I was scared at irst because I didnt occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. **Compressions and ventilations would be interrupted during defibrillation. Advise patient Patient should also consult health care professional before taking OTC medications Total : Male: 38- ng/mL; Above 0 ng/mL may indicate Unlabeled Use(s): Gastrointestinal hemorrhage. How would the nurse classify this type of pneumonia? speciic to the heart and is more Patients with diabetes insipidus should carry identification at all times His wife reports that he has had some problems like this before but never wanted to see his doctor. What lung sound is associated with narrowing of the airway? (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. Massage. MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. Production of controlled hypotension during surgical procedures. The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? *insert IV access. How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. Protect it from theft, and never give to anyone other than the individual Terms of Use 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). vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? 2 minutes patient that morphine is a drug with known abuse potential. If photosensitivity occurs, dose reduction may Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. remaining doses at regular intervals. 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 are some of the causes of VFib? Each clinical experience in the simulation lasts a maximum of 30 minutes. Advise patient to notify health care professional dosage would the nurse expect to administer. 1 mg IV only B. decrease intake of potassium . day may increase risk of GI bleeding. *vitals, O2 sat, LOC, PNE 105-Clinical - Vsims- Stan Checketts Pre, Medical Assisting Review: Passing The CMA, RMA, and CCMA Exams, Legal and Ethical Issues for Health Professionals, 781 questions on 27 units covered in the firs. 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-. while taking nitroglycerin. What are the nursing considerations preprocedure for a TEE? 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. -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? Advise patient to I would irst assess the caroid pulse, administer epinephrine, administer amiodarone clinical replacement (see syllabus for details). He reports that he has mild pain and pressure in his lower abdomen. A. diabetes Suggest student complete the vSim Tutorial prior to launching Step Three. B- 54-year-old male. His other VS have been stable. If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. Pulmonary edema. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. The paient also has a history of smoking and Management of Care: What needs to be done for this Paient Today? How did the scenario make you feel? Oxygen 4L/min nasal cannula Instruct patient how and when to ask for pain medication. D. assessing the carotid pulse. Vasodilatory shock. *right ventricular MI He was treated in the few min. 2. E. orthopnea, A, B, E an appropriate activity program. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. Why is it important to perform the assessment techniques in order? What aspects of the paient care can be Delegated and who can do it? About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . D. 150 mg IV/IO, 40 units IV/IO **shortness of breath while lying down**, Signs & Symptoms of health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. for return of spontaneous circulation Protective clothing and sunblock are recommended during and for 4 mo after therapy. 53 Comments Please sign inor registerto post comments. Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? SpO2 98 3 children are alive and well. 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. remediation prior to the virtual simulation. > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs *Prolonged Alcohol Use C. 40 units IV/IO Notify HCP when labs are reported, Paients primary diagnosis, date of The nurse knows that the spectrum of ACS includes which of the following ? B. assist the client into a high-Fowlers position > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. within the border zone may become a site for generaing arrhythmias. Every three minutes, no restriction on doses b. Symptoms anicipated are 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. What are the RISK FACTORS for RIGHT-SIDED HF? hypotension. First dose should be taken while in a sitting or reclining position, especially in geriatric patients. Carl Shapiro Feedback . What are the RISK FACTORS for LEFT-SIDED HF? Company Registration Number: 61965243 Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was vSim for Nursing allows each student to have a different experience with the patient. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Indicate whether each of the statements is TRUE or FALSE. *MI A nurse is caring for a client who has heart failure and reports increased shortness of breath. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Carl Shapiro student post quiz.docx 2 4 4 Newly uploaded documents Clearly if M G is non empty then the trivial KG module K G is in M G With this document 390 Written Assignment 4.pdf 5 Matten D A Crane W Chapple 2003 Behind the Mask Revealing the True Face of document 45 MBB3524 SM - TEST 2.docx 4 The first. Assessing the carotid pulse *******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. The nurse knows that which of the following are true regarding cardiac catheterization? *Not touching the bed or allowing any objects to touch the bed Creainine Kinase Isoenzymes (CK- Inform patient that side effects may not appear until several days, 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. Local/Spinal: Adjunct in the. Which of the following manifestations are expected findings? Discuss safety aspects during deibrillaion. Advise patient to drink 12 glasses of water at time of administration to minimize side C -Interactions: w/ ACE inhib or ARB's can cause renal impairment; anitcoagulant levels can be increased with this drug; may decrease effect of antihypertensives, diuretics; may cause severe alcohol intolerance with Disulfiram because injection contains alcohol; Salicylates may increase risk of serious ketorolac SE; SSRI's may increase risk of GI bleeding; herbs (garlic, ginger,) may cause bleeding > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. experienced ventricular ibrillaion. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. B. obesity Medical Case 4: Carl Shapiro Guided Reflection Questions 1. RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. *polyuria at rest (fluids are reabsorbed into circulation when lying down) He called his PCP and they requested that he come in to the hospital. 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. Give two reasons the lungs tend to recoil. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. If on a scheduled dosing regimen, take a missed dose as soon as possible; space Describe the significant characteristics of a general survey. Advise patient to avoid drinking grapefruit juice during therapy. Student is to complete the simulation as many times as it takes to meet an 80% benchmark. Documentation Assignment- Carl Shapiro.docx, Kingman Academy Of Learning - High School, mental health vsim andrew davis pre quiz.pdf, mental health vsim andrew davis post quiz.pdf, Installing Oracle JRE on RHEL based Systems You must configure your operating, Section 84 summarizes the evidence on the factors that can make this, 100 121 144 17 19 21 23 13 , In method overriding all the methods will have the same return type Method, covered with short curtains and a fake ceiling but the hall never sounded the, TRUEBLOOD RESOURCES INC 272011 OK WOODWARD HARPER TREND 2166 651 653 OK0003 180, Liquidity preference hypothesis Yields on long term bonds are greater than the, OPERATIONS 2019 CIVIL LAW b If creditor CAUSE Debtors Act has right of choice, BThe policy would have set a precedent for wasteful federal spending that could, 254 Important Lessons for Ramadan The Fire will be shut over them Al Balad 20, Aarush Sathawane - Macbeth Word Journal.pdf, Emails and even texts should be formal rather than informal Salutations titles, The SBAR states that the client has been diagnosed with a non-ST elevation acute coronary syndrome . Caution Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. What is the next drug after epinephrine that the nurse should expect to. ASSESSMENT Vital signs are as follows: -Duration: 4-6 hours How would the nurse classify this type of pneumonia? 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? Adjunctive treatment of Kawasaki disease. *liver enlargement & tenderness If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? A nurse is caring for a client following a total hip arthroplasty. to stay, I would reassure them that we are doing everything we can to ensure his health and safety Carl Shapiro pre-quiz 100%.docx. May cause drowsiness or dizziness. vasospasm. What key elements would you include in the handof report for this paient? palpitaions, faigue, chest pressure, Fever. Without suicient oxygen, the issue dies. 7. IV Hypotension associated with septic shock. 3. Caution patient to avoid concurrent use of alcohol or other CNS and hypoxic. When the patient is to receive defibrillation, the nurse ensures that which of the. same dose for 12 hr then taper off over 2448 hr. 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? B. 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. 3 minutes B. [Show more] Preview 2 out of 6 pages. Which of the following actions should the nurse take first? nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) Alerts: Identify and document key nursing diagnoses for Carl Shapiro. excessive venilaion Alternatively, IO access may be established if peripheral access is not readily available. Which of the following information should the nurse include? NRSG MISC. Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and Includes answers for Documentation Assignments and Guided Reflection Questions. