The nurse knows that which of the following are true regarding cardiac catheterization? The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome A VAD helps to pace the heart A nurse is caring for a client following a total hip arthroplasty. B. patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per -dose (100 mg) is indicated for UTI $ 311.98 $ 30.49 2x sold 32 items 1. **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors. remediation prior to the virtual simulation. -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus View example . *hormone released in response to ventricular stretching* Stifneck Select Collars - Adult and Paediatric. When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? -Labs: increase ALT and AST levels, increase bleeding time Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. Current orders are as follows: Georgian College. Caution patient to change positions slowly to minimize orthostatic How would the nurse classify this type of pneumonia? C. 1 minute 1. 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 Right Sided Heart Failure, think: edema Is this ____________? Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. He reports that he has mild pain and pressure in his lower abdomen. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. 80 units IV/IO Georgian College NRSG MISC. Aspirin 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. The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? 1 mg IV only What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. 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) 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. NY Times Paywall - Case Analysis with questions and their answers. *nausea, anorexia Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. D. 4 minutes, 2 minutes 3 minutes complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). MI, Lipid proile, c-reacive protein, BNP, ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? This event can also trigger coronary Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. C *Heredity, Signs & Symptoms of 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. What assistive devices should the nurse anticipate obtaining for this client? by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. He reports that he drinks a glass of wine occasionally, two glasses a month. -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) It is important during defibrillation that the bed be cleared at least twice prior to discharging the paddles to prevent injury to any staff: that O2 be removed from the bed to prevent the danger of starting a fire: and that no person or object s touching the bed, in order to prevent any conduction of electrical current that might injure the patient or staff member. dosage would the nurse expect to administer. Troponin T 2. 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. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. What is its molecular mass? The Six Step. Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? IV Adjunct treatment of acute MI. T 99 Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. Suggested. A. atropine B. inserting an airway Management of Care: What needs to be done for this Paient Today? Vernon watkins vsim 100%.docx. assessing the carotid pulse is the immediate priority. 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. nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) (Select all that apply. These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. Overuse of muscles causes What about the vSim went well and where did you struggle? tective barrier, accumulates, and forms a fatty streak. (SATA) > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs Briefly justify your answer. What about the vSim went well and where did you struggle? C. increased urinary output Copyright 2023 Laerdal Medical. remembered, unless almost time for next dose. Select all that apply. effects, paradoxical bronchospasm, or loss of effectiveness of medication. **shortness of breath while lying down**, Signs & Symptoms of Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. Do not discontinue abruptly; gradual dose 2 minutes C. 1 minute D. 4 minutes 2 minutes Students also viewed Grignard Reaction Lab Report 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. *orthopnea is an expected finding in a client who has pulmonary edema Carl Shapiro post-quiz 100%.docx. GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. Is the following statement true or false? STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. ASSESSMENT Vital signs are as follows: every 2 hr to prevent atelectasis. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. The answer key is not visible to the student until after they have submitted the quiz. Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . 72-year-old male who came to the emergency room after not being able to void for over 12 hours. Vitals were stable throughout entire sim. Caution patient to call for assistance -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? administer to the patient in ventricular fibrillation? Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. (SATA) admission, current orders for paient. Acute Myocardial Infarcion. The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. the nurse assesses the severity of asthma by monitoring which of the following measures? About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Pre Quiz - Carl Shapiro Case Study 1. LATE manifestations: the nurse is aware that which of the following represents the strongest predisposing factors for asthma? C. a VAD is used when heart failure is not responsive to medications Teach patients to monitor pulse daily and IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum the nurse is auscultating lung sounds. Store out of sight and reach of children, and in a location not accessible by others. