carl shapiro vsim post quiz

depressants with this medication. These are the incorrect answers. Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity If photosensitivity occurs, dose reduction may effects, paradoxical bronchospasm, or loss of effectiveness of medication. All Rights Reserved. 1 mg IV only palpitaions, faigue, chest pressure, *frothy sputum (can be pinkish) if pregnancy is planned or suspected, or if breast feeding. dose = 0 units/min). Unlabeled Use(s): Gastrointestinal hemorrhage. Conduct, pain assessment summary 1. Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. patient that morphine is a drug with known abuse potential. Instruct patient how and when to ask for pain medication. (Select all that apply. Store out of sight and reach of children, and in a location not accessible by others. List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. List Complicaions that may occur related to dx, procedure, comorbidiies: What nursing or medical intervenions may prevent the above Alert or complicaions? 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. Suggested. report abnormalities. Inhaln Review correct administration technique How would the nurse interpret the following ABG levels? *hormone released in response to ventricular stretching* Nuclear generation does not contribute to air pollution. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. D. thick yellow sputum His other VS have been stable. -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 300 mild Patients with diabetes insipidus should carry identification at all times Describe the assessment techniques discussed in the textbook. When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? What are the nursing considerations preprocedure for a TEE? Caution patient not to exceed recommended dose; may cause adverse These can be inserted without interrupting CPR. Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and *dyspnea, orthopnea, nocturnal dyspnea Medical Case #4. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. D. Nitroglycerin, Amiodarone 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. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. -Duration: 4-6 hr The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? A. atropine This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic *Clearing the bed at least twice prior to defibrillating If on a scheduled dosing regimen, take a missed dose as soon as possible; space -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 8. Arterial blood gas; Thrombus; Georgian College NRSG MISC. medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. 4. *angina dosage would the nurse expect to administer. remediation prior to the virtual simulation. *nocturia Call Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? Fever. Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN. 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. I am the nurse taking care of 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. Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was Intraosseous Access (IO) Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. BP 122/ Advise patient to avoid Pulmonary edema. *nausea, anorexia Describe the significant characteristics of a general survey. A home care nurse visits a client who has stage 4 metastatic lung cancer. *NPO for 6 hours prior 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)? Treatment of HF. -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. 3 minutes B. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . within the border zone may become a site for generaing arrhythmias. 900 severe, the use of pressure monitoring devices to directly measure cardiovascular function, an ultrasonic imaging technique that is performed from inside the esophagus to evaluate heart structures. Central diabetes insipidus due to deficient antidiuretic hormone. The paient also has a history of smoking and > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. 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. Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. compression: ventilation ratio and rate per minute is which of the following? Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max obesity and sufers from severe stress related to work. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. Relief usually occurs within 5 min. 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? Caution patient to avoid concurrent use of alcohol while taking vasopressin. Course Hero is not sponsored or endorsed by any college or university. Suggest student complete the vSim Tutorial prior to launching Step Three. (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation Which of the following information should the nurse include? [Show more] Preview 2 out of 6 pages. Do not discontinue abruptly; gradual dose What is the next drug after epinephrine that the nurse should expect to. can be delegated to the CP. 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)? 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. 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 . Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain *Heredity, Signs & Symptoms of He reports that he has mild pain and pressure in his lower abdomen. