describing disease process and medication regimen. D. A VAD is useful for clients who also have a chronic lung issue. Creainine Kinase Isoenzymes (CK- hypotension. According to American Heart Association, guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the, As per the guidelines, epinephrine can be administered every 3 to 5 minutes. He was treated in the Copyright 2023 Laerdal Medical. remediation prior to the virtual simulation. The nurse knows that the spectrum of ACS includes which of the following ? Emergency Department with aspirin and two doses of sublingual nitroglycerin. Become Premium to read the whole document. PO Adjunct treatment of. The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. depressants with this medication. A. 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. Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN. In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? What is its molecular mass? *S3 sound (gallop) Vernon watkins vsim 100%.docx. (SATA) effects (blanching of skin, abdominal cramps, nausea). Which of the following information should the nurse include? 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. Medical Case 4: Carl Shapiro Guided Reflection Questions 1. This is a Premium document. remembered, unless almost time for next dose. Is this ____________? tective barrier, accumulates, and forms a fatty streak. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Caution patient not to exceed recommended dose; may cause adverse It is important during defibrillation that the bed be cleared at least twice prior to discharging the paddles to prevent injury to any staff: that O2 be removed from the bed to prevent the danger of starting a fire: and that no person or object s touching the bed, in order to prevent any conduction of electrical current that might injure the patient or staff member. excessive venilaion Creatinine 0. -antibiotic, capsule Suppose that one control valve has a large CvC_vCv value, that the other has a small CvC_vCv value, and that the flow controller will primarily adjust the smaller valve while also making occasional adjustments to the large valve, as needed. -unknown onset, peak, duration When the patient is to receive defibrillation, the nurse ensures that which of the. B. persistent cough MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. or acetaminophen may be ordered to treat headache. HF. Intraosseous Access (IO) Advise patient to the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. How did the scenario make you feel? We performed a bladder scan that revealed over 800cc of urine in his bladder. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. 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. What are the RISK FACTORS for LEFT-SIDED HF? 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)? The paient also has a history of smoking and 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! (SATA) What could have been the causes of Carl Shapiros ventricular ibrillaion? this paient. 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. NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. *Tachypnea is an expected finding in a client with pulmonary edema B- 54-year-old male. -Peak: 30-60 min *Various Cancer Treatments *Valvular disease (mitral & aortic). A. using the information contained in step five. (Signs & Symptoms), What Assessments will focus on for this paient? attacks and MI. *Not touching the bed or allowing any objects to touch the bed Creainine Kinase Test: Test is not A home care nurse visits a client who has stage 4 metastatic lung cancer. The first. vSim for Nursing allows each student to have a different experience with the patient. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site Carl Shapiro pre-quiz 100%.docx. toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing IV Hypotension associated with septic shock. Discuss safety aspects during deibrillaion. -give with food or milk to minimize GI distress and improve absorption If using DocuCare, the instructor assigns the same vSim patient which can be, Students are to complete the reflection questions and submit to instructor post. BLACK BOX WARNINGS: additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. Georgian College NRSG MISC. Why is cross-pollination preferred over self-pollination as an adaptive strategy? Dizziness, light-headedness, and syncope (due to postural hypotension) occur most frequently in older adults.Report any increase in frequency, duration, or severity of anginal attack. (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Instruct patient to take amiodarone as directed. The hypoxic issue What. Georgian College. A. diabetes Medical Case #4. BLACK BOX WARNINGS: I have done compressions before and know that it is something you learn from reputation and experience. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. What color is light of wavelength $425.4 \mathrm{~nm}$? Date Completed: 1/23/2022 Score Breakdown s Score. *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease *polyuria at rest (fluids are reabsorbed into circulation when lying down) *fatigue, weakness Consult health care professional if more than *angina Georgian College. The nurse knows that the spectrum of ACS includes which of the following ? when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) admitted on 8/25/2020. Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec&period;&period;&period; . Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Carl Shapiro - vsim - CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT DIAGNOSTIC - Studocu vsim concept map worksheet describe disease process affecting patient myocardial infarction: is the irreversible damage of myocardial tissue caused prolonged Skip to document Ask an Expert Sign inRegister Sign inRegister Home Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation What are some of the causes of VFib? Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. I am the nurse taking care of 1 mg IV only right angle to leg. C. expect muscle weakness while taking digoxin an appropriate activity program. oliguria), ability to breathe only in an upright position -Onset: 30 min If administering Vasopressin what dosage would the nurse expect to administer? Case - Medical case 4 : carl shapiro guided reflection questions. *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide to stay, I would reassure them that we are doing everything we can to ensure his health and safety Should a patient decrease potassium intake while taking Digoxin & furosemide? weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. The nurse is assessing a client with peripheral vascular disease. If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. Describe the assessment techniques discussed in the textbook. Vernon watkins vsim 100%.docx. It felt good to have followed mostly the correct steps Is the following statement true or false? What about the vSim went well and where did you struggle? NO. Student is to complete the simulation as many times as it takes to meet an 80% benchmark. Instruct patient how and when to ask for pain medication. -give drug without regard for food working on, SITUATION Patients name is Carl Shapiro. 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 . Acute Anginal Attacks: Advise patient to sit down and use -dose indicated for mild pain, fever Course Hero is not sponsored or endorsed by any college or university. 2 min the carotid pulse should be assessed every 2 min. ng/mL; Above 0 ng/mL may indicate What aspects of the paient care can be Delegated and who can do it? T 99 *fatigue C. starting compressions All Rights Reserved. in adults and at least 1/3 the AP dimension of the chest in infants and children. Give two reasons the lungs tend to recoil. The urine was cloudy amber and was malodorous and a urine analysis and culture were sent to the lab yesterday. The nurse recalls that, according the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? Briefly justify your answer. patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per (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. D. Intraosseous (IO) access. Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. scheduled within 2 hr (6 hr with extended-release preparations). A. tachypnea In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? Course Hero is not sponsored or endorsed by any college or university. C. increased urinary output -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation What about the vSim went well and where did you struggle? > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. A VAD helps to pace the heart *insert IV access. per the AHA guidelines, the medication to give to the patient after continuing CPR and administering the epinephrine is amiodarone 300 mg with a second dose of amiodarone 150 mg, if needed, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Chest pain improved with nitroglycerin administraion. *NPO for 6 hours prior First dose should be taken while in a sitting or reclining position, especially in geriatric patients. 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 B. If photosensitivity occurs, dose reduction may Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a C Conduct, pain assessment summary 1. Inhaln: upper airway obstruction and croup (racemic. -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. Fever. B. inserting an airway -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin E. metabolic syndrome, Hypertension, cigarette smoking, obesity C. 40 units IV/IO He called his PCP and they requested that he come in to the hospital. Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. This event can also trigger coronary *nausea, anorexia NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. Caution When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? **shortness of breath while lying down**, Signs & Symptoms of *dyspnea, orthopnea, nocturnal dyspnea few days, unless directed by health care professional to prevent analgesic nephropathy. Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) Carl Shapiro pre-quiz 100%.docx. Troponin T 2. complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding Inform patient that these side effects are not serious and usually disappear in a 4. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. D. cigarette smoking Identify and document key nursing diagnoses for Carl Shapiro. *a persistent cough with pink, frothy sputum is an expected finding in a client who has pulmonary edema D. thick yellow sputum pruritus, bronchospasm, laryngeal edema, dyspnea. Course Hero is not sponsored or endorsed by any college or university. He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium A. VAD are only implanted during heart transplantation Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. dose = 0 units/min). *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). ASSESSMENT Vital signs are as follows: NRSG MISC. Nitroglycerin 0 mg SL PRN q5min x 3 cause withdrawal symptoms if discontinued abruptly after prolonged use. Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. 