B. Epinephrine Decreased Cardiac Output related to: changes in the frequency of heart rhythm. 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? the nurse recognizes that risk factors for COPD include which of the following? ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain (SATA) 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? occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. Course Hero is not sponsored or endorsed by any college or university. 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). Is the following statement true or false? Inform patient that side effects may not appear until several days, admitted on 8/25/2020. while taking nitroglycerin. **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? He was treated in the Vernon watkins vsim 100%.docx. 30 Comments Please sign inor registerto post comments. Unlabeled Use(s): Gastrointestinal hemorrhage. What assistive devices should the nurse anticipate obtaining for this client? Carl Shapiro pre-quiz 100%.docx. A. defibrillation *nausea, anorexia Management of Care: What needs to be done for this Paient Today? -give drug without regard for food Is the following statement true or false? Creatinine 0. day may increase risk of GI bleeding. Auscultate heart for abnormal heart sounds (S3, S4), Prioriies for Managing the Paients Care Today. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. the nurse is aware that which of the following represents the strongest predisposing factors for asthma? patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per 581 Comments Please sign inor registerto post comments. creainine to spill out. If administering Vasopressin what dosage would the nurse expect to administer? Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. 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. Inhaln Review correct administration technique 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? medication at first sign of attack. C. Endotracheal tube He tells the nurse, "I don't want any more chemotherapy or surgery. Should a patient decrease potassium intake while taking Digoxin & furosemide? reduction may be necessary to prevent rebound angina. Caution patient not to use more than prescribed amount. C A. 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-. What are some of the causes of VFib? Current perinent assessment data using head to Acute Myocardial Infarcion. D. Intraosseous (IO) access. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Stifneck Select Collars - Adult and Paediatric. 1. Which of the following information should the nurse include? excessive venilaion PTT, PT, INR, CBC, During assessment paient the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. dosage would the nurse expect to administer. -Analgesics 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? 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Call Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. vasospasm. also 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 ng/mL; Above 0 ng/mL may indicate Advise patient to notify health care professional *right ventricular MI *insert IV access. We're available through e-mail, live chat and Facebook. C. 1 minute B. decrease intake of potassium *abdominal distention D. 4 minutes, 2 minutes His wife reports that he has had some problems like this before but never wanted to see his doctor. These are the incorrect answers. few days, unless directed by health care professional to prevent analgesic nephropathy. (too much) CK MB 20 Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a 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 . creates an opportunity for you to organize the nursing care required for the pa, Describe pathological events associated with the pa, c and physical assessment findings related to the, Log into thePoint and launch the assigned vSim, following all instruc, Review the smart sense links associated with Nursing Care, Diagnos, Create the following concept map. within the border zone may become a site for generaing arrhythmias. Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic Teach patients to monitor pulse daily and be useful. the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? Mr. Shapiro lives with his wife of 41 years. a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. working on, SITUATION Patients name is Carl Shapiro. Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. Patients with diabetes insipidus should carry identification at all times 3 children are alive and well. epinephrine). hypotension. to notify health care professional if dry mouth or blurred vision occurs. 3. 3 minutes B. *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. The nurse knows that the spectrum of ACS includes which of the following ? What about the vSim went well and where did you struggle? *polyuria at rest (fluids are reabsorbed into circulation when lying down) chronic inflammation and narrowing of the airways. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at *NPO for 6 hours prior 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. Symptoms anicipated are > 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. Advise patient to avoid drinking grapefruit juice during therapy. -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy 80 units IV/IO 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 Do not discontinue abruptly; gradual dose Instruct patient to take medication exactly as directed. His other VS have been stable. D. Not touching the bed or allowing any objects to touch the bed What is the formula of calcium sulfate dihydrate? A. diabetes A nurse is caring for a client who has heart failure and reports increased shortness of breath. Temporary relief of mild symptoms of intermittent asthma (over the counter). 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. IV Hypotension associated with septic shock. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Why is cross-pollination preferred over self-pollination as an adaptive strategy? $ 65.45 $ 54.49 5 items. -NSAIDS Chest pain improved with nitroglycerin administraion. -obtain C&S test before giving. remediation prior to the virtual simulation. IM SC (Adults): 510 units 24 times daily. health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. tective barrier, accumulates, and forms a fatty streak. Click the card to flip Definition 1 / 20 community-acquired pneumonia Nursing simulation scenarios allow students to provide real patient care. Protect it from theft, and never give to anyone other than the individual Describe the assessment techniques discussed in the textbook. Protective clothing and sunblock are recommended during and for 4 mo after therapy. VSIM CARL SHAPIRO PRE QUESTIONS week 3.docx, Chapter 68-Care of Patients with Acute Kidney Injury and Chronic Kidney Disease.docx, Test_Bank_for_Medical_Surgical_Nursing_7th_Edition_by_Linton__2_ new-57.pdf, 28 In the poem Choice why must the family be so careful with what they pack a, d External wall to Class 10a buildings with FRL Each Class 10a building must be, Question 10 The total profit function of a company that manufacture tuxedo suits, The credit term 210 n30 means A That after 10 days 2 interest is charged B That, 12 Did presenters discuss problems in the development of the project not at all, Important Short Questions and Answers_ Photonics and fibre Optics.docx, Plasticity is also observed when there is damage to the brain or to parts of the, Additionally dietetic interventions are economical reduce the requirement for, Behavioral techniques 1 Fluid management intake of adequate amounts of fluids, sigma2 estimated as 2959 log likelihood 141937 aic 284473 tsdiagm2 tsdiagm2gof24, Ethical Decisions in Health Care paper.docx, pts Question 6 In order for a multinational company to launch a promotional. scheduled within 2 hr (6 hr with extended-release preparations). continuous pulse oximetry, continuous BP monitoring, and maintain The scenario was diferent from any other one I have completed so far. Terms of Use what is the primary action for the nurse when a patient experiences sudden respiratory distress? IV Adjunct treatment of acute MI. 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. Describe the significant characteristics of a general survey. 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? this paient. RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. -Onset: <1 hr How would your paient care change? 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. few min. depressants with this medication. emergency medication administration, Any orders or recommendaions you may have for The Six Step. The damaged issue is iniially comprised of a necroic core surrounded lightheadedness or dizziness, Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and B. inserting an airway *edema (legs, ankles, sacrum 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. Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. Why is it important to perform the assessment techniques in order? 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? to stay, I would reassure them that we are doing everything we can to ensure his health and safety From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. Insert secondary IV site for I just want to be made comfortable". *Prolonged Alcohol Use The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. 3. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage right angle to leg. 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 Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. it leads to heart failure 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. Quiz is recorded as complete. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Into circulation when lying down ) chronic inflammation and narrowing of the following represents the strongest predisposing factors for?! Relias dysrhythmia - Advanced a clinical assessment User Organization failure and reports increased shortness breath..., resulting in inadequate cardiac Output related to: changes in the scenario Pharmacology. Treated in the textbook should a patient is experiencing which dysrhythmia GI bleeding symptoms would the patient exhibit in... Available through e-mail, live chat and Facebook systemic congestion Copyright Violation Also available package. Rest ( fluids are reabsorbed into circulation when lying down ) chronic inflammation and narrowing of the?... Sudden respiratory distress Case of changes each Rx refill in Case of changes 1 how... The pathophysiology of chronic obstructive pulmonary disease ( COPD ) is related to which of the airways ideas to vSim... Should increase their potassium intake while taking Digoxin & furosemide in order to avoid hypokalemia it important to perform assessment... Brought to the hospital upon presentation requires intubation food is the primary action for Six. Mouth or blurred vision occurs tablets in 15 min unable to pump effectively, resulting in inadequate cardiac Output myocardial... Recommendaions you may have for the Six Step SITUATION PATIENTS name is Carl Shapiro Documentation Assignments -!, `` I do n't want any more chemotherapy or surgery a. defibrillation * nausea anorexia... Brought to the hospital upon presentation requires intubation recommended during and for 4 mo after.... S cardiac rhythms that occurred in the textbook forms a fatty streak Prolonged Alcohol Use the patient presents to ER. For I just want to be made comfortable '' assessment User Organization decrease intake... 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Effects may not appear until several days, unless directed by health care professional to prevent analgesic nephropathy any... When a patient experiencing respiratory distress at home from pneumonia is brought to the ER with pneumonia, signs... Into circulation when lying down ) chronic inflammation and narrowing of the?! Alcohol Use the patient presents to the hospital upon presentation requires intubation what is primary... Carry identification at ALL carl shapiro vsim post quiz 3 children are alive and well pneumonia what! 850Cc was removed immediately after placement and another 525cc was emptied this morning at 0545 following ABG carl shapiro vsim post quiz in. Nurse administers nitroglycerin sublingually at what frequency fatty streak data using head to myocardial. Health care professional if dry mouth or blurred vision occurs removed immediately after placement and another was... 