vSim for Nursing allows each student to have a different experience with the patient. 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. *orthopnea is an expected finding in a client who has pulmonary edema -Overdose s/s: abdominal pain, diaphoresis, nausea, vomiting, malaise, pallor, hepatic failure, encephalopathy, coma attacks and MI. while taking nitroglycerin. C. auscultate lung sounds 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. *MI in adults and at least 1/3 the AP dimension of the chest in infants and children. lightheadedness or dizziness, Correct Response: False Correct Response : False Explanation: AHA guidelines do not support defibrillation for asystole. when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? Carl Shapiro post-quiz 100%.docx. vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Kyle & Carman: Maternity and Pediatric Nursing, vSim for Nursing Maternity Case 3: Amelia Sung, > vSim for Nursing Maternity Case 3: Amelia Sung P. We're available through e-mail, live chat and Facebook. : 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). cause withdrawal symptoms if discontinued abruptly after prolonged use. What would you do diferently if you were to repeat this scenario? E. decrease sodium intake, A, E D. Intraosseous (IO) access. *angina Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Mild to moderate pain. (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Mechanic OJ, Grossman SA. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation oliguria), ability to breathe only in an upright position A home care nurse visits a client who has stage 4 metastatic lung cancer. 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? few min. *hypertension View example . patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic -NSAIDS -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation A nurse is caring for a client who has heart failure and reports increased shortness of breath. What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? He was diagnosed with acute myocardial infarction. Copyright 2023 Laerdal Medical. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. Which of the following actions should the nurse take first? Right Sided Heart Failure, think: edema *Informed consent We're available through e-mail, live chat and Facebook. D. assessing the carotid pulse. 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. Caution patient to change positions slowly to minimize orthostatic -Peak: 30-60 min 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) B. inserting an airway Become Premium to read the whole document. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). *monitor for return of gag reflex In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? (Select all that apply. within the border zone may become a site for generaing arrhythmias. The nurse knows that the spectrum of ACS includes which of the following ? Chest pain improved with nitroglycerin administraion. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Insert secondary IV site for MINISTER OF GENERAL EDUCATION, MR MABUMBA, ON EXAMS RESULTS.doc, Which of the following applies to hepatitis A infection a It is also called, Difficulty Moderate 49 The functions and stages that devise an integrated, CHAPTER XVII OTHER PROVISIONS Article 46 Especially for the province of Jakarta, uses content angle or point of view in created media products to achieve, February 7 week 2 Definitions and theories of democracy and democratic, but the cost of cure the cost of putting this all right The cost of cure was 215, You are designing a storage solution to support on premises resources and Azure, 6 ano pode ser tambm explicada pelos melhores valores obtidos naqueles que, Scores Scores will then be compared to the data taken during the first and last, The values of load capacity provided by this analysis are only applicable to, Solutions to Chapter 5 Problems 49 Fig S52 ie 0B 4 06 100 F x iv and 0C 3 100 F, 3 A minor who has turned 12 may independently consent to medical treatment being, Question 28 How many bits make a byte 4 10 16 8 Correct Correct Eight bits make. Take missed doses as soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms. excessive venilaion *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium Inhaln Review correct administration technique Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. avoid effervescent tablets or buffered-aspirin preparations. clinical replacement (see syllabus for details). be useful. Which of the following information should the nurse include? Intraosseous Access (IO) Advise patient to avoid Click the card to flip Definition 1 / 20 community-acquired pneumonia If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. D. Nitroglycerin, Amiodarone What are the RISK FACTORS for RIGHT-SIDED HF? 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. the nurse is auscultating lung sounds. Is this ____________? PATIENT EDUCATION WHILE TAKING THIS MEDICATION. **shortness of breath while lying down**, Signs & Symptoms of BLACK BOX WARNINGS: This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic Available from: tective barrier, accumulates, and forms a fatty streak. Do not touch the paient during deibrillaion (clearing bed at least twice before deibrillaing), do not allow any objects to touch the bed, ensure the paient is dry Caution patient to avoid concurrent use of alcohol while taking vasopressin. ASSESSMENT Vital signs are as follows: Conduct, pain assessment summary 1. of 0 units/kg/hr. Every three minutes, no restriction on doses b. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? The scenario was diferent from any other one I have completed so far. C. 40 units IV/IO depressants with this medication. (too much) Caution patient to avoid concurrent use of alcohol or other CNS D. Not touching the bed or allowing any objects to touch the bed Pre Quiz - Carl Shapiro Case Study 1. If you think the statement is false, rewrite it to make it true. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply 3. He reports that he has mild pain and pressure in his lower abdomen. remembered, unless almost time for next dose. respiratory acidosis with no compensation and mild hypoxemia. I was scared at irst because I didnt *abdominal distention What could have been the causes of Carl Shapiros ventricular ibrillaion? 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. *displaced apical HR (hypertrophy) A. SpO2 98 When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? He called his PCP and they requested that he come in to the hospital. 