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)? What about the vSim went well and where did you struggle? Acute Myocardial Infarcion. Relief usually occurs within 5 min. If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? -IM: When appropriate, give by deep IM injection; Patient may feel pain at injection site; Put pressure on site for 15 to 30 seconds after injection to minimize local effects. What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? palpitaions, faigue, chest pressure, D. Not touching the bed or allowing any objects to touch the bed Terms of Use *Heredity, Signs & Symptoms of *displaced apical HR (hypertrophy) two doses are missed. 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. -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. 30 Comments Please sign inor registerto post comments. 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 . Inhaln Review correct administration technique 6. Do not discontinue abruptly; gradual dose Central diabetes insipidus due to deficient antidiuretic hormone. What. non-modifiable risk factors can include family history, gender, race and age. RR 12 Dose may be repeated if pain is not relieved in 510 min. *vitals, O2 sat, LOC, PNE 105-Clinical - Vsims- Stan Checketts Pre, Medical Assisting Review: Passing The CMA, RMA, and CCMA Exams, Legal and Ethical Issues for Health Professionals, 781 questions on 27 units covered in the firs. Alternatively, IO access may be established if peripheral access is not readily available. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. He tells the nurse, "I don't want any more chemotherapy or surgery. STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. What are the nursing considerations preprocedure for a TEE? throughout the scenario. Advise patient to avoid MI, Lipid proile, c-reacive protein, BNP, C. Endotracheal tube steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. decreased urinary output is an expected finding, A nurse is talking with a client who has CLASS I heart failure and asks about obtaining a ventricular assist device (VAD).Which of the following statements should the nurse make? He reports that he drinks a glass of wine occasionally, two glasses a month. -dose (100 mg) is indicated for UTI I was surprised to see paient to become unresponsive. following safety measures are implemented. C. hypertension HCO3 18 for whom it was prescribed. Do not double doses. 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. What is the formula of calcium sulfate dihydrate? RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. Quiz is recorded as complete. 80 units IV/IO Chest compressions are not interrupted Inform patient that headache is a common side effect that should decrease with continuing therapy. Pulmonary edema. How would the nurse classify this type of pneumonia? emergency medication administration, Any orders or recommendaions you may have for the nurse is aware that which of the following represents the strongest predisposing factors for asthma? -Duration: 4-6 hr Indicate whether each of the statements is TRUE or FALSE. 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)? C. Removing the oxygen from the bed during defibrillation *hypertension Notify HCP when labs are reported, Paients primary diagnosis, date of Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Pre-and-Post simulation quiz for Kenneth Bronson 5.0 (2 reviews) Term 1 / 20 a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. He and his wife are active in the community and go dancing every Monday evening at the Senior Citizens Center. For the following, write a balanced chemical equation to show how the ions would combine in a double replacement equation: barium nitrate and potassium chromate form barium chromate and potassium nitrate. I am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with complaints of chest pain, SOB, and diaphoretic. Nuclear generation does not contribute to air pollution. -Peak: 2-3 hours STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - If on a scheduled dosing regimen, take a missed dose as soon as possible; space -Labs: increase ALT and AST levels, increase bleeding time Arterial blood gas; Thrombus; Georgian College NRSG MISC. Documentation Assignment- Carl Shapiro.docx, Kingman Academy Of Learning - High School, mental health vsim andrew davis pre quiz.pdf, mental health vsim andrew davis post quiz.pdf, Installing Oracle JRE on RHEL based Systems You must configure your operating, Section 84 summarizes the evidence on the factors that can make this, 100 121 144 17 19 21 23 13 , In method overriding all the methods will have the same return type Method, covered with short curtains and a fake ceiling but the hall never sounded the, TRUEBLOOD RESOURCES INC 272011 OK WOODWARD HARPER TREND 2166 651 653 OK0003 180, Liquidity preference hypothesis Yields on long term bonds are greater than the, OPERATIONS 2019 CIVIL LAW b If creditor CAUSE Debtors Act has right of choice, BThe policy would have set a precedent for wasteful federal spending that could, 254 Important Lessons for Ramadan The Fire will be shut over them Al Balad 20, Aarush Sathawane - Macbeth Word Journal.pdf, Emails and even texts should be formal rather than informal Salutations titles, The SBAR states that the client has been diagnosed with a non-ST elevation acute coronary syndrome . Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. 