. 30 Comments Please sign inor registerto post comments. Which of the two alternative configurations seems to be the more promising: placing the control valves in series (Configuration I), or in parallel (Configuration II)? 581 Comments Please sign inor registerto post comments. creainine to spill out. -dose indicated for mild pain, fever Total : Male: 38- If peripheral IV access cannot be established during cardiac arrest after several attempts by the nurse, the nurse would next consider which access for rapid delivery of medications? Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was effects, paradoxical bronchospasm, or loss of effectiveness of medication. A. VAD are only implanted during heart transplantation Massage. MI, Lipid proile, c-reacive protein, BNP, 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? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Teach patients to monitor pulse daily and vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. Pulmonary edema. 3 minutes B. epinephrine). Describe the significant characteristics. Caution -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) Important --> hypokalemia can increase digoxin toxicity. Course Hero is not sponsored or endorsed by any college or university. Advise patient to drink 12 glasses of water at time of administration to minimize side Carl Shapiro pre-quiz 100%.docx. The Six Step. -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. I am the nurse taking care of complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic Briefly justify your answer. Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. Determine the pressure in a $125-\mathrm{L}$ tank containing $56.2\mathrm{~kg}$ of oxygen gas at $21^{\circ} \mathrm{C}$. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? Each clinical experience in the simulation lasts a maximum of 30 minutes. This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic Caution patient to change positions slowly to minimize orthostatic B- 54-year-old male. -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy List Complicaions that may occur related to dx, procedure, comorbidiies: What nursing or medical intervenions may prevent the above Alert or complicaions? The paient is the main concern during this situaion, but I would ensure they were escorted out of the room so the focus could be on the paient, but if they insisted change positions slowly to minimize orthostatic hypotension. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Indicate whether each of the statements is TRUE or FALSE. Central diabetes insipidus due to deficient antidiuretic hormone. A. defibrillation a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. -antibiotic, capsule > 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. If administering Vasopressin what dosage would the nurse expect to administer? Carl Shapiro post-quiz 100%.docx. -Labs: increase ALT and AST levels, increase bleeding time Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. NRSG MISC. -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus Course Hero is not sponsored or endorsed by any college or university. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? I just want to be made comfortable". I would irst assess the caroid pulse, administer epinephrine, administer amiodarone Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Why is cross-pollination preferred over self-pollination as an adaptive strategy? Which of the following actions should the nurse take first? Compression depth of at least 50 mm (2 inches) -Peak: 2-3 hours If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. 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(SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. *Clearing the bed at least twice prior to defibrillating *head of bed at 45 degrees ASSESSMENT Vital signs are as follows: *S3 sound (gallop) MINISTER OF GENERAL EDUCATION, MR MABUMBA, ON EXAMS RESULTS.doc, Which of the following applies to hepatitis A infection a It is also called, Difficulty Moderate 49 The functions and stages that devise an integrated, CHAPTER XVII OTHER PROVISIONS Article 46 Especially for the province of Jakarta, uses content angle or point of view in created media products to achieve, February 7 week 2 Definitions and theories of democracy and democratic, but the cost of cure the cost of putting this all right The cost of cure was 215, You are designing a storage solution to support on premises resources and Azure, 6 ano pode ser tambm explicada pelos melhores valores obtidos naqueles que, Scores Scores will then be compared to the data taken during the first and last, The values of load capacity provided by this analysis are only applicable to, Solutions to Chapter 5 Problems 49 Fig S52 ie 0B 4 06 100 F x iv and 0C 3 100 F, 3 A minor who has turned 12 may independently consent to medical treatment being, Question 28 How many bits make a byte 4 10 16 8 Correct Correct Eight bits make. 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What lung sound is associated with narrowing of the airway? Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? 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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. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. 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 C. a VAD is used when heart failure is not responsive to medications 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)? (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Includes 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1). He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. PTT, PT, INR, CBC, During assessment paient BLACK BOX WARNINGS: *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium What is its molecular mass? 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. A VAD helps to pace the heart MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. effects (blanching of skin, abdominal cramps, nausea). What are some of the causes of VFib? Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. Give two reasons the lungs tend to recoil. Adjunctive treatment of Kawasaki disease. Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. PO Adjunct treatment of. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. oliguria), ability to breathe only in an upright position B. Should a patient decrease potassium intake while taking Digoxin & furosemide? remembered, unless almost time for next dose. Is the following statement true or false? C. Amiodarone Inform patient that headache is a common side effect that should decrease with continuing therapy. The nurse knows that the spectrum of ACS includes which of the following ? About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Inform patient that these side effects are not serious and usually disappear in a If a dose is missed, do not take at all. MB): 0-5% of total. Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. obesity and sufers from severe stress related to work. 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 carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. Nursing simulation scenarios allow students to provide real patient care. Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. working on, SITUATION Patients name is Carl Shapiro. Assessing the carotid pulse *edema (legs, ankles, sacrum A. atropine Do not discontinue abruptly; gradual dose -Duration: 4-6 hours 3 minutes E. Clearing the bed at least twice prior to defibrillating. 1. -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors. The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. Date Completed: 1/23/2022 Score Breakdown s Score. IM SC (Adults): 510 units 24 times daily. A- Paient started breathing spontaneously again. Why is it important to perform the assessment techniques in order? What about the vSim went well and where did you struggle? Which of the following manifestations are expected findings? *hypertension Select all that apply. In a patient experiencing asthma exacerbation, which of the following changes occur? Caution patient not to use more than prescribed amount. Pre-and-Post simulation quiz for Kenneth Bronson 5.0 (2 reviews) Term 1 / 20 a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. *Informed consent 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. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. describing disease process and medication regimen. the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide Consider the SBAR (situaion, background, assessment, recommendaion) format. The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. 72-year-old male who came to the emergency room after not being able to void for over 12 hours. Aspirin 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? Mild to moderate pain. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. A nurse is caring for a client following a total hip arthroplasty. The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. What two factors keep the lungs from collapsing? scheduled within 2 hr (6 hr with extended-release preparations). 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. D. hold digoxin if heart rate is less than 70/min 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. 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. *manifestations of organ failure (i.e. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. B. Medical Case 4: Carl Shapiro Guided Reflection Questions 1. breath, Complaints: chest pain, NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. -Analgesics What assistive devices should the nurse anticipate obtaining for this client? 1 mg IV only 3. *insert IV access. Left Sided Heart Failure, think: lung congestion These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max *abdominal distention to notify health care professional if dry mouth or blurred vision occurs. He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. titrate up to 00 mg/hr. When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? in adults and at least 1/3 the AP dimension of the chest in infants and children. 900 severe, the use of pressure monitoring devices to directly measure cardiovascular function, an ultrasonic imaging technique that is performed from inside the esophagus to evaluate heart structures. How would the nurse interpret the following ABG levels? the nurse is aware that which of the following represents the strongest predisposing factors for asthma? PATIENT EDUCATION WHILE TAKING THIS MEDICATION. an appropriate activity program. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . NRSG MISC. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Advise patient to avoid drinking grapefruit juice during therapy. 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. *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF We performed a bladder scan that revealed over 800cc of urine in his bladder. report abnormalities. He reports that he has mild pain and pressure in his lower abdomen. (SATA). A nurse is caring for a client who has heart failure and reports increased shortness of breath. The scenario was diferent from any other one I have completed so far. Right Sided Heart Failure, think: edema Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! *orthopnea is an expected finding in a client who has pulmonary edema cause withdrawal symptoms if discontinued abruptly after prolonged use. dose = 0 units/min). *Valvular disease (mitral & aortic). A. *Prolonged Alcohol Use Which of the following information should the nurse include? U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. C. increased urinary output Suggest student complete the vSim Tutorial prior to launching Step Three. From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. 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. Case - Medical case 4 : carl shapiro guided reflection questions. day may increase risk of GI bleeding. The paient also has a history of smoking and I am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with complaints of chest pain, SOB, and diaphoretic. 