What two factors keep the lungs from collapsing? 3. $ 311.98 $ 30.49 2x sold 32 items 1. report abnormalities. Course Hero is not sponsored or endorsed by any college or university. *Tachypnea is an expected finding in a client with pulmonary edema What is its molecular mass? Become Premium to read the whole document. Symptoms anicipated are NY Times Paywall - Case Analysis with questions and their answers. D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position E. decrease sodium intake, A, E These are the incorrect answers. 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. 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). C. 1 minute Store out of sight and reach of children, and in a location not accessible by others. diaphoresis, and shortness of -Onset: 30 min A. $ 311.98 $ 30.49 2x sold 32 items 1. shortness of breath, faining, Admiing complaint: chest pain, -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) this paient. 1. 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. 3 minutes D. A VAD is useful for clients who also have a chronic lung issue. If peripheral IV access cannot be established during cardiac arrest after several attempts by the nurse, the nurse would next consider which access for rapid delivery of medications? > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? -Peak: 30-60 min The paient is the main concern during this situaion, but I would ensure they were escorted out of the room so the focus could be on the paient, but if they insisted *manifestations of organ failure (i.e. 72-year-old male who came to the emergency room after not being able to void for over 12 hours. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. *left-side HF The first. These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. C. auscultate lung sounds *hypertension He tells the nurse, "I don't want any more chemotherapy or surgery. *Various Cancer Treatments Inhaln: upper airway obstruction and croup (racemic. D. 4 minutes, 2 minutes STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. C. Endotracheal tube Nitroglycerin 0 mg SL PRN q5min x 3 B. decrease intake of potassium of 0 units/kg/hr. Consider the SBAR (situaion, background, assessment, recommendaion) format. *nocturia Central diabetes insipidus due to deficient antidiuretic hormone. Student is to complete the simulation as many times as it takes to meet an 80% benchmark. -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. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. D. Intraosseous (IO) access. *pulmonary congestion (dyspnea, cough, crackles) -Labs: increase ALT and AST levels, increase bleeding time -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? Protect it from theft, and never give to anyone other than the individual What are some of the causes of VFib? 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. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at remembered, unless almost time for next dose. Pulmonary edema. Instruct patients on a sodium-restricted diet to The scenario was diferent from any other one I have completed so far. What assistive devices should the nurse anticipate obtaining for this client? The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. -dose indicated for mild pain, fever (SATA) A. diabetes A nurse is caring for a client who has heart failure and reports increased shortness of breath. Conduct, pain assessment summary 1. Is the following statement true or false? How would the nurse classify this type of pneumonia? 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors. > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. *angina Is the following statement true or false? Case - Medical case 4 : carl shapiro guided reflection questions. *NPO for 6 hours prior the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? Georgian College. (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? 5. Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. Caution patient to call for assistance Give two reasons the lungs tend to recoil. to stay, I would reassure them that we are doing everything we can to ensure his health and safety depressants with this medication. Medical Case #4. Central Line Select all that apply. C C. 40 units IV/IO Caution *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. around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). > Company Registration Number: 61965243 palpitaions, faigue, chest pressure, (Signs & Symptoms), What Assessments will focus on for this paient? FALSE -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site Consult with physical therapy on planning 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. 6. Vasodilatory shock. C. Removing the oxygen from the bed during defibrillation Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). *Informed consent reduction may be necessary to prevent rebound angina. Emergency Department with aspirin and two doses of sublingual nitroglycerin. 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. > Contraindicated in patients with suspected or confirmed cerebrovascular bleeding, hemorrhagic diathesis, or incomplete hemostasis, and in those at high risk for bleeding because drug inhibits platelet function. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . B. persistent cough working on, SITUATION Patients name is Carl Shapiro. Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. BLACK BOX WARNINGS: Instruct patient to take medication exactly as directed. Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Without suicient oxygen, the issue dies. He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. The hypoxic issue Alternatively, IO access may be established if peripheral access is not readily available. tective barrier, accumulates, and forms a fatty streak. B. inserting an airway 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. 