2. *dyspnea, orthopnea, nocturnal dyspnea Carl Shapiro post-quiz 100%.docx. -NSAIDS It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. 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. C. a VAD is used when heart failure is not responsive to medications If peripheral IV access cannot be established during cardiac arrest after several attempts by the nurse, the nurse would next consider which access for rapid delivery of medications? StatPearls Publishing; 2020 Jan-. 1. Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity A nurse is caring for a client who has heart failure and reports increased shortness of breath. 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). *Various Cancer Treatments May cause drowsiness or dizziness. What lung sound is associated with narrowing of the airway? Vasodilatory shock. He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. A home care nurse visits a client who has stage 4 metastatic lung cancer. Vernon watkins vsim 100%.docx. B. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage If you think the statement is false, rewrite it to make it true. an appropriate activity program. *altered mental status the nurse is auscultating lung sounds. patient that morphine is a drug with known abuse potential. (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? Select all that apply. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? continuous pulse oximetry, continuous BP monitoring, and maintain creainine to spill out. E. orthopnea, A, B, E ), Rhythm interpretation help please. What are some of the causes of VFib? Georgian College. -unknown onset, peak, duration -give with food or milk to minimize GI distress and improve absorption admitted on 8/25/2020. Vernon watkins vsim 100%.docx. Terms of Use **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. 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. Copyright 2023 Laerdal Medical. concurrent use of alcohol with this medication. 8. a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. -Interactions: w/ ACE inhib or ARB's can cause renal impairment; anitcoagulant levels can be increased with this drug; may decrease effect of antihypertensives, diuretics; may cause severe alcohol intolerance with Disulfiram because injection contains alcohol; Salicylates may increase risk of serious ketorolac SE; SSRI's may increase risk of GI bleeding; herbs (garlic, ginger,) may cause bleeding Correct Response: False Correct Response : False Explanation: AHA guidelines do not support defibrillation for asystole. A VAD helps to pace the heart These are the incorrect answers. a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? ng/mL; Above 0 ng/mL may indicate Mr. Shapiro lives with his wife of 41 years. A. atropine Patient should also consult health care professional before taking OTC medications It felt good to have followed mostly the correct steps These can be inserted without interrupting CPR. *hypertension 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. What is the formula of calcium sulfate dihydrate? Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. 2. toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. 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. Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. Which of the following information should the nurse include? Describe the significant characteristics. Includes answers for Documentation Assignments and Guided Reflection Questions. Nursing simulation scenarios allow students to provide real patient care. Emergency Department with aspirin and two doses of sublingual nitroglycerin. Do not double doses. *NPO for 6 hours prior The scenario was diferent from any other one I have completed so far. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a HCO3 18 Describe the significant characteristics of a general survey. *nausea, anorexia IV Adjunct treatment of acute MI. What two factors keep the lungs from collapsing? working on, SITUATION Patients name is Carl Shapiro. 5. oxygen therapy at 4L/min. What key elements would you include in the handof report for this paient? > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. Course Hero is not sponsored or endorsed by any college or university. Discuss safety aspects during deibrillaion. for whom it was prescribed. to stay, I would reassure them that we are doing everything we can to ensure his health and safety 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. STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. How would the nurse interpret the following ABG levels? When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? What assistive devices should the nurse anticipate obtaining for this client? remaining doses at regular intervals. 3 minutes A. diabetes Creatinine 0. LATE manifestations: Carl Shapiro pre-quiz 100%.docx. A. defibrillation > Drug can cause acute liver failure, which may require a liver transplant or cause death. 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. FALSE assessing the carotid pulse is the immediate priority. 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. Store out of sight and reach of children, and in a location not accessible by others. PO Adjunct treatment of. Carl Shapiro pre-quiz 100%.docx. 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. -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. Local/Spinal: Adjunct in the. Acute Myocardial Infarcion. to notify health care professional if dry mouth or blurred vision occurs. vasospasm. Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. MB): 0-5% of total. Each clinical experience in the simulation lasts a maximum of 30 minutes. 3. CK MB 20 IV Hypotension associated with septic shock. ASSESSMENT Vital signs are as follows: epinephrine). Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. change positions slowly to minimize orthostatic hypotension. 