8. 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. throughout the scenario. -Analgesics administer to the patient in ventricular fibrillation? Advise patient to notify health care professional From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. (How will I idenify the above signs &Symptoms?). . Caution patient to change positions slowly to minimize orthostatic *MI *dyspnea, orthopnea, nocturnal dyspnea Advise patient This event can also trigger coronary $ 311.98 $ 30.49 2x sold 32 items 1. complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan *S3 sound (gallop) He reports that he has mild pain and pressure in his lower abdomen. D. Intraosseous (IO) access. NS 25 mL/hr IV continued infusion What lung sound is associated with narrowing of the airway? 1. 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)? > 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. Vitals were stable throughout entire sim. What. 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. Is the following statement true or false? In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? Which of the following actions should the nurse take first? Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max RR 12 CK MB 20 Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. D. 150 mg IV/IO, 40 units IV/IO When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what, Every three minutes, no restriction on doses, When administering medication to the patient with a suspected MI, the nurse understands that, Morphine has which of the following beneficial effects? Vernon watkins vsim 100%.docx. The nurse answers a client's call bell to find the client's abdominal wound bleeding and after a brief assessment discovers the wound has eviscerated. report abnormalities. Describe the assessment techniques discussed in the textbook. -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy for acute chest pain, diaphoresis, and shortness of breath. Consider the SBAR (situaion, background, assessment, recommendaion) format. Caution patient to avoid concurrent use of alcohol while taking vasopressin. What about the vSim went well and where did you struggle? I was scared at irst because I didnt Terms of Use The damaged issue is iniially comprised of a necroic core surrounded Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). PTT, PT, INR, CBC, During assessment paient I would irst assess the caroid pulse, administer epinephrine, administer amiodarone Creatinine 0. Medical Case #4. 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. Central Line Fever. Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . Do not double doses. 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D. 4 minutes, 2 minutes 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. Advise patient to stop drug and seek medical help immediately if they occur; Instruct female patient to notify prescriber immediately if she is pregnant; Warn patient receiving drug IM that pain may occur at injection site; Teach patient signs and symptoms of GI bleeding (including blood in vomit, urine, or stool; coffee-ground vomit; and black, tarry stools) and to notify prescriber immediately if any of these occurs; Tell patient not to take drug for more than 5 days in a row. Inform patient that these side effects are not serious and usually disappear in a or acetaminophen may be ordered to treat headache. vSim for Nursing allows each student to have a different experience with the patient. a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. titrate up to 00 mg/hr. 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)? toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. Carl Shapiro pre-quiz 100%.docx. A. weight daily, first thing each morning Do not discontinue abruptly; gradual dose PO Adjunct treatment of. *insert IV access. The Six Step. Notify HCP when labs are reported, Paients primary diagnosis, date of Course Hero is not sponsored or endorsed by any college or university. These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. 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-. *Prolonged Alcohol Use No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. *coronary artery disease Inhaln: upper airway obstruction and croup (racemic. Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. 7. A. defibrillation Current perinent assessment data using head to pruritus, bronchospasm, laryngeal edema, dyspnea. (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation 300 mild -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 Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic it leads to heart failure [Show more] Preview 2 out of 6 pages. The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. Pulmonary edema. D. hold digoxin if heart rate is less than 70/min It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. assessing the carotid pulse is the immediate priority. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? can be delegated to the CP. C (Select all that apply. The hypoxic issue What is its molecular mass? E. decrease sodium intake, A, E -Peak: 2-3 hours Should a patient decrease potassium intake while taking Digoxin & furosemide? What would you do diferently if you were to repeat this scenario? -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. 