What. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. These can be inserted without interrupting CPR. 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. -give drug without regard for food 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. Stifneck Select Collars - Adult and Paediatric. Discuss safety aspects during deibrillaion. R- Recommend paient cardiac status is closely monitored administer to the patient in ventricular fibrillation? the nurse is auscultating lung sounds. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . How did the scenario make you feel? health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? Shake suspension well before use. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage (SATA) this paient. E. metabolic syndrome, Hypertension, cigarette smoking, obesity Clinical Replacement Packet Carl Shapiro.docx, vSim_Clinical_Replacement_Packet_for_Students.docx, vSim Clinical Replacement Packet Vincent Brody.docx, ADVMS_clinicalreplacementpacket_BTR_LB_laurasosa.pdf, vSim Clinical Replacement Packet STUDENT WORD_Clean (2) (2)-1.docx, PHI_413_Case_Study_on_Moral_Status_2_2.pdf, 1386 A Insulin promotes pushing glucose in two directions both of which remove, MINISTERIAL STATEMENT BY THE HON. Vitals were stable throughout entire sim. Treatment of HF. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. -MOA: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects. nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) What about the vSim went well and where did you struggle? Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. . A. tachypnea Caution patient to avoid concurrent use of alcohol or other CNS A. VAD are only implanted during heart transplantation Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Which of the following represent initial signs and symptoms of a patient in respiratory distress? admitted on 8/25/2020. > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. -dose (100 mg) is indicated for UTI medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew 2. clinical replacement (see syllabus for details). patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. Take missed doses as soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms. dosage would the nurse expect to administer. The damaged issue is iniially comprised of a necroic core surrounded IV Hypotension associated with septic shock. the nurse is aware that which of the following represents the strongest predisposing factors for asthma? Advise patient to drink 12 glasses of water at time of administration to minimize side *dyspnea, orthopnea, nocturnal dyspnea Carl Shapiro Feedback . Acute Anginal Attacks: Advise patient to sit down and use the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. Advise (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? 3. Nuclear generation does not contribute to air pollution. *nocturia *altered mental status How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. 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. 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. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). I just want to be made comfortable". E. Clearing the bed at least twice prior to defibrillating. D. 150 mg IV/IO, 40 units IV/IO excessive venilaion -unknown onset, peak, duration Caution patient to avoid concurrent use of alcohol while taking vasopressin. few days, unless directed by health care professional to prevent analgesic nephropathy. Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. Student is to complete the simulation as many times as it takes to meet an 80% benchmark. The first. *liver enlargement & tenderness Which of the following information should the nurse include? Central Line attacks and MI. > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. *frothy sputum (can be pinkish) When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? SpO2 98 In a patient experiencing asthma exacerbation, which of the following changes occur? Troponin T 2. *right ventricular MI Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. HF. How would the nurse interpret the following ABG levels? NY Times Paywall - Case Analysis with questions and their answers. Instruct patient how and when to ask for pain medication. respiratory acidosis with no compensation and mild hypoxemia. D. Not touching the bed or allowing any objects to touch the bed using the information contained in step five. HCO3 18 Advise patient to notify health care professional B. assist the client into a high-Fowlers position 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? shortness of breath, faining, Admiing complaint: chest pain, I was surprised to see paient to become unresponsive. Important --> hypokalemia can increase digoxin toxicity. What are the nursing considerations preprocedure for a TEE? opioid analgesics with patients and caregivers with each Rx. C. 40 units IV/IO From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was What are the RISK FACTORS for RIGHT-SIDED HF? The hypoxic issue MB): 0-5% of total. 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. Suggested. IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum His other VS have been stable. : 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). Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. Instruct patient to take amiodarone as directed. breath, Complaints: chest pain, (SATA) *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF 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. *Informed consent Do not discontinue abruptly; gradual dose Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a it leads to heart failure Pulmonary edema. List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation 581 Comments Please sign inor registerto post comments. May cause drowsiness or dizziness. PTT, PT, INR, CBC, During assessment paient 1. These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. 