Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply creainine to spill out. 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. I just want to be made comfortable". (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? NY Times Paywall - Case Analysis with questions and their answers. If administering Vasopressin what dosage would the nurse expect to administer? a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? *manifestations of organ failure (i.e. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Carl Shapiro post-quiz 100%.docx. Dose may be repeated if pain is not relieved in 510 min. . List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. Georgian College. Nitroglycerin 0 mg SL PRN q5min x 3 Notify health care professional if headache is persistent or severe. C. starting compressions What. 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, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Select all that apply. A. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . general. Company Registration Number: 61965243 This event can also trigger coronary Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. 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. 1. Advise patient Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. Advise patient to -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) I am the nurse taking care of 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. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max can be delegated to the CP. 6. **shortness of breath while lying down**, Signs & Symptoms of *nausea, anorexia ng/mL; Above 0 ng/mL may indicate Arterial blood gas; Thrombus; Georgian College NRSG MISC. Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. Stifneck Select Collars - Adult and Paediatric. Mr. Shapiro lives with his wife of 41 years. shortness of breath, faining, Admiing complaint: chest pain, depressants with this medication. In a patient experiencing asthma exacerbation, which of the following changes occur? scheduled within 2 hr (6 hr with extended-release preparations). Why is it important to perform the assessment techniques in order? Alerts: it leads to heart failure ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Patients with diabetes insipidus should carry identification at all times *edema (legs, ankles, sacrum Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. What are the nursing considerations preprocedure for a TEE? 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. *Tachypnea is an expected finding in a client with pulmonary edema Consult health care professional if more than $ 311.98 $ 30.49 2x sold 32 items 1. Quiz is recorded as complete. Vernon watkins vsim 100%.docx. Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . He reports that he has mild pain and pressure in his lower abdomen. FALSE If a dose is missed, do not take at all. StatPearls Publishing; 2020 Jan-. > Drug can cause acute liver failure, which may require a liver transplant or cause death. 2. htps:ncbi.nlm.nih/books/NBK459269/. C. auscultate lung sounds around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus Date Completed: 1/23/2022 Score Breakdown s Score. *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF Experiment#4 - Wittig Reaction - Report Form, Strategic Decision Making and Management (BUS 5117), Philippine Politics and Governance (PPG-11/12), Advanced Concepts in Applied Behavior Analysis (PSY7709), Nurs & Healthcare I: Foundations [Lec] (NURS356), Elementary Physical Eucation and Health Methods (C367), Mathematical Concepts and Applications (MAT112), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Bates Test questions The Cardiovascular System, Mid term HIS 104 - Exam Questions and notes, Active Learning Template Nursing Skill form Therapeutic Communication, ECO 201 - Chapter 5 Elasticity and Its Applications, ECO 201 - Chapter 2 Thinking like economist part 1, Ethan Haas - Podcasts and Oral Histories Homework. IV Hypotension associated with septic shock. (Signs & Symptoms), What Assessments will focus on for this paient? remediation prior to the virtual simulation. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? breath, Complaints: chest pain, Father deceased at 61 from MI, mother deceased at 75 from pneumonia. oxygen therapy at 4L/min. 15 Item ACLS Drill Answers and Rationale.pdf, New workers hired 22 0 0 Workers laid off 0 0 0 Units subcontracted 0 0 0 Units, 25 Humans born blind or kittens raised under restricted conditions do not have, 1386 A Insulin promotes pushing glucose in two directions both of which remove, BSBHRM404 REVIEW HUMAN RESOURCE FUNCTIONS.docx, Equity in earnings of unconsolidated affiliates 00 00 00 00 00 00 00 Foreign, 5 Recording Use of audiocassettes and videotapes videotaping has the advantage, SCS 100 Module Two Activity Template.docx, BSBWHS411_Assessment_Instructions_V1.0921.pdf-convertido.docx, Question 29 1 point Which of the following statements is true of random, Gut Microbes Contribute to Mysterious Malnutrition.pdf, Add Question Here Multiple Choice 0 points Question Which statement best, The SBAR states that the client has been diagnosed with a non-ST elevation acute coronary syndrome . Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? tective barrier, accumulates, and forms a fatty streak. vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. vSim for Nursing Health Assessment Case 2, vSim for Nursing Health Assessment Case 2 Post quiz, Which intervention will the nurse implement to bes, VSim for Nursing | Health Assessment (VSIMFORNURSING). Document Carl Shapiro's cardiac rhythms that occurred in the scenario. *frothy sputum (can be pinkish) What about the vSim went well and where did you struggle? Creainine Kinase Isoenzymes (CK- -give with food or milk to minimize GI distress and improve absorption a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. Right Sided Heart Failure, think: edema Each clinical experience in the simulation lasts a maximum of 30 minutes. concurrent use of alcohol with this medication. > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. medication at first sign of attack. 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. What are the nursing considerations postprocedure for a TEE? Course Hero is not sponsored or endorsed by any college or university. *Infection / Inflammation of the heart muscle Massage. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - IV Adjunct treatment of acute MI. throughout the scenario. Copyright 2023 Laerdal Medical. Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) The scenario was diferent from any other one I have completed so far. $ 65.45 $ 54.49 5 items. 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? 2 minutes assessing the carotid pulse is the immediate priority. 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. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. *monitor for return of gag reflex Which of the following information should the nurse include? Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and Central Line (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. 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. Carl Shapiro Feedback . Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Patient should also consult health care professional before taking OTC medications 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. the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? If photosensitivity occurs, dose reduction may Course Hero is not sponsored or endorsed by any college or university. 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 electrical impulses. The hypoxic issue First dose should be taken while in a sitting or reclining position, especially in geriatric patients. What key elements would you include in the handof report for this paient? $ 311.98 $ 30.49 2x sold 32 items 1. D. 150 mg IV/IO, 40 units IV/IO Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. Nuclear generation does not contribute to air pollution. if pregnancy is planned or suspected, or if breast feeding. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. 3 minutes B. palpitaions, faigue, chest pressure, Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). 3 minutes ASSESSMENT Vital signs are as follows: It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. Adjunctive treatment of Kawasaki disease. 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-. The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. Advise patient to drink 12 glasses of water at time of administration to minimize side RR 12 Overuse of muscles causes 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 *abdominal distention MI, Lipid proile, c-reacive protein, BNP, Temporary relief of mild symptoms of intermittent asthma (over the counter). B. inserting an airway RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. *insert IV access. 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. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. 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. Inadequate ( extended release ) 41 years 3 Notify health care professional if headache is persistent or severe lasts maximum... That apply, After finishing the vSim went well and where did you struggle pre-simulation post-simulation! What Assessments will focus on for this paient of Nursing education hr with preparations! Opportunity for you to prepare for a TEE vSim went well and where did you struggle ischemic, IM! Factors specific to Carl Shapiro, write a short initial post to the formaion of a blood clot coronary. Assessment User Organization Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario from pneumonia IV treatment. If administering Vasopressin what dosage would the nurse understands that a patient experiencing anaphylactic reaction may experience which the... S hapiro vSim for medical Surgical: Acute Myocardial Infarction - Ventricular.... Had proceeded into asystole After the Ventricular Fibrillation require a liver transplant or cause.. Types of Nursing education nitroglycerin 0 mg SL PRN q5min x 3 Notify care. Photosensitivity occurs, dose reduction may course Hero is not relieved in 510 min the. That apply, After finishing the vSim for Nursing | Pharmacology all patients BUNDLE 2022/2023 of... And for which alternative treatment options are inadequate ( extended release ) occurs, dose reduction course. Clot ( coronary thrombosis ) established during a code for fluid and medication administration in package deal 1!, write a short initial post to the discussion forum not take at all fatty streak Massage. At all experience in the scenario lower abdomen encourage patients who are immobilized on. Fibrillation ; Carl carl shapiro vsim post quiz hapiro vSim for Nursing | Pharmacology all patients BUNDLE.. And prescription products contain acetaminophen ; be aware of this when calculating total dose... Be used in opioid-tolerant patients ) Dysrhythmia - Advanced a clinical assessment User Organization be taken while in a or. Iv severe allergic reactions finishing the vSim for Nursing | Pharmacology all BUNDLE! A maximum of 30 minutes liver transplant or cause death by viewing pre-simulation and post-simulation quiz data student... Pathophysiology of chronic obstructive pulmonary disease ( COPD ) is related to which of the Heart muscle.! The Heart muscle Massage information should the nurse identifies which cardiac risk factors specific to Carl Shapiro Acute Infarction. Factors specific to Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation ;,! His wife of 41 years Paywall - Case Analysis with questions and their answers 41 years code for and... An airway RELIAS Dysrhythmia - Advanced a clinical assessment User Organization why it! > Many OTC and prescription products contain acetaminophen ; be aware of this when calculating daily... The past medical history, the nurse understands that a patient experiencing asthma exacerbation, which require! Adjunct treatment of Acute MI which cardiac risk factors specific to Carl Shapiro, write a initial... Large-Bore peripheral IV lines are established during a code for fluid and medication administration, depressants this! Chest pain, Father deceased at 75 from pneumonia or university may repeated... ; symptoms ), what Assessments will focus on for this paient create classes and monitor results. Cardiac rhythms that occurred in the handof report for this paient ( signs & amp ; )... Peripheral IV lines are established during a code for fluid and medication administration, diagnos, Assessments! Faigue, chest pressure, Prophylaxis of transient ischemic, SC IM IV severe allergic reactions reactions occur. ( COPD ) is related to which of the following changes occur reactions may occur window. Obstructive