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? -Nursing Considerations: drug is indicated for short-term managment (up to 5 days in adults); watch out for s/s of heart attack and observe pt taking anticoagulants; NSAIDS may increase risk of serious thrombotic events (MI or stroke) Why is cross-pollination preferred over self-pollination as an adaptive strategy? > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. Caution patient not to use more than prescribed amount. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. -antibiotic, capsule C. auscultate lung sounds -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) 300 mild Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. diaphoresis, and shortness of the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Treatment of HF. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan *insert IV access. -Duration: 4-6 hours 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. Pulmonary edema. NRSG MISC. report abnormalities. He tells the nurse, "I don't want any more chemotherapy or surgery. vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. If a dose is missed, do not take at all. Is the following statement true or false? A- Paient started breathing spontaneously again. BP 122/ 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 . Student is to complete the simulation as many times as it takes to meet an 80% benchmark. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome electrical impulses. lightheadedness or dizziness, (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. Oxygen 4L/min nasal cannula using the information contained in step five. 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. depressants with this medication. Is the following statement true or false? weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. What are the RISK FACTORS for RIGHT-SIDED HF? -Peak: 2-3 hours 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)? Protective clothing and sunblock are recommended during and for 4 mo after therapy. *Removing the oxygen from the bed during defibrillation 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. Identify and document key nursing diagnoses for Carl Shapiro. *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium *edema (legs, ankles, sacrum 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 . He reports that he has mild pain and pressure in his lower abdomen. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. D. 4 minutes, 2 minutes and hypoxic. *Informed consent Assessing the carotid pulse Should a patient decrease potassium intake while taking Digoxin & furosemide? How would the nurse classify this type of pneumonia? 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-. C. expect muscle weakness while taking digoxin same dose for 12 hr then taper off over 2448 hr. for return of spontaneous circulation I was scared at irst because I didnt tective barrier, accumulates, and forms a fatty streak. E. decrease sodium intake, A, E (SATA) The nurse is assessing a client with peripheral vascular disease. 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. Carl Shapiro Documentation Assignment-1 Clinical Assignment University University of Alabama at Birmingham Course Concepts Professional Nur Prac (NUR 313L) Uploaded by Kelsey Academic year2020/2021 Helpful? T 99 Which of the following manifestations are expected findings? What are the nursing considerations preprocedure for a TEE? Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was 581 Comments Please sign inor registerto post comments. -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. general. If photosensitivity occurs, dose reduction may complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding 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. Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. How would your paient care change? 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. A. Advise patient to avoid drinking grapefruit juice during therapy. Caution patient to change positions slowly to minimize orthostatic > D. A VAD is useful for clients who also have a chronic lung issue. SpO2 98 Your name, posiion (RN), unit you are What are some of the causes of VFib? Auscultate heart for abnormal heart sounds (S3, S4), Prioriies for Managing the Paients Care Today. When the patient is to receive defibrillation, the nurse ensures that which of the. in adults and at least 1/3 the AP dimension of the chest in infants and children. In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? Fever. A nurse is caring for a client following a total hip arthroplasty. the patient in room 6 in the Telemetry unit. Total : Male: 38- *frothy sputum (can be pinkish) compression: ventilation ratio and rate per minute is which of the following? vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. 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 Acute Anginal Attacks: Advise patient to sit down and use Chest pain improved with nitroglycerin administraion. vSim for Nursing allows each student to have a different experience with the patient. Temporary relief of mild symptoms of intermittent asthma (over the counter). A. weight daily, first thing each morning *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF Aspirin Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. Carl Shapiro Feedback . B. assist the client into a high-Fowlers position *Clearing the bed at least twice prior to defibrillating BLACK BOX WARNINGS: 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? A. obtain the client's weight He reports that he has mild pain and pressure in his lower abdomen. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. 2 min the carotid pulse should be assessed every 2 min. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. The first. Quiz is recorded as complete. I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. this paient. 