Notify HCP when labs are reported, Paients primary diagnosis, date of 600 moderate a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. general. GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue Alternatively, IO access may be established if peripheral access is not readily available. (SATA) -Duration: 4-6 hr B. persistent cough Acute Myocardial Infarcion. (SATA). If a dose is missed, do not take at all. Treatment of HF. when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? Production of controlled hypotension during surgical procedures. same dose for 12 hr then taper off over 2448 hr. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. Caution patient to avoid concurrent use of alcohol while taking vasopressin. patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per 6. NY Times Paywall - Case Analysis with questions and their answers. 2. What assistive devices should the nurse anticipate obtaining for this client? creates an opportunity for you to organize the nursing care required for the pa, Describe pathological events associated with the pa, c and physical assessment findings related to the, Log into thePoint and launch the assigned vSim, following all instruc, Review the smart sense links associated with Nursing Care, Diagnos, Create the following concept map. Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? $ 311.98 $ 30.49 2x sold 32 items 1. cause withdrawal symptoms if discontinued abruptly after prolonged use. report abnormalities. Troponin T 2. it leads to heart failure Includes answers for Documentation Assignments and Guided Reflection Questions. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan effects (blanching of skin, abdominal cramps, nausea). B. inserting an airway 3 children are alive and well. 2. NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. Course Hero is not sponsored or endorsed by any college or university. NS 25 mL/hr IV continued infusion Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. 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. *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease What lung sound is associated with narrowing of the airway? How would your paient care change? Central diabetes insipidus due to deficient antidiuretic hormone. Important --> hypokalemia can increase digoxin toxicity. A. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. -Nursing Considerations: Treatment may turn urine brown or dark yellow; Monitor patient for signs and symptoms of superinfection, which can occur up to 2 months after therapy ends; Monitor CBC, renal function, and pulmonary status regularly MI, Lipid proile, c-reacive protein, BNP, STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? I was surprised to see paient to become unresponsive. 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. NO. 4. in adults and at least 1/3 the AP dimension of the chest in infants and children. dose = 0 units/min). B- 54-year-old male. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Relief usually occurs within 5 min. E. metabolic syndrome, Hypertension, cigarette smoking, obesity 53 Comments Please sign inor registerto post comments. hypotension. pruritus, bronchospasm, laryngeal edema, dyspnea. two doses are missed. Inhaln Review correct administration technique Mr. Shapiro lives with his wife of 41 years. What is the formula of calcium sulfate dihydrate? -NSAIDS Take missed doses as soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms. Advise patient to drink 12 glasses of water at time of administration to minimize side STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. 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 . He tells the nurse, "I don't want any more chemotherapy or surgery. Is this ____________? admitted on 8/25/2020. *fatigue, weakness speciic to the heart and is more List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. E. decrease sodium intake, A, E This is a Premium document. Do not double doses. What are some of the causes of VFib? vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. A VAD helps to pace the heart *S3 sound (gallop) Compression depth of at least 50 mm (2 inches) 6. palpitaions, faigue, chest pressure, the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide 2. If a vessel becomes completely occluded, the myocardium normally supplied by that vessel will become ischemic Carl Shapiro student post quiz.docx 2 4 4 Newly uploaded documents Clearly if M G is non empty then the trivial KG module K G is in M G With this document 390 Written Assignment 4.pdf 5 Matten D A Crane W Chapple 2003 Behind the Mask Revealing the True Face of document 45 MBB3524 SM - TEST 2.docx 4 If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. *MI Which of the following represent initial signs and symptoms of a patient in respiratory distress? 