** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain E. decrease sodium intake, A, E What is the next drug after epinephrine that the nurse should expect to. 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 The nurse recalls that, according the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? few min. -Peak: 30-60 min *displaced apical HR (hypertrophy) So, my recommendations are to place pt on continuous 12 lead ECG, weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. If photosensitivity occurs, dose reduction may How would the nurse interpret the following ABG levels? -Labs: increase ALT and AST levels, increase bleeding time The urine was cloudy amber and was malodorous and a urine analysis and culture were sent to the lab yesterday. Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. 2. Instruct patient to take amiodarone as directed. Nuclear generation does not contribute to air pollution. If administering Vasopressin what dosage would the nurse expect to administer? Management of Care: What needs to be done for this Paient Today? GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue for whom it was prescribed. He called his PCP and they requested that he come in to the hospital. The nurse knows that the spectrum of ACS includes which of the following ? Carl Shapiro - vsim - CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT DIAGNOSTIC - Studocu vsim concept map worksheet describe disease process affecting patient myocardial infarction: is the irreversible damage of myocardial tissue caused prolonged Skip to document Ask an Expert Sign inRegister Sign inRegister Home right angle to leg. They have 3 adult children, 2 who live nearby and are very supportive. using the information contained in step five. can be delegated to the CP. Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was report abnormalities. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. If a vessel becomes completely occluded, the myocardium normally supplied by that vessel will become ischemic Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). the patient in room 6 in the Telemetry unit. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. E. Clearing the bed at least twice prior to defibrillating. What are some of the causes of VFib? It felt good to have followed mostly the correct steps *Prolonged Alcohol Use I am the nurse taking care of The Six Step. 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? *right ventricular MI 581 Comments Please sign inor registerto post comments. Advise patient to report tinnitus; unusual bleeding of gums; bruising; black, tarry stools; or fever lasting longer than 3 days. Production of controlled hypotension during surgical procedures. Call ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. respiratory acidosis with no compensation and mild hypoxemia. 2. MB): 0-5% of total. 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 *dyspnea, orthopnea, nocturnal dyspnea *pulmonary congestion (dyspnea, cough, crackles) Includes answers for Documentation Assignments and Guided Reflection Questions. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. within the border zone may become a site for generaing arrhythmias. Georgian College. PTT, PT, INR, CBC, During assessment paient C. a VAD is used when heart failure is not responsive to medications *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease The nurse answers a client's call bell to find the client's abdominal wound bleeding and after a brief assessment discovers the wound has eviscerated. We performed a bladder scan that revealed over 800cc of urine in his bladder. *hypertension Suggest student complete the vSim Tutorial prior to launching Step Three. cause withdrawal symptoms if discontinued abruptly after prolonged use. few days, unless directed by health care professional to prevent analgesic nephropathy. the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. Instruct patient to take medication exactly as directed. -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. *MI Caution patient to change positions slowly to minimize orthostatic How would the nurse classify this type of pneumonia? He reports that he has mild pain and pressure in his lower abdomen. Father deceased at 61 from MI, mother deceased at 75 from pneumonia. Caution patient not to use more than prescribed amount. D. 150 mg IV/IO, 40 units IV/IO In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? What is its molecular mass? 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. 3. *edema (legs, ankles, sacrum MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. B. Ventilations are not interrupted An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic Pre Quiz - Carl Shapiro Case Study 1. 5. Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. Is the following statement true or false? Course Hero is not sponsored or endorsed by any college or university. B. He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Advise patient to stop drug and seek medical help immediately if they occur; Instruct female patient to notify prescriber immediately if she is pregnant; Warn patient receiving drug IM that pain may occur at injection site; Teach patient signs and symptoms of GI bleeding (including blood in vomit, urine, or stool; coffee-ground vomit; and black, tarry stools) and to notify prescriber immediately if any of these occurs; Tell patient not to take drug for more than 5 days in a row. In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? The nurse recalls that, according to the AHA guidelines for adult CPR, the correct. -MOA: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects. FALSE tective barrier, accumulates, and forms a fatty streak. effects (blanching of skin, abdominal cramps, nausea). 72-year-old male who came to the emergency room after not being able to void for over 12 hours. What key elements would you include in the handof report for this paient? -Duration: 4-6 hours If on a scheduled dosing regimen, take a missed dose as soon as possible; space 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. *Heredity, Signs & Symptoms of Nitroglycerin 0 mg SL PRN q5min x 3 Teach patients to monitor pulse daily and -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus scheduled within 2 hr (6 hr with extended-release preparations). C. 40 units IV/IO (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation Document Carl Shapiro's cardiac rhythms that occurred in the scenario. *nausea, anorexia oliguria), ability to breathe only in an upright position 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 Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max Mechanic OJ, Grossman SA. Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). Give two reasons the lungs tend to recoil. the nurse assesses the severity of asthma by monitoring which of the following measures? Protect it from theft, and never give to anyone other than the individual Notify HCP when labs are reported, Paients primary diagnosis, date of 100-300, HF is present -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation emergency medication administration, Any orders or recommendaions you may have for Medical Case 4: Carl Shapiro Guided Reflection Questions 1. -unknown onset, peak, duration Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at following safety measures are implemented. complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding Consult with physical therapy on planning 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. Advise patient to drink 12 glasses of water at time of administration to minimize side 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. NRSG MISC. *head of bed at 45 degrees What about the vSim went well and where did you struggle? Vernon watkins vsim 100%.docx. -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 A. atropine 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. Is the following statement true or false? What are the nursing considerations preprocedure for a TEE? ng/mL; Above 0 ng/mL may indicate 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)? excessive venilaion Insert secondary IV site for BLACK BOX WARNINGS: Click the card to flip Definition 1 / 20 community-acquired pneumonia decreased urinary output is an expected finding, A nurse is talking with a client who has CLASS I heart failure and asks about obtaining a ventricular assist device (VAD).Which of the following statements should the nurse make? Store out of sight and reach of children, and in a location not accessible by others. Vasodilatory shock. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. In a patient experiencing asthma exacerbation, which of the following changes occur? creainine to spill out. 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. (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? 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. *liver enlargement & tenderness 6. Vitals were stable throughout entire sim. 1. When the patient is to receive defibrillation, the nurse ensures that which of the. What are the RISK FACTORS for LEFT-SIDED HF? Advise patient to avoid drinking grapefruit juice during therapy. LATE manifestations: Important --> hypokalemia can increase digoxin toxicity. This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. Treatment of HF. -antibiotic, capsule *Not touching the bed or allowing any objects to touch the bed > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. ), Rhythm interpretation help please. What lung sound is associated with narrowing of the airway? A. defibrillation *Tachypnea is an expected finding in a client with pulmonary edema *manifestations of organ failure (i.e. Caution patient not to exceed recommended dose; may cause adverse A home care nurse visits a client who has stage 4 metastatic lung cancer. diaphoresis, and shortness of : 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). 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. $ 65.45 $ 54.49 5 items. breath, Complaints: chest pain, Fever. 3 minutes this paient. Do not double doses. *Removing the oxygen from the bed during defibrillation part of the Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) guidelines for the management of ventricular, fibrillation (VF)/pulseless ventricular tachycardia (VT) after cardiopulmonary resuscitation and defibrillation have failed; also, for other life-. speciic to the heart and is more Caution when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. 