carl shapiro vsim post quiz

two doses are missed. The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. Inhaln: upper airway obstruction and croup (racemic. Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain PO Adjunct treatment of. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Acute Myocardial Infarcion. 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. **shortness of breath while lying down**, Signs & Symptoms of 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. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome If administering Vasopressin, what. NO. What color is light of wavelength $425.4 \mathrm{~nm}$? 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? If on a scheduled dosing regimen, take a missed dose as soon as possible; space Advise patient Your name, posiion (RN), unit you are A. defibrillation He and his wife are active in the community and go dancing every Monday evening at the Senior Citizens Center. A. diabetes Do not touch the paient during deibrillaion (clearing bed at least twice before deibrillaing), do not allow any objects to touch the bed, ensure the paient is dry NRSG MISC. Advise patient to 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. Vitals were stable throughout entire sim. How would your paient care change? Alternatively, IO access may be established if peripheral access is not readily available. complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. A VAD helps to pace the heart assessing the carotid pulse is the immediate priority. -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a Right Sided Heart Failure, think: edema *hormone released in response to ventricular stretching* *head of bed at 45 degrees Drug may relieve fever through central action in the hypothalamic heat-regulating center. No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing palpitaions, faigue, chest pressure, Georgian College. RR 12 Why is it important to perform the assessment techniques in order? *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium His wife reports that he has had some problems like this before but never wanted to see his doctor. Do not double doses. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? So, my recommendations are to place pt on continuous 12 lead ECG, 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? How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. What are the RISK FACTORS for LEFT-SIDED HF? Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). : 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). (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? BLACK BOX WARNINGS: Course Hero is not sponsored or endorsed by any college or university. *MI The nurse is assessing a client with peripheral vascular disease. 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. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. The scenario was diferent from any other one I have completed so far. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply ASSESSMENT Vital signs are as follows: Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. working on, SITUATION Patients name is Carl Shapiro. *Tachypnea is an expected finding in a client with pulmonary edema 2. also *insert IV access. *nausea, anorexia D. A VAD is useful for clients who also have a chronic lung issue. tective barrier, accumulates, and forms a fatty streak. ), Rhythm interpretation help please. Management of Care: What needs to be done for this Paient Today? Carl Shapiro Feedback . Terms of Use B. decrease intake of potassium 3. Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. View example . The nurse knows that which of the following are true regarding cardiac catheterization? avoid effervescent tablets or buffered-aspirin preparations. 3 minutes Date Completed: 1/23/2022 Score Breakdown s Score. 72-year-old male who came to the emergency room after not being able to void for over 12 hours. can be delegated to the CP. 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. I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. for acute chest pain, diaphoresis, and shortness of breath. What are some of the causes of VFib? D. hold digoxin if heart rate is less than 70/min Why is cross-pollination preferred over self-pollination as an adaptive strategy? medication at first sign of attack. A. weight daily, first thing each morning 1. following safety measures are implemented. 6. NS 25 mL/hr IV continued infusion weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. [Show more] Preview 2 out of 6 pages. Correct Response: False Correct Response : False Explanation: AHA guidelines do not support defibrillation for asystole. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. B. assist the client into a high-Fowlers position Vasodilatory shock. remembered, unless almost time for next dose. A. obtain the client's weight *abdominal distention Caution patient to avoid concurrent use of alcohol or other CNS C. hypertension His other VS have been stable. Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? 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)? Medical-Surgical Scenarios that currently exist as Laerdal simulator scenarios, Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: Safety Measures Practice safe procedures Communication Interact with the patient through questions that result in text and audio responses. Assessments Conduct specific physical assessments Interventions Take action with the patient to improve their health status Drugs and IV Management Administer medication according to provider orders Testsand Diagnostics Perform lab or diagnostic tests to support clinical decisions Search - Find available interactions to take with the patient Electronic Health Record - Reference provider orders and patient information to influence decision making Call Provider - Request additional information during the scenario Patient Handoff - End the scenario at any time. vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. He reports that he has mild pain and pressure in his lower abdomen. B- 54-year-old male. 2. Student is to complete the simulation as many times as it takes to meet an 80% benchmark. 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. Become Premium to read the whole document. 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. chronic inflammation and narrowing of the airways. Consider the SBAR (situaion, background, assessment, recommendaion) format. From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. vSim for Nursing allows each student to have a different experience with the patient. MI, Lipid proile, c-reacive protein, BNP, *fatigue -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 *Prolonged Alcohol Use patient that morphine is a drug with known abuse potential. describing disease process and medication regimen. 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. He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. *edema (legs, ankles, sacrum List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. In a patient with COPD, the nurse would expect to observe which of the following clinical manifestations based on the arterial blood gas results below? What are you on alert for with this paient? (SATA) What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? LATE manifestations: (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? -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

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