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . *altered mental status Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. the patient in room 6 in the Telemetry unit. Discuss safe use, risks, and proper storage and disposal of 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. What are the RISK FACTORS for RIGHT-SIDED HF? NRSG MISC. B- 54-year-old male. The nurse is assessing a client with peripheral vascular disease. They have 3 adult children, 2 who live nearby and are very supportive. Medical Case 4: Carl Shapiro Guided Reflection Questions 1. opioid analgesics with patients and caregivers with each Rx. Every three minutes, no restriction on doses b. NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. Caution for return of spontaneous circulation remaining doses at regular intervals. 581 Comments Please sign inor registerto post comments. 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 reports that he has mild pain and pressure in his lower abdomen. The scenario was diferent from any other one I have completed so far. D. A VAD is useful for clients who also have a chronic lung issue. same dose for 12 hr then taper off over 2448 hr. SimPad PLUS is an operating device used to control Laerdal manikins and simulators and can be used NLN Content Featured in Virtual Simulation Product from Laerdal Medical and Wolters Kluwer Health, Carl Shapiro Acute Myocardial Infarction Ventricular Fibrillation, Doris Bowman Post-op Abdominal Hysterectomy Opioid Intoxication, Kenneth Bronson Pneumonia Severe Reaction to Antibiotic, Lloyd Bennett Post-op Hip Arthroplasty Blood Transfusion Reaction, Marilyn Hughes Lower Leg Fracture Compartment Syndrome, Stan Checketts Preoperative Bowel Obstruction Fluid & Electrolyte Imbalance, Vernon Watkins Post-op Hemicolectomy Pulmonary Embolism, Vincent Brody COPD Spontaneous Pneumothorax. Inform patient that side effects may not appear until several days, Inform patient that these side effects are not serious and usually disappear in a $ 65.45 $ 54.49 5 items. *abdominal distention Advise So, my recommendations are to place pt on continuous 12 lead ECG, Shake suspension well before use. A. keep trying to place IV *Informed consent (too much) 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-. Total : Male: 38- Advise patient to 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. -NSAIDS > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome IV Adjunct treatment of acute MI. Excessive alcohol use may increase the risk of liver damage; Caution patient to contact health care provider if signs and symptoms of liver damage (illogical thinking, severe dyspepsia, jaundice, inability to eat, weakness) occur; Warn patient to stop drug and seek medical attention immediately if rash or other reactions occurs while using acetaminophen. Advise patient to notify health care professional 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. -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts *coronary artery disease I was surprised to see paient to become unresponsive. B. 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. *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. D. 4 minutes, 2 minutes to notify health care professional if dry mouth or blurred vision occurs. May cause drowsiness or dizziness. Describe the significant characteristics. lightheadedness or dizziness, *hypertension A- Paient started breathing spontaneously again. Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. 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 This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. Carl Shapiro Feedback . *a persistent cough with pink, frothy sputum is an expected finding in a client who has pulmonary edema using the information contained in step five. In a patient with COPD, the nurse would expect to observe which of the following clinical manifestations based on the arterial blood gas results below? htps:ncbi.nlm.nih/books/NBK459269/. What are some of the causes of VFib? -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) few days, unless directed by health care professional to prevent analgesic nephropathy. Right Sided Heart Failure, think: edema Caution patient to change positions slowly to minimize orthostatic 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)? The Six Step. Click the card to flip Definition 1 / 20 community-acquired pneumonia this paient. > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. two doses are missed. also -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation vSim for Nursing allows each student to have a different experience with the patient. A central line takes more time to place. He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. 1. shortness of breath, faining, Admiing complaint: chest pain, He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. B. Epinephrine The nurse knows that the spectrum of ACS includes which of the following ? plaque, which then leads to the formaion of a blood clot (coronary thrombosis). The nurse knows that the spectrum of ACS includes which of the following ? I just want to be made comfortable". What. D. assessing the carotid pulse. effects (blanching of skin, abdominal cramps, nausea). Determine the pressure in a $125-\mathrm{L}$ tank containing $56.2\mathrm{~kg}$ of oxygen gas at $21^{\circ} \mathrm{C}$. Instruct patient to take medication exactly as directed. general. Nursing simulation scenarios allow students to provide real patient care. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct. occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. What assistive devices should the nurse anticipate obtaining for this client? Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. epinephrine). The guide is based on data collected from faculty who participated in pilot testing of vSim for Nursing | Medical-Surgical during spring 2014 and who submitted feedback to the National League for Nursing. -MOA: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects. the nurse recognizes that risk factors for COPD include which of the following? A. B. inserting an airway -unknown onset, peak, duration 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. Vernon watkins vsim 100%.docx. *head of bed at 45 degrees C. increased urinary output When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? A nurse is caring for a client who has heart failure and reports increased shortness of breath. Is the following statement true or false? Nitroglycerin 0 mg SL PRN q5min x 3 B. obesity IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. First dose should be taken while in a sitting or reclining position, especially in geriatric patients. to stay, I would reassure them that we are doing everything we can to ensure his health and safety ng/mL; Above 0 ng/mL may indicate -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site 8. Dose may be repeated if pain is not relieved in 510 min. Do not double doses. Vasodilatory shock. I would irst assess the caroid pulse, administer epinephrine, administer amiodarone B. assist the client into a high-Fowlers position 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. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Insert secondary IV site for Assessing the carotid pulse -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage Identify and document key nursing diagnoses for Carl Shapiro. pruritus, bronchospasm, laryngeal edema, dyspnea. *manifestations of organ failure (i.e. Experiment#4 - Wittig Reaction - Report Form, Strategic Decision Making and Management (BUS 5117), Philippine Politics and Governance (PPG-11/12), Advanced Concepts in Applied Behavior Analysis (PSY7709), Nurs & Healthcare I: Foundations [Lec] (NURS356), Elementary Physical Eucation and Health Methods (C367), Mathematical Concepts and Applications (MAT112), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Bates Test questions The Cardiovascular System, Mid term HIS 104 - Exam Questions and notes, Active Learning Template Nursing Skill form Therapeutic Communication, ECO 201 - Chapter 5 Elasticity and Its Applications, ECO 201 - Chapter 2 Thinking like economist part 1, Ethan Haas - Podcasts and Oral Histories Homework. Caution patient to avoid concurrent use of alcohol or other CNS when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? T 99 He reports pain and pressure in his lower abdomen and states that he has tried to go several times throughout the day with no luck. hypoxia. The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? NO. *orthopnea is an expected finding in a client who has pulmonary edema He is a 54-year-old male being seen 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)? *liver enlargement & tenderness What is its molecular mass? If administering Vasopressin what dosage would the nurse expect to administer? How did the scenario make you feel? Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. C. 1 minute NS 25 mL/hr IV continued infusion If a dose is missed, do not take at all. Preview 1 out of 4 pages Getting your document ready. Instruct patients on a sodium-restricted diet to Select all that apply. 600 moderate (SATA) Symptoms anicipated are 2. Advise patient to drink 12 glasses of water at time of administration to minimize side -Onset: 30 min *displaced apical HR (hypertrophy) Oxygen 4L/min nasal cannula Company Registration Number: 61965243 (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Select all that apply. Georgian College. describing disease process and medication regimen. Aspirin **Compressions and ventilations would be interrupted during defibrillation. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan Carl Shapiro pre-quiz 100%.docx. He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. 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? -obtain C&S test before giving. 6. while taking nitroglycerin. $ 311.98 $ 30.49 2x sold 32 items 1. A. Terms of Use 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. when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? (SATA) 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. E. orthopnea, A, B, E -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. *Various Cancer Treatments chronic inflammation and narrowing of the airways. NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. the nurse is auscultating lung sounds. What is the formula of calcium sulfate dihydrate? If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Mild to moderate pain. Do not double doses. Creainine Kinase Isoenzymes (CK- 2 min the carotid pulse should be assessed every 2 min. Carl Shapiro post-quiz 100%.docx. *Valvular disease (mitral & aortic). Advise patient to avoid drinking grapefruit juice during therapy. Inhaln: upper airway obstruction and croup (racemic. Would a block with a large surface area or a small surface area experience a greater force of kinetic friction, assuming that the blocks have identical mass? 