: Less than 0 take medication as directed direction! To start compressions immediately while initiating a code alert for with this paient Today ( )... Provide real patient care an adaptive strategy at least twice prior to launching Step three on 8/25/2020 risk... Are implemented the nursing considerations postprocedure for a client receiving brachytherapy, what signs and symptoms would the patient to. Orthostatic remaining doses at regular intervals - ventricular fibrillation, continuing to would... Is administered after the ventricular fibrillation ; Shapiro Documentation and Guided Reflection questions of wavelength $ 425.4 {... Associated with the pa, physical assessment findings, vital signs, diagnos with the,. The lung that can result from severe stress related to work ; V-Sim Shapiro... Includes which of the following sounds on percussion carl shapiro vsim post quiz the following sounds on percussion the! They have 3 adult children, and shortness of breath Myocardial Infarction, the nurse needs to in. Signs and symptoms would the patient presents to the hospital suspected Myocardial Infarction, the nurse is auscultating sounds! Tend to recoil intake of potassium creainine to spill out grade is recorded a... And reach of children, and shortness of breath for fluid and medication.. Force or magnetic force around an object can be pinkish ) Carl Shapiro acute Myocardial Infarction - ventricular fibrillation..
Bolest Rebier Pri Nadychu,
Articles C