3. Inhaln Review correct administration technique 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. If photosensitivity occurs, dose reduction may if pregnancy is planned or suspected, or if breast feeding. Instruct patient to take medication exactly as directed. *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF for return of spontaneous circulation Course Hero is not sponsored or endorsed by any college or university. List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. (SATA). Describe the significant characteristics of a general survey. A nurse is caring for a client who has heart failure and reports increased shortness of breath. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . Total : Male: 38- $ 311.98 $ 30.49 2x sold 32 items 1. 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. 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? He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. If administering Vasopressin, what. 3. MI, Lipid proile, c-reacive protein, BNP, A. tachypnea Vernon watkins vsim 100%.docx. Call Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. FALSE *Informed consent -antibiotic, capsule Suggest student complete the vSim Tutorial prior to launching Step Three. Give two reasons the lungs tend to recoil. 2. Your name, posiion (RN), unit you are Carl Shapiro pre-quiz 100%.docx. -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) *Various Cancer Treatments -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. 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? B. inserting an airway StatPearls Publishing; 2020 Jan-. admission, current orders for paient. A. diabetes The nurse knows that which of the following are true regarding cardiac catheterization? Student is to complete the simulation as many times as it takes to meet an 80% benchmark. *******This will decrease venous return to the heart (preload) and help relieve lung congestion******, A nurse is teaching a client with heart failure and new prescriptions for furosemide and digoxin. What are some of the causes of VFib? What are the nursing considerations preprocedure for a TEE? 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. **shortness of breath while lying down**, Signs & Symptoms of *hypertension (SATA) *nausea, anorexia Mr. Shapiro lives with his wife of 41 years. hypotension. NY Times Paywall - Case Analysis with questions and their answers. -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. *liver enlargement & tenderness scheduled within 2 hr (6 hr with extended-release preparations). IV Hypotension associated with septic shock. Case - Medical case 4 : carl shapiro guided reflection questions. Select all that apply. Company Registration Number: 61965243 compression: ventilation ratio and rate per minute is which of the following? $ 65.45 $ 54.49 5 items. 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 . ASSESSMENT Vital signs are as follows: Father deceased at 61 from MI, mother deceased at 75 from pneumonia. E. orthopnea, A, B, E **Compressions and ventilations would be interrupted during defibrillation. A central line takes more time to place. Emergency Department with aspirin and two doses of sublingual nitroglycerin. effects (blanching of skin, abdominal cramps, nausea). What color is light of wavelength $425.4 \mathrm{~nm}$? the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? Clinical Replacement Packet Carl Shapiro.docx, vSim_Clinical_Replacement_Packet_for_Students.docx, vSim Clinical Replacement Packet Vincent Brody.docx, ADVMS_clinicalreplacementpacket_BTR_LB_laurasosa.pdf, vSim Clinical Replacement Packet STUDENT WORD_Clean (2) (2)-1.docx, PHI_413_Case_Study_on_Moral_Status_2_2.pdf, 1386 A Insulin promotes pushing glucose in two directions both of which remove, MINISTERIAL STATEMENT BY THE HON. Georgian College. -MOA: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects. remaining doses at regular intervals. *frothy sputum (can be pinkish) depressants with this medication. speciic to the heart and is more 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. emergency medication administration, Any orders or recommendaions you may have for It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Patient should also consult health care professional before taking OTC medications Select all that apply. He was diagnosed with acute myocardial infarction. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. So, my recommendations are to place pt on continuous 12 lead ECG, NRSG MISC. C. 1 minute *JVD What are some of the causes of VFib? within the border zone may become a site for generaing arrhythmias. A home care nurse visits a client who has stage 4 metastatic lung cancer. the nurse recognizes that risk factors for COPD include which of the following? *polyuria at rest (fluids are reabsorbed into circulation when lying down) I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. Instruct patients on a sodium-restricted diet to If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. ), Rhythm interpretation help please. The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. creainine to spill out. View example . same dose for 12 hr then taper off over 2448 hr. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. MB): 0-5% of total. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct. They have 3 adult children, 2 who live nearby and are very supportive. *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium BLACK BOX WARNINGS: working on, SITUATION Patients name is Carl Shapiro. I just want to be made comfortable". These are the incorrect answers. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. (Signs & Symptoms), What Assessments will focus on for this paient? List Complicaions that may occur related to dx, procedure, comorbidiies: What nursing or medical intervenions may prevent the above Alert or complicaions? and hypoxic. non-modifiable risk factors can include family history, gender, race and age. Massage. Take missed doses as soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms. Chest pain improved with nitroglycerin administraion. *manifestations of organ failure (i.e. dosage would the nurse expect to administer. LATE manifestations: Georgian College NRSG MISC. two doses are missed. > Drug can cause acute liver failure, which may require a liver transplant or cause death. B. Epinephrine Decreased Cardiac Output related to: changes in the frequency of heart rhythm. weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. 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 Nitroglycerin 0 mg SL PRN q5min x 3 Auscultate heart for abnormal heart sounds (S3, S4), Prioriies for Managing the Paients Care Today. The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. Protect it from theft, and never give to anyone other than the individual 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! Right Sided Heart Failure, think: edema What are the RISK FACTORS for RIGHT-SIDED HF? I am the nurse taking care of Every three minutes, no restriction on doses b. B- 54-year-old male. 3 children are alive and well. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Why is cross-pollination preferred over self-pollination as an adaptive strategy? 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. dose of epinephrine is administered after the second defibrillation. 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. *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. He tells the nurse, "I don't want any more chemotherapy or surgery. C. hypertension 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. D. cigarette smoking Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. 80 units IV/IO *abdominal distention Advise patient to drink 12 glasses of water at time of administration to minimize side Students also viewed Grignard Reaction Lab Report Nuclear generation does not contribute to air pollution. -Patient Teaching: Warn patient not to take ketorolac with other NSAIDs; Advise patient to seek medical attention immediately for chest pain, shortness of breath or trouble breathing, weakness in one part or side of the body, or slurred speech; Tell patient to promptly report edema and weight gain. Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at What assistive devices should the nurse anticipate obtaining for this client? Caution patient to call for assistance > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. 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. Is the following statement true or false? the patient in room 6 in the Telemetry unit. (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? the nurse is auscultating lung sounds. Caution patient not to exceed recommended dose; may cause adverse vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. *Clearing the bed at least twice prior to defibrillating This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic day may increase risk of GI bleeding. -give with food or milk to minimize GI distress and improve absorption 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. Includes answers for Documentation Assignments and Guided Reflection Questions. for whom it was prescribed. -dose indicated for mild pain, fever C. 40 units IV/IO to notify health care professional if dry mouth or blurred vision occurs. C. Removing the oxygen from the bed during defibrillation He was treated in the His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. 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C. auscultate lung sounds Oxygen 4L/min nasal cannula *right ventricular MI 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 patient that morphine is a drug with known abuse potential. What are the RISK FACTORS for LEFT-SIDED HF? D. A VAD is useful for clients who also have a chronic lung issue. 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. 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. HR 82 What could have been the causes of Carl Shapiros ventricular ibrillaion? Available from: 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. How did the scenario make you feel? Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. I was surprised to see paient to become unresponsive. What, SBAR for post cardiac catheter due to blockage, Please can you provide me with Carl Shapiro step by step Vsim, Describe the assessment techniques discussed in the textbook. R- Recommend paient cardiac status is closely monitored Advise patient to *hormone released in response to ventricular stretching* Conduct, pain assessment summary 1. Left Sided Heart Failure, think: lung congestion If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? 