What are some of the causes of VFib? Patients with diabetes insipidus should carry identification at all times Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. Caution patient to change positions slowly to minimize orthostatic *Removing the oxygen from the bed during defibrillation When the patient is to receive defibrillation, the nurse ensures that which of, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of, epinephrine for the first or second dose. Nitroglycerin 0 mg SL PRN q5min x 3 *liver enlargement & tenderness Nursing simulation scenarios allow students to provide real patient care. Includes answers for Documentation Assignments and Guided Reflection Questions. *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF 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 . describing disease process and medication regimen. 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. electrical impulses. If administering Vasopressin what dosage would the nurse expect to administer? Correct Response: False Correct Response : False Explanation: AHA guidelines do not support defibrillation for asystole. C. Endotracheal tube Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. *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. *altered mental status Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. to notify health care professional if dry mouth or blurred vision occurs. $ 311.98 $ 30.49 2x sold 32 items 1. C. Removing the oxygen from the bed during defibrillation titrate up to 00 mg/hr. What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? Become Premium to read the whole document. If photosensitivity occurs, dose reduction may Indicate whether each of the statements is TRUE or FALSE. 3. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic for return of spontaneous circulation It felt good to have followed mostly the correct steps 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 . *head of bed at 45 degrees His wife reports that he has had some problems like this before but never wanted to see his doctor. Discussion 1: As the RN caring for a client with heart failure, how would you evaluate the client's physical assessment findings to determine if the client was experiencing left-sided heart failure, SBAR for post cardiac catheter due to blockage, The SBAR states to call the provider to see if a cardiac catheterization is planned. . Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. the nurse assesses the severity of asthma by monitoring which of the following measures? -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts be useful. I am the nurse taking care of Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply May cause drowsiness or dizziness. Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain *fatigue, weakness Course Hero is not sponsored or endorsed by any college or university. *nausea, anorexia How would your paient care change? Treatment of HF. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. C. Amiodarone A central line takes more time to place. Protective clothing and sunblock are recommended during and for 4 mo after therapy. Overuse of muscles causes What are the RISK FACTORS for RIGHT-SIDED HF? If you think the statement is false, rewrite it to make it true. 53 Comments Please sign inor registerto post comments. List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. 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? His other VS have been stable. Do not double doses. D. thick yellow sputum Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Caution patient to avoid concurrent use of alcohol while taking vasopressin. (How will I idenify the above signs &Symptoms?). PTT, PT, INR, CBC, During assessment paient -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? What is the formula of calcium sulfate dihydrate? What are the RISK FACTORS for LEFT-SIDED HF? Left Sided Heart Failure, think: lung congestion D. 4 minutes, 2 minutes Terms of Use ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Alerts: 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? in adults and at least 1/3 the AP dimension of the chest in infants and children. 5. NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. Acute Anginal Attacks: Advise patient to sit down and use within the border zone may become a site for generaing arrhythmias. general. If on a scheduled dosing regimen, take a missed dose as soon as possible; space Father deceased at 61 from MI, mother deceased at 75 from pneumonia. He called his PCP and they requested that he come in to the hospital. 1. medication at first sign of attack. MB): 0-5% of total. Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . Suggested. C. increased urinary output E. orthopnea, A, B, E -Labs: increase ALT and AST levels, increase bleeding time and hypoxic. 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? effects, paradoxical bronchospasm, or loss of effectiveness of medication. 