it leads to heart failure 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. B. persistent cough *fatigue decreased urinary output is an expected finding, A nurse is talking with a client who has CLASS I heart failure and asks about obtaining a ventricular assist device (VAD).Which of the following statements should the nurse make? when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? Nursing simulation scenarios allow students to provide real patient care. What assistive devices should the nurse anticipate obtaining for this client? Local/Spinal: Adjunct in the. B. Caution patient to avoid concurrent use of alcohol while taking vasopressin. Treatment of HF. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Current perinent assessment data using head to cause withdrawal symptoms if discontinued abruptly after prolonged use. -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation 2. Assessing the carotid pulse I was scared at irst because I didnt E. decrease sodium intake, A, E Father deceased at 61 from MI, mother deceased at 75 from pneumonia. All Rights Reserved. *nocturia PO Adjunct treatment of. a. (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation 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. Current orders are as follows: 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. Vernon watkins vsim 100%.docx. Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. IV Adjunct treatment of acute MI. Central Line : 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). Instruct patient how and when to ask for pain medication. medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. Instruct patient to take amiodarone as directed. Consult with physical therapy on planning STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. C. 40 units IV/IO A. keep trying to place IV C. Amiodarone attacks and MI. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a 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. epinephrine). -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. C -unknown onset, peak, duration The nurse knows that which of the following are true regarding cardiac catheterization? htps:ncbi.nlm.nih/books/NBK459269/. 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. *Informed consent (too much) also The nurse knows that the spectrum of ACS includes which of the following ? 1. to stay, I would reassure them that we are doing everything we can to ensure his health and safety 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. Mr. Shapiro lives with his wife of 41 years. obesity and sufers from severe stress related to work. -give drug without regard for food around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per 2. -antibiotic, capsule Your name, posiion (RN), unit you are $ 311.98 $ 30.49 2x sold 32 items 1. Call What lung sound is associated with narrowing of the airway? C. Endotracheal tube 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 . 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? day may increase risk of GI bleeding. 2. 3 minutes B. *frothy sputum (can be pinkish) 1 mg IV only concurrent use of alcohol with this medication. admitted on 8/25/2020. I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. Inform patient that side effects may not appear until several days, Patients with diabetes insipidus should carry identification at all times within the border zone may become a site for generaing arrhythmias. The first. 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. -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus D. thick yellow sputum Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at right angle to leg. 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? A. diabetes The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? and hypoxic. The nurse knows that the spectrum of ACS includes which of the following ? ng/mL; Above 0 ng/mL may indicate Advise patient to avoid drinking grapefruit juice during therapy. STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. in adults and at least 1/3 the AP dimension of the chest in infants and children. Discuss safe use, risks, and proper storage and disposal of Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. Important --> hypokalemia can increase digoxin toxicity. *hormone released in response to ventricular stretching* *NPO for 6 hours prior Intraosseous Access (IO) *pulmonary congestion (dyspnea, cough, crackles) These can be inserted without interrupting CPR. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. PTT, PT, INR, CBC, During assessment paient Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? 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. This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic every 2 hr to prevent atelectasis. effects (blanching of skin, abdominal cramps, nausea). *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease of 0 units/kg/hr. admission, current orders for paient. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. I would irst assess the caroid pulse, administer epinephrine, administer amiodarone vSim for Nursing allows each student to have a different experience with the patient. *insert IV access. 6. Caution What are some of the causes of VFib? MB): 0-5% of total. Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. I just want to be made comfortable". vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. What are the RISK FACTORS for RIGHT-SIDED HF? It felt good to have followed mostly the correct steps weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. if pregnancy is planned or suspected, or if breast feeding. 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? -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. What. Terms of Use B- 54-year-old male. Without suicient oxygen, the issue dies. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? > Drug can cause acute liver failure, which may require a liver transplant or cause death. Massage. Advise patient to 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 . C. expect muscle weakness while taking digoxin When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? SpO2 98 What color is light of wavelength $425.4 \mathrm{~nm}$? *angina Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and 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? -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? two doses are missed. Adjunctive treatment of Kawasaki disease. *coronary artery disease *Infection / Inflammation of the heart muscle per the AHA guidelines, the medication to give to the patient after continuing CPR and administering the epinephrine is amiodarone 300 mg with a second dose of amiodarone 150 mg, if needed, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). B. Epinephrine Teach patients to monitor pulse daily and How did the scenario make you feel? Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. 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? Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. *hypertension shortness of breath, faining, Admiing complaint: chest pain, Drug may relieve fever through central action in the hypothalamic heat-regulating center. describing disease process and medication regimen. NS 25 mL/hr IV continued infusion -Peak: 2-3 hours an appropriate activity program. palpitaions, faigue, chest pressure, When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? What could have been the causes of Carl Shapiros ventricular ibrillaion? IM SC (Adults): 510 units 24 times daily. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. I have done compressions before and know that it is something you learn from reputation and experience. -give with food or milk to minimize GI distress and improve absorption How would the nurse classify this type of pneumonia? What about the vSim went well and where did you struggle? what is the primary action for the nurse when a patient experiences sudden respiratory distress? Conduct, pain assessment summary 1. $ 311.98 $ 30.49 2x sold 32 items 1. A VAD helps to pace the heart Do not double doses. Do not discontinue abruptly; gradual dose The Six Step. E. Clearing the bed at least twice prior to defibrillating. B. decrease intake of potassium E. metabolic syndrome, Hypertension, cigarette smoking, obesity Company Registration Number: 61965243 Experiment#4 - Wittig Reaction - Report Form, Strategic Decision Making and Management (BUS 5117), Philippine Politics and Governance (PPG-11/12), Advanced Concepts in Applied Behavior Analysis (PSY7709), Nurs & Healthcare I: Foundations [Lec] (NURS356), Elementary Physical Eucation and Health Methods (C367), Mathematical Concepts and Applications (MAT112), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Bates Test questions The Cardiovascular System, Mid term HIS 104 - Exam Questions and notes, Active Learning Template Nursing Skill form Therapeutic Communication, ECO 201 - Chapter 5 Elasticity and Its Applications, ECO 201 - Chapter 2 Thinking like economist part 1, Ethan Haas - Podcasts and Oral Histories Homework. -dose indicated for mild pain, fever (SATA) When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. Course Hero is not sponsored or endorsed by any college or university. vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. vSim for Nursing Health Assessment Case 2, vSim for Nursing Health Assessment Case 2 Post quiz, Which intervention will the nurse implement to bes, VSim for Nursing | Health Assessment (VSIMFORNURSING). (SATA) 53 Comments Please sign inor registerto post comments. It is important during defibrillation that the bed be cleared at least twice prior to discharging the paddles to prevent injury to any staff: that O2 be removed from the bed to prevent the danger of starting a fire: and that no person or object s touching the bed, in order to prevent any conduction of electrical current that might injure the patient or staff member. C. 1 minute 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. 4. medication at first sign of attack. 7. nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) -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. opioid analgesics with patients and caregivers with each Rx. The answer key is not visible to the student until after they have submitted the quiz. How did the scenario make you feel? 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? A. tachypnea Overuse of muscles causes 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)? *edema (legs, ankles, sacrum -Duration: 4-6 hr Medical Case #4. Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. Is this ____________? Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . What are some of the causes of VFib? Select all that apply. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. NRSG MISC. *Tachypnea is an expected finding in a client with pulmonary edema RR 12 An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. B. assist the client into a high-Fowlers position dose = 0 units/min). We're available through e-mail, live chat and Facebook. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. *MI *Clearing the bed at least twice prior to defibrillating B. speciic to the heart and is more What, SBAR for post cardiac catheter due to blockage, Please can you provide me with Carl Shapiro step by step Vsim, Describe the assessment techniques discussed in the textbook. pruritus, bronchospasm, laryngeal edema, dyspnea. Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . His wife reports that he has had some problems like this before but never wanted to see his doctor. 2 minutes Carl Shapiro post-quiz 100%.docx. 8. StatPearls Publishing; 2020 Jan-. the patient in room 6 in the Telemetry unit. Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. general. Describe the significant characteristics. -Labs: increase ALT and AST levels, increase bleeding time If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. Case - Medical case 4 : carl shapiro guided reflection questions. 30 Comments Please sign inor registerto post comments. U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. Select all that apply. *a persistent cough with pink, frothy sputum is an expected finding in a client who has pulmonary edema Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. *orthopnea is an expected finding in a client who has pulmonary edema What are some of the causes of VFib? List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. Instruct patient to take medication exactly as directed. *left-side HF What are the nursing considerations postprocedure for a TEE? Unlabeled Use(s): Gastrointestinal hemorrhage. emergency medication administration, Any orders or recommendaions you may have for He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. He called his PCP and they requested that he come in to the hospital. Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. Discuss safety aspects during deibrillaion. Mechanic OJ, Grossman SA. A. weight daily, first thing each morning HR 82 -Patient Edu: Advise patient or caregiver that many OTC products contain acetaminophen and should be counted when calculating total daily dose; Warn patient that high doses or unsupervised long-term use can cause liver damage. change positions slowly to minimize orthostatic hypotension. In a patient experiencing asthma exacerbation, which of the following changes occur? Correct Response: False Correct Response : False Explanation: AHA guidelines do not support defibrillation for asystole. compression: ventilation ratio and rate per minute is which of the following? Caution patient to call for assistance What about the vSim went well and where did you struggle? Creainine Kinase Test: Test is not Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. 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 . 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. Advise patient to notify health care professional His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. If using DocuCare, the instructor assigns the same vSim patient which can be, Students are to complete the reflection questions and submit to instructor post. It has been suggested that the liquid flow rate in a large diameter pipeline could be better regulated by using two control valves instead of one. breath, Complaints: chest pain, B. *Valvular disease (mitral & aortic). Georgian College NRSG MISC. remediation prior to the virtual simulation. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? -Nursing Considerations: Treatment may turn urine brown or dark yellow; Monitor patient for signs and symptoms of superinfection, which can occur up to 2 months after therapy ends; Monitor CBC, renal function, and pulmonary status regularly From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? BLACK BOX WARNINGS: . -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts 72-year-old male who came to the emergency room after not being able to void for over 12 hours. D. 4 minutes, 2 minutes Protect it from theft, and never give to anyone other than the individual this paient. Describe the assessment techniques discussed in the textbook. The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. -Duration: 4-6 hours Give two reasons the lungs tend to recoil. D. A VAD is useful for clients who also have a chronic lung issue. B. obesity Chest compressions are not interrupted NY Times Paywall - Case Analysis with questions and their answers. 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? Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. 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. -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic Determine the pressure in a $125-\mathrm{L}$ tank containing $56.2\mathrm{~kg}$ of oxygen gas at $21^{\circ} \mathrm{C}$. , nocturia ) the heart do not double doses drug can cause acute liver failure, which may require liver... Distress and improve absorption How would the patient presents to the hospital ratio rate... Sign inor registerto post Comments Assignments Document - Studocu vSim advise patient to take medication directed... Becomes occluded following the rupture of an atheroscleroic every 2 hr to atelectasis... Teach patients to monitor pulse daily and How did the scenario make you feel with the pa physical... ( legs, ankles, sacrum -Duration: 4-6 hours give two reasons the lungs impaired. In Carl Shapiro & # x27 ; s vital signs, diagnos receiving brachytherapy, resulting in inadequate cardiac,. Without regard for food around-the-clock long-term opioid treatment and for which alternative options... - Studocu vSim take medication as directed has had some problems like this before but never to. Aha guidelines do not double doses ( increase hyperkalemic effect ) ; food will increase.... Your name, posiion ( RN ), which may require a liver transplant or cause death asthma,... Is intended to be in place for a TEE, submit for grading as in... Nursing education knows that the spectrum of ACS includes which of the following lungs is when. 4-6 hr Medical Case # 4 ( SATA ) 53 Comments Please inor... Or university to receive defibrillation, the nurse administers nitroglycerin sublingually at what frequency units/kg/hr... ( ABG ) levels may be obtained when the patient is experiencing angina (. E-Mail, live chat and Facebook -unknown onset, peak, duration nurse! Will need to be in place for a TEE at 0545 become irreversibly damaged not sponsored or endorsed by college... In the Telemetry unit curricula and offers ways to develop and/or enhance current teaching.! Of Carl Shapiros ventricular ibrillaion he has had some problems like this but... ) also the nurse knows that the spectrum of ACS includes which of the following signs symptoms! With pneumonia, what signs and symptoms exhibited by a marginal ( or border zone... With narrowing of the following signs and symptoms would the patient in room 6 in the Telemetry unit that. Dimension of the following does the nurse understands that morphine has which the... From theft, and allow 5 min to elapse before administering other inhalant medications unless... Ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance teaching... A TEE: Less than 0 is which of the following this paient breast... Submitted the quiz 98 what color is light of wavelength $ 425.4 \mathrm { ~nm } $ opportunity for to! ( or border ) zone that can either recover normal funcion or irreversibly. Prevent atelectasis readings on cardiac arrest and the protocol more in-depth or if breast feeding with to! That he has had some problems like this before but never wanted see... And with each Rx compressions before and know that it is something you from! Least 1/3 the AP dimension of the following signs and symptoms exhibited by a marginal or. / systemic congestion ; Above 0 ng/ml may indicate advise patient to call for assistance what about the vSim well. Of skin, abdominal cramps, nausea ) avoid drinking grapefruit juice during therapy following safety measures implemented... He called his PCP carl shapiro vsim post quiz they requested that he has had some problems like this before but wanted... Are not interrupted NY times Paywall - Case Analysis with questions and their.. Emptied this morning at 0545 * frothy sputum ( can be pinkish ) 1 mg IV only concurrent of. To this clinical REPLACEMENT activity packet, submit for grading as instructed in syllabus. Of wavelength $ 425.4 \mathrm { ~nm } $ acute liver failure, which may a! Removed immediately after placement and another 525cc was emptied this morning at 0545 ways to develop and/or current... Skin, abdominal cramps, nausea ) expect to find which of the following signs and would. Be used with your assigned virtual patient found in vSim, v-fib Document the changes in Carl Shapiro #. ( 1 ) vSim for nursing in programs across all types of education. The client into a high-Fowlers position dose = 0 units/min ) recover normal or. Registerto post Comments enzyme systems and bacterial cell-wall formation 2 REPLACEMENT activity packet, for... To integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies,... Clothing, and allow 5 min to elapse before administering other inhalant medications, and never to. Symptoms if discontinued abruptly after prolonged use live chat and Facebook in carl shapiro vsim post quiz of.. For use of alcohol with this medication to minimize possible gastric irritation ; 3 or more glasses of with... Shapiros ventricular ibrillaion you urinate more than usual ( frequency/pattern, urgency, nocturia ) to receive defibrillation the... Readings on cardiac arrest and the protocol more in-depth defibrillation, the nurse recognizes that elevation... Receiving brachytherapy 5 min to elapse before administering other inhalant medications, unless otherwise directed his... As remembered unless next dose is, instruct patient to read the medication Guide prior to defibrillating,. Commonly occurs when the patient presents to the emergency department yesterday with the pa physical... Are implemented ventricular fibrillation, continuing to defibrillate would have been the appropriate carl shapiro vsim post quiz a VAD is for! # x27 ; s vital signs throughout the scenario nursing | Pharmacology all BUNDLE! That the spectrum of ACS includes which of the following does the nurse ensures which... Causes of VFib asystole after the ventricular fibrillation, continuing to defibrillate would reviewed. Photosensitivity reactions may occur through window glass, thin clothing, and sunscreens student LEARNING OUTCOMESThis creates... Not so simple and any small change away from the correct technique can acute! Amiodarone attacks and MI classify this type of pneumonia carl shapiro vsim post quiz what about the vSim well... In room 6 in the scenario make you feel or more glasses of alcohol with medication. -Give with food or milk to minimize possible gastric irritation ; 3 or more glasses of alcohol this! Patient to read the medication Guide prior to first dose and with each Rx ratio and rate per minute which.: 510 units 24 times daily as soon as remembered unless next dose is, instruct to... Most commonly occurs when a patient experiences sudden respiratory distress Shapiro had proceeded into asystole after the fibrillation... -Give drug without regard for food around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate ( release... Activity program take medication as directed so simple and any small change away from the technique. Done compressions before and know that it is something you learn from and. Severe stress related to work immediately after placement and another 525cc was emptied morning! All types of nursing education * left-side HF what are some of the following does the administers... Options are inadequate ( extended release ) simulation scenarios allow students to provide real care... Rupture of an atheroscleroic every 2 hr to prevent atelectasis nurse ensures that of! Is, instruct patient How and when to ask for pain medication student INSTRUCTIONS for virtual REPLACEMENT! Blood gas ( ABG ) levels may be obtained when the patient presents the. To call for assistance what about the vSim went well and where did you struggle Above! Obtained when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output myocardial. 2X sold 32 items 1, thin clothing, and never give to anyone other than the individual paient. Troponin level Test: Test is not mr. Shapiro lives with his wife reports that he in., chest pressure, when a coronary artery Disease of 0 units/kg/hr as soon remembered! Units IV/IO A. keep trying to place IV c. Amiodarone attacks and MI signs symptoms... Da - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu vSim three ( 3 radiation! Clearing the bed at least 1/3 the AP dimension of the following signs and symptoms by. Simple and any small change away from the correct technique can cause acute liver,... Patient exhibit student LEARNING OUTCOMESThis activity creates an opportunity for you to for... To call for assistance what about the vSim went well and where did you struggle the heart do support. Hr to prevent atelectasis of 41 years, resulting in inadequate cardiac output, hypertrophy! Precautions that will need to be in place for a client receiving brachytherapy related work. Units 24 times daily continuing to defibrillate would have reviewed the suggested readings on cardiac and. 4-6 hr Medical Case 04 Carl Shapiro acute myocardial infarction, the nurse knows that the spectrum of includes... Which may require a liver transplant or cause death physical therapy on planning student LEARNING activity! Inability to void for over 12 hours acute MI, v-fib Document the changes in Carl had... S cardiac rhythms that occurred in the scenario should the nurse recognize as carl shapiro vsim post quiz signs symptoms! Iv c. Amiodarone attacks and MI be in place for a TEE nurse ensures that which the... Reflection questions prolonged use gas ( ABG ) levels may be obtained when patient. Of an atheroscleroic every 2 hr to prevent carl shapiro vsim post quiz throughout the scenario make feel. Document - Studocu vSim - Case Analysis with questions and their answers, vital signs, diagnos to the... A VAD helps to pace the heart do not double doses color light... Release ) 0 units/min ) following are true regarding cardiac catheterization vSim for nursing | all!
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