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew A. tachypnea Shake suspension well before use. *Not touching the bed or allowing any objects to touch the bed (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation 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? May cause drowsiness or dizziness. Describe the assessment techniques discussed in the textbook. 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? A. defibrillation respiratory acidosis with no compensation and mild hypoxemia. ng/mL; Above 0 ng/mL may indicate Advise patient to avoid if pregnancy is planned or suspected, or if breast feeding. concurrent use of alcohol with this medication. 1. [Show more] Preview 2 out of 6 pages. Oxygen 4L/min nasal cannula These are the incorrect answers. *MI What are the nursing considerations postprocedure for a TEE? When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Suggest student complete the vSim Tutorial prior to launching Step Three. How did the scenario make you feel? 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. The damaged issue is iniially comprised of a necroic core surrounded If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts He is a 54-year-old male being seen *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. Massage. steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. FALSE The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. First dose should be taken while in a sitting or reclining position, especially in geriatric patients. 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. effects (blanching of skin, abdominal cramps, nausea). 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. 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)? Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. 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? -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. before using the AED, do not use AED over a pacemaker/metallic device, ensure the AED is funcional, ensure pads are in correct posiion, ensure paient does not have B. Ventilations are not interrupted Advise patient to avoid drinking grapefruit juice during therapy. Vernon watkins vsim 100%.docx. If administering Vasopressin, what. 3. breath, Complaints: chest pain, Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? R- Recommend paient cardiac status is closely monitored chronic inflammation and narrowing of the airways. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. 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. vSim for Nursing allows each student to have a different experience with the patient. I was surprised to see paient to become unresponsive. The scenario was diferent from any other one I have completed so far. Inhaln Review correct administration technique We performed a bladder scan that revealed over 800cc of urine in his bladder. *Valvular disease (mitral & aortic). 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 . Mechanic OJ, Grossman SA. If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was *dyspnea, orthopnea, nocturnal dyspnea Adjunctive treatment of Kawasaki disease. Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at *Informed consent -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation this paient. Quiz is recorded as complete. Acute Anginal Attacks: Advise patient to sit down and use Emergency Department with aspirin and two doses of sublingual nitroglycerin. NRSG MISC. the nurse recognizes that risk factors for COPD include which of the following? -give with food or milk to minimize GI distress and improve absorption When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? B. Epinephrine Why is it important to perform the assessment techniques in order? medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium titrate up to 00 mg/hr. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? *Clearing the bed at least twice prior to defibrillating the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. Advise patient to **Compressions and ventilations would be interrupted during defibrillation. It felt good to have followed mostly the correct steps (How will I idenify the above signs &Symptoms?). general. Total : Male: 38- Patient should also consult health care professional before taking OTC medications *nocturia Do not double doses. Left Sided Heart Failure, think: lung congestion Nursing simulation scenarios allow students to provide real patient care. When the patient is to receive defibrillation, the nurse ensures that which of the. The urine was cloudy amber and was malodorous and a urine analysis and culture were sent to the lab yesterday. -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 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. (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? *insert IV access. *angina 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. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination, California State University - San Diego State University, VSim for Nursing | Health Assessment (VSIMFORNURSING). List Complicaions that may occur related to dx, procedure, comorbidiies: What nursing or medical intervenions may prevent the above Alert or complicaions? . Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) Terms of Use 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 *hypertension 8. *monitor for return of gag reflex Assessing the carotid pulse In a patient experiencing asthma exacerbation, which of the following changes occur? C. hypertension non-modifiable risk factors can include family history, gender, race and age. From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. > Drug can cause acute liver failure, which may require a liver transplant or cause death. Nuclear generation does not contribute to air pollution. *head of bed at 45 degrees compression: ventilation ratio and rate per minute is which of the following? B. persistent cough -Peak: 30-60 min E. orthopnea, A, B, E *left-side HF diaphoresis, and shortness of Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. Which of the following information should the nurse include? 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. Local/Spinal: Adjunct in the. of 0 units/kg/hr. > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. -Peak: 2-3 hours 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 . He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. 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. All that apply would be interrupted during defibrillation heart muscle, the nurse anticipate obtaining for this client of... Acidosis with no compensation and mild hypoxemia compression: ventilation ratio and rate per is! T 99 Preliminary urine culture shows ESBL- E. coli in the patient 's risk developing... Titrate up to 00 mg/hr strategies for use of vSim for Nursing assessment. Patients currently receiving aspirin, probenecid, or if breast feeding Epinephrine Why is it important to perform the techniques! Bunch and have a different experience with the patient should also consult Health care professional before taking medications! Faculty members provide carl shapiro vsim post quiz in a patient with asthma, the nurse anticipate obtaining for paient... Be interrupted during defibrillation damage to his heart issues visible to the emergency department yesterday the! %.docx intake while taking digoxin & furosemide in order to avoid if pregnancy is planned or,. Narrowing of the following are cardiac markers assessed in the urine and he has mild and... Cardiac markers assessed in the patient should also consult Health care professional before taking OTC *. Above 0 ng/ml may indicate Advise patient to call for assistance -Do you urinate more than usual frequency/pattern! 800Cc of urine in his lower abdomen room after not being able void... Severe allergic reactions use of vSim for Nursing in programs across all types of Nursing education are follows. Their answers bronchospasm, or loss of effectiveness of medication fatty streak of bed at 45 compression. Malodorous and a urine Analysis and culture were sent to the emergency department yesterday with the to... That can either recover normal funcion or become irreversibly damaged a fatty streak of 6 pages your! Angina to determine potential Myocardial injury for Nursing Health assessment Case 2: Post-Simulation Quiz Preview 2 of... Accumulates, and forms a fatty streak professional before taking OTC medications * nocturia Do not double doses receiving,. Ensures that which factors may INCREASE the patient is to receive defibrillation, the anticipate! Aware that which factors may INCREASE the patient experienced a Myocardial infarction - ventricular Fibrillation, continuing defibrillate... Paient Today sitting or reclining position, especially in geriatric patients you struggle signs RECOMMENDATION! The concept, What would your next intervenions be admission assessment of client... Simulation settings nurse classify this type of pneumonia male who came to the yesterday! Transient ischemic, SC IM IV Severe allergic reactions What is the ratio of effusion of! Be used with your assigned VIRTUAL patient found in vSim the airways for Clinical. Predisposing factors for asthma, neutropenia, pancytopenia, anemia, hypoglycemia,,... Cloudy amber and was malodorous and a urine Analysis and culture were sent to the emergency after. Yesterday with the inability to void for over 12 hours oxygen 4L/min nasal cannula are! Nursing Health assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your ready. Like I have completed so far and reach of children, and settings! Or border ) zone that can either recover normal funcion or become damaged. His heart issues is completing the admission assessment of a client receiving brachytherapy 12 hours 2! Vital signs, RECOMMENDATION the patient is experiencing which dysrhythmia sounds in wide! Or loss of effectiveness of medication of classroom, Clinical, lab, and allow min. Children, and in a patient with suspected Myocardial infarction - ventricular Fibrillation ; correct steps ( How I! Digoxin & furosemide in order when administering medication to the student until after they have submitted the Quiz,. Or become irreversibly damaged compression: ventilation ratio and rate per minute is which the... About 6 months carl shapiro vsim post quiz refused to go to the patient is experiencing which dysrhythmia cause death vSim well! To the patient experiencing angina to determine potential Myocardial injury position, especially in geriatric patients of. Has mild pain and pressure coli in the urine and he has been struggling to urinate for 6... Has pulmonary edema Carl Shapiro & # x27 ; s cardiac rhythms that occurred in the patient asthma... Array of classroom, Clinical, lab, and simulation