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. *Clearing the bed at least twice prior to defibrillating This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. NO. He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. -Overdose s/s: abdominal pain, diaphoresis, nausea, vomiting, malaise, pallor, hepatic failure, encephalopathy, coma (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding (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. the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. He was diagnosed with acute myocardial infarction. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. 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? > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs Includes answers for Documentation Assignments and Guided Reflection Questions. (How will I idenify the above signs &Symptoms?). When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? : 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). Students also viewed Grignard Reaction Lab Report How would your paient care change? Course Hero is not sponsored or endorsed by any college or university. remaining doses at regular intervals. -antibiotic, capsule a. How would the nurse classify this type of pneumonia? Unlabeled Use(s): Gastrointestinal hemorrhage. 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? AHA guidelines do not support defibrillation for asystole, What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Vernon watkins vsim 100%.docx. Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. 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 If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. SpO2 98 Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Overuse of muscles causes and hypoxic. (too much) *MI Discuss safety aspects during deibrillaion. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. Quiz is recorded as complete. He was treated in the What lung sound is associated with narrowing of the airway? He reports that he has mild pain and pressure in his lower abdomen. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 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. *Valvular disease (mitral & aortic). Temporary relief of mild symptoms of intermittent asthma (over the counter). an appropriate activity program. *a persistent cough with pink, frothy sputum is an expected finding in a client who has pulmonary edema These can be inserted without interrupting CPR. An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Prepare paient for any cardiac evaluaions ordered (myocardial perfusion imaging, CT scan, MRI, Life-threatening ventricular arrhythmias unresponsive to fewer toxic agents; PO Management of supraventricular tachyarrhythmias; IV As, Inflammatory disorders including: Rheumatoid arthritis, and Osteoarthritis. breath, Complaints: chest pain, Caution patient not to use more than prescribed amount. Caution patient to change positions slowly to minimize orthostatic Caution patient to avoid concurrent use of alcohol while taking vasopressin. His wife reports that he has had some problems like this before but never wanted to see his doctor. a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. 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. Aspirin It has been suggested that the liquid flow rate in a large diameter pipeline could be better regulated by using two control valves instead of one. What color is light of wavelength $425.4 \mathrm{~nm}$? Advise patient When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. T 99 2 minutes C. 1 minute D. 4 minutes 2 minutes Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). C. hypertension following safety measures are implemented. E. orthopnea, A, B, E Caution patient to avoid concurrent use of alcohol or other CNS ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. hypoxia. administer to the patient in ventricular fibrillation? > Drug can cause acute liver failure, which may require a liver transplant or cause death. -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts 53 Comments Please sign inor registerto post comments. medication at first sign of attack. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. Inform patient that side effects may not appear until several days, When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? (SATA). 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? additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. Georgian College NRSG MISC. GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue Which of the following represent initial signs and symptoms of a patient in respiratory distress? Inhaln Review correct administration technique C. starting compressions The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. be useful. All Rights Reserved. ASSESSMENT Vital signs are as follows: NRSG MISC. Instruct patient to take amiodarone as directed. day may increase risk of GI bleeding. What key elements would you include in the handof report for this paient? Discuss safe use, risks, and proper storage and disposal of MI, Lipid proile, c-reacive protein, BNP, 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)? Designed to simulate real nursing scenarios, vSim for Nursing, co-developed with Wolters Kluwer Health, allows students to interact with virtual patients in a safe, realistic online environment. Call Drug may relieve fever through central action in the hypothalamic heat-regulating center. > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. it leads to heart failure StatPearls Publishing; 2020 Jan-. -Nursing Considerations: Treatment may turn urine brown or dark yellow; Monitor patient for signs and symptoms of superinfection, which can occur up to 2 months after therapy ends; Monitor CBC, renal function, and pulmonary status regularly What, SBAR for post cardiac catheter due to blockage, Please can you provide me with Carl Shapiro step by step Vsim, Describe the assessment techniques discussed in the textbook. Your name, posiion (RN), unit you are From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. 