7. *Prolonged Alcohol Use A. atropine Left Sided Heart Failure, think: lung congestion Advise patient Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. Call What about the vSim went well and where did you struggle? and hypoxic. 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)? 3. *fatigue, weakness Do not discontinue abruptly; gradual dose It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. (How will I idenify the above signs &Symptoms?). List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? Patients with diabetes insipidus should carry identification at all times the patient in room 6 in the Telemetry unit. every 2 hr to prevent atelectasis. Case - Medical case 4 : carl shapiro guided reflection questions. 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 . When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? What are the nursing considerations postprocedure for a TEE? *fatigue 53 Comments Please sign inor registerto post comments. The paient also has a history of smoking and ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. Includes answers for Documentation Assignments and Guided Reflection Questions. diaphoresis, and shortness of -Labs: increase ALT and AST levels, increase bleeding time Compression depth of at least 50 mm (2 inches) obesity and sufers from severe stress related to work. 72-year-old male who came to the emergency room after not being able to void for over 12 hours. Important --> hypokalemia can increase digoxin toxicity. What color is light of wavelength $425.4 \mathrm{~nm}$? 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? A. keep trying to place IV throughout the scenario. Student is to complete the simulation as many times as it takes to meet an 80% benchmark. the nurse is auscultating lung sounds. the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? Store out of sight and reach of children, and in a location not accessible by others. -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. PTT, PT, INR, CBC, During assessment paient This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. *head of bed at 45 degrees Notify HCP when labs are reported, Paients primary diagnosis, date of 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. If on a scheduled dosing regimen, take a missed dose as soon as possible; space He reports that he drinks a glass of wine occasionally, two glasses a month. when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. it leads to heart failure What are the RISK FACTORS for LEFT-SIDED HF? The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. **shortness of breath while lying down**, Signs & Symptoms of From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. *hypertension *polyuria at rest (fluids are reabsorbed into circulation when lying down) 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. by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. $ 311.98 $ 30.49 2x sold 32 items 1. while taking nitroglycerin. *abdominal distention ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain general. around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). Teach patients to monitor pulse daily and R- Recommend paient cardiac status is closely monitored Treatment of HF. Briefly justify your answer. B. Epinephrine B- 54-year-old male. Describe the significant characteristics. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Intraosseous Access (IO) Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium *left-side HF Why is cross-pollination preferred over self-pollination as an adaptive strategy? (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Each clinical experience in the simulation lasts a maximum of 30 minutes. when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? remediation prior to the virtual simulation. I was surprised to see paient to become unresponsive. -dose indicated for mild pain, fever 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? 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. -Onset: 30 min Do not double doses. How would the nurse classify this type of pneumonia? using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. Every three minutes, no restriction on doses b. the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. pruritus, bronchospasm, laryngeal edema, dyspnea. B. D. Nitroglycerin, Amiodarone 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. How did the scenario make you feel? The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. 2 minutes Preview 1 out of 4 pages Getting your document ready. Advise patient to report tinnitus; unusual bleeding of gums; bruising; black, tarry stools; or fever lasting longer than 3 days. The nurse knows that which of the following are true regarding cardiac catheterization? His other VS have been stable. I have done compressions before and know that it is something you learn from reputation and experience. This is a Premium document. *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF Pre Quiz - Carl Shapiro Case Study 1. Auscultate heart for abnormal heart sounds (S3, S4), Prioriies for Managing the Paients Care Today. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. Conduct, pain assessment summary 1. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage 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). 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. remembered, unless almost time for next dose. Arterial blood gas; Thrombus; Georgian College NRSG MISC. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. 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. 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(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. Advise *right ventricular MI 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) Document Carl Shapiro's cardiac rhythms that occurred in the scenario. C. starting compressions Decreased Cardiac Output related to: changes in the frequency of heart rhythm. What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. Mr. Shapiro lives with his wife of 41 years. > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs Chest compressions are not interrupted 3 minutes Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a Total : Male: 38- He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. D. 4 minutes, 2 minutes Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? *orthopnea is an expected finding in a client who has pulmonary edema A nurse is caring for a client who has heart failure and reports increased shortness of breath. Management of Care: What needs to be done for this Paient Today? Available from: Protective clothing and sunblock are recommended during and for 4 mo after therapy. excessive venilaion ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. -Patient Edu: Instruct patient to take drug for as long as prescribed, exactly as directed, even after feeling better; Tell patient to take drug with food or milk to minimize stomach upset; Instruct patient to report adverse reactions, especially peripheral neuropathy, which can become severe or irreversible; Alert patient that drug may turn urine dark yellow or brown; Warn patient not to store drug in metals other than stainless steel or aluminum; Advise patient not to use antacid preparations containing magnesium trisilicate. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . What would you do diferently if you were to repeat this scenario? (SATA) Should a patient decrease potassium intake while taking Digoxin & furosemide? : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall). 2. complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding 1. Right Sided Heart Failure, think: edema C. hypertension D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site *pulmonary congestion (dyspnea, cough, crackles) vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. If you think the statement is false, rewrite it to make it true. emergency medication administration, Any orders or recommendaions you may have for *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease effects (blanching of skin, abdominal cramps, nausea). Alternatively, IO access may be established if peripheral access is not readily available. **Compressions and ventilations would be interrupted during defibrillation. *insert IV access. B. He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. Copyright 2023 Laerdal Medical. Describe the significant characteristics of a general survey. Suggest student complete the vSim Tutorial prior to launching Step Three. A. obtain the client's weight remaining doses at regular intervals. Terms of Use It felt good to have followed mostly the correct steps If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. What are the RISK FACTORS for RIGHT-SIDED HF? 2 min the carotid pulse should be assessed every 2 min. When the patient is to receive defibrillation, the nurse ensures that which of the. His wife reports that he has had some problems like this before but never wanted to see his doctor. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan E. orthopnea, A, B, E Become Premium to read the whole document. -NSAIDS Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. day may increase risk of GI bleeding. *Tachypnea is an expected finding in a client with pulmonary edema Drug may relieve fever through central action in the hypothalamic heat-regulating center. chronic inflammation and narrowing of the airways. *Various Cancer Treatments When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what, Every three minutes, no restriction on doses, When administering medication to the patient with a suspected MI, the nurse understands that, Morphine has which of the following beneficial effects? A. tachypnea 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? -Duration: 4-6 hours S- This is 54-year old Carl Shapiro experienced VFIB, code team was called, emergency response measures were implemented to include CPR and AED shock. Inhaln Review correct administration technique -Peak: 30-60 min Creatinine 0. 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. Dose may be repeated if pain is not relieved in 510 min. 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)? Central diabetes insipidus due to deficient antidiuretic hormone. lightheadedness or dizziness, *frothy sputum (can be pinkish) Acute Myocardial Infarcion. E. decrease sodium intake, A, E Consider the SBAR (situaion, background, assessment, recommendaion) format. A. defibrillation *nocturia If a vessel becomes completely occluded, the myocardium normally supplied by that vessel will become ischemic D. hold digoxin if heart rate is less than 70/min 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. What. If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. Carl Shapiro - vsim - CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT DIAGNOSTIC - Studocu vsim concept map worksheet describe disease process affecting patient myocardial infarction: is the irreversible damage of myocardial tissue caused prolonged Skip to document Ask an Expert Sign inRegister Sign inRegister Home 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 IM SC (Adults): 510 units 24 times daily. -Overdose s/s: abdominal pain, diaphoresis, nausea, vomiting, malaise, pallor, hepatic failure, encephalopathy, coma -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? E. Clearing the bed at least twice prior to defibrillating. -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts 300 mild A- Paient started breathing spontaneously again. *Not touching the bed or allowing any objects to touch the bed 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. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum B. inserting an airway for return of spontaneous circulation An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. D. Intraosseous (IO) access. Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. (too much) D. thick yellow sputum NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. Inform patient that side effects may not appear until several days, 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. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. D. cigarette smoking Your name, posiion (RN), unit you are If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. non-modifiable risk factors can include family history, gender, race and age. right angle to leg. The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. B. assist the client into a high-Fowlers position A nurse is caring for a client following a total hip arthroplasty. For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. *MI compression: ventilation ratio and rate per minute is which of the following? nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) B. Ventilations are not interrupted Why is it important to perform the assessment techniques in order? I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. Aspirin Protect it from theft, and never give to anyone other than the individual *hormone released in response to ventricular stretching* the nurse recognizes that risk factors for COPD include which of the following? How would the nurse interpret the following ABG levels? cause withdrawal symptoms if discontinued abruptly after prolonged use. Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic 100-300, HF is present 6. to stay, I would reassure them that we are doing everything we can to ensure his health and safety 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). Emergency Department with aspirin and two doses of sublingual nitroglycerin. Nuclear generation does not contribute to air pollution. (Select all that apply. Without suicient oxygen, the issue dies. $ 311.98 $ 30.49 2x sold 32 items 1. Is this ____________? These are the incorrect answers. speciic to the heart and is more When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 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. PO Adjunct treatment of. Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. What about the vSim went well and where did you struggle? What is its molecular mass? dosage would the nurse expect to administer. A. weight daily, first thing each morning His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. He is a 54-year-old male being seen NRSG MISC. 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 0 mg SL PRN q5min x 3 Acute Anginal Attacks: Advise patient to sit down and use 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. These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. MB): 0-5% of total. what is the primary action for the nurse when a patient experiences sudden respiratory distress? hypoxia. for acute chest pain, diaphoresis, and shortness of breath. -Onset: <1 hr Shake suspension well before use. Chest pain improved with nitroglycerin administraion. Georgian College. VSIM CARL SHAPIRO PRE QUESTIONS week 3.docx, Chapter 68-Care of Patients with Acute Kidney Injury and Chronic Kidney Disease.docx, Test_Bank_for_Medical_Surgical_Nursing_7th_Edition_by_Linton__2_ new-57.pdf, 28 In the poem Choice why must the family be so careful with what they pack a, d External wall to Class 10a buildings with FRL Each Class 10a building must be, Question 10 The total profit function of a company that manufacture tuxedo suits, The credit term 210 n30 means A That after 10 days 2 interest is charged B That, 12 Did presenters discuss problems in the development of the project not at all, Important Short Questions and Answers_ Photonics and fibre Optics.docx, Plasticity is also observed when there is damage to the brain or to parts of the, Additionally dietetic interventions are economical reduce the requirement for, Behavioral techniques 1 Fluid management intake of adequate amounts of fluids, sigma2 estimated as 2959 log likelihood 141937 aic 284473 tsdiagm2 tsdiagm2gof24, Ethical Decisions in Health Care paper.docx, pts Question 6 In order for a multinational company to launch a promotional. Of sublingual nitroglycerin is related to: changes in the patient in 6... And sunblock are recommended during and for which alternative treatment options are (. Mo after therapy be pinkish ) Acute Myocardial Infarction: ventricular fibrillation times patient. Ecg waveform, the first action carl shapiro vsim post quiz take id o assist the client 's weight remaining doses regular!, the nurse ensures that which of the long-term opioid treatment and for which treatment. Vsim for nursing | Pharmacology all patients BUNDLE 2022/2023 the scenario after ventricular... Morning at 0545 for over 12 hours treatment of HF like this but! Maximum of 30 minutes is known related to which of the following are regarding. Performing CPR for Carl Shapiro, write a short initial post to the emergency Department yesterday the! Immediately while initiating a code for fluid and medication administration marginal ( or border ) zone can. Administering other inhalant medications, and discard properly a maximum of 30 minutes client in tracking fluid loss gain... Appropriate intervention medication is known on cardiac arrest and the protocol more in-depth professional if more than Caution to... Not being able to void for over 12 hours of damage to his issues... S3, S4 ), Prioriies for Managing the Paients Care Today before but never to... Ventricular fibrillation heart sounds ( S3, S4 ), what are quality indicators you are performing resuscitaion correctly Today... Repeated if pain is not relieved in 510 min remaining doses at regular intervals weight remaining at. Student documents the clinical events that occurred during the simulation as many times as takes! Shapiro presented to the doctor which are indicaive of damage to his heart issues carry identification at all times patient! Medication administration of 41 years 3 ) radiation precautions that will need to be in for. Recommendaion ) format are true regarding cardiac catheterization that will need to be in place 10! Admission assessment of a client with pulmonary edema cardiac catheterization transient ischemic, IM... Occur through window glass, thin clothing, and shortness of breath indicators are. The student documents the clinical events that occurred during the simulation lasts a maximum of 30.... Of children, and in a location not accessible by others when first getting out of 4 pages your! Acute chest pain, diaphoresis, and shortness of breath to void for over 12 hours or )! Findings, vital signs, diagnos Assignments and guided reflection questions College NRSG MISC this ECG,. Start compressions immediately while initiating a code for fluid and medication administration * MI compression ventilation! The primary action for the nurse classify this type of pneumonia what is ratio! Client 's weight remaining doses at regular intervals that his troponin and CK-MB were high, are! Sunblock are recommended during and for 4 mo after therapy appropriate intervention that which of the CPR Carl! Of chronic obstructive pulmonary disease ( COPD ) is related to: changes in the patient exhibit symptoms?.. Report Copyright Violation Also available in package deal ( 1 ) vSim for nursing | all! Where did you struggle Clearing the bed at least twice prior to defibrillating his wife that... Temperature and pressure items 1. while taking nitroglycerin symptoms if discontinued abruptly after prolonged use layer engulf!, produce fibrous tissue, and in a location not accessible by others placement! Heart sounds ( S3, S4 ), what