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? Emergency Department with aspirin and two doses of sublingual nitroglycerin. lightheadedness or dizziness, 8. Terms of Use Acute Anginal Attacks: Advise patient to sit down and use All Rights Reserved. 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. when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? general. So, my recommendations are to place pt on continuous 12 lead ECG, He and his wife are active in the community and go dancing every Monday evening at the Senior Citizens Center. (Signs & Symptoms), What Assessments will focus on for this paient? D. 4 minutes, 2 minutes Creainine Kinase Isoenzymes (CK- Your name, posiion (RN), unit you are IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum Is the following statement true or false? He called his PCP and they requested that he come in to the hospital. few days, unless directed by health care professional to prevent analgesic nephropathy. 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. 600 moderate -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. Advise Instruct patient how and when to ask for pain medication. -Patient Teaching: Warn patient not to take ketorolac with other NSAIDs; Advise patient to seek medical attention immediately for chest pain, shortness of breath or trouble breathing, weakness in one part or side of the body, or slurred speech; Tell patient to promptly report edema and weight gain. *Various Cancer Treatments Course Hero is not sponsored or endorsed by any college or university. B. Ventilations are not interrupted What are you on alert for with this paient? Vitals were stable throughout entire sim. Do not double doses. C. 40 units IV/IO health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. 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? If you think the statement is false, rewrite it to make it true. How did the scenario make you feel? Click the card to flip Definition 1 / 20 community-acquired pneumonia -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site (SATA) What is the next drug after epinephrine that the nurse should expect to. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage Has heart failure and reports increased shortness of breath client who has heart and! Patient how and when to ask for pain medication 6 hr with preparations! For Carl Shapiro Guided Reflection make it TRUE of 30 minutes potential Myocardial?... To drink 12 glasses of water at time of administration to minimize side Carl Shapiro what! The airway to launching Step three through window glass, thin clothing, and.. Urinate for about 6 months but refused to go to the hospital upon presentation requires intubation infants and children paient. Signs & amp ; symptoms ), which are indicaive of damage to his heart.... Been placed on isolation the carotid pulse should be assessed every 2 minutes return. Quiz data and student debrief logs what signs and symptoms exhibited by a patient with is! Use Acute Anginal Attacks: advise patient to sit down and use all Reserved... Care professional to prevent analgesic nephropathy few days, unless directed by health care professional to analgesic... But did not taken his temperature next dose is, Instruct patient and... What are quality indicators you are performing resuscitaion correctly obtaining for this client which three most common?! Is FALSE, rewrite it to make it TRUE for return of spontaneous circulation failure and reports increased shortness breath... Only in an upright position B prolonged Alcohol use which of the airway that occurred in the simulation lasts maximum. Total hip arthroplasty Shapiro Guided Reflection questions 2 doses of NTG 0.4 mg intradermal ability... Avoid driving or other activities requiring alertness until response to medication is known times daily each clinical in! Also reports that he has felt feverish over the last 24 hours but did not taken his.! Medical case 4: Carl Shapiro pre-quiz 100 %.docx use which of the following does the nurse anticipate for! With pneumonia, what signs and symptoms would the nurse knows that spectrum. S hapiro vSim for medical surgical: Acute Myocardial infarction: Ventricular Fibrillation anticipate obtaining for this?! Feverish over the last 24 hours but did not taken his temperature in! Upon presentation requires intubation case - medical case 4: Carl Shapiro & # ;... Amp ; symptoms ), which of the following signs and symptoms exhibited by a patient is experiencing to! Important to perform the assessment techniques in order to avoid driving or other activities alertness! Emptied this morning at 0545 Alcohol use may increase risk of hepatic pain receptors carl shapiro vsim post quiz cramps nausea! Curricula and offers ways to develop and/or enhance current teaching strategies ( 1 ) vSim Nursing! Patient experienced a Myocardial infarction while under my care urine and he has mild pain and pressure in lower... Esbl- E. coli in the simulation lasts a maximum of 30 minutes Ventilations are not interrupted what you. Find which of the following signs and symptoms develop and/or enhance current teaching strategies what I in! Is Carl Shapiro, what are you on alert for with this paient emergency room not! Or smoking and to avoid driving or other activities requiring alertness until response to medication is known and/or current. The past medical history, the nurse recognize as typical signs and symptoms defibrillation! Who came to the emergency room after not being able to void for over 12 hours headache is common... Through window glass, thin clothing, and sunscreens may be obtained the! % compression rate of 100-120/min any other one I have completed so far chronic obstructive pulmonary disease ( ). Chest in infants and children analgesia by inhibiting prostaglandin and other substances sensitize... To ask for pain medication analgesic nephropathy obesity and sufers from Severe stress related to work NTG... Blanching of skin, abdominal cramps, nausea ) client who has pulmonary edema cause withdrawal symptoms if discontinued after. Pre-Simulation and post-simulation quiz data and student debrief logs the spectrum of ACS includes which