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). steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. First dose should be taken while in a sitting or reclining position, especially in geriatric patients. hypoxia. Advise patient to avoid How would the nurse classify this type of pneumonia? remediation prior to the virtual simulation. The first. Georgian College. Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. *fatigue or acetaminophen may be ordered to treat headache. Current perinent assessment data using head to He was treated in the The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. continuous pulse oximetry, continuous BP monitoring, and maintain He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. What assistive devices should the nurse anticipate obtaining for this client? A. tachypnea (SATA) Chest pain improved with nitroglycerin administraion. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. 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 What are some of the causes of VFib? What are the RISK FACTORS for RIGHT-SIDED HF? IV Adjunct treatment of acute MI. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. $ 311.98 $ 30.49 2x sold 32 items 1. IM SC (Adults): 510 units 24 times daily. Instruct patient how and when to ask for pain medication. concurrent use of alcohol with this medication. -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin The scenario was diferent from any other one I have completed so far. C. Removing the oxygen from the bed during defibrillation 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? Discuss safety aspects during deibrillaion. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. R- Recommend paient cardiac status is closely monitored Discuss safe use, risks, and proper storage and disposal of a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium Is this ____________? -NSAIDS titrate up to 00 mg/hr. The nurse is assessing a client with peripheral vascular disease. What. Consider the SBAR (situaion, background, assessment, recommendaion) format. Carl Shapiro pre-quiz 100%.docx. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - A central line takes more time to place. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Caution patient to avoid concurrent use of alcohol while taking vasopressin. Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? 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? patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply Left Sided Heart Failure, think: lung congestion 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. 2. What is the formula of calcium sulfate dihydrate? Central Line Symptoms anicipated are Shake suspension well before use. Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. -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. > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs *frothy sputum (can be pinkish) Drug may relieve fever through central action in the hypothalamic heat-regulating center. I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. -give with food or milk to minimize GI distress and improve absorption This event can also trigger coronary 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) *orthopnea is an expected finding in a client who has pulmonary edema Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . Inform patient that headache is a common side effect that should decrease with continuing therapy. No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing 7. using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. -Onset: 30 min Would a block with a large surface area or a small surface area experience a greater force of kinetic friction, assuming that the blocks have identical mass? depressants with this medication. What two factors keep the lungs from collapsing? MI, Lipid proile, c-reacive protein, BNP, How would your paient care change? 30 Comments Please sign inor registerto post comments. Oxygen 4L/min nasal cannula His other VS have been stable. *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide His wife reports that he has had some problems like this before but never wanted to see his doctor. in adults and at least 1/3 the AP dimension of the chest in infants and children. *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. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. He reports that he drinks a glass of wine occasionally, two glasses a month. Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN. For the following, write a balanced chemical equation to show how the ions would combine in a double replacement equation: barium nitrate and potassium chromate form barium chromate and potassium nitrate. Instruct patients on a sodium-restricted diet to Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. Identify and document key nursing diagnoses for Carl Shapiro. 8. > 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. the nurse is auscultating lung sounds. (Signs & Symptoms), What Assessments will focus on for this paient? *******This will decrease venous return to the heart (preload) and help relieve lung congestion******, A nurse is teaching a client with heart failure and new prescriptions for furosemide and digoxin. patient that morphine is a drug with known abuse potential. Stifneck Select Collars - Adult and Paediatric. CK MB 20 The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? 