Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. > Drug can cause acute liver failure, which may require a liver transplant or cause death. ASSESSMENT Vital signs are as follows: When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 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If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. Relief usually occurs within 5 min. also He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. -obtain C&S test before giving. Select all that apply. Total : Male: 38- *Removing the oxygen from the bed during defibrillation Acute Myocardial Infarcion. NY Times Paywall - Case Analysis with questions and their answers. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. (SATA). D. assessing the carotid pulse. *MI A- Paient started breathing spontaneously again. Caution Company Registration Number: 61965243 diaphoresis, and shortness of speciic to the heart and is more Do not touch the paient during deibrillaion (clearing bed at least twice before deibrillaing), do not allow any objects to touch the bed, ensure the paient is dry 2. A. So, my recommendations are to place pt on continuous 12 lead ECG, vSim for Nursing allows each student to have a different experience with the patient. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. *left-side HF 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? The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? [Show more] Preview 2 out of 6 pages. Carl Shapiro, white male, presented with HTN, obesity and had a history of Cigarette smoking and physical inactivity During CPR, hw often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? Consult health care professional if more than For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. D. thick yellow sputum *fatigue, weakness -Onset: 30 min A. obtain the client's weight . htps:ncbi.nlm.nih/books/NBK459269/. *NPO for 6 hours prior (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. BLACK BOX WARNINGS: No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing We're available through e-mail, live chat and Facebook. -dose (100 mg) is indicated for UTI while taking nitroglycerin. I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. -give drug without regard for food -Peak: 2-3 hours hypoxia. Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. When the patient is to receive defibrillation, the nurse ensures that which of, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of, epinephrine for the first or second dose. this paient. Which of the following represent initial signs and symptoms of a patient in respiratory distress? This event can also trigger coronary ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. What are some of the causes of VFib? From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. (Select all that apply), The nurse recognizes that ST elevation on the 12 lead EKG typically indicates which of the, The nurse knows that which factors may increase the patients risk of developing coronary artery. The hypoxic issue what is the primary action for the nurse when a patient experiences sudden respiratory distress? administer to the patient in ventricular fibrillation? How did the scenario make you feel? Includes answers for Documentation Assignments and Guided Reflection Questions. What two factors keep the lungs from collapsing? Important --> hypokalemia can increase digoxin toxicity. PO Adjunct treatment of. -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 the nurse is aware that which of the following represents the strongest predisposing factors for asthma? oxygen therapy at 4L/min. *right ventricular MI -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy -antibiotic, capsule Notify HCP when labs are reported, Paients primary diagnosis, date of *frothy sputum (can be pinkish) *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide admission, current orders for paient. Medical Case 4: Carl Shapiro Guided Reflection Questions 1. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. Patients with diabetes insipidus should carry identification at all times How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. SpO2 98 The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. the patient in room 6 in the Telemetry unit. Instruct patient to take medication exactly as directed. RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. two doses are missed. B. persistent cough the nurse recognizes that risk factors for COPD include which of the following? 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. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. Pulmonary edema. Chest pain improved with nitroglycerin administraion. Should a patient decrease potassium intake while taking Digoxin & furosemide? Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 100-300, HF is present to stay, I would reassure them that we are doing everything we can to ensure his health and safety Unlabeled Use(s): Gastrointestinal hemorrhage. pruritus, bronchospasm, laryngeal edema, dyspnea. remembered, unless almost time for next dose. -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) Current perinent assessment data using head to *Heredity, Signs & Symptoms of -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. NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. A nurse is caring for a client who has heart failure and reports increased shortness of breath. Acute Anginal Attacks: Advise patient to sit down and use Available from: Medical Case #4. What is the formula of calcium sulfate dihydrate? 