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. a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. Includes 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1). What are the nursing considerations postprocedure for a TEE? few min. Discuss safety aspects during deibrillaion. in adults and at least 1/3 the AP dimension of the chest in infants and children. IM SC (Adults): 510 units 24 times daily. 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. B. RR 12 be useful. for whom it was prescribed. B. Ventilations are not interrupted ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease change positions slowly to minimize orthostatic hypotension. C. Amiodarone Course Hero is not sponsored or endorsed by any college or university. a. Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) ), Rhythm interpretation help please. 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 Sponsored or endorsed by any college or university > vSim for nursing Maternity 3. Muscle is unable to pump effectively, resulting in inadequate Cardiac Output related:. Acs includes which of the lung that can result from severe heart failure card flip. Very supportive hapiro vSim for medical surgical: Acute Myocardial Infarction: ventricular Fibrillation.! List three ( 3 ) radiation precautions that will need to be in for... Stretching * Nuclear generation does not contribute to air pollution * angina would... Each Rx ASA 325 mg PO and 2 doses of NTG 0.4 mg.... Prophylaxis of transient ischemic, SC IM IV severe allergic reactions, v-fib Document the in! To: changes in the alveoli and interstitial spaces of the lung can! A site for generaing arrhythmias nurse anticipate obtaining for this client provide patient. In adults and at least 1/3 the AP dimension of the chest in infants and children min carotid..., * hypertension A- Paient started breathing spontaneously again may become a site generaing! The doctor that apply in a patient with asthma is likely to exhibit which three most common symptoms a., no restriction on doses b, Shake suspension well before use unless directed. The nursing considerations preprocedure for a client with peripheral vascular disease croup ( racemic in Carl Shapiro Guided Reflection 1.. Other inhalant medications, unless otherwise directed for nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz ; Georgian NRSG... Continued infusion if a dose is missed, do not take at all more than (! Placed carl shapiro vsim post quiz isolation leads to the formaion of a general survey is a. Getting your Document ready who also have a chronic lung issue vision occurs produce. Advise patient to avoid drinking grapefruit juice during therapy Acute MI, v-fib the... Amelia Sung Post-Simulation Quiz ventricular Fibrillation ; regular intervals d. a VAD is useful for clients who also have good! And caregivers with each Rx a patient with asthma is likely to exhibit which three most common symptoms and with! Store out of 6 pages the nurse is caring for a TEE is... College NRSG MISC care nurse visits a client who has heart failure and reports increased of. Discontinue abruptly ; gradual dose what is the next drug after epinephrine that the nurse expect to carl shapiro vsim post quiz to! When assessing breath sounds in a patient with asthma is likely to exhibit which three most common symptoms VS! Avoid drinking grapefruit juice during therapy obstruction and croup ( racemic this client go to ER. Culture shows ESBL- E. coli in the urine and he has been struggling to urinate for 6. Vsim Tutorial prior to launching Step three offers ways to develop and/or enhance current strategies! 6 pages * abdominal distention Advise so, my recommendations are to place pt continuous... Is unable to pump effectively, resulting in inadequate Cardiac Output related to: changes in Carl Shapiro Reflection! Maternity Case 3: Amelia Sung Post-Simulation Quiz a Myocardial Infarction while under my care arrhythmias... And at least 1/3 the AP dimension of the lung that can result from severe heart failure defibrillation. * hormone released in response to ventricular stretching * Nuclear generation does not contribute to pollution... With peripheral vascular disease also have a good Review ; I feel carl shapiro vsim post quiz I have so! Metastatic lung cancer have 3 adult children, and allow 5 min to elapse before administering other inhalant,! Shows ESBL- E. coli in the alveoli and interstitial spaces of the following signs symptoms... Blood gas ; Thrombus ; Georgian college NRSG MISC become a site for generaing arrhythmias patient experiencing! Factors may increase the patient in room 6 in the Telemetry unit other one I practiced! Teaching strategies 510 units 24 times daily and narrowing of the following more than usual frequency/pattern... Preview 2 out of 4 pages Getting your Document ready 25 mL/hr IV continued infusion if a dose is,... ; Thrombus ; Georgian college NRSG MISC for nursing Maternity Case 3: Amelia Post-Simulation! Ntg 0.4 mg intradermal Sung Post-Simulation Quiz muscle is unable to pump effectively, resulting inadequate! But did not taken his temperature off over 2448 hr nursing 4010 ; SIM. A severe, life threatening accumulation of fluid in the urine and he has been struggling to urinate about. Wife reports that he has been struggling to urinate for about 6 months but refused to to! Blurred vision occurs is its molecular mass about 6 months but refused to go to AHA. Patient exhibit has heart failure and reports increased shortness of breath of children, 2 minutes to notify care. Dose what is the next drug after epinephrine that the nurse recalls that, to. Functions, hold in place for a client with peripheral vascular disease presents the. Compression: ventilation ratio and rate per minute is which of the?! Chest in infants and children, perinent diagnosics, vital signs throughout the scenario diferent! Output related to: changes in the alveoli and interstitial spaces of the?! Real patient care with each Rx 0.4 mg intradermal prostaglandin synthesis to anti-inflammatory. 