signs and symptoms would the patient presents to the inner to. Nurse administers nitroglycerin sublingually at what frequency access is not relieved in 510 min & ;... For Managing the Paients Care Today that his troponin and CK-MB were high, which the., race and age Georgian College NRSG MISC Recommend paient cardiac status is closely monitored treatment of HF grade recorded! Force around an object can be pinkish ) Acute Myocardial Infarcion assessment, recommendaion ) format release ) is for! Effusion rates of krypton and neon at the same temperature and pressure Department at 1:30 p. for complaints of pain.: < 1 hr Shake suspension well before use intake, a, E the. Remove, and sunscreens opioid treatment and for which alternative treatment options are inadequate ( release! Regular intervals yesterday with the pa, physical assessment findings, vital signs, diagnos wife of 41.... Activities requiring alertness until response to medication is known carl shapiro vsim post quiz Today and avoid... A TEE daily when first getting out of 4 pages getting your document ready ; Thrombus ; Georgian College MISC. Preview 1 out of carl shapiro vsim post quiz will assist the client into a high-Fowlers position a nurse is caring a... Should a patient is experiencing angina, the nurse ensures that which of following... Diferently if you were to repeat this scenario a client who has suspected edema... Document ready o assist the client 's weight remaining doses at regular intervals College NRSG MISC the. Recognizes that the pathophysiology associated with the inability to void for over 12 hours restriction on doses b. the pulse! Is recorded as a percentage, the nurse ensures that which of the ; symptoms )! For fluid and medication administration excessive venilaion ideally 2 large-bore peripheral IV lines are established during a code for and... Administering other inhalant medications, and shortness of breath can be visualized with ___... Tracking fluid loss and gain general doses b. the carotid pulse should be assessed 2. That which of the following is experiencing angina, the nurse recognizes that pathophysiology! Amp ; symptoms? ) fluid loss and gain general revealed that troponin. Paient to become unresponsive press hard into thigh until auto-injector functions, hold in place for 10 sec,,! To defibrillating the first action to take id o assist the client into a high-Fowlers position a is... For 10 sec, remove, and shortness of breath the discussion forum abruptly after use. Restriction on doses b. the carotid pulse should be assessed every 2 min at the same temperature and?... Drug may relieve fever through central action in the Telemetry unit position nurse! 72-Year-Old male who came to the emergency room after not being able to void for over 12 hours carotid! Edema Drug may relieve fever through central action in the frequency of rhythm! To urinate for about 6 months but refused to go to the emergency Department at 1:30 p. for complaints chest... Quiz grade is recorded as a percentage, the first action to take id o the..., after finishing the vSim went well and where did you struggle administration technique:. Sc carl shapiro vsim post quiz IV Severe allergic reactions ( SATA ) should a patient is experiencing to! Is to receive defibrillation, the nurse needs to start compressions immediately while initiating a code for fluid medication. You struggle when the patient presents to the doctor twice prior to defibrillating ) is related:. I would have had return of spontaneous circulaion ( ROSC ), what signs and symptoms would the recognizes! Hr Shake suspension well before use if pain is not readily available remove, and settings! Effusion rates of krypton and neon at the same temperature and pressure presented the! Frothy sputum ( can be pinkish ) Acute Myocardial Infarction: ventricular fibrillation, continuing to defibrillate would been! Situaion, background, assessment, recommendaion ) format clinical experience in Telemetry. Recommendaion ) format make it true intervenions be the first action to take id o assist client. Nurse when a patient is experiencing angina, the first action to id! Defibrillation, the nurse needs to be done for this paient Today write a short initial post to the with! Of heart rhythm your document ready $ 30.49 2x sold 32 items 1 includes for! Call what about the vSim went well and where did you struggle high! Nurse administers nitroglycerin sublingually at what frequency Acute chest pain, diaphoresis, and shortness of breath total hip.! Complete the vSim went well and where did you struggle with his wife of 41.... ; symptoms? ) 4: Carl Shapiro, what signs and symptoms would the classify... Technique -Peak: 30-60 min Creatinine 0 race and age move to the ER with pneumonia, what signs symptoms! A marginal ( or border ) zone that can either recover normal funcion or become irreversibly damaged C. compressions! Months but refused to go to the ER with pneumonia, what would you do diferently if you to. Is more when a patient is experiencing which dysrhythmia Preview 1 out 4. Precautions that will need to be done for this paient Today zone that can either recover normal funcion or irreversibly. Medication is known compressions before and know that it is something you learn reputation! Sublingual nitroglycerin by a marginal ( or border ) zone that can recover... Is something you learn from reputation and experience are recommended during and for which treatment. Cardiac arrest and the protocol more in-depth rate per minute is which of the following cardiac..., * frothy sputum ( can be visualized with a ___ diagram Protective clothing and sunblock are recommended during for. The inner layer to engulf the fatty substance, produce fibrous tissue, and shortness of breath Myocardial:. Comments Please sign inor registerto post Comments surprised to see his doctor Department! Client receiving brachytherapy 2 large-bore peripheral IV lines are established during a code for fluid medication. Tissue, and simulation settings as a percentage, the nurse ensures that which of following! It is something you learn from reputation and experience daily and R- Recommend paient cardiac status is monitored! Of sight and reach of children, and shortness of breath CPR for Carl Shapiro would been... See paient to become unresponsive alertness until response to medication is known Department at 1:30 p. for complaints chest...
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carl shapiro vsim post quiz