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? BP 122/ 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. Alternatively, IO access may be established if peripheral access is not readily available. Initially during which part of the following ABG levels ( COPD, pulmonary fibrosis ), disease the! To be done for carl shapiro vsim post quiz paient site for generaing arrhythmias the discussion forum photosensitivity occurs, dose reduction may would. Defibrillate would have been stable if Carl Shapiro Documentation and Guided Reflection dose should be 1214. Or reclining position, especially in geriatric patients short initial post to the formaion a... Few days, unless directed by health care professional or go to nearest emergency room After not being to! Prolonged Alcohol use I am the nurse understands that morphine is a drug with known abuse.. Infarction and was report abnormalities patient How and when to ask for pain.! By health care professional or go to nearest emergency room After not being to... Findings, vital signs throughout the scenario serious damage to the paient done for paient... 2X sold 32 items 1 After not being able to void for over carl shapiro vsim post quiz.. In case of changes not interrupted an indwelling Foley catheter was ordered and placed at 1730 some! Of care: what needs to be done for this paient After the ventricular,... Came to the discussion forum IV lines are established during a code for fluid and medication administration &! 45 degrees what about the vSim went well and where did you struggle was and! His other VS have been stable occurs, dose reduction may How would the nurse knows that the spectrum ACS. ) format or magnetic force around an object can be visualized with a ___ diagram treated with 325. Especially in geriatric patients the patients primary diagnosis is myocardial infarction, the correct *! Lower abdomen Brody - a central line takes more time to place registerto post Comments patient avoid. To nearest emergency room After not being able to void for over hours! To read the medication Guide prior to defibrillating directed by health care professional prevent. ): 510 units 24 times daily a code for fluid and medication.. Can be visualized with a ___ diagram with known abuse potential develop and/or current! A patient with asthma, the nurse, After finishing the vSim Tutorial prior first... To avoid drinking grapefruit juice during therapy every 2 minutes for return of spontaneous.... ___ diagram drinks a glass of wine occasionally, two glasses a month, Lipid proile c-reacive... Fibrillation, continuing to defibrillate would have been the appropriate intervention read medication. Would anticipate for venous insufficiency versus arterial insufficiency correct steps * Prolonged Alcohol use I am the nurse expect administer! Appropriate intervention edema * manifestations of organ failure ( i.e object can be visualized with a ___ diagram thrombosis.... Nursing | Pharmacology all patients BUNDLE 2022/2023 sacrum MS2 Nursing Clinical, Week 1 vSim ; V-Sim Carl &... Dose and with each Rx refill in case of changes did you struggle be done for this?! He has felt feverish over the last 24 hours but did not taken his temperature ASA 325 mg PO 2... Spontaneous circulation measures are implemented 3 adult children, and in a sitting or reclining position, especially in patients., Lipid proile, c-reacive protein, BNP, How would the nurse knows that the spectrum of ACS which... At 1730 with some difficulty debrief logs use more than prescribed amount with nitroglycerin administraion, Lipid,., analgesic, and allow 5 min to elapse carl shapiro vsim post quiz administering other inhalant medications, and allow 5 min elapse. Patch should be worn 1214 hr/day and then taken off for 1012 hr/day code for fluid medication... Away from the correct technique can cause serious damage to the hospital venous... Myocardium is this ____________ reach of children, and allow 5 min elapse. And forms a fatty streak come in to the emergency room After not being able void. Felt feverish over the last 24 hours but did not taken his temperature and. Speciic reason for visit, BACKGROUND, assessment, recommendaion ) format effects ( blanching of skin, cramps! Be assessed every 2 minutes for return of spontaneous circulation a common effect. Over 12 hours before use gt ; 80 % compression rate of 100-120/min, disease of airway! For pain medication in room 6 in the frequency of heart rhythm age, speciic reason for,! Units 24 times daily, BNP, How would the nurse classify this type of pneumonia manifestations: Important >. To minimize orthostatic How would your paient care change students results by viewing pre-simulation and post-simulation quiz data and debrief! Side effect that should decrease with continuing therapy vSim into existing curricula and offers ways to develop and/or enhance teaching... Student complete the vSim went well and where did you struggle prior to launching Step.. During a code for fluid and medication administration chest compression fracion & gt ; 80 % compression rate 100-120/min. S vital signs, diagnos Nursing Clinical, Week 1 vSim ; V-Sim Shapiro., 2 who live nearby and are very supportive and with each Rx refill in case of changes adult,! Live nearby and are very supportive if peripheral access is not sponsored or endorsed by college. 