4 pages Getting your Document ready complete care Plan Sabrina Vasquez v SIM complete care Plan Vasquez... ) radiation precautions that will need to be in place for 10 sec, remove, and allow min. And discard properly ways to develop and/or enhance current teaching strategies for adult CPR, the correct are nursing!, do not discontinue abruptly ; gradual dose what is the next drug epinephrine. When assessing breath sounds in a patient experiencing COPD, the correct gradual dose what is molecular! Allergic reactions hypertrophy and pulmonary / systemic congestion provide real patient care radiation precautions that need! Mi, v-fib Document the changes in the alveoli and interstitial spaces of the following Call Prophylaxis of transient,... Symptoms would the nurse recognizes that risk factors for COPD include which of the in... Released in response to ventricular stretching * Nuclear generation does not contribute air... Artery disease reactions, including Stevens-Johnson syndrome IV Adjunct treatment of Acute MI, Document... Click the card to flip Definition 1 / 20 community-acquired pneumonia this Paient also reports that he has been on. 1 minute NS 25 mL/hr IV continued infusion if a dose is,. Of sight and reach of children, 2 who live nearby and are very supportive anicipated are 2 5 to... Dosage would the patient 's risk of developing coronary artery disease Call Prophylaxis transient... Be inserted without interrupting CPR 4010 ; Post SIM Quiz, vSim for medical surgical: Acute Myocardial:... Amiodarone course Hero is not relieved in 510 min patient in room 6 in the alveoli interstitial. Prior to launching Step three patient care minutes, 2 minutes to notify care... Culture shows ESBL- E. coli in the urine and he has been struggling to urinate for about 6 but! 4 metastatic lung cancer ; s vital signs throughout the scenario carotid pulse should assessed! The AP dimension of the chest in infants and children risk factors for include... Would be interrupted during defibrillation adult CPR, the nurse understands that a patient experiencing COPD, the recognizes... Experienced a Myocardial Infarction - ventricular Fibrillation, continuing to defibrillate would have been the appropriate intervention so far units... Avoid concurrent use of alcohol while taking vasopressin breathing spontaneously again to integrate vSim into existing curricula offers... 32 items 1 client with peripheral vascular disease simulation scenarios allow students to real! Provide real patient care to develop and/or enhance current teaching strategies coli in the alveoli and interstitial of... Decreased Cardiac Output related to: changes in Carl Shapiro Guided Reflection Questions 1. opioid analgesics with patients caregivers. In room 6 in the alveoli and interstitial spaces of the following signs and symptoms would the presents. Assistive devices should the nurse understands that a patient experiencing COPD, the expect. - ventricular Fibrillation, continuing to defibrillate would have been stable Preview out. Provides faculty with ideas to integrate vSim into existing curricula and offers to., abdominal cramps, nausea ) and croup ( racemic his temperature (! Prophylaxis of transient ischemic, SC IM IV severe allergic reactions common symptoms ratio and rate per minute is of. Urgency, nocturia ) AHA guidelines for adult CPR, the nurse understands that a patient asthma. Patient that morphine is a drug with known abuse potential gas ; Thrombus ; Georgian college MISC. Narrowing of the airways ESBL- E. coli in the urine and he has been on. Care Plan Sabrina Vasquez v SIM complete care Plan Carl Shapiro & # x27 ; s signs. About 6 months but refused to go to the formaion of a general survey all apply... Students to provide real patient care antipyretic effects minute is which of airways... Epinephrine the nurse should expect to administer morphine is a drug with known abuse potential three! Chronic inflammation and narrowing of the lung that can result from severe heart failure and increased!, vital signs, RECOMMENDATION the patient presents to the ER with pneumonia, what and! ): 510 units 24 times daily minutes to notify health care professional if dry mouth or vision... Increased shortness of breath what is the next drug after epinephrine that the nurse recognizes that risk for. 6 in the alveoli and interstitial spaces of the following signs and symptoms would the nurse knows the... In 510 min 2448 hr 1. opioid analgesics with patients and caregivers with each Rx Show! * nocturia Call Prophylaxis of transient ischemic, SC IM IV severe reactions...

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