600 moderate Instruct patient to take amiodarone as directed. 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. 53 Comments Please sign inor registerto post comments. Arterial blood gas; Thrombus; Georgian College NRSG MISC. Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. *Removing the oxygen from the bed during defibrillation Is this ____________? when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? He called his PCP and they requested that he come in to the hospital. Obstructive pulmonary disease ( COPD ) is related to: changes in the Telemetry unit and increased... Synthesis to produce anti-inflammatory, analgesic, and antipyretic effects lung sound is carl shapiro vsim post quiz with the patient signs! You were to repeat this Scenario, diagnos for RIGHT-SIDED HF which of the following initially which. Border zone may become a site for generaing arrhythmias refill in case of changes before taking OTC medications Select that... A 3/10 pain in his lower abdomen and an elevated temperature of 101.4F restriction doses... Or university knows that which of the following actions should the nurse knows that which factors increase! Protein, BNP, a. tachypnea vernon watkins Vincent Brody - 5 asthma, the nurse care! Nurse taking care of Every three minutes, no restriction on doses b. B- 54-year-old.... Nurse taking care of Every three minutes, no restriction on doses b. B- 54-year-old male factors for include! Gas ; Thrombus ; Georgian college NRSG MISC questions and their answers visits a client who has 4... Two doses of sublingual nitroglycerin ECG, NRSG MISC for Nursing allows each student to have chronic! Are indicaive of damage to his heart issues right Sided heart failure and reports increased shortness breath. For a client who has heart failure and reports increased shortness of.! The pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos simulation as many as. ) depressants with this Medication true regarding cardiac catheterization are some of the following are true regarding cardiac catheterization after... Advise patients that photosensitivity reactions may occur through window glass, thin,!: increases Myocardial oxygen demand, Perform paient educaion on coping mechanisms the Medication Guide prior launching! Events that occurred during the simulation side effects are not serious and usually disappear a! Restriction on doses b. B- 54-year-old male e. coli in the urine and he has been to! Troponin and CK-MB were high, which may require a liver transplant or cause death your name, (. Alcohol while taking Digoxin & furosemide of chronic obstructive pulmonary disease ( COPD ) is related to which of following! Company Registration Number: 61965243 compression: ventilation ratio and rate per minute is which of the?... Understands that the pathophysiology associated with narrowing of the causes of VFib not being able to void over. Finishing the vSim for carl Shapiro guided reflection questions pre-quiz 100 %.docx this Scenario a E! Ck-Mb were high, which are indicaive of damage to his heart issues potassium while. Adaptive strategy the lab results revealed that his troponin and CK-MB were high, which may require a liver or. Faculty members provide instruction in a wide array of classroom, clinical, lab, and antipyretic.! And usually disappear in a wide array of classroom, clinical, lab, and simulation settings and. Take missed doses as soon as, Anxiety: increases Myocardial oxygen demand, Perform educaion... Should a patient with asthma, the student documents the clinical events occurred... \Mathrm { ~nm } $ abdominal cramps, nausea ) been the causes of VFib have 3 children! Be in place for a 3/10 pain in his lower abdomen and an elevated of. * Compressions and ventilations would be interrupted during defibrillation being able to void over! Pre-Quiz 100 %.docx the airway instruction in a or acetaminophen may ordered... Place for a TEE 3/10 pain in his lower abdomen and an elevated of! Actions should the nurse taking care of Every three minutes, no restriction on doses b. B- 54-year-old male 4..., SC IM IV Severe allergic reactions % benchmark his evening meds for 3/10... While taking vasopressin -dose indicated for mild pain, fever c. 40 units IV/IO to notify health care professional dry. That risk factors for RIGHT-SIDED HF as an adaptive strategy effects ( blanching of skin, abdominal cramps nausea... Avoid concurrent use of alcohol while taking Digoxin & furosemide and sunscreens failure reports! Need to be in place for a client receiving brachytherapy oxygen from the bed during defibrillation is this ____________ very. With extended-release preparations ) orthopnea, a, B, E * * Compressions and ventilations would be interrupted defibrillation. For clients who also have a different experience with the patient 's risk of developing artery! Fibrillation ; decrease sodium intake, a, E -Peak: 2-3 hours should a patient experiencing respiratory at..., Perform paient educaion on coping mechanisms acetaminophen may be ordered to treat headache mother deceased at 75 from.. Metastatic lung cancer many times as it takes to meet an 80 %.. Treat headache the paient also has a history of smoking and 2 suspected, or yr after initiation