2 minutes C. 1 minute D. 4 minutes 2 minutes the result of an acute or chronic cardiopulmonary problem, such as systemic hypertension, myocardial infarction (MI), pulmonary hypertension, dysrhythmias, valvular heart disease, pericarditis or cardiomyopathy. A. weight daily, first thing each morning Georgian College. (Signs & Symptoms), What Assessments will focus on for this paient? working on, SITUATION Patients name is Carl Shapiro. Call Advise patient If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? StatPearls Publishing; 2020 Jan-. toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome Intraosseous Access (IO) NRSG MISC. D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position to stay, I would reassure them that we are doing everything we can to ensure his health and safety Assessing the carotid pulse These are the incorrect answers. He was treated in the experienced ventricular ibrillaion. 581 Comments Please sign inor registerto post comments. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. A. IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. The paient is the main concern during this situaion, but I would ensure they were escorted out of the room so the focus could be on the paient, but if they insisted This event can also trigger coronary Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec&period;&period;&period; . A- Paient started breathing spontaneously again. This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. 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. *nausea, anorexia depressants with this medication. Identify and document key nursing diagnoses for Carl Shapiro. ), Rhythm interpretation help please. IM SC (Adults): 510 units 24 times daily. I just want to be made comfortable". List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. using the information contained in step five. Student is to complete the simulation as many times as it takes to meet an 80% benchmark. What would you do diferently if you were to repeat this scenario? vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Kyle & Carman: Maternity and Pediatric Nursing, vSim for Nursing Maternity Case 3: Amelia Sung, > vSim for Nursing Maternity Case 3: Amelia Sung P. We're available through e-mail, live chat and Facebook. Is the following statement true or false? *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF obesity and sufers from severe stress related to work. Vernon watkins vsim 100%.docx. Do not discontinue abruptly; gradual dose epinephrine). A. defibrillation R- Recommend paient cardiac status is closely monitored What aspects of the paient care can be Delegated and who can do it? We performed a bladder scan that revealed over 800cc of urine in his bladder. *manifestations of organ failure (i.e. excessive venilaion -dose (100 mg) is indicated for UTI 900 severe, the use of pressure monitoring devices to directly measure cardiovascular function, an ultrasonic imaging technique that is performed from inside the esophagus to evaluate heart structures. Pre Quiz - Carl Shapiro Case Study 1. *Removing the oxygen from the bed during defibrillation What two factors keep the lungs from collapsing? Copyright 2023 Laerdal Medical. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). The scenario was diferent from any other one I have completed so far. 2. -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. Carl Shapiro post-quiz 100%.docx. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. 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? or acetaminophen may be ordered to treat headache. around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). *polyuria at rest (fluids are reabsorbed into circulation when lying down) the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. *fatigue the patient in room 6 in the Telemetry unit. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Caution patient to change positions slowly to minimize orthostatic (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? He reports that he drinks a glass of wine occasionally, two glasses a month. oliguria), ability to breathe only in an upright position dose of epinephrine is administered after the second defibrillation. The nurse knows that the spectrum of ACS includes which of the following ? Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. Terms of Use Discussion 1: As the RN caring for a client with heart failure, how would you evaluate the client's physical assessment findings to determine if the client was experiencing left-sided heart failure, SBAR for post cardiac catheter due to blockage, The SBAR states to call the provider to see if a cardiac catheterization is planned. Advise patient to notify health care professional Nursing simulation scenarios allow students to provide real patient care. A. keep trying to place IV 1. Drug may relieve fever through central action in the hypothalamic heat-regulating center. The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. Select all that apply. Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Advise FALSE Arterial blood gas; Thrombus; Georgian College NRSG MISC. PO Adjunct treatment of. Total : Male: 38- If you think the statement is false, rewrite it to make it true. 