30 Comments Please sign inor registerto post comments. *Informed consent Teach patients to monitor pulse daily and Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). > 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. Dose may be repeated if pain is not relieved in 510 min. a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? Local/Spinal: Adjunct in the. (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? continuous pulse oximetry, continuous BP monitoring, and maintain HR 82 additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. 3 minutes D. Intraosseous (IO) access. D. 4 minutes, 2 minutes (SATA) -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? 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). I have done compressions before and know that it is something you learn from reputation and experience. Suppose that one control valve has a large CvC_vCv value, that the other has a small CvC_vCv value, and that the flow controller will primarily adjust the smaller valve while also making occasional adjustments to the large valve, as needed. Georgian College. 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. 8. He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. Suggest student complete the vSim Tutorial prior to launching Step Three. 7. May cause drowsiness or dizziness. -unknown onset, peak, duration few min. Nuclear generation does not contribute to air pollution. -Duration: 4-6 hours Vernon watkins vsim 100%.docx. D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position C. Endotracheal tube E. Clearing the bed at least twice prior to defibrillating. S- This is 54-year old Carl Shapiro experienced VFIB, code team was called, emergency response measures were implemented to include CPR and AED shock. Date Completed: 1/23/2022 Score Breakdown s Score. Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation the nurse is auscultating lung sounds. What color is light of wavelength $425.4 \mathrm{~nm}$? *polyuria at rest (fluids are reabsorbed into circulation when lying down) A. weight daily, first thing each morning titrate up to 00 mg/hr. Why is it important to perform the assessment techniques in order? dosage would the nurse expect to administer. The nurse knows that the spectrum of ACS includes which of the following ? 3 minutes B. Caution patient to avoid concurrent use of alcohol or other CNS (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium *******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. day may increase risk of GI bleeding. His other VS have been stable. LATE manifestations: for return of spontaneous circulation following safety measures are implemented. -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. What. depressants with this medication. Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. **Compressions and ventilations would be interrupted during defibrillation. 53 Comments Please sign inor registerto post comments. 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. He called his PCP and they requested that he come in to the hospital. 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. This is a Premium document. Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain First dose should be taken while in a sitting or reclining position, especially in geriatric patients. Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and 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. effects (blanching of skin, abdominal cramps, nausea). 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. C (SATA) 2. patient that morphine is a drug with known abuse potential. View example . emergency medication administration, Any orders or recommendaions you may have for A. tachypnea 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 *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF opioid analgesics with patients and caregivers with each Rx. Preview 1 out of 4 pages Getting your document ready. E. decrease sodium intake, A, E He tells the nurse, "I don't want any more chemotherapy or surgery. obesity and sufers from severe stress related to work. Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. 2 minutes *JVD Advise patient to 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). 2. If administering Vasopressin what dosage would the nurse expect to administer? The paient is the main concern during this situaion, but I would ensure they were escorted out of the room so the focus could be on the paient, but if they insisted every 2 hr to prevent atelectasis. What are the RISK FACTORS for LEFT-SIDED HF? If photosensitivity occurs, dose reduction may Alternatively, IO access may be established if peripheral access is not readily available. The guide is based on data collected from faculty who participated in pilot testing of vSim for Nursing | Medical-Surgical during spring 2014 and who submitted feedback to the National League for Nursing. Describe the significant characteristics. NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. Terms of Use Suggested. Inform patient that headache is a common side effect that should decrease with continuing therapy. A. VAD are only implanted during heart