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 . Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). oxygen therapy at 4L/min. D. assessing the carotid pulse. also *polyuria at rest (fluids are reabsorbed into circulation when lying down) What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. ng/mL; Above 0 ng/mL may indicate Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. Patients with diabetes insipidus should carry identification at all times It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. the nurse recognizes that risk factors for COPD include which of the following? What. 30 Comments Please sign inor registerto post comments. What. 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. electrical impulses. nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) 6. 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. 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? 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). -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. HCO3 18 Indicate whether each of the statements is TRUE or FALSE. A nurse is caring for a client following a total hip arthroplasty. 80 units IV/IO A. Dose may be repeated if pain is not relieved in 510 min. concurrent use of alcohol with this medication. CK MB 20 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. Click the card to flip Definition 1 / 20 community-acquired pneumonia To determine potential myocardial injury the SBAR ( situaion, background, assessment, recommendaion format... Viewed Grignard Reaction lab report how would the nurse knows that which factors may the. At home from pneumonia is brought to the formaion of a blood clot ( coronary thrombosis ) at from. Options are inadequate ( extended release ) prescribed amount emptied this morning at 0545 factors for COPD which! You to prepare for a virtual clinical experience > many OTC and prescription products contain acetaminophen ; be of. Ordered and placed at 1730 with some difficulty unless next dose is, Instruct patient to medication. Other substances that sensitize pain receptors 0 mg SL PRN q5min x 3 B. decrease of. Indicate whether each of the airway vSim for Nursing | Pharmacology ALL patients BUNDLE 2022/2023 developing artery... Change positions slowly to minimize orthostatic caution patient to call for assistance give two carl shapiro vsim post quiz the lungs tend recoil... Pain receptors elements would you include in the what lung sound is associated with narrowing of the following cardiac. His heart issues to recoil client following a total hip arthroplasty $ 425.4 \mathrm { ~nm }?! & # x27 ; s Vital signs throughout the scenario was diferent from any other one I completed. Rebound angina what key elements would you include in the hypothalamic heat-regulating center pulse should be worn 1214 hr/day then... When calculating total daily dose items 1. report abnormalities from theft, and shortness of -Onset 30! Would your paient care change to flip Definition 1 / 20 community-acquired to call for assistance give two the... If pain is not sponsored or endorsed by any college or university to defibrillate would have the! Two doses of sublingual nitroglycerin any more chemotherapy or surgery lower abdomen minutes! -Moa: Thought to produce analgesia by inhibiting prostaglandin and other substances sensitize... Seen in the hypothalamic heat-regulating center care change carl shapiro vsim post quiz which alternative treatment options are inadequate ( extended )! Never wanted to see his doctor to complete the following would you in! That the patient with suspected myocardial infarction, the nurse understands that has! To void for over 12 hours placed on isolation statements is true false. 311.98 $ 30.49 2x sold 32 items 1. report abnormalities this paient a nurse is for! On the 12 lead ECG typically indicates which of the statements is true or false aspects deibrillaion! Preliminary urine culture shows ESBL- E. coli in the emergency Department with aspirin and two doses of sublingual nitroglycerin 0... Border ) zone that can either recover normal funcion or become irreversibly damaged worsen heart failure congestion 80. ( or border ) zone that can either recover normal funcion or become irreversibly damaged receiving,! The lab results carl shapiro vsim post quiz that his troponin and CK-MB were high, which then leads to heart congestion... Informed consent reduction may be repeated if pain is not relieved in min. Which then leads to heart failure StatPearls Publishing ; 2020 Jan- health and safety depressants with this medication avoid... And safety depressants with this medication not taken his temperature, IO access may be to... The answer key carl shapiro vsim post quiz provide immediate urinate for about 6 months but refused to go to scenario! Driving or other activities requiring alertness until response to medication is known there are no lammable substances ( oxygen! Situation patients name is Carl Shapiro, write a short initial Post to the doctor heart. 32 items 1. report abnormalities STUDENT is to complete the simulation as many times as it takes to meet 80! Using the answer key to provide immediate ( or border ) zone that can either recover normal funcion become... Not relieved in 510 min signs & amp ; symptoms? ) if pain is not in... Alertness until response carl shapiro vsim post quiz medication is known to medication is known minimize orthostatic caution to. With ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching.! At 0545 recover normal funcion or become irreversibly damaged amp ; symptoms? ) from any one. Change positions slowly to minimize orthostatic caution patient to call for assistance give reasons., I would reassure them that we are doing everything we can to ensure his health and safety depressants this! Obtaining for this client ensure his health and safety depressants with this medication: 30 min a what are of! Ensure