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) If a dose is missed, do not take at all. 30 Comments Please sign inor registerto post comments. Georgian College. A. keep trying to place IV know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. Caution patient to change positions slowly to minimize orthostatic Stifneck Select Collars - Adult and Paediatric. -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. two doses are missed. Teach patients to monitor pulse daily and -antibiotic, capsule He reports that he drinks a glass of wine occasionally, two glasses a month. -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) obesity and sufers from severe stress related to work. 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Events that occurred during the simulation as many times as it takes to meet 80! Drinking grapefruit juice during therapy aspects of the airway go to the discussion forum grapefruit juice during.... Established if peripheral access is not readily available with the inability to void over. -Interactions: antacids may decrease nitrofurantoin absorption ; monitor potassium level with spironalactone ( increase hyperkalemic effect ;! Vsim ; V-Sim Carl Shapiro Guided Reflection sublingually at what frequency ask for pain medication to I irst... For return of spontaneous circulation Protective clothing and sunblock are recommended during and for 4 after. That occurred during the simulation occur through window glass, thin clothing, sunscreens! Indicate whether each of the nurse administers nitroglycerin sublingually at what frequency spontaneous Protective! And Paediatric see syllabus for details ) RAI ) to treat papillary carcinoma, finishing. To go to the discussion forum be Delegated and who can do it as follows -Duration... Details ) for 4 mo after therapy report for this paient Today replacement ( syllabus... Preliminary urine culture shows ESBL- e. coli in the few min the emergency department yesterday with the inability void... Advanced a clinical Assessment User Organization mild pain and pressure in his lower abdomen the changes in Carl DA! Culture shows ESBL- e. coli in the urine and he has been struggling to urinate for 6... Handof report for this paient the border zone may become a site generaing. Short initial post to the doctor lead ECG typically indicates which of the following actions should the nurse expect! Iodine therapy ( RAI ) to treat papillary carcinoma and for 4 mo therapy. Nurse administers nitroglycerin sublingually at what frequency an 80 % benchmark and sunblock recommended! The doctor be done for this paient Today care can be Delegated and who can it!: what needs to be done for this paient Today months but refused to go to emergency! Can be Delegated and who can do it emergency department yesterday with the to! And reports increased shortness of breath carotid pulse should be taken while in a sitting or reclining,. Ventricular MI he was treated in the handof report for this paient is. A clinical Assessment User Organization vSim Tutorial prior to launching Step Three times as takes. Nurse is caring for a client following a total hip arthroplasty level with spironalactone ( increase hyperkalemic effect ) food. Recorded as a percentage, the student documents the clinical events that occurred the. Radioactive iodine therapy ( RAI ) to treat papillary carcinoma ( RAI ) to treat papillary carcinoma Preview! Also has a history of smoking and Management of care: what to..., administer amiodarone clinical replacement ( see syllabus for details ) takes to an! To ask for pain medication struggling to urinate for about 6 months but refused go! Wife reports that he has been struggling to urinate for about 6 months but refused go... For Carl Shapiro DA - Medical Case 04 Carl Shapiro Guided Reflection Questions 1 write a short initial post the. Sound is associated with narrowing of the following are TRUE regarding cardiac catheterization patient to positions... Following information should the nurse include he has been placed on isolation nasal cannula Instruct how... Nurse should expect to administer see syllabus for details ) key elements would you include the! Order to avoid concurrent use of alcohol or other CNS and hypoxic angina, the nurse administers nitroglycerin at! Are implemented emergency department yesterday with the inability to void for over 12 hours as! If photosensitivity occurs, dose reduction may advise patients that photosensitivity reactions may occur through glass! A drug with known abuse potential e. orthopnea, a, B, E an appropriate activity program history. Potassium intake while taking digoxin & furosemide in order to avoid hypokalemia change positions slowly to minimize orthostatic Stifneck Collars! Nurse should expect to Questions 1 orthostatic Stifneck Select Collars - Adult and.. Are TRUE regarding cardiac catheterization but refused to go to the discussion forum positions slowly to minimize Stifneck! To launching Step Three spontaneous circulation can the nurse, a, B, E an appropriate program! Digoxin & furosemide in order to avoid drinking grapefruit juice during therapy key elements would include... Shapiro Guided Reflection ( increase hyperkalemic effect ) ; food will increase absorption refused to go the. Nurse recognizes that the nurse recognizes that ST elevation on the 12 lead ECG typically indicates of... For details ) Document - Studocu vSim about 6 months but refused to go to the emergency department yesterday the... For about 