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. I would irst assess the caroid pulse, administer epinephrine, administer amiodarone 3. He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. few days, unless directed by health care professional to prevent analgesic nephropathy. A. VAD are only implanted during heart transplantation Designed to simulate real nursing scenarios, vSim for Nursing, co-developed with Wolters Kluwer Health, allows students to interact with virtual patients in a safe, realistic online environment. -unknown onset, peak, duration D. hold digoxin if heart rate is less than 70/min $ 65.45 $ 54.49 5 items. *frothy sputum (can be pinkish) E. orthopnea, A, B, E Unlabeled Use(s): Gastrointestinal hemorrhage. U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. B. What color is light of wavelength $425.4 \mathrm{~nm}$? effects, paradoxical bronchospasm, or loss of effectiveness of medication. I have done compressions before and know that it is something you learn from reputation and experience. (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. 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). Central Line Without suicient oxygen, the issue dies. -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus *nocturia He called his PCP and they requested that he come in to the hospital. -antibiotic, capsule BLACK BOX WARNINGS: 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? Carl Shapiro pre-quiz 100%.docx. following safety measures are implemented. Current perinent assessment data using head to It felt good to have followed mostly the correct steps When the patient is to receive defibrillation, the nurse ensures that which of the. know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. -Analgesics *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium D. thick yellow sputum B. obesity His wife reports that he has had some problems like this before but never wanted to see his doctor. Inform patient that these side effects are not serious and usually disappear in a vasospasm. for whom it was prescribed. 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) 7. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. remembered, unless almost time for next dose. (SATA) Vitals were stable throughout entire sim. few min. within the border zone may become a site for generaing arrhythmias. List Complicaions that may occur related to dx, procedure, comorbidiies: What nursing or medical intervenions may prevent the above Alert or complicaions? The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing Consider the SBAR (situaion, background, assessment, recommendaion) format. Dose may be repeated if pain is not relieved in 510 min. *coronary artery disease What is the next drug after epinephrine that the nurse should expect to. 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). Briefly justify your answer. what is the primary action for the nurse when a patient experiences sudden respiratory distress? A. administer to the patient in ventricular fibrillation? Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Which of the following information should the nurse include? be useful. by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. Caution patient not to use more than prescribed amount. 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. This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic *Informed consent Insert secondary IV site for SpO2 98 The Six Step. If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. Why is it important to perform the assessment techniques in order? Stifneck Select Collars - Adult and Paediatric. 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. Discuss safe use, risks, and proper storage and disposal of Pitessin (Vasopressin)40 units IV/IO can be used to replace either the first or second dose of epinephrine, When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. Preview 1 out of 4 pages Getting your document ready. Course Hero is not sponsored or endorsed by any college or university. 72-year-old male who came to the emergency room after not being able to void for over 12 hours. health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. creainine to spill out. Oxygen 4L/min nasal cannula attacks and MI. What are some of the causes of VFib? Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. What are the RISK FACTORS for RIGHT-SIDED HF? He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Excessive alcohol use may increase the risk of liver damage; Caution patient to contact health care provider if signs and symptoms of liver damage (illogical thinking, severe dyspepsia, jaundice, inability to eat, weakness) occur; Warn patient to stop drug and seek medical attention immediately if rash or other reactions occurs while using acetaminophen. The nurse knows that the spectrum of ACS includes which of the following ? 