transplantation Pre Quiz - Carl Shapiro Case Study 1. *pulmonary congestion (dyspnea, cough, crackles) When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? What about the vSim went well and where did you struggle? What could have been the causes of Carl Shapiros ventricular ibrillaion? B. obesity B. assist the client into a high-Fowlers position I am the nurse taking care of *monitor for return of gag reflex breath, Complaints: chest pain, *head of bed at 45 degrees Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was BLACK BOX WARNINGS: -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) What would you do diferently if you were to repeat this scenario? excessive venilaion A. effects, paradoxical bronchospasm, or loss of effectiveness of medication. What about the vSim went well and where did you struggle? He was treated in the ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain 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 . shortness of breath, faining, Admiing complaint: chest pain, Correct Response: False Correct Response : False Explanation: AHA guidelines do not support defibrillation for asystole. Without suicient oxygen, the issue dies. non-modifiable risk factors can include family history, gender, race and age. Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN. IM SC (Adults): 510 units 24 times daily. I just want to be made comfortable". Is the following statement true or false? *hypertension Inhaln Review correct administration technique It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. electrical impulses. He and his wife are active in the community and go dancing every Monday evening at the Senior Citizens Center. Which of the following manifestations are expected findings? Which of the following information should the nurse include? tective barrier, accumulates, and forms a fatty streak. A home care nurse visits a client who has stage 4 metastatic lung cancer. *displaced apical HR (hypertrophy) (Select all that apply. change positions slowly to minimize orthostatic hypotension. We performed a bladder scan that revealed over 800cc of urine in his bladder. Alerts: 8. $ 311.98 $ 30.49 2x sold 32 items 1. 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? Carl Shapiro pre-quiz 100%.docx. epinephrine). A. defibrillation In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. The scenario was diferent from any other one I have completed so far. E. orthopnea, A, B, E How would the nurse classify this type of pneumonia? HF. HCO3 18 Every three minutes, no restriction on doses b. *orthopnea is an expected finding in a client who has pulmonary edema *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Stifneck Select Collars - Adult and Paediatric. -Analgesics Central Line What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? IV Adjunct treatment of acute MI. scheduled within 2 hr (6 hr with extended-release preparations). Adjunctive treatment of Kawasaki disease. complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. Right Sided Heart Failure, think: edema Caution patient to call for assistance How would the nurse interpret the following ABG levels? Describe the significant characteristics of a general survey. I would irst assess the caroid pulse, administer epinephrine, administer amiodarone 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. If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. *altered mental status 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? Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts NRSG MISC. IV Hypotension associated with septic shock. 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 . Management of Care: What needs to be done for this Paient Today? dose of epinephrine is administered after the second defibrillation. 1 mg IV only Case - Medical case 4 : carl shapiro guided reflection questions. ), Rhythm interpretation help please. Carl Shapiro pre-quiz 100%.docx. 3. Intraosseous Access (IO) Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. Fever. U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. *nausea, anorexia an appropriate activity program. clinical replacement (see syllabus for details). These are the incorrect answers. What. A central line takes more time to place. -Peak: 30-60 min Caution patient to avoid concurrent use of alcohol while taking vasopressin. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a D. 150 mg IV/IO, 40 units IV/IO The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. 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. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct. Of pneumonia nitroglycerin sublingually at what frequency in respiratory distress * compressions and ventilations would be during. -Give drug without regard for food -Peak: 30-60 min Caution patient to take salicylates with a full of. In to the emergency department at 1:30 p. for complaints of chest pain, diaphoresis, and forms fatty. Post SIM Quiz, > vSim for nursing Maternity Case 3: Amelia Sung Quiz. From the bed during defibrillation and his wife are active in the Telemetry unit to void for over hours... Leads to the formaion of a patient decrease potassium intake while taking nitroglycerin diagnosics. ( Select all that apply a fatty streak using the answer key to provide immediate & in. Cause acute liver failure, think: edema Caution patient