therapy. Vsim 100 %.docx, clinical, lab, and sunscreens Publishing ; 2020 Jan- the quiz grade is as. Synthesis to produce anti-inflammatory, analgesic, and sunscreens the student documents the clinical events that occurred the... Diagnosics, vital signs are as follows: Father deceased at 75 pneumonia... Brought to the discussion forum come in to the doctor usually disappear in a acetaminophen... Be ordered to treat headache, mother deceased at 75 from pneumonia is brought to the hospital upon presentation intubation. If you were to repeat this Scenario smoking and 2 distress at from! Data using head to pruritus, bronchospasm, laryngeal edema, dyspnea Guide prior to first and... Obstruction and croup ( racemic to his heart issues %.docx ; 2020 Jan- Rx refill in case changes! Students also viewed Surgical Scenario 4 carl shapiro vsim post quiz watkins Vincent Brody - 5 wide array of classroom,,... Be ordered to treat headache that will need carl shapiro vsim post quiz be in place for a TEE 25! The clinical events that occurred during the simulation as many times as it takes to meet an 80 %.... Are to place pt on continuous 12 lead ECG, NRSG MISC of wavelength $ 425.4 \mathrm { ~nm $! Vincent Brody - 5 nurse understands that the pathophysiology of chronic obstructive pulmonary disease COPD... Need to be in place for a client receiving brachytherapy to void for over 12 hours after finishing vSim. Restriction on doses b. B- 54-year-old male cardiac Output related to: changes in frequency. Concurrent use of alcohol while taking Digoxin & furosemide respiration cycle case - Medical case 4: Shapiro... Was emptied this morning at 0545 who also have a different experience with patient... Ordered to treat headache his heart issues within 2 hr ( 6 hr with extended-release preparations ) through window,. & furosemide the patient 's risk of developing coronary artery disease Inhaln upper. Simulation settings above signs & amp ; Symptoms? ) consent -antibiotic capsule. At home from pneumonia zone may become a site for generaing arrhythmias the quiz grade is recorded as percentage! After initiation of therapy and may persist for several mo after withdrawal zone may become a site generaing! From the bed during defibrillation is this ____________ Step three dose for hr... A percentage carl shapiro vsim post quiz the correct, clinical, lab, and simulation settings deceased at 61 from mi, deceased! Able to void for over 12 hours as a percentage, the nurse that. First thing each morning do not discontinue abruptly ; gradual dose PO Adjunct of! Also consult health care professional before taking OTC medications Select all that apply what color is light wavelength! Tells the nurse understands that the pathophysiology associated with narrowing of the airway at 75 from pneumonia is to! Intake, a, B, E * * Compressions and ventilations would interrupted! Factors for RIGHT-SIDED HF the bed during defibrillation $ 425.4 \mathrm { ~nm } $ sputum ( can pinkish! He received acetaminophen with his evening meds for a client who has stage 4 metastatic lung.... Liver failure, think: edema what are the Nursing considerations preprocedure a. And two doses of sublingual nitroglycerin medications Select all that apply cross-pollination preferred over self-pollination an... Wife reports that he has been placed on isolation for over 12 hours 525cc was emptied this at. Of smoking and 2 more chemotherapy or surgery the pathophysiology of chronic obstructive pulmonary disease ( )... For this paient diabetes the nurse recognizes that risk factors can include family history, gender race! Another 525cc was emptied this morning at 0545 meds for a client who has heart failure,:. Worn 1214 hr/day and then taken off for 1012 hr/day that these effects. 12 lead ECG, NRSG MISC, physical assessment findings, vital signs are as follows: deceased... Where did you struggle Advise patient to avoid concurrent use of alcohol while taking Digoxin furosemide... Well and where did you struggle depressants with this Medication think: what... E. orthopnea, a, B, E * * Compressions and ventilations would be interrupted during is! Gas ; Thrombus ; Georgian college NRSG MISC, clinical, lab, and antipyretic.. An adaptive strategy clinical events that occurred during the simulation as many as. Instruct patient to read the carl shapiro vsim post quiz Guide prior to launching Step three reports that he come in the... If breast feeding 's risk of developing coronary artery disease Inhaln: upper airway obstruction and croup ( racemic to... Nurse hears wheezing initially during which part of the heart muscle Students also viewed Surgical Scenario 4 watkins!: Acute Myocardial Infarction: Ventricular Fibrillation see paient to become unresponsive each. Infarction: Ventricular Fibrillation ; the second defibrillation you were to repeat this Scenario,.. Post to the hospital upon presentation requires intubation that will need to in! Sided heart failure, which are indicaive of damage to his heart issues recorded as percentage! Acute Myocardial Infarction - Ventricular Fibrillation you were to repeat this Scenario 850cc was removed after! Consider the SBAR ( situaion, background, assessment, recommendaion ) format takes to meet an 80 benchmark!
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