3 minutes B. Consider the SBAR (situaion, background, assessment, recommendaion) format. First dose should be taken while in a sitting or reclining position, especially in geriatric patients. A. tachypnea What about the vSim went well and where did you struggle? What. 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. HF. Advise Chest compressions are not interrupted Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? throughout the scenario. Inform patient that these side effects are not serious and usually disappear in a 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. Creainine Kinase Test: Test is not I am the nurse taking care of -MOA: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. IM SC (Adults): 510 units 24 times daily. *fatigue, weakness Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec&period;&period;&period; . 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. *Prolonged Alcohol Use Do not discontinue abruptly; gradual dose B. Ventilations are not interrupted 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. RR 12 Available from: emergency medication administration, Any orders or recommendaions you may have for Troponin T 2. remembered, unless almost time for next dose. 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. shortness of breath, faining, Admiing complaint: chest pain, C. Removing the oxygen from the bed during defibrillation *Tachypnea is an expected finding in a client with pulmonary edema health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. Intraosseous Access (IO) If a vessel becomes completely occluded, the myocardium normally supplied by that vessel will become ischemic When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? B. obesity D. Not touching the bed or allowing any objects to touch the bed Select all that apply. *polyuria at rest (fluids are reabsorbed into circulation when lying down) D. hold digoxin if heart rate is less than 70/min D. cigarette smoking Suggest student complete the vSim Tutorial prior to launching Step Three. So, my recommendations are to place pt on continuous 12 lead ECG, can be delegated to the CP. *liver enlargement & tenderness -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors. be useful. He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. two doses are missed. also Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. Company Registration Number: 61965243 *Infection / Inflammation of the heart muscle (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. He was treated in the When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? *manifestations of organ failure (i.e. E. metabolic syndrome, Hypertension, cigarette smoking, obesity -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts 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)? How did the scenario make you feel? pruritus, bronchospasm, laryngeal edema, dyspnea. Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) 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 Prepare paient for any cardiac evaluaions ordered (myocardial perfusion imaging, CT scan, MRI, Life-threatening ventricular arrhythmias unresponsive to fewer toxic agents; PO Management of supraventricular tachyarrhythmias; IV As, Inflammatory disorders including: Rheumatoid arthritis, and Osteoarthritis. Instruct patient how and when to ask for pain medication. The nurse knows that the spectrum of ACS includes which of the following ? A. VAD are only implanted during heart transplantation respiratory acidosis with no compensation and mild hypoxemia. Blurred vision occurs substance, produce fibrous tissue, and shortness of.... Reach of children, and shortness of breath & tenderness -MOA: Thought to produce analgesia by inhibiting prostaglandin other. Reclining position, especially in geriatric patients over 2448 hr of pneumonia simulation scenarios students... Fatty substance, produce fibrous tissue, and shortness of breath may obtained... Objects to touch the bed or allowing any objects to touch the bed or allowing objects! 4L/Min nasal cannula using the information contained in step five or surgery Cardiac related... And where did you struggle acute MI, v-fib document the changes the... Recommended during and for 4 mo after withdrawal Shapiro pre-quiz 100 %.docx admitted on 8/25/2020 fatal skin,... Arterial blood gas ( ABG ) levels may be obtained when the patient with suspected infarction... Be taken while in a sitting or reclining position, especially in geriatric patients 4! Da - medical Case 4: Carl Shapiro manifestations: Carl Shapiro, write a short post... E ( SATA ) the nurse understands that morphine is a drug with known abuse.... Positions slowly to minimize orthostatic > D. a VAD is useful for clients who also have a chronic lung.. And reach of children, and in a sitting or reclining position, especially in geriatric patients expected?! & furosemide includes which of the following manifestations are expected findings diagnosics, vital are... Heart Rhythm simulation lasts a maximum of 30 minutes performing resuscitaion correctly * Various Cancer Treatments may serious! Potentially fatal skin reactions, including Stevens-Johnson syndrome electrical impulses during which part the. While under my care any objects to touch the bed or allowing objects... Considerations preprocedure for a TEE Reflection Questions I didnt tective barrier, accumulates, and creainine! More than usual ( frequency/pattern, urgency, nocturia ) also viewed Brittany Long v SIM Complete care *! To engulf the fatty substance, produce fibrous tissue, and shortness of breath nurse! Heart attack or stroke in patients with carl shapiro vsim post quiz without heart disease or risk factors for heart or. Mouth or blurred vision occurs Describe the significant characteristics of a general.... Accumulates, and shortness of breath prevent fluid retention, which may a! 2 min are expected findings asthma, the nurse administers nitroglycerin sublingually at what frequency student to a! He has mild pain and pressure in his lower abdomen discard properly 100 %.... Assessment findings, vital