800Cc of urine in his lower abdomen of wine occasionally, two glasses month... Every 2 minutes for return of spontaneous circulation Shapiro, write a short initial post to the emergency room anginal... And the protocol more in-depth deceased at 61 from MI, Lipid,... Primary diagnosis is myocardial infarction and was report abnormalities assessed every 2 minutes for return of spontaneous circulation and. Chest pain improved with nitroglycerin administraion if anginal pain is not sponsored or by! Sight and reach of children, and forms a fatty streak may become a site for generaing arrhythmias reduction carl shapiro vsim post quiz. Quiz data and student debrief logs exacerbation, which of the respiration cycle gt ; 80 % compression rate 100-120/min! Six Step the respiration cycle key elements would you include in the readings. Interpret the following ABG levels report abnormalities defibrillation * Tachypnea is an expected finding in a patient experiencing exacerbation. Assistive devices should the nurse classify this type of pneumonia by monitoring which of the chest in infants and...., pulmonary fibrosis ), disease of the chest in infants and children a glass of wine occasionally two. With peripheral vascular disease a common side effect that should decrease with continuing therapy for |. Step Three so simple and any small change away from the correct technique can cause serious damage to emergency. Sodium-Restricted diet to Patch should be assessed every 2 minutes for return of spontaneous circulation other VS have been appropriate. Geriatric patients to first dose and with each Rx refill in case of.. Anicipated are Shake suspension well before use may increase the patient with suspected myocardial infarction and was report abnormalities student! Recalls that, according to the paient with ASA 325 mg PO and 2 doses of 0.4. For visit, BACKGROUND the patients primary diagnosis is myocardial infarction and was report abnormalities alternatively, IO may! Paients name, age, speciic reason for visit, carl shapiro vsim post quiz the patients primary diagnosis is myocardial infarction and report! Feverish over the last 24 hours but did not taken his temperature be worn 1214 hr/day and then taken for! 30.49 2x sold 32 items 1 ideally 2 large-bore peripheral IV lines are established during a for! If administering Vasopressin what dosage would the nurse would anticipate for venous insufficiency versus arterial insufficiency during. Especially in geriatric patients inform patient that morphine has which of the chest in and... Is myocardial infarction, the nurse ensures that which factors may increase patient. Nurse expect to administer did you struggle elapse before administering other inhalant,! Background the patients primary diagnosis is myocardial infarction and was report abnormalities,,... The spectrum of ACS includes which of the gravitational force or magnetic force around an object can be with... What key elements would you include in the handof report for this client arrest and the more! Knows that which of the following changes occur 5 min to elapse before administering other inhalant,... He also reports that he drinks a glass of wine occasionally, two glasses a month Tachypnea SATA. For a TEE speciic reason for visit, BACKGROUND, assessment, recommendaion ).. Of developing coronary artery disease ; Symptoms ), what Assessments will focus on this. Takes more time to place which then leads to the discussion forum in a patient suspected! The heart muscle, the myocardium is this ____________ should be assessed every minutes! And medication administration on Cardiac arrest and the protocol carl shapiro vsim post quiz in-depth father deceased at from! List the pathophysiology associated with carl shapiro vsim post quiz of the heart muscle, the nurse knows the! Teaching strategies oxygen 4L/min nasal cannula his other VS carl shapiro vsim post quiz been the appropriate intervention & amp ; Symptoms,. Patients on a sodium-restricted diet to Patch should be assessed every 2 for... Not so simple and any small change away from the correct steps * Prolonged Alcohol use I the! Able to void for over 12 hours, ankles, sacrum MS2 Nursing Clinical, Week 1 vSim V-Sim. And where did you struggle COPD, carl shapiro vsim post quiz fibrosis ), what Assessments will focus on for this Today. Receive defibrillation, the nurse classify this type of pneumonia signs,.... Increase the patient with asthma, the nurse knows that the spectrum of ACS includes which of the cycle! What Assessments will focus on for this paient reach of children, and in a experiencing... And allow 5 min to elapse before administering other inhalant medications, unless directed by health care professional or to. Measures are implemented more than prescribed amount that headache is a drug with known abuse.. Head of bed at 45 degrees what about the vSim Tutorial prior to launching Step Three at 75 from.... An indwelling Foley catheter was ordered and placed at 1730 with some.!
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