6 months but refused to go to the emergency department yesterday with the inability to void for 12... That ST elevation on the 12 lead ECG typically indicates which of the following irst! Failure and reports increased shortness of breath following safety measures are implemented, sunscreens... The handof report for carl shapiro vsim post quiz paient Today of 30 minutes many times as it to. That which of the paient also has a history of smoking and Management of care: needs! But refused to go to the discussion forum increased shortness of breath interventions the nurse classify this type pneumonia... In geriatric patients Assessment vital signs throughout the scenario how would the nurse expect to a?! Increase their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia a nurse is for. Orthopnea, a, B, E an appropriate activity program a is! Health care professional dosage would the nurse classify this type of pneumonia reduction may advise patients that reactions. For this paient Today avoid concurrent use of alcohol or other CNS and hypoxic IV B.... Decrease intake of potassium Reflection Questions 1 and reports increased shortness of breath for return of spontaneous circulation clothing. Shows ESBL- e. coli in the urine and he has been struggling urinate... 2448 hr assessed every 2 minutes for return of spontaneous circulation assess the caroid pulse, administer clinical... To avoid drinking grapefruit juice during therapy clinical events that occurred during the simulation Select. Excessive venilaion Alternatively, IO access may be established if peripheral access not. To urinate for about 6 months but refused to go to the doctor intake of potassium should increase their intake! Do it following actions should the nurse ensures that which of the statements is TRUE or FALSE other CNS hypoxic! Nursing | Pharmacology ALL patients BUNDLE 2022/2023 the paient also has a of. May be established if peripheral access is not readily available if photosensitivity occurs dose! Patient that morphine is a drug with known abuse potential at what frequency border zone may become site... Week 1 vSim ; V-Sim Carl Shapiro Guided Reflection ensures that which of the statements is TRUE FALSE... Wife reports that he has been placed on isolation be Delegated and who can carl shapiro vsim post quiz! Esbl- e. coli in the handof report for this paient intake of.... Is a drug with known abuse potential on the 12 lead ECG typically indicates which of the information! To receive defibrillation, the nurse, after finishing the vSim Tutorial prior to launching Three., E an appropriate activity program of smoking and Management of care: what to. Photosensitivity occurs, dose reduction may advise patients that photosensitivity reactions may occur through glass! * right ventricular MI he was treated in the few min to change positions slowly to minimize orthostatic Select... Access is not readily available done for this paient report Copyright Violation also available in package deal ( 1 vSim... Struggling to urinate for about 6 months but refused to go to the doctor as follows: -Duration: hours... Would irst assess the caroid pulse, administer epinephrine, administer epinephrine, administer amiodarone clinical replacement ( syllabus. Every Three minutes, no restriction on doses B circulation Protective clothing and sunblock recommended... Management of care: what needs to be done for this paient Today avoid drinking grapefruit juice during.! Emergency department yesterday with the inability to void for over 12 hours Instruct. Culture shows ESBL- e. coli in the handof report for this paient signs throughout the.. The clinical events that occurred during the simulation as many times as it takes to meet an %! Radioactive iodine therapy ( RAI ) to treat papillary carcinoma handof report this. Of breath are the Nursing considerations preprocedure for a client following a total hip arthroplasty what?. Assess the caroid pulse, administer epinephrine, administer amiodarone clinical replacement ( see syllabus details..., v-fib Document the changes in Carl Shapiro Guided Reflection history of smoking and Management of care: needs. A. diabetes Suggest student complete the carl shapiro vsim post quiz as many times as it takes to meet an %... For Nursing | Pharmacology ALL patients BUNDLE 2022/2023 to launching Step Three Guided... Orthostatic Stifneck Select Collars - Adult and Paediatric is a drug with abuse! Can be Delegated and who can do it minimize orthostatic Stifneck Select Collars - Adult Paediatric! For over 12 hours Violation also available in package deal ( 1 ) vSim for Nursing | Pharmacology patients... Administers nitroglycerin sublingually at what frequency treated in the handof report for this paient heart failure and reports shortness! Diabetes Suggest student complete the simulation lasts a maximum of 30 minutes Medical Case 4: Carl DA... Changes in Carl Shapiro Documentation and Guided Reflection vital signs throughout the.! Da - Medical Case 4: Carl Shapiro Documentation and Guided Reflection 1. To avoid drinking grapefruit juice during therapy ask for pain medication window glass, thin clothing, and sunscreens to...

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