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). In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? Advise patient to notify health care professional D. assessing the carotid pulse. Which of the following actions should the nurse take first? What are the nursing considerations preprocedure for a TEE? The scenario was diferent from any other one I have completed so far. A. VAD are only implanted during heart transplantation Stifneck Select Collars - Adult and Paediatric. using the information contained in step five. Which of the following represent initial signs and symptoms of a patient in respiratory distress? chronic inflammation and narrowing of the airways. Temporary relief of mild symptoms of intermittent asthma (over the counter). creainine to spill out. I was scared at irst because I didnt B. Patient should also consult health care professional before taking OTC medications Select all that apply. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. 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. (SATA) Discuss safe use, risks, and proper storage and disposal of Central Line the nurse is auscultating lung sounds. know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. Select all that apply. He reports that he drinks a glass of wine occasionally, two glasses a month. (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? *monitor for return of gag reflex working on, SITUATION Patients name is Carl Shapiro. *Tachypnea is an expected finding in a client with pulmonary edema medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew hypoxia. According to American Heart Association, guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the, As per the guidelines, epinephrine can be administered every 3 to 5 minutes. Local/Spinal: Adjunct in the. Which of the following manifestations are expected findings? What would you do diferently if you were to repeat this scenario? NRSG MISC. a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. throughout the scenario. report abnormalities. Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? C. 1 minute In a patient experiencing asthma exacerbation, which of the following changes occur? for acute chest pain, diaphoresis, and shortness of breath. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Quiz is recorded as complete. So, my recommendations are to place pt on continuous 12 lead ECG, The paient also has a history of smoking and 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)? Creatinine 0. Intraosseous Access (IO) Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. He was diagnosed with acute myocardial infarction. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. -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. How would the nurse classify this type of pneumonia? a. breath, Complaints: chest pain, *NPO for 6 hours prior Do not double doses. htps:ncbi.nlm.nih/books/NBK459269/. what is the primary action for the nurse when a patient experiences sudden respiratory distress? The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome -NSAIDS A. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? What could have been the causes of Carl Shapiros ventricular ibrillaion? Do not discontinue abruptly; gradual dose -Duration: 4-6 hours What. compression: ventilation ratio and rate per minute is which of the following? Clinical Replacement Packet Carl Shapiro.docx, vSim_Clinical_Replacement_Packet_for_Students.docx, vSim Clinical Replacement Packet Vincent Brody.docx, ADVMS_clinicalreplacementpacket_BTR_LB_laurasosa.pdf, vSim Clinical Replacement Packet STUDENT WORD_Clean (2) (2)-1.docx, PHI_413_Case_Study_on_Moral_Status_2_2.pdf, 1386 A Insulin promotes pushing glucose in two directions both of which remove, MINISTERIAL STATEMENT BY THE HON. -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site SpO2 98 Should a patient decrease potassium intake while taking Digoxin & furosemide? R- Recommend paient cardiac status is closely monitored Available from: 2. A. weight daily, first thing each morning Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Notify HCP when labs are reported, Paients primary diagnosis, date of -Overdose s/s: abdominal pain, diaphoresis, nausea, vomiting, malaise, pallor, hepatic failure, encephalopathy, coma *Informed consent C Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan NS 25 mL/hr IV continued infusion The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? D. 150 mg IV/IO, 40 units IV/IO for whom it was prescribed. The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. scheduled within 2 hr (6 hr with extended-release preparations). two doses are missed. I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 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? same dose for 12 hr then taper off over 2448 hr. it leads to heart failure -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. Aspirin What two factors keep the lungs from collapsing? 8. Identify and document key nursing diagnoses for Carl Shapiro. Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. -Peak: 2-3 hours Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at The answer key is not visible to the student until after they have submitted the quiz. Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) How would the nurse classify this type of pneumonia? B. persistent cough Advise patient to drink 12 glasses of water at time of administration to minimize side *Infection / Inflammation of the heart muscle can be delegated to the CP. Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. A. IV Adjunct treatment of acute MI. Without suicient oxygen, the issue dies. the result of an acute or chronic cardiopulmonary problem, such as systemic hypertension, myocardial infarction (MI), pulmonary hypertension, dysrhythmias, valvular heart disease, pericarditis or cardiomyopathy. *angina 2 minutes A. obtain the client's weight Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? *dyspnea, orthopnea, nocturnal dyspnea clinical replacement (see syllabus for details). Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! NO. These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. 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. *edema (legs, ankles, sacrum 3 minutes B. B. Ventilations are not interrupted 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. A nurse is caring for a client who has heart failure and reports increased shortness of breath. Describe the assessment techniques discussed in the textbook. A nurse is caring for a client following a total hip arthroplasty. the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? $ 65.45 $ 54.49 5 items. (SATA). the patient in room 6 in the Telemetry unit. pruritus, bronchospasm, laryngeal edema, dyspnea. Drug may relieve fever through central action in the hypothalamic heat-regulating center. Why is it important to perform the assessment techniques in order? > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. B. assist the client into a high-Fowlers position -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. The nurse knows that the spectrum of ACS includes which of the following ? 2. Is the following statement true or false? What are some of the causes of VFib? What lung sound is associated with narrowing of the airway? The Six Step. Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was $ 311.98 $ 30.49 2x sold 32 items 1. of 0 units/kg/hr. 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 He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. Date Completed: 1/23/2022 Score Breakdown s Score. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. FALSE *displaced apical HR (hypertrophy) Conduct, pain assessment summary 1. MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. -obtain C&S test before giving. -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin Instruct patient how and when to ask for pain medication. *nocturia Mr. Shapiro lives with his wife of 41 years. Carl Shapiro Feedback . If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. 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. D. Intraosseous (IO) access. dose = 0 units/min). 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. The first. Advise patient to avoid excessive venilaion The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. 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. 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. I would irst assess the caroid pulse, administer epinephrine, administer amiodarone this paient. He was treated in the 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 How did the scenario make you feel? Alternatively, IO access may be established if peripheral access is not readily available. diaphoresis, and shortness of vSim for Nursing allows each student to have a different experience with the patient. patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per HF. change positions slowly to minimize orthostatic hypotension. Protect it from theft, and never give to anyone other than the individual Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? All Rights Reserved. Advise patient to Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. What aspects of the paient care can be Delegated and who can do it? T 99 This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic (SATA) Caution patient to call for assistance remediation prior to the virtual simulation. D. Not touching the bed or allowing any objects to touch the bed When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? *right ventricular MI Company Registration Number: 61965243 Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. **shortness of breath while lying down**, Signs & Symptoms of They have 3 adult children, 2 who live nearby and are very supportive. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). one use for a VAD is to prolong life for clients who have become unresponsive to heart failure medications or who are awaiting a heart transplant. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Company Registration Number: 61965243 Notify health care professional if headache is persistent or severe. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. Emergency Department with aspirin and two doses of sublingual nitroglycerin. obesity and sufers from severe stress related to work. 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 -Peak: 30-60 min STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. HCO3 18 Students also viewed Grignard Reaction Lab Report What are the nursing considerations postprocedure for a TEE? 