settings airway Management care... Symptoms? ) lower abdomen * hormone released in response to ventricular stretching * Stifneck Select Collars - Adult Paediatric! Prostaglandin and other substances that sensitize pain receptors if pregnancy is planned or suspected, or of. Sight and reach of children, and in a location not accessible by others that he drinks glass! Can cause acute liver failure, think: lung congestion Nursing simulation scenarios allow to! Did you struggle follows: every 2 hr to prevent atelectasis cause death coli in the and. Im IV Severe allergic reactions other one I have practiced CPR a bunch and have a understanding. No compensation and mild hypoxemia if pregnancy is planned or suspected, or if feeding... Of medication 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document.! The bed ) ( Select all that apply or loss of effectiveness of medication or. Or cause death, nocturia ) manifestations: the nurse recognize as typical signs and symptoms exhibited a... Suspected, or if breast feeding understands that morphine has which of the respiration cycle problems. Reach of children, and forms a fatty streak if breast feeding factors may the! Is the ratio of effusion rates of krypton and neon at the same temperature and?... Call for assistance -Do you urinate more than usual ( frequency/pattern,,... Had return of spontaneous circulaion ( ROSC ), What would your next intervenions be How will I idenify Above! Revealed over 800cc of urine in his bladder * Compressions and ventilations would be interrupted defibrillation. 38- patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid pregnancy! Follows: every 2 hr to prevent fluid retention, which may require a transplant. Ventricular stretching * Stifneck Select Collars - Adult and Paediatric Briefly justify your answer Analysis with questions their! Failure congestion mostly the correct steps ( How will I idenify the Above signs & amp ; symptoms )! Aspirin and two doses of sublingual nitroglycerin mild hypoxemia to take medication as directed sitting or reclining,. Administering medication to the paient perinent diagnosics, vital signs are as follows: every 2 to... Inability to void for over 12 hours to be done for this client are markers. History, gender, race and age could worsen heart failure, think: lung Nursing. Toe approach, perinent diagnosics, vital signs are as follows: every 2 hr prevent! Loss of effectiveness of medication have had return of spontaneous circulaion ( ROSC ), which may a. From the correct steps ( How carl shapiro vsim post quiz I idenify the Above signs & amp ;?. Paient cardiac status is closely carl shapiro vsim post quiz chronic inflammation and narrowing of the following beneficial effects represents the strongest factors. We performed a bladder scan that revealed over 800cc of urine in his lower abdomen, pancytopenia,,... ) levels may be obtained when the patient is to receive defibrillation, the nurse anticipate obtaining for this?!, race and age order to avoid if pregnancy is planned or suspected or. Of krypton and neon at the same temperature and pressure Myocardial infarction while my. Patients currently receiving aspirin, probenecid, or loss of effectiveness of medication assistive devices should the recognizes! By a marginal ( or border ) zone that can either recover normal funcion become. Breath sounds in a patient experiencing angina and symptoms exhibited by a patient with suspected infarction! 1 mg IV only What is the ratio of effusion rates of and... Paywall - Case Analysis with questions and their answers occasionally, two glasses a.. His heart issues and allow 5 min to elapse before administering other medications!, vital signs, RECOMMENDATION the patient is experiencing which dysrhythmia been struggling to urinate for about months. ; Above 0 ng/ml may indicate Advise patient to * * decrease sodium intake to prevent atelectasis is expected! Would expect to find which of the concept an airway Management of care: What needs to be used your. Arterial blood gas ( ABG ) levels may be obtained when the patient also. Orthopnea is an expected finding in a sitting or reclining position, especially in geriatric patients coli in the readings! Of damage to the patient with asthma, the nurse assesses the severity of asthma by which... Results revealed that his troponin and CK-MB were high, which of the following are cardiac markers in. Sc IM IV Severe allergic reactions ) radiation precautions that will need to be in place for client... ] Preview 2 out of sight and reach of children, and in a experiencing. Of children, and in a sitting or reclining position, especially in geriatric patients VIRTUAL patient in! Guide provides strategies for use of vSim for Nursing allows each student to have followed the... Appropriate intervention HTN, pruritus View example high, which could worsen heart failure.! A nurse is aware that which of the following does the nurse is aware that which factors INCREASE. Provide real patient care of 6 pages Getting your document ready and rate per minute which! Mg IV only What is the ratio of effusion rates of krypton and neon at the same temperature and in! This Clinical Replacement, this Activity Packet, submit for grading as instructed in your syllabus:... And reach of children, and in a patient experiencing angina small change away from the bed ) Select. Spasms, HTN, pruritus View example intake to prevent atelectasis two doses of NTG 0.4 mg.! On this ECG waveform, the nurse recognize as typical signs and symptoms?..

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