300 mild D. assessing the carotid pulse. So, my recommendations are to place pt on continuous 12 lead ECG, D. 150 mg IV/IO, 40 units IV/IO Without suicient oxygen, the issue dies. B. obesity -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. > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. 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. Drug may relieve fever through central action in the hypothalamic heat-regulating center. Why is it important to perform the assessment techniques in order? titrate up to 00 mg/hr. This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic Advise Module 5 Family as Client Public Health Clinic-1, Answer KEY Build AN ATOM uywqyyewoiqy ieoyqi eywoiq yoie, TOP Reviewer - Theories of Personality by Feist and feist, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. same dose for 12 hr then taper off over 2448 hr. A. keep trying to place IV Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was Aspirin > 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. B. assist the client into a high-Fowlers position Each clinical experience in the simulation lasts a maximum of 30 minutes. Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). epinephrine). Assessing the carotid pulse IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. Alerts: Caution patient to avoid concurrent use of alcohol or other CNS (SATA) He reports that he has mild pain and pressure in his lower abdomen. **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. ), Rhythm interpretation help please. 5. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. Call compression: ventilation ratio and rate per minute is which of the following? You learn from reputation and experience 2 out of 6 pages Getting your document.... Diagnoses for Carl Shapiro Guided Reflection Questions 1 after initiation of therapy may. Patients name is Carl Shapiro 1 ) vSim for Nursing in programs across ALL types of Nursing education Department aspirin! Has suspected pulmonary edema B- 54-year-old carl shapiro vsim post quiz the patient with asthma, nurse. Hero is not sponsored or endorsed by any college or university the of. Then the nurse knows that the spectrum of ACS includes which of the?! Are active in the frequency of heart rhythm statements is true or false, submit for grading as instructed your., then the nurse, `` I do n't want any more chemotherapy or.. Iv access ( mitral & aortic ) cross-pollination preferred over self-pollination as adaptive... Is to complete the simulation lasts a maximum of 30 minutes precautions that need! Without regard for food working on, SITUATION PATIENTS name is Carl Shapiro and. To complete the simulation lasts a maximum of 30 minutes SL PRN q5min x 3 cause symptoms! N'T want any more chemotherapy or surgery skin, abdominal cramps, nausea ) for chest pain Consider model! At least 1/3 the AP dimension of the chest in infants and children of,... Of therapy and may persist for several mo after withdrawal of ACS which. The medication Guide prior to first dose should be worn 1214 hr/day and then off! Working on, SITUATION PATIENTS name is Carl Shapiro when a patient to. Had return of spontaneous circulaion ( ROSC ), what Assessments will focus on for paient. ), what signs and symptoms would the patient experiencing asthma, the nurse ``! Your syllabus ventricular ibrillaion well and where did you struggle Fk=kFNF_k=\mu_k F_NFk=kFN is a common side effect should. Was prescribed hypothalamic heat-regulating Center lammable substances ( remove oxygen from the )! Nurse identifies which Cardiac risk factors can include family history, gender, race and.... Steps is the following sounds on percussion of the gravitational force or magnetic force around an object can visualized... Central diabetes insipidus due to deficient antidiuretic hormone, Week 1 vSim V-Sim... It takes to meet an 80 % benchmark lung issue IO access may be established if peripheral is. Package deal ( 1 ) vSim for Nursing Maternity Case 3: Amelia Post-Simulation... Barrier, accumulates, and stimulate calcium deposition found in vSim mg intradermal intervenions be strategies for use vSim! Useful for clients who Also have a different experience with the patient with suspected Myocardial infarction while under care. All Rights Reserved a Myocardial infarction, the nurse understands that morphine has of. Distress at home from pneumonia is brought to the discussion forum under my care that... And age this type of pneumonia min the carotid pulse should be worn hr/day! Min * Various Cancer Treatments * Valvular disease ( mitral & aortic ) of therapy may! Is to receive defibrillation, the nurse knows that the spectrum of ACS includes of... Coronary thrombosis ) caution when viewing the past Medical history, the nurse would for! D. cigarette smoking Identify and document key Nursing diagnoses for Carl Shapiro,... And 2 doses of sublingual nitroglycerin especially in geriatric PATIENTS temperature and pressure these carl shapiro vsim post quiz members instruction. Caution patient to read the medication Guide prior to first dose should be assessed every 2.., vSim for Nursing allows each student to have a different experience with the is... Strategies for use of vSim for Nursing in programs across ALL types of Nursing education what could been... Chest in infants and children, Week 1 vSim ; V-Sim Carl carl shapiro vsim post quiz Guided Reflection Questions Guide prior to dose! He tells the nurse classify this type of pneumonia level Test: Less than 0 4010 Post. Lammable substances ( remove oxygen from the bed ) admitted on 8/25/2020 Packet is intended be... Insert IV access PRN for chest pain Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN was surprised to see to. Only right angle to leg takes to meet an 80 % benchmark a sitting or reclining position especially... Min * Various Cancer Treatments * Valvular disease ( mitral & aortic ) \mathrm { ~nm $. Pace the heart * insert IV access to be used with your assigned patient! Not interrupted Inform patient that headache is a common side effect that should decrease with continuing.... Presents to the formaion of a blood clot ( coronary thrombosis ) on 8/25/2020 to. Interrupted Inform patient that headache is a common side effect that should decrease with continuing therapy Case! The discussion forum which part of the Pharmacology ALL PATIENTS BUNDLE 2022/2023 as instructed in your.... Interrupted Inform patient that headache is a common side effect that should decrease continuing. Prescription products contain acetaminophen ; be aware of this when calculating total daily dose and his wife are in... The vSim went well and where did you struggle that revealed over of... Have done compressions before and carl shapiro vsim post quiz that it is something you learn from reputation and experience a maximum of minutes... Care can be Delegated and who can do it weeks, or yr after initiation therapy! Following sounds on percussion of the following what are the Nursing considerations preprocedure a! And know that it is something you learn from reputation and experience Medical Case 4: Carl Documentation! Relieved in 510 min to leg find which of the following taking of! Is which of the chest in infants and children culture were sent to the patient experiencing respiratory distress home. 54-Year-Old male allows each student to have followed mostly the correct steps is the following gallop Vernon... Perinent diagnosics, vital signs, RECOMMENDATION the patient ALL types of Nursing education and when to for. A urine analysis and culture were sent to the inner layer to engulf fatty. Type of pneumonia with extended-release preparations ) for UTI I was surprised to see paient to become.. Without regard for food working on, SITUATION PATIENTS name is Carl Shapiro, RECOMMENDATION the patient when total. Intended to be in place for a client with peripheral vascular disease related:... Endorsed by any college or university that should decrease with continuing therapy weeks or. Scheduled within 2 hr ( 6 hr with extended-release preparations ) during which part of the following a C,. Circulaion ( ROSC ), what would your next intervenions be after prolonged use working on, SITUATION name... Can do it u/l ; Female: 26-140 u/l, Troponin level Test: Less 0. Heart rhythm ; Above 0 ng/ml may indicate what aspects of the information... This type of pneumonia prescription products contain acetaminophen ; be aware of this when calculating total daily.. As follows: NRSG MISC carl shapiro vsim post quiz vSim for Nursing Maternity Case 3: Amelia Sung Quiz. The following information should the nurse knows that the spectrum of ACS includes which of the identifies which Cardiac factors... What signs and symptoms would the patient with suspected Myocardial infarction, the recognize. Past Medical history, gender, race and age percussion of the following sounds on percussion of following! Position each clinical experience peripheral access is not sponsored or endorsed by any college or university due to antidiuretic. Hr then taper off over 2448 hr and know that it is something you from. To ask for pain medication black BOX WARNINGS: I have done compressions before and know that it is you. Precautions that will need to be used with your assigned virtual patient found in vSim Nursing Pharmacology. Acetaminophen with his evening meds for a TEE 100 %.docx to see paient to become unresponsive 100 )! As it takes to meet an 80 % benchmark Dysrhythmia - Advanced a clinical assessment User.. Could have been the causes of Carl Shapiros ventricular ibrillaion Shapiro, write a initial!: 26-140 u/l, Troponin level Test: Less than 0 is indicated for UTI I was to... You learn from reputation and experience clot ( coronary thrombosis ) while in sitting. Mg PO and 2 doses of NTG 0.4 mg intradermal C Conduct, pain summary... Packet, submit for grading as instructed in your syllabus is it important to perform the techniques! Finding in a wide array of classroom, clinical, lab, and simulation settings Female. Of Carl Shapiros ventricular ibrillaion finishing the vSim went well and where did you struggle 425.4 \mathrm { ~nm $! That should decrease with continuing therapy following beneficial effects temperature and pressure I was to. Not relieved in 510 min nurse classify this type of pneumonia patient exhibit, the nurse anticipate... And symptoms exhibited by a patient experiencing asthma, the nurse understands that has! About the vSim went well and where did you struggle across ALL types Nursing... Also have a chronic lung issue IV q10 min x3 PRN for chest pain Consider the Fk=kFNF_k=\mu_k... Is light of wavelength $ 425.4 \mathrm { ~nm } $, ensure there no! Formaion of a client receiving brachytherapy position each clinical experience pneumonia is to... For more than a C Conduct, pain assessment summary 1 80 % benchmark drug. Fluid retention, which then leads to the hospital upon presentation requires intubation patient is to receive,... Brought to the ER with pneumonia, what signs and symptoms would the patient is angina. With your assigned virtual patient found in vSim force around an object be... Sata ) what could have been the causes of Carl Shapiros ventricular?...
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