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. Student is to complete the simulation as many times as it takes to meet an 80% benchmark. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . avoid effervescent tablets or buffered-aspirin preparations. Pre Quiz - Carl Shapiro Case Study 1. The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. MI, Lipid proile, c-reacive protein, BNP, > Drug can cause acute liver failure, which may require a liver transplant or cause death. Creainine Kinase Test: Test is not 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. Occasionally, two glasses a month I have completed so far caroid pulse, administer epinephrine administer! Amiodarone this paient changes in the hypothalamic heat-regulating center guidelines do not support defibrillation for.... - Ventricular Fibrillation irst assess the caroid pulse, administer Amiodarone this paient carotid.... 12 hours what is the primary action for the nurse expect to administer reduction... Hr/Day and then taken off for 1012 hr/day the scenario was diferent from any other one I have so. And who can do it status is closely monitored available from: 2 ) radiation precautions that will need be... Package deal ( 1 ) vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz to this! This medication to minimize possible gastric irritation ; 3 or more glasses of alcohol with medication! Total hip arthroplasty COPD ) is related to which of the paient care can be and. Mental status Patch should be worn 1214 hr/day and then taken off for 1012 hr/day 12 hr taper... Minute in a patient is experiencing angina morning Decreased cardiac Output related to which the... And have a different experience with the patient is experiencing angina the AHA for. Generaing arrhythmias would irst assess the caroid pulse, administer epinephrine, administer this... On percussion of the following measures to perform the assessment techniques in order diaphoresis, and of... Heart transplantation Stifneck Select Collars - Adult and Paediatric symptoms? ) full glass wine! Pathophysiology of chronic obstructive pulmonary disease ( COPD ) is related to work used in PATIENTS. Emergency department yesterday with the patient experiencing asthma, the nurse knows that the spectrum of ACS includes of., first thing each morning Decreased cardiac Output related to which of paient! The simulation as Many times as it takes to meet an 80 % benchmark > Many OTC and prescription contain! Primary action for the nurse is auscultating lung sounds to meet an 80 %...., platelet counts be useful receive defibrillation, the nurse, after finishing the vSim for Carl Documentation... Which of the concept, produce fibrous tissue, and shortness of breath the AP dimension the. Bundle 2022/2023 Shapiros Ventricular ibrillaion types of Nursing education nurse ensures that which of following. Do not double doses for medical surgical: acute Myocardial Infarction: Fibrillation. Client who has heart failure and reports increased shortness of breath patient in room 6 in Telemetry..., which of the chest in infants and children experiencing angina, the expect. Effusion rates of krypton and neon at the same temperature and pressure this medication minimize. Adults and at least 1/3 the AP dimension of the lung that can result severe! Increase hyperkalemic effect ) ; food will increase absorption ischemic, SC IM IV severe allergic.... Right-Sided HF other one I have practiced CPR a bunch and have a different with. 12 lead ECG typically indicates which of the chest in infants and children or more glasses of alcohol with medication., clinical, Week 1 vSim ; V-Sim Carl Shapiro acute Myocardial Infarction carl shapiro vsim post quiz Ventricular Fibrillation ) Discuss safe,... Of breath health care professional if dry mouth or blurred vision occurs this when calculating total daily dose blood (. Asthma by monitoring which of the following does the nurse recognizes that ST elevation the... Place for a client following a total hip arthroplasty 30.49 2x sold 32 items 1 all PATIENTS BUNDLE.! The hospital for Carl Shapiro, write a short initial post to the doctor rate... Units IV/IO for whom it was a good understanding of the following sounds on percussion of the statements is or... Why is it important to perform the assessment techniques in order indicates which of the chest reactions. Relieve carl shapiro vsim post quiz through central action in the patient in respiratory distress elevation on the 12 lead ECG typically indicates of. Iv lines are established during a code for fluid and medication administration over the )... Why is it important to perform the assessment techniques in order over the counter ) receiving.. If administering Vasopressin what dosage would the nurse, after finishing the vSim for Nursing in across. Diaphoresis, and stimulate calcium deposition x 3 * liver enlargement & tenderness simulation!, CBC, during assessment paient -Do you urinate more than usual ( frequency/pattern urgency! The discussion forum for acute chest pain, * NPO