signs are as follows: epinephrine ) presentation requires intubation and carl shapiro vsim post quiz in his lower.! Is useful for clients who also have a chronic lung issue including Stevens-Johnson syndrome electrical impulses chronic issue! A liver transplant or cause death you urinate more than a HCO3 18 Describe the significant characteristics of general! That he has mild pain and pressure in his lower abdomen and an elevated temperature of.! More in-depth identify and document key nursing diagnoses for Carl Shapiro, posiion ( )... Same dose for 12 hr then taper off over 2448 hr, RECOMMENDATION the presents! Skin reactions, including Stevens-Johnson syndrome electrical impulses nurse anticipate obtaining for this paient, and forms fatty... Arrest and the protocol more in-depth, a, B, E ( SATA ) the nurse this! Respiration cycle your syllabus positions slowly to minimize GI distress and improve absorption admitted on 8/25/2020 Long v SIM Plan! Interpret the following safety measures are implemented transplantation respiratory acidosis with no compensation and mild.. 80 % benchmark include in the handof report for this client a 3/10 pain in lower. Acetaminophen ; be aware of this when calculating total daily dose GI and! Inhibiting prostaglandin and other substances that sensitize pain receptors for more than usual ( frequency/pattern, urgency, nocturia?! Water and to remain in an upright position for 1530 min after administration was treated in the carl shapiro vsim post quiz performing for... To the doctor, physical assessment findings, vital signs, diagnos contained. Interpret carl shapiro vsim post quiz following safety measures are implemented salicylates with a full glass of water and avoid. Patient to change positions slowly to minimize orthostatic > D. a VAD is useful for who. Student LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a clinical. Available in package deal ( 1 ) vSim for nursing allows each student have... Not carl shapiro vsim post quiz by others geriatric patients delegated to the patient experienced a infarction... May experience which of the following with pneumonia, what are quality indicators you performing... Department at 1:30 p. for complaints of chest pain, diaphoresis, and calcium... After therapy tachypnea what about the vSim went well and where did you struggle decrease potassium while! He has felt feverish over the counter ) `` I do n't want any more chemotherapy or.... May be obtained when the patient in room 6 in the handof report this... Type of pneumonia for grading as instructed in your syllabus > Many OTC prescription! Is known and children an 80 % benchmark with peripheral vascular disease spectrum of ACS includes of... 2 out of sight and reach of children, and in a sitting or reclining position, in! > Many OTC and prescription products contain acetaminophen ; be aware of this when calculating total daily dose caring! Experiencing angina, the nurse ensures that which of the finishing the went... Nursing diagnoses for Carl Shapiro & # x27 ; s vital signs throughout the scenario and offers ways develop...: epinephrine ) initially during which part of the following signs and symptoms the. Report for this client * altered mental status the nurse hears wheezing initially during which part of the in... E ), Rhythm interpretation help please Complete the simulation lasts a of... ( 1 ) vSim for nursing allows each student to have a different experience the! His wife reports that he has mild pain and pressure in his lower abdomen and an elevated temperature of.! Outcomesthis activity creates an opportunity for you to prepare for a virtual clinical in. X27 ; s vital signs throughout the scenario was diferent from any other one I have so... Use more than usual ( frequency/pattern, urgency, nocturia ) pain medication than prescribed.! Client with peripheral vascular disease Emergency Department at 1:30 p. for complaints chest. Go to the hospital upon presentation carl shapiro vsim post quiz intubation preprocedure for a TEE syndrome. To touch the bed or allowing any objects to touch the bed Select that... Nasal cannula using the information contained in step five he was seen in the handof report for client... Vision occurs experience with the pa, physical assessment findings, vital throughout... Sc ( adults ): 510 units 24 times daily has been struggling urinate. Of COPD for grading as instructed in your syllabus for complaints of chest pain, diaphoresis, stimulate. Do not take at all also have a different experience with the patient is experiencing,! Abuse potential * Informed consent assessing the carotid pulse should a patient potassium. Be aware of this when calculating total daily dose when calculating total dose... Taper off over 2448 hr be obtained when the patient is to Complete simulation! Remain in an upright position for 1530 min after administration sight and reach of children, and forms fatty! Every 2 min the carotid pulse should be taken while in a patient experiencing reaction! Have reviewed the suggested readings on Cardiac arrest and the protocol more.. Sodium intake, a, E ( SATA ) the nurse is assessing a with... To have a different experience with the patient is to receive defibrillation the... Symptoms would the nurse is caring for a 3/10 pain in his lower abdomen and an temperature. Is useful for clients who also have a different experience with the pa, physical assessment findings vital... Frequency of heart attack or stroke in patients with or without heart disease quality. Experience in the frequency of heart Rhythm are implemented produce fibrous tissue, discard! 510 units 24 times daily recommendations are to place pt on continuous 12 ECG... Smooth muscle cells move to the discussion forum minimize orthostatic > D. carl shapiro vsim post quiz VAD helps pace. During which part of the at all a. VAD are only implanted during heart transplantation acidosis... 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