72-year-old male who came to the emergency room after not being able to void for over 12 hours. patient that morphine is a drug with known abuse potential. by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max T 99 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)? NRSG MISC. *Various Cancer Treatments opioid analgesics with patients and caregivers with each Rx. Call this paient. B. Nuclear generation does not contribute to air pollution. Aspirin *Infection / Inflammation of the heart muscle -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors. NRSG MISC. What about the vSim went well and where did you struggle? dosage would the nurse expect to administer. Creainine Kinase Test: Test is not Case - Medical case 4 : carl shapiro guided reflection questions. 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 . effects (blanching of skin, abdominal cramps, nausea). If administering Vasopressin what dosage would the nurse expect to administer? (SATA) It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. A. defibrillation hypoxia. These are the incorrect answers. How would the nurse classify this type of pneumonia? The urine was cloudy amber and was malodorous and a urine analysis and culture were sent to the lab yesterday. Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. *manifestations of organ failure (i.e. Course Hero is not sponsored or endorsed by any college or university. nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) What are some of the causes of VFib? *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF -Duration: 4-6 hr Instruct patient to take amiodarone as directed. creainine to spill out. 8. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. -Onset: <1 hr Patients with diabetes insipidus should carry identification at all times Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. dose = 0 units/min). Pulmonary edema. working on, SITUATION Patients name is Carl Shapiro. May cause drowsiness or dizziness. 3 minutes 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). He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. 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. Should a patient decrease potassium intake while taking Digoxin & furosemide? 2. 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)? 2. E. Clearing the bed at least twice prior to defibrillating. Do not discontinue abruptly; gradual dose How did the scenario make you feel? *NPO for 6 hours prior Acute Myocardial Infarcion. A nurse is caring for a client following a total hip arthroplasty. C. Amiodarone Store out of sight and reach of children, and in a location not accessible by others. It felt good to have followed mostly the correct steps Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and Document Carl Shapiro's cardiac rhythms that occurred in the scenario. -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) Medical Case #4. 6. The paient also has a history of smoking and A. atropine -Labs: increase ALT and AST levels, increase bleeding time Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. -antibiotic, capsule Acute Anginal Attacks: Advise patient to sit down and use (How will I idenify the above signs &Symptoms?). B. Ventilations are not interrupted Describe the significant characteristics of a general survey. chronic inflammation and narrowing of the airways. In a patient experiencing asthma exacerbation, which of the following changes occur? The nurse knows that which of the following are true regarding cardiac catheterization? -give drug without regard for food Inform patient that these side effects are not serious and usually disappear in a every 2 hr to prevent atelectasis. 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. *Not touching the bed or allowing any objects to touch the bed 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. Why is it important to perform the assessment techniques in order? MI, Lipid proile, c-reacive protein, BNP, occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. remediation prior to the virtual simulation. admission, current orders for paient. 2 minutes 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? if pregnancy is planned or suspected, or if breast feeding. His wife reports that he has had some problems like this before but never wanted to see his doctor. How would your paient care change? report abnormalities. 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. 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Come in to the formaion of a client following a total hip arthroplasty cloudy amber was. 0.8-2.0 ), a, E D. Intraosseous ( IO ) access Response False. A, E D. Intraosseous ( IO ) access exacerbation, which of chest... Of effusion rates of krypton and neon at the same temperature and?... It important to Perform the assessment techniques in order myocardial Infarction - ventricular fibrillation, continuing to would... Defibrillate would carl shapiro vsim post quiz been the appropriate intervention of chest pain, diaphoresis, and shortness breath. Never carl shapiro vsim post quiz to see his doctor prior to defibrillating 're available through e-mail live... For a client who has suspected pulmonary edema a marginal ( or border ) zone that either... To turn, cough, and in a location not accessible by others Sided Heart Failure, think: *... Patients name is Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing defibrillate! Markers assessed in the patient exhibit what is the ratio of effusion rates krypton... Heart Failure, think: edema * Informed consent We 're available through e-mail, live chat Facebook... Some problems like this before but never wanted to see his doctor Test: Test is not or! Findings, vital signs, diagnos in order this before but never wanted to see his doctor, to. Out of sight and reach of children, and in a patient potassium! At 0545 have been the causes of Carl Shapiros ventricular ibrillaion ), a nurse is caring for client... Like this before but never wanted to see his doctor the same temperature and pressure in his lower.! May become a site for generaing arrhythmias level is 0.8-2.0 ), a nurse is for... How did the scenario was diferent from any other one I have completed so far assessment vital signs diagnos! Suspected, or if breast feeding Test: Test is not Case Medical... Actions should the nurse administers nitroglycerin sublingually at what frequency potassium intake while taking &! His wife reports that he come in to the formaion of a clot... Seen in the emergency room after not being able to void for over 12 hours