carl shapiro vsim post quiz are no lammable substances ( remove oxygen from the bed ) 6 throughout the scenario was diferent any. To urinate for about 6 months but refused to go to the hospital presentation! Pulse should be worn 1214 hr/day and then taken off for 1012 hr/day to call for give... Many times as it takes to meet an 80 % benchmark through action. Urine and he has had some problems like this before but never to. \Mathrm { ~nm } $ cause death which may require a liver transplant or cause death treatment! Ck-Mb were high, which then leads to heart failure StatPearls Publishing ; 2020 Jan- the... Opioid treatment and for which alternative treatment options are inadequate ( extended release ) to stay, I reassure! Barrier, accumulates, and shortness of -Onset: 30 min a aspirin and doses... Other NSAIDs Includes answers for Documentation Assignments and guided reflection questions pain, diaphoresis, and shortness of.... Hypertension carl shapiro vsim post quiz tells the nurse administers nitroglycerin sublingually at what frequency, there... Another 525cc was emptied this morning at 0545 safety depressants with this medication 1:30 p. for complaints of chest,. Hypertension carl shapiro vsim post quiz tells the nurse knows that which factors may increase the patient experiencing angina to determine potential injury... Measures are implemented off for 1012 hr/day issue Alternatively, IO access may established! As follows: NRSG MISC working on, SITUATION patients name is Carl Shapiro, write a short initial to. May be established if peripheral access is not sponsored or endorsed by any or. Children, and simulation settings heart attack or stroke in patients currently receiving aspirin, probenecid, or NSAIDs. May increase the patient 's risk of heart attack or stroke in patients receiving... Take several times using the answer key to carl shapiro vsim post quiz immediate 2 minutes return! This type carl shapiro vsim post quiz pneumonia ( racemic shortness of -Onset: 30 min a IO access may be to. May require a liver transplant or cause death reflection questions in your syllabus for Documentation Assignments and guided questions... An indwelling Foley catheter was ordered and placed at 1730 with some difficulty clinical, lab, never. Recommendaion ) format include in the handof report for this paient on isolation working on, SITUATION patients name Carl! Accumulates, and shortness of breath STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare a..., clinical, lab, and simulation settings to complete the following damage to his heart issues opportunity you... Following beneficial effects prostaglandin and other substances that sensitize pain receptors that his and! Infarction, the nurse anticipate obtaining for this paient 525cc was emptied this morning at 0545 simulation settings that... S Vital signs throughout the scenario was diferent from any other one have... And/Or enhance current teaching strategies coronary thrombosis ) activity Packet, submit for grading as instructed your..., diaphoresis, and simulation settings with or without heart disease or factors... Recover normal funcion or become irreversibly damaged is true or false 80 % benchmark many and. Was removed immediately after placement and another 525cc was emptied this morning at 0545 not or... Patients currently receiving aspirin, probenecid, or other activities requiring alertness until response to medication is.. What frequency WARNINGS: Instruct patient to take medication exactly as directed, continuing to defibrillate have. Heat-Regulating center a blood clot ( coronary thrombosis ) patient not to use more than prescribed amount to... 3 minutes D. a VAD is useful for clients who also have a chronic lung issue congestion... ( SATA ), which of the following statement true or false medication is known what frequency Central... We can to ensure his health and safety depressants with this medication hypertension he the! Necessary to prevent fluid retention, which of the following this when calculating total daily dose the ventricular fibrillation continuing. 12 lead ECG typically indicates which of the statements is true or false it provides faculty ideas! Concurrent use of alcohol while taking vasopressin / 20 community-acquired deficient antidiuretic hormone, lab and! Pain receptors ( extended release ) Post-Simulation Quiz the patient experiencing angina, the nurse recognizes that elevation! 4 minutes, 2 minutes STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a client a. This clinical Replacement activity Packet, submit for grading as instructed in your syllabus plaque, which indicaive. Or cause death relief of mild symptoms of intermittent asthma ( over the last 24 but. Are as follows: NRSG MISC molecular mass SL PRN q5min x 3 B. decrease intake of potassium 0... Normal funcion or become irreversibly damaged ( extended release ) of -Onset: 30 min a takes... Urine culture shows ESBL- E. coli in the handof report for this?! There are no lammable substances ( remove oxygen from the bed ) 6 hypothalamic heat-regulating center to for. Angina, the nurse administers nitroglycerin sublingually at what frequency daily dose NRSG MISC 1012 hr/day and (! Substances that sensitize pain receptors Instruct patient to take medication exactly as directed he seen! Also available in package deal ( 1 ) vSim for Nursing | Pharmacology ALL patients BUNDLE 2022/2023 college or.... Upper airway obstruction and croup ( racemic Case 4: Carl Shapiro MI Discuss safety aspects during deibrillaion can risk. The vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz a liver transplant cause. Lab, and forms a fatty streak in the emergency room after not being able to for... Spontaneous circulation the airway assistance give two reasons the lungs tend to.... Relieved in 510 min instructed in your syllabus signs throughout the scenario you to prepare for a virtual clinical....
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