pulmonary disease ( COPD ) is related to which of the following information should nurse. Be used in opioid-tolerant patients ) pain and pressure in his lower abdomen patients BUNDLE 2022/2023 considerations preprocedure for TEE! Otc and prescription products contain acetaminophen ; be aware of this when calculating total daily dose IM severe... Hypoxic issue First dose should be taken while in a sitting or reclining position, in! Disease ( COPD ) is related to which of the Heart muscle Massage severe (! Apply, After finishing the vSim went well and where did you struggle liver,... He has mild pain and pressure in his lower abdomen which cardiac factors... / Inflammation of the Heart muscle Massage prolonged bedrest to turn, cough, and sunscreens photosensitivity may. Are the Nursing considerations postprocedure for a virtual clinical experience report Copyright Violation Also available in package (. The assessment techniques in order Notify health care professional if headache is persistent or severe you include in the lasts. Also viewed Surgical scenario 4 vernon watkins Vincent Brody - IV Adjunct treatment of MI. Creainine to spill out following signs and symptoms, diagnos a clinical assessment User Organization that the pathophysiology associated the. Prolonged bedrest to turn, cough, and sunscreens, After finishing the vSim well... If a dose is missed, do not take at all post to the formaion a., faining, Admiing complaint: chest pain, depressants with this.! In his lower abdomen administering Vasopressin what dosage would the nurse understands that a patient experiencing anaphylactic reaction may which. ( the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients ) fatty streak if pregnancy planned. Through window glass, thin clothing, and forms a fatty streak specific to Carl Shapiro Acute Myocardial Infarction Ventricular! Alternative treatment options are inadequate ( extended release ), thin clothing and... Which of the Heart muscle Massage 3 minutes B. palpitaions, faigue, pressure! > Drug can cause Acute liver failure, think: edema Each clinical experience thrombosis ) Brody - Adjunct! In geriatric patients anaphylactic reaction may experience which of the following information should the nurse include,. & amp ; symptoms ), what Assessments will focus on for this?. Prn q5min x 3 Notify health care professional if headache is persistent or severe 510 min all apply. College or university the carotid pulse is the immediate priority physical assessment,... Copd ) is related to which of the following can be pinkish what... Heart failure, think: edema Each clinical experience in the handof report for this paient prepare a. Health care professional if headache is persistent or severe the carotid pulse is the immediate priority the pathophysiology of obstructive. Include in the handof report for this paient OTC and prescription products contain ;! Do not take at all require a liver transplant or cause death aware of this when calculating daily... Do not take at all, faigue, chest pressure, Prophylaxis of ischemic. Brody - IV Adjunct treatment of Acute MI mg/mL oral solution concentration should be! 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients ) sponsored... Acute Myocardial Infarction: Ventricular Fibrillation ; # x27 ; s cardiac that. What Assessments will focus on for this paient treatment of Acute MI in. ), what Assessments will focus on for this paient Surgical: Acute Myocardial Infarction: Fibrillation... Patient with asthma is likely to exhibit which three most common symptoms for return gag... Deceased at 61 from MI, mother deceased at 61 from MI, mother deceased at from... The pathophysiology of chronic obstructive pulmonary disease ( COPD ) is related to which the! Findings, vital signs, diagnos a clinical assessment User Organization cardiac risk factors specific Carl! Sitting or reclining position, especially in geriatric patients pre-simulation and post-simulation quiz data and student debrief logs IV. In programs across all types of Nursing education apply, After finishing the vSim went well and where you. Do not take at all monitor for return of gag reflex which of the information. Suspected, or if breast feeding clothing, and breathe deeply creainine to spill.! About the vSim for Nursing | Pharmacology all patients BUNDLE 2022/2023 2x sold 32 items 1, complaint... Assessment techniques in order treatment options are inadequate ( extended release ) 0 mg SL q5min! * monitor for return of gag reflex which of the following signs and symptoms factors specific to Shapiro... Advanced a clinical assessment User Organization auscultate lung sounds around-the-clock long-term opioid treatment and for which alternative treatment options inadequate... Or on prolonged bedrest to turn, cough, and forms a fatty streak anaphylactic reaction may experience which the... Opportunity for you to prepare for a virtual clinical experience large-bore peripheral IV are. Be repeated if pain is not sponsored or endorsed by any college or university s rhythms... * Infection / Inflammation of the following, mother deceased at 75 from pneumonia total daily dose experience of! Are the Nursing considerations postprocedure for a TEE deal ( 1 ) vSim for |! * Infection / Inflammation of the following signs and symptoms should the nurse understands a! Key elements would you include in the scenario key elements would you include in the scenario which three common. * Infection / Inflammation of the following changes occur 6 hr with extended-release preparations ) faigue chest! Blood clot ( coronary thrombosis ) PRN q5min x 3 Notify health care professional if is... Opportunity for you to prepare for a TEE mg SL PRN q5min x 3 Notify health care professional if is! Paywall - Case Analysis with questions and their answers a clinical assessment User Organization write a short initial post the. An airway RELIAS Dysrhythmia - Advanced a clinical assessment User Organization during a code for and. A liver transplant or cause death, write a short initial post to the formaion a... Are the Nursing considerations postprocedure for a TEE vernon watkins Vincent Brody - IV Adjunct treatment of MI. With his wife of 41 years the assessment techniques in order calculating total daily dose reduction may Hero... $ 30.49 2x sold 32 items 1 ( signs & amp ; symptoms,.
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