*Tachypnea is an expected finding in a client with pulmonary edema He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. Inform patient that headache is a common side effect that should decrease with continuing therapy. The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. Discuss safety aspects during deibrillaion. IV Adjunct treatment of acute MI. medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. remembered, unless almost time for next dose. Course Hero is not sponsored or endorsed by any college or university. 6. 3 children are alive and well. Is the following statement true or false? Copyright 2023 Laerdal Medical. -Patient Edu: Advise patient or caregiver that many OTC products contain acetaminophen and should be counted when calculating total daily dose; Warn patient that high doses or unsupervised long-term use can cause liver damage. *Heredity, Signs & Symptoms of How would the nurse classify this type of pneumonia? patient that morphine is a drug with known abuse potential. View example . patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per while taking nitroglycerin. oxygen therapy at 4L/min. Carl Shapiro pre-quiz 100%.docx. (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. 300 mild SpO2 98 Alerts: Alternatively, IO access may be established if peripheral access is not readily available. Right Sided Heart Failure, think: edema the nurse is aware that which of the following represents the strongest predisposing factors for asthma? Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic what is the primary action for the nurse when a patient experiences sudden respiratory distress? ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain palpitaions, faigue, chest pressure, Instruct patient to take amiodarone as directed. electrical impulses. 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. A. Your name, posiion (RN), unit you are I am the nurse taking care of 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? Creainine Kinase Test: Test is not 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. Determine the pressure in a $125-\mathrm{L}$ tank containing $56.2\mathrm{~kg}$ of oxygen gas at $21^{\circ} \mathrm{C}$. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage B. How would the nurse interpret the following ABG levels? *abdominal distention No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing 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? I was surprised to see paient to become unresponsive. *angina effects (blanching of skin, abdominal cramps, nausea). Advise 30 Comments Please sign inor registerto post comments. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply -Patient Edu: Instruct patient to take drug for as long as prescribed, exactly as directed, even after feeling better; Tell patient to take drug with food or milk to minimize stomach upset; Instruct patient to report adverse reactions, especially peripheral neuropathy, which can become severe or irreversible; Alert patient that drug may turn urine dark yellow or brown; Warn patient not to store drug in metals other than stainless steel or aluminum; Advise patient not to use antacid preparations containing magnesium trisilicate. Decreased Cardiac Output related to: changes in the frequency of heart rhythm. Teach patients to monitor pulse daily and BP 122/ breath, Complaints: chest pain, B. assist the client into a high-Fowlers position Dose may be repeated if pain is not relieved in 510 min. Which of the following information should the nurse include? B. decrease intake of potassium administer to the patient in ventricular fibrillation? 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. The nurse knows that the spectrum of ACS includes which of the following ? What is the formula of calcium sulfate dihydrate? Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a Company Registration Number: 61965243 D. cigarette smoking Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain E. decrease sodium intake, A, E it leads to heart failure When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 8. titrate up to 00 mg/hr. The cycle continues, resulting in transformation of the fatty streak into fibrous plaque and, eventually, a coronary artery disease (CAD) lesion evolves .Oxygen deprivation forces the myocardium to shift . Each clinical experience in the simulation lasts a maximum of 30 minutes. -Overdose s/s: abdominal pain, diaphoresis, nausea, vomiting, malaise, pallor, hepatic failure, encephalopathy, coma working on, SITUATION Patients name is Carl Shapiro. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. Available from: Aspirin May cause drowsiness or dizziness. Patient should also consult health care professional before taking OTC medications scheduled within 2 hr (6 hr with extended-release preparations). Instruct patient to take medication exactly as directed. 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? D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position 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. (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. *Prolonged Alcohol Use tective barrier, accumulates, and forms a fatty streak. -give with food or milk to minimize GI distress and improve absorption Notify HCP when labs are reported, Paients primary diagnosis, date of -unknown onset, peak, duration MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. C. increased urinary output 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. What. Consult health care professional if more than A central line takes more time to place. They have 3 adult children, 2 who live nearby and are very supportive. Local/Spinal: Adjunct in the. Chest pain improved with nitroglycerin administraion. An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. depressants with this medication. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. D. Not touching the bed or allowing any objects to touch the bed change positions slowly to minimize orthostatic hypotension. Describe the significant characteristics of a general survey. The scenario was diferent from any other one I have completed so far. Temporary relief of mild symptoms of intermittent asthma (over the counter). $ 311.98 $ 30.49 2x sold 32 items 1. *JVD vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. avoid effervescent tablets or buffered-aspirin preparations. if pregnancy is planned or suspected, or if breast feeding. 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? *right ventricular MI IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum lightheadedness or dizziness, How did the scenario make you feel? The hypoxic issue So, my recommendations are to place pt on continuous 12 lead ECG, Caution patient to call for assistance (SATA) > 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. Left Sided Heart Failure, think: lung congestion -Duration: 4-6 hours Should a patient decrease potassium intake while taking Digoxin & furosemide? Emergency Department with aspirin and two doses of sublingual nitroglycerin. Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. Vitals were stable throughout entire sim. htps:ncbi.nlm.nih/books/NBK459269/. excessive venilaion He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. 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? 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 *polyuria at rest (fluids are reabsorbed into circulation when lying down) A. weight daily, first thing each morning B. Ventilations are not interrupted an appropriate activity program. Creainine Kinase Isoenzymes (CK- Mild to moderate pain. Do not discontinue abruptly; gradual dose 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. 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. -NSAIDS Students also viewed Grignard Reaction Lab Report Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. Central Line What key elements would you include in the handof report for this paient? Compression depth of at least 50 mm (2 inches) Advise patient to by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. He reports that he has mild pain and pressure in his lower abdomen. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. Preview 1 out of 4 pages Getting your document ready. Why is it important to perform the assessment techniques in order? (How will I idenify the above signs &Symptoms?). The nurse knows that the spectrum of ACS includes which of the following ? (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Pre Quiz - Carl Shapiro Case Study 1. What aspects of the paient care can be Delegated and who can do it? What is its molecular mass? Management of Care: What needs to be done for this Paient Today? 72-year-old male who came to the emergency room after not being able to void for over 12 hours. Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. 3 minutes B. 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). The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? E. Clearing the bed at least twice prior to defibrillating. These can be inserted without interrupting CPR. Course Hero is not sponsored or endorsed by any college or university. It is important during defibrillation that the bed be cleared at least twice prior to discharging the paddles to prevent injury to any staff: that O2 be removed from the bed to prevent the danger of starting a fire: and that no person or object s touching the bed, in order to prevent any conduction of electrical current that might injure the patient or staff member. compression: ventilation ratio and rate per minute is which of the following? 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. Overuse of muscles causes vasospasm. 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. CK MB 20 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 C. Endotracheal tube Inform patient that side effects may not appear until several days, Which of the following actions should the nurse take first? Caution patient to avoid concurrent use of alcohol while taking vasopressin. (SATA) In a patient experiencing asthma exacerbation, which of the following changes occur? The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. -Labs: increase ALT and AST levels, increase bleeding time List Complicaions that may occur related to dx, procedure, comorbidiies: What nursing or medical intervenions may prevent the above Alert or complicaions? Carl Shapiro post-quiz 100%.docx. -Interactions: w/ ACE inhib or ARB's can cause renal impairment; anitcoagulant levels can be increased with this drug; may decrease effect of antihypertensives, diuretics; may cause severe alcohol intolerance with Disulfiram because injection contains alcohol; Salicylates may increase risk of serious ketorolac SE; SSRI's may increase risk of GI bleeding; herbs (garlic, ginger,) may cause bleeding C. auscultate lung sounds vSim for Nursing allows each student to have a different experience with the patient. *S3 sound (gallop) Patients with diabetes insipidus should carry identification at all times Oxygen 4L/min nasal cannula Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN. His wife reports that he has had some problems like this before but never wanted to see his doctor. to stay, I would reassure them that we are doing everything we can to ensure his health and safety 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.
carl shapiro vsim post quiz