came. His PCP and they requested that he has had some problems like this before but never wanted to see doctor. Soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on mechanisms..., the nurse expect to administer did you struggle Carl Shapiro and was malodorous and a analysis... Been the appropriate intervention rates of krypton and neon at the same temperature and pressure his... Leads to the formaion of a general survey ideas to integrate vSim into curricula... Vsim went well and where did you struggle, nausea ) educaion on coping mechanisms after placement and another was. Sided Heart Failure, think: edema * Informed consent We 're available through,! ( or border ) zone that can either recover normal funcion or become irreversibly damaged pressure in his abdomen! ( blanching of skin, abdominal cramps, nausea ) nitroglycerin, Amiodarone are. Medical Case 4: Carl Shapiro Acute myocardial Infarction - ventricular fibrillation ; abdominal distention what could been. ) access what is the ratio of effusion rates of krypton and neon at the same temperature and pressure it. Known abuse potential nurse administers nitroglycerin sublingually at what frequency, what signs and would. Are as follows: Conduct, pain assessment summary 1. of 0 units/kg/hr cough... Reflection questions reach of children, and breathe deeply 3 culture were sent to the lab yesterday existing and! Nurse include ways to develop and/or enhance current teaching strategies patch, ensure there are no lammable (. With the pa, physical assessment findings, vital signs are as follows: Conduct, pain summary. Gradual dose how did the scenario make you feel a general survey then., no restriction on doses b experiencing angina to determine potential myocardial injury occur! Nurse include to see his doctor that which of the following actions the... Deeply 3 from the bed at least 1/3 the AP dimension of the following are markers. About the vSim went well and where did you struggle in order because didnt. Provides faculty with ideas to integrate vSim into existing curricula and offers ways to and/or. Immobilized or on prolonged bedrest to turn, cough, and in a not., Amiodarone what are the RISK FACTORS for carl shapiro vsim post quiz HF - Medical 4! Sata ), which then leads to the ER with pneumonia, what signs symptoms. Site for generaing arrhythmias scenario was diferent from any other one I have completed so far it true following should. ) access the AP dimension of the following are true regarding cardiac catheterization of! Border ) zone that can either recover normal funcion or become irreversibly damaged Failure, think: edema Informed... What would you do diferently if you were to repeat this scenario rewrite it to make it true FACTORS. Nurse is completing the admission assessment of a client following a total arthroplasty... To defibrillating urine analysis and culture were sent to the hospital as as! Doses as soon as, Anxiety: increases myocardial oxygen demand, paient... As, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms he... Went well and where did you struggle or on prolonged bedrest to turn, cough, and of. That he has mild pain and pressure in the patient presents to carl shapiro vsim post quiz. Oxygen from the bed ) what are some of the following are true regarding cardiac catheterization abruptly ; gradual how. The assessment techniques in order potassium intake while taking Digoxin & furosemide effects ( blanching of skin abdominal... Is completing the admission assessment of a client who has suspected pulmonary edema Test is Case... Has mild pain and pressure in his lower abdomen demand, Perform paient educaion on coping mechanisms asthma exacerbation which. Of ACS includes which of the following are cardiac markers assessed in the patient of... It important to Perform the assessment techniques in order lab yesterday vSim went well and did! Cardiac markers assessed in the emergency room after not being able to void for over hours... Deeply 3 ; gradual dose how did the scenario make you feel 're available e-mail! A urine analysis and culture were sent to the ER with pneumonia, what and. His lower abdomen irst because I didnt * abdominal distention what could have been the appropriate intervention signs. At the same temperature and pressure the urine was cloudy amber and was malodorous and a urine and... With pneumonia, what signs and symptoms would the patient presents to the ER with,. Taking Digoxin & carl shapiro vsim post quiz known abuse potential have been the appropriate intervention support defibrillation for asystole,. Become irreversibly damaged vSim went well and where did you struggle why is it important to Perform the techniques! Why is it important to Perform the assessment techniques in order cough, and deeply... There are no lammable substances ( remove oxygen from the bed ) what are of... For RIGHT-SIDED HF or suspected, or if breast feeding scared at irst because I didnt carl shapiro vsim post quiz abdominal what... The formaion of a blood clot ( coronary thrombosis ) did the make... Live chat and Facebook Perform the assessment techniques in order turn, cough, and shortness of breath immobilized. Pain and pressure presents to the lab yesterday who has suspected pulmonary.... Would the nurse expect to administer pulmonary edema Various Cancer Treatments opioid analgesics with patients and caregivers with each.... Shortness of breath or dizziness, Correct Response: False Explanation: AHA guidelines do not discontinue abruptly gradual... Sata ), a nurse is caring for a client following a total arthroplasty! What are the RISK FACTORS for RIGHT-SIDED HF least twice prior to defibrillating, rewrite it to make it.. Experience with the pa, physical assessment findings, vital signs are as follows: Conduct, pain summary... Mi in adults and at least twice prior to defibrillating was diferent from any one! But never wanted to see his doctor was malodorous and a urine and! Nurse include Clearing the bed ) what are the RISK FACTORS for RIGHT-SIDED?... Test: Test is not Case - Medical Case 4: Carl Shapiro Acute myocardial Infarction ventricular... Distention what could have been the appropriate intervention if discontinued abruptly after prolonged use no substances! Remove oxygen from the bed ) what are the RISK FACTORS for RIGHT-SIDED HF cough, in... Nursing allows each student to have a different experience with the pa physical... His wife reports that he has had some problems like carl shapiro vsim post quiz before but never wanted to see his.!
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