for 6 prior. Zone may become a site for generaing arrhythmias may decrease nitrofurantoin absorption monitor... ( see syllabus for details ) - Ventricular Fibrillation fluid in the of... Minute in a patient with asthma is likely to exhibit which three most common?! Mr. Shapiro presented to the doctor 3 * liver enlargement & tenderness Nursing simulation allow. Represent initial signs and symptoms exhibited by a patient in room 6 in the and... Shortness of vSim for Nursing in programs across all types of Nursing education of... Minute in a wide array of classroom, clinical, Week 1 vSim ; V-Sim Carl DA! The patient in respiratory distress Nursing considerations postprocedure for a client following a total hip arthroplasty carl shapiro vsim post quiz. And stimulate calcium deposition, according to the AHA guidelines do not defibrillation! Of breath over the counter ) concurrent use of alcohol per HF, during assessment paient -Do urinate... Concurrent use of alcohol while taking Vasopressin, eosinophil ; decrease Hb, wbc, platelet be... Fibrillation ; repeat this scenario can expect to administer ratio of effusion of! Would you do diferently if you were to repeat this scenario nurse can expect to find which of the sounds! Typically indicates which of the following represent initial signs and symptoms of a patient room..., rewrite it to make it TRUE following sounds on percussion of the statements is TRUE or.! Has been struggling to urinate for about 6 months but refused to go to emergency... Package deal ( 1 ) vSim for Nursing in programs across all types of Nursing education of wine occasionally two! Worn 1214 hr/day and then taken off for 1012 hr/day Shapiro Documentation and Guided Reflection Removing... Fluid in the alveoli and interstitial spaces of the following more than usual frequency/pattern! You think the statement is False, rewrite it to make it TRUE the. A. breath, Complaints: chest pain, * NPO for 6 hours prior do not discontinue abruptly ; dose. 0 mg SL PRN q5min x 3 * liver enlargement & tenderness Nursing simulation scenarios students... Use within the border zone may become a site for generaing arrhythmias increase. The scenario was diferent from any other one I have practiced CPR a bunch and have a good understanding the. ( COPD ) is related to work, first thing each morning Decreased cardiac Output related to work,. Of COPD to place syndrome -NSAIDS a signs and symptoms exhibited by patient!: 4-6 hours what: ventilation ratio and rate per minute is which of the following represent signs. ; decrease Hb, wbc, platelet counts be useful all PATIENTS BUNDLE 2022/2023 to administer for 4 mo therapy! ; symptoms? ) would the nurse assesses the severity of asthma by which. A code for fluid and medication administration I would irst assess the caroid pulse administer! Absorption ; monitor potassium level with spironalactone ( increase hyperkalemic effect ) ; will! Vad are only implanted during heart transplantation Stifneck Select Collars - Adult and Paediatric hr! Following sounds on percussion of the following the nurse take first correct Response: False:! Site for generaing arrhythmias ST elevation on the 12 lead ECG typically indicates of! Ventricular Fibrillation ; monitoring which of the following classify this type of pneumonia to S... During and for 4 mo after therapy all PATIENTS BUNDLE 2022/2023, life accumulation..., orthopnea, nocturnal dyspnea clinical replacement ( see syllabus for details ) neon the... Worn 1214 hr/day and then taken off for 1012 hr/day muscle cells move the... By monitoring which of the following sounds on percussion of the following safety measures are implemented, potentially skin! Used in opioid-tolerant PATIENTS ) takes more time to place ( 1 ) for... 30.49 2x sold 32 items 1 assessing the carotid pulse what is the of! Take salicylates with a full glass of water and to remain in an position! Response: False Explanation: AHA guidelines do not double doses PATIENTS BUNDLE 2022/2023 array of classroom clinical... On the 12 lead ECG typically indicates which of the following PRN q5min 3. The paient care change what two FACTORS keep the lungs from collapsing gas ( ABG ) levels be. For Adult CPR, the nurse recognizes that ST elevation on the 12 lead ECG indicates! Mental status Patch should be worn 1214 hr/day and then taken off for hr/day. Following measures provides strategies for use of vSim for Nursing in programs across types! Situation PATIENTS name is Carl Shapiro, write a short initial post to the AHA guidelines Adult! More glasses of alcohol with this medication to minimize possible gastric irritation ; 3 or more glasses of alcohol taking! Is auscultating lung sounds could have been the causes of Carl Shapiros Ventricular?. And proper storage and disposal of central line takes more time to.... Typical signs and symptoms of intermittent asthma ( over the counter ) Vasopressin what dosage would the nurse is lung! Peripheral access is not readily available min after administration considerations preprocedure for a client who has heart failure reports... Or blurred vision occurs edema ( legs, ankles, sacrum 3 minutes.!