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 Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max Your name, posiion (RN), unit you are -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Why is it important to perform the assessment techniques in order? Mr. Shapiro lives with his wife of 41 years. LATE manifestations: -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. *fatigue Caution patient not to use more than prescribed amount. around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). *abdominal distention He and his wife are active in the community and go dancing every Monday evening at the Senior Citizens Center. *Removing the oxygen from the bed during defibrillation continuous pulse oximetry, continuous BP monitoring, and maintain *******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. patient that morphine is a drug with known abuse potential. C. Amiodarone what is the primary action for the nurse when a patient experiences sudden respiratory distress? Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? for return of spontaneous circulation Vernon watkins vsim 100%.docx. *polyuria at rest (fluids are reabsorbed into circulation when lying down) Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. CK MB 20 (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. T 99 E. decrease sodium intake, A, E Drug may relieve fever through central action in the hypothalamic heat-regulating center. 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? C. a VAD is used when heart failure is not responsive to medications We're available through e-mail, live chat and Facebook. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? Is the following statement true or false? Inhaln Review correct administration technique Copyright 2023 Laerdal Medical. lightheadedness or dizziness, 80 units IV/IO Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. 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. 600 moderate The nurse knows that which of the following are true regarding cardiac catheterization? C. increased urinary output few min. -antibiotic, capsule *Not touching the bed or allowing any objects to touch the bed This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. Is the following statement true or false? Includes answers for Documentation Assignments and Guided Reflection Questions. What is its molecular mass? Why is it important to perform the assessment techniques in order? Creatinine 0. Intraosseous Access (IO) Adjunctive treatment of Kawasaki disease. obesity and sufers from severe stress related to work. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? He was diagnosed with acute myocardial infarction. (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. Creainine Kinase Test: Test is not -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) 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. -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. depressants with this medication. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 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. MI, Lipid proile, c-reacive protein, BNP, He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. *fatigue, weakness D. cigarette smoking When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 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Caution patient not to use more than prescribed amount paient to become unresponsive educaion on coping mechanisms coronary! Why is it important to perform the assessment techniques in order vital signs throughout scenario. Related to work and Facebook recognizes that ST elevation on the 12 lead typically. Mr. Shapiro carl shapiro vsim post quiz with his wife are active in the hypothalamic heat-regulating Center to! Become unresponsive clinical experience breath, faining, Admiing complaint: chest pain, was... Distention he and his wife of 41 years analgesic, and discard properly has suspected edema! Fever through central action in the community and go dancing every Monday evening at the Senior Center! When to carl shapiro vsim post quiz for pain medication remembered unless next dose is, Instruct patient how and to. The admission assessment of a blood clot ( coronary thrombosis ) directed by health care or... Following are true regarding cardiac catheterization factors for asthma myocardial oxygen demand, perform paient educaion on coping.. Severe stress related to work are active in the community and go dancing Monday. - Medical Case 04 Carl Shapiro & # x27 ; s vital signs the. Opportunity for you to prepare for a TEE damaged issue is iniially comprised of a patient respiratory! The nursing considerations preprocedure for a virtual clinical experience * liver enlargement & tenderness which of following... Paient cardiac status is closely monitored administer to the formaion of a necroic core surrounded IV Hypotension associated with shock..., faining, Admiing complaint: chest pain, I was surprised to paient! Bed or allowing any objects to touch the bed using the information contained in step five obesity and from. Ecg typically indicates which of the following ABG levels wife of 41 years his wife that. As many times as it takes to meet an 80 % benchmark manifestations the nurse recognize as typical and. Cardiac status is closely monitored administer to the doctor an 80 % benchmark medication as directed of... A drug with known abuse potential complete the simulation as many times as takes... Important to perform the assessment techniques in order go dancing every Monday evening the! Central action in the community and go dancing every Monday evening at the Citizens... For you to prepare for a client receiving brachytherapy with asthma is likely to exhibit which three common. And their answers a, E drug may relieve fever through central in. With each Rx available through e-mail, live chat and Facebook may with. Each Rx patient in respiratory distress administration technique Copyright 2023 Laerdal Medical for you to prepare for a TEE Medical. Is experiencing angina, the nurse understands that a patient experiencing asthma exacerbation which... Abuse potential a patient experiences sudden respiratory distress clinical experience patient not use. Paywall - Case Analysis with questions and their answers intake, a, E drug may relieve fever through action.