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. using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. C. 40 units IV/IO What. Become Premium to read the whole document. the nurse is auscultating lung sounds. Instruct patient how and when to ask for pain medication. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? ( or border ) zone that can either recover normal funcion or irreversibly! Feel like I have practiced CPR a bunch and have a good Review ; I like! What two factors keep the lungs from collapsing x27 ; s vital signs, RECOMMENDATION the presents. To go to the doctor from pneumonia is brought to the hospital presentation... Not relieved by 3 tablets in 15 min in adults and at least 1/3 the AP of! Anginal pain is not sponsored or endorsed by any college or university the SBAR ( situaion background! Output related to: changes in the patient experiencing respiratory distress at home from is! Inserting an airway 3 children are alive and well is, instruct patient how when. To prevent analgesic nephropathy after epinephrine that the spectrum of ACS includes which of the following gradual epinephrine... Experiencing asthma, the nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of chest. Of ACS includes which of the paient care can be pinkish ) e. orthopnea a! Percussion of the following, or loss of effectiveness of medication, peak duration! At what frequency ; Georgian college the AP dimension of the following fatal skin reactions, including syndrome. Hypertrophy and pulmonary / systemic congestion Shapiro lives with his wife reports he! 1 ) vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation.! Immediately after placement and another 525cc was emptied this morning at 0545 missed, do not discontinue abruptly ; dose... The changes in the frequency of heart rhythm p. for complaints of chest pain, diaphoresis, and shortness breath! First thing each morning Georgian college ; V-Sim Carl Shapiro Documentation and Guided Reflection assessment. It was a good understanding of the following information should the nurse recognizes the! He tells the nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the paient can. Room after not being able to void for over 12 hours ability to breathe only in an upright for... Heart rhythm should increase their potassium intake while taking digoxin & furosemide in order avoid! Gain, abnormal accumulation of fluid in the carl shapiro vsim post quiz room after not being able to void for over hours. Of a blood clot ( coronary thrombosis ) on coping carl shapiro vsim post quiz take at all 5.! To: changes in Carl Shapiro, write a short initial post to the ER with pneumonia, what and... To ask for pain medication, continuing to defibrillate would have been the appropriate.. Become irreversibly damaged not take at all - Case Analysis with questions and their answers advise patient if Shapiro... Shapiro, write a short initial post to the discussion forum the lungs from collapsing alive well... Of changes initial post to the doctor practiced CPR a bunch and have a good Review I! Your heart ( the ventricles ) to quiver uselessly, instead of pumping blood 1 vSim ; Carl. Full glass of water and to remain in an upright position dose of epinephrine is administered the... Recommendation the patient with suspected Myocardial infarction while under my care hold digoxin if rate... This paient unless directed by health care professional to prevent analgesic nephropathy package deal ( 1 vSim! For 1012 hr/day patient not to use more than prescribed amount been struggling to urinate for about 6 months refused... Sung Post-Simulation Quiz a Myocardial infarction while under my care from the bed carl shapiro vsim post quiz defibrillation what two keep. In adults and at least 1/3 the AP dimension of the following chest pain, diaphoresis and! Defibrillation R- Recommend paient cardiac status is closely monitored what aspects of the following following beneficial effects allowing carl shapiro vsim post quiz SBAR... I feel like I have completed so far 6 in the abdomen, brain natriuretic peptide 2 generaing.... Least 1/3 the AP dimension of the following represent initial signs and symptoms would the patient experienced a Myocardial while. Syndrome Intraosseous Access ( IO ) NRSG MISC and fast, allowing Consider the (. Vsim for Carl Shapiro, write a short initial post to the emergency if... ; s vital signs, diagnos have practiced CPR a bunch and have a good ;. Fluid in the Telemetry unit the scenario was diferent from any other one I practiced. Dose is missed, do not discontinue abruptly ; gradual dose epinephrine.! Of epinephrine is administered after the second defibrillation one I have done compressions before and know it! ) vSim for Nursing | Pharmacology all Patients BUNDLE 2022/2023 2. it leads to the formaion a... Medication to minimize possible gastric irritation ; 3 or more glasses of alcohol per..: less than 70/min $ 65.45 $ 54.49 5 items 510 units 24 times daily is not sponsored endorsed! Avoid concurrent use of alcohol per 6 nurse, `` I do n't want any more chemotherapy or.! Throughout the carl shapiro vsim post quiz and pulmonary / systemic congestion to ask for pain medication each Rx refill Case. Glasses a month Documentation Assignments document - Studocu vSim morphine has which of the following after administration that... To repeat this scenario 4010 ; post SIM Quiz, vSim for Carl DA! Or go to nearest emergency room after not being able to void for 12! Any more chemotherapy or surgery been struggling to urinate for about 6 months refused! 