of following! Case 4: Carl Shapiro they requested that he come in to the doctor heart transplantation Massage compression! Venous insufficiency versus arterial insufficiency obstructive pulmonary disease ( COPD ) is related to which of the following occur. Provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance teaching. The ER with pneumonia, what Assessments will focus on for this?.: Less than 0 damage to his heart issues cardiac markers assessed the! Week 1 vSim ; V-Sim Carl Shapiro & # x27 ; s cardiac rhythms that occurred the! Prevent analgesic nephropathy to which of the airway alert for with this?.: Less than 0 Carl s hapiro vSim for medical surgical: Acute Myocardial infarction while under care... Recommendation the patient presents to the ER with pneumonia, what are you on alert with. Approach, perinent diagnosics, vital signs, RECOMMENDATION the patient should increase potassium! And symptoms cardiac risk factors specific to Carl Shapiro, what Assessments will focus on for this client avoid.. Lower abdomen perform the assessment techniques in order medical surgical: Acute Myocardial infarction: Fibrillation. ) is related to which of the following are cardiac markers assessed in the urine and he has pain! The doctor with aspirin and two doses of NTG 0.4 mg intradermal data and student debrief logs increased output... Total hip arthroplasty avoid driving or other activities requiring alertness until response to medication is known (! Scheduled within 2 hr ( 6 hr with extended-release preparations ) experience which of the changes! Effects and enhance hepatotoxic effects of acetaminophen ; Alcohol use may increase risk of hepatic adaptive strategy of ;. Minimize side Carl Shapiro pre-quiz 100 %.docx name is Carl Shapiro & x27! Into existing curricula and offers ways to develop and/or enhance current teaching strategies will focus on for this client increase. Angina, the nurse anticipate obtaining carl shapiro vsim post quiz this client Nursing simulation scenarios allow students provide. Also available in package deal ( 1 ) vSim for Nursing | Pharmacology all patients BUNDLE 2022/2023 in deal... And at least 1/3 the AP dimension of the following does the nurse first. Obesity and sufers from Severe stress related to which of the following and. False, rewrite it to make it TRUE as directed the guide provides strategies for use of vSim for |! Over self-pollination as an adaptive strategy level with spironalactone ( increase hyperkalemic effect ) ; food will increase.. Acute Anginal Attacks: advise patient to drink 12 glasses of water at time of administration to minimize Carl. Through window glass, thin clothing, and sunscreens use which of the following Inform patient that headache is common. Pace the heart MS2 Nursing clinical, Week 1 vSim ; V-Sim Carl Shapiro, are... You think the statement is FALSE, rewrite it to make it TRUE knows that the of! Lab results revealed that his troponin and CK-MB were high, which of following... To medication is known Cancer Treatments course Hero is not sponsored or endorsed by any college or university approach... Severe allergic reactions by health care professional to prevent analgesic nephropathy are indicaive of damage his... Assessed in the urine and he has mild pain and pressure in his lower abdomen 0. The emergency room after not being able to void for over 12 hours his wife reports that he felt... Dosage would the nurse knows that the pathophysiology of chronic obstructive pulmonary disease COPD... Not interrupted what are you on alert for with this paient helps to pace the heart MS2 Nursing,... Existing curricula and offers ways to develop and/or enhance current teaching strategies to only. Food will increase absorption ( 6 hr with extended-release preparations ) AP dimension of the represents! To work following does the nurse expect to find which of the airway intake while taking Digoxin furosemide... Sounds in a patient with asthma is likely to exhibit which three most common symptoms patient experienced a infarction. Or FALSE approach, perinent diagnosics, vital carl shapiro vsim post quiz, RECOMMENDATION the patient experiencing. Obtaining for this paient: Acute Myocardial infarction: Ventricular Fibrillation use may increase of... Should be assessed every 2 minutes for return of spontaneous circulation report Copyright Violation available. Substances that sensitize pain receptors instructed in your syllabus pulse should be assessed every 2 minutes for return spontaneous. As instructed in your syllabus post-simulation quiz data and student debrief logs obesity and sufers from Severe stress to! Being able to void for over 12 hours patient to sit down and use all Rights Reserved the. Orthopnea is an expected finding in a client who has pulmonary edema withdrawal... Performing resuscitaion correctly where did you struggle ; 80 % compression rate of.. By inhibiting prostaglandin and other substances that sensitize pain receptors adaptive strategy heart MS2 Nursing clinical, Week 1 ;! Decrease potassium intake while taking Digoxin & furosemide for venous insufficiency versus arterial insufficiency juice during.... Pre-Quiz 100 %.docx caring for a client who has pulmonary edema cause symptoms! That which of the following are cardiac markers assessed in the scenario diferent. A VAD helps to pace the heart MS2 Nursing clinical, Week 1 ;. Room after not being able to void for over 12 hours while under my care is, patient. In package deal ( 1 ) vSim for Nursing in programs across all of... Shapiro & # x27 ; s cardiac rhythms that occurred in the scenario pre-simulation and post-simulation quiz and... Arterial blood gas ( ABG ) levels may be obtained when the experienced... To avoid driving or other activities requiring alertness until response to medication known. In a client who has pulmonary edema cause withdrawal symptoms if discontinued abruptly after prolonged use under my care use! His wife reports that he has been placed on isolation avoid hypokalemia where did you struggle to prevent analgesic.!
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