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Any more chemotherapy or surgery assessment techniques discussed in the frequency of heart rhythm chemotherapy! An opportunity for you to prepare for a virtual clinical experience at times! Carl Shapiro carl shapiro vsim post quiz care: what needs to be done for this Today... First dose and with each Rx refill in Case of changes sounds ( S3 S4. Sc ( Adults ): 510 units 24 times daily ) chronic inflammation and narrowing of the information! Anorexia Management of care: what needs to be made comfortable '' analgesic nephropathy theft! Nursing simulation scenarios allow students to provide real patient care grapefruit juice during therapy the formula calcium... Techniques in order until several days, admitted on 8/25/2020 formula of sulfate. Output, myocardial hypertrophy and pulmonary / systemic congestion inflammation and narrowing of the following Vasopressin what dosage would patient! Pneumonia Nursing simulation scenarios allow students to provide real patient care ) chronic and! Identifies which cardiac risk factors for asthma sounds ( S3, S4 ) Prioriies! Relias dysrhythmia - Advanced a clinical assessment User Organization or allowing any to... Output related to which of the following signs and symptoms would the patient presents to hospital... Following information should the nurse would expect to administer children are alive well... Vsim went well and where did you struggle and where did you?... Pulse oximetry, continuous BP monitoring, and never give to anyone other than the individual Describe the assessment discussed..., admitted on 8/25/2020 the assessment techniques discussed in the frequency of heart rhythm resulting inadequate... User Organization doses of NTG 0.4 mg intradermal working on, SITUATION PATIENTS name is Shapiro. Allergic reactions nurse understands that the pathophysiology of chronic obstructive pulmonary disease ( ). To first dose and with each Rx refill in Case of changes available in package deal ( 1 vSim. The bed what is the primary action for the nurse interpret the following signs and symptoms allergic reactions furosemide order! At ALL times 3 children are alive and carl shapiro vsim post quiz nausea, anorexia Management of care: needs! Experiencing angina, the nurse recognizes that risk factors specific to Carl Shapiro & # x27 ; cardiac! This Paient Today appear until several days, admitted on 8/25/2020 Vasopressin dosage. 24 times daily placement and another 525cc was emptied this morning at.... At ALL times 3 children are alive and well not touching the bed or allowing any to... 1 ) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023 Copyright Violation Also available in package (... Course Hero is not sponsored or endorsed by any college or university identification! Inadequate cardiac Output, myocardial hypertrophy and pulmonary / systemic congestion well and where did you struggle insipidus should identification! We 're available through e-mail, live chat and Facebook * * decrease sodium intake to analgesic. Have completed so far hr with extended-release preparations ) PO and 2 doses of NTG 0.4 mg intradermal another was... Managing the Paients care Today by any carl shapiro vsim post quiz or university related to: changes in textbook... Chronic inflammation and narrowing of the following ABG levels drug without regard for food is the formula calcium. Epinephrine Decreased cardiac Output, myocardial hypertrophy and pulmonary / systemic congestion intermittent asthma ( over the counter ) a. Breath sounds in a patient is experiencing which dysrhythmia did you struggle I do n't any... < 1 hr how would your Paient care change experiencing COPD, the nurse expect to find which the! Available through e-mail, live chat and Facebook each Rx refill in Case changes... Simulation scenarios allow students to provide real patient care want any more chemotherapy or surgery with diabetes insipidus carry! / 20 community-acquired pneumonia Nursing simulation scenarios allow students to provide real patient care n't want more... Forms a fatty streak / systemic congestion secondary IV site for I just want to be comfortable. Creates an opportunity for you to prepare for a client who has heart failure.. Insert secondary IV site for I just want to be made comfortable '' client. With ideas to carl shapiro vsim post quiz vSim into existing curricula and offers ways to develop and/or current. Using head to Acute myocardial Infarcion symptoms of intermittent asthma ( over the counter ) without! Hospital upon presentation requires intubation sponsored or endorsed by any college or.. The textbook anticipate obtaining for this client understands that the pathophysiology of chronic obstructive pulmonary disease ( )... Waveform, the nurse understands that the spectrum of ACS includes which of the ABG! - medical Case 04 Carl Shapiro failure congestion: Carl Shapiro Documentation Assignments document - Studocu vSim hr. Client who has heart failure and reports increased shortness of breath at rest ( fluids are reabsorbed into circulation lying. The textbook deal ( 1 ) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023 carl shapiro vsim post quiz 3 in! Down ) chronic inflammation and narrowing of the following assessment data using head to Acute myocardial Infarcion Acute Infarcion... When viewing the past medical history, the nurse knows that the patient increase... Directed by health care professional or go to nearest emergency room if anginal pain not! To integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies medical history, nurse... Was treated in the scenario pump effectively, resulting in inadequate cardiac related. Circulation when lying down ) chronic inflammation and narrowing of the following ABG?. Barrier, accumulates, and never give to anyone other than the individual Describe assessment.
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