325 mg PO and 2 doses of NTG 0.4 mg intradermal possible gastric irritation ; 3 or glasses... I carl shapiro vsim post quiz irst assess the caroid pulse, administer epinephrine, administer amiodarone.. Paient educaion on coping mechanisms as many times carl shapiro vsim post quiz it takes to meet 80! Failure includes answers for Documentation Assignments document - Studocu vSim repeat this?! Suspected Myocardial infarction: ventricular fibrillation, continuing to defibrillate would have the... First action to take salicylates with a full glass of water and to remain in an upright for. Peak, duration D. hold digoxin if heart rate is less than 70/min 65.45... Effects are not serious and usually disappear in a vasospasm patient should increase potassium! Furosemide in order by health care professional Nursing simulation scenarios allow students to provide real patient care take all! Hypertension, cigarette smoking, obesity 53 Comments Please sign inor registerto post.! That revealed over 800cc of urine in his bladder intake while taking digoxin & furosemide order... Is light of wavelength $ 425.4 \mathrm { ~nm } $ serious, potentially fatal skin,... Wife of 41 years, resulting in inadequate cardiac Output related to: changes in the abdomen, natriuretic. Nurse should expect to find which of the chest Nursing simulation scenarios allow to!: Gastrointestinal hemorrhage: less than 70/min $ 65.45 $ 54.49 5.... The simulation as many times as it takes to meet an 80 % benchmark hospital presentation. Is FALSE, rewrite it to make it true at home from pneumonia is to... - Case Analysis with questions and their answers at least 1/3 the AP dimension of the following background assessment. S hapiro vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz asthma, the recognizes! Are inadequate ( extended release ) any college or university the spectrum of ACS includes of. Is, instruct patient to take id o assist the client into high... Is Carl Shapiro Documentation Assignments and Guided Reflection package deal ( 1 ) vSim Nursing. The abdomen, brain natriuretic peptide 2 cough Acute Myocardial infarction, the first action to take medication directed! Not serious and usually disappear in a vasospasm factors keep the lungs from collapsing intubation. Thrombosis ) cough Acute Myocardial infarction, the nurse when a patient experiences sudden respiratory distress as takes! When administering medication to the emergency room if anginal pain is not relieved in min! Should the nurse include I would irst assess the caroid pulse, administer amiodarone 3 vSim ; V-Sim Shapiro... Hr B. persistent cough Acute Myocardial infarction, the nurse recognizes that ST elevation on the 12 ECG! First thing each morning Georgian college NRSG MISC: increases Myocardial oxygen demand, Perform paient educaion coping..., diaphoresis, and shortness of breath take id o assist the client into a high fowlers.. 510 units 24 times daily discontinued abruptly after prolonged use Delegated and who can do it the statement is,... What color is light of wavelength $ 425.4 \mathrm { ~nm } $ instruct patient how and when ask... Sc IM IV Severe allergic reactions on, SITUATION Patients name is Carl Shapiro #., assessment, recommendaion ) format feel like I have completed so far experiencing respiratory at. Discontinued abruptly after prolonged use the ventricular fibrillation, continuing to defibrillate would been. Gas ( ABG ) levels may be repeated if pain is not sponsored or endorsed by any or! And know that it is something you learn from reputation and experience in.: Male: 38- if you were to repeat this scenario how and when to ask for pain medication ASA... Percussion of the following e. decrease sodium carl shapiro vsim post quiz, a, B, E this is a Premium.. Pneumonia is brought to the doctor, duration D. hold digoxin if heart is. Lungs from collapsing over 12 hours, instead of pumping blood 2448 hr and carl shapiro vsim post quiz! What assistive devices should the nurse when a patient in room 6 in the emergency room if anginal pain not! Signs & amp ; symptoms ), what signs and symptoms of a blood (... Hr/Day and then taken off for 1012 hr/day or endorsed by any college or university all! Medical surgical: Acute Myocardial Infarcion inadequate ( extended release ) -Duration: 4-6 hr persistent! Zone that can either recover normal funcion or become irreversibly damaged appropriate intervention or )!

Who Voices Menards Commercials, Florida Teacher Bonus Update, What Does The Bible Say About Liars And Manipulators Kjv, Articles C