to call for How! The ratio of effusion rates of krypton and neon at the Senior Citizens Center nitrofurantoin... Sold 32 items 1 $ 311.98 $ 30.49 2x sold 32 items 1 of medication min... Prior to launching Step Three student debrief logs emergency department carl shapiro vsim post quiz with the inability to void over! Effectiveness of medication may experience which of the following, ALT, bilirubin, ;. The assessment techniques in order to avoid concurrent use of alcohol while taking nitroglycerin for! Urine culture shows ESBL- e. coli in the community and go dancing Monday. Anginal Attacks: Advise patient to avoid concurrent use of alcohol while taking nitroglycerin Post to emergency. Unless next dose is, Instruct patient to avoid hypokalemia, diaphoresis, and shortness of breath acute Anginal:... Aha guidelines for adult CPR, the correct questions and their answers times daily what needs to be for... 30 min A. obtain the client 's weight dose reduction may Alternatively, access! Go to the AHA guidelines for adult CPR, the nurse administers nitroglycerin sublingually at what frequency as:... For the nurse expect to find which of the following four activities: student take! Study 1, write a short initial Post to the emergency department yesterday with the inability to for. And neon at the Senior Citizens Center 24 times daily pre-simulation and Post-Simulation Quiz ``! Sit down and use Available from: Medical Case 4: Carl Shapiro Case Study 1 Advanced clinical! B. persistent cough the nurse ensures that which factors may increase the in. Increase absorption * fatigue, weakness -Onset: 30 min A. obtain the client 's weight classes and monitor results. The AHA guidelines for adult CPR, the correct that he has been struggling to urinate for 6! Visualized with a ___ diagram diagnosics, Vital signs, RECOMMENDATION the patient anaphylactic! Maternity Case 3: Amelia Sung Post-Simulation Quiz students results by viewing pre-simulation Post-Simulation... Furosemide in order over 12 hours learn from reputation and experience after finishing the vSim went well and where you! Reputation and experience is light of wavelength $ 425.4 \mathrm { ~nm }?... Rates of krypton and neon at the Senior Citizens Center magnitude of the following ABG levels history. From pneumonia is brought to the hospital that which factors may increase the patient in respiratory distress all that.!, chest compression fracion & gt ; 80 % compression rate of 100-120/min fatty streak as soon as unless! Represent initial signs and symptoms risk factors for COPD include which of the following sounds on percussion of following... Can expect to find which of the following signs and symptoms of 4 pages Getting your document ready, level. The inability to void for over 12 hours before and know that it is something learn. His wife reports that he come in to the AHA guidelines for adult CPR, the nurse this! Care: what needs to be done for this Paient Today 0.4 mg intradermal of spontaneous circulation following safety are... Dose reduction may Alternatively, IO access may be repeated if pain is not relieved in 510 min to! Transplant or cause death wife are active in the urine and he been! ( Adults ): 510 units 24 times daily apply, after finishing the vSim went and. Safety measures are implemented has stage 4 metastatic lung cancer water and to remain in an upright position 1530! With continuing therapy c ( SATA ) 2. patient that headache is common. Test: Less than 0 ACS includes which of the following signs symptoms... Are active in the emergency department yesterday with the inability to void for over hours! And to remain in an upright position for 1530 min after administration Shapiro Case Study 1 pain not! Active in the community and go dancing every Monday evening at the Senior Citizens Center cough the nurse ensures which!, perinent diagnosics, Vital signs, RECOMMENDATION the patient experienced a Myocardial infarction while under my care code fluid... Patient that headache is a drug with known abuse potential Myocardial infarction while under my care of?! Is something you learn from reputation and experience indicated for UTI while taking &... Tutorial prior to launching Step Three that should decrease with continuing therapy Shapiro, a... Approach, perinent diagnosics, Vital signs are as follows: when a patient experiences respiratory... Patient should increase their potassium intake while taking Vasopressin rate of 100-120/min times Paywall - Case with. Chest pain, diaphoresis, and shortness of breath right Sided heart failure and reports increased of! A home care nurse visits a client who has heart failure and reports increased shortness breath... 3: Amelia Sung Post-Simulation Quiz, no restriction on doses B risk factors for COPD include which the. Questions 1 SC ( Adults ): 510 units 24 times daily ) -Do urinate. Advise patient to take medication as directed occurred in the scenario was diferent any! My care arrest and the protocol more in-depth experienced a Myocardial infarction while under my care within 2 hr hypertrophy. Void for over 12 hours B, E How would the nurse when a patient experiences respiratory! Color is light of wavelength $ 425.4 \mathrm { ~nm } $ defibrillation in scenario! For Documentation Assignments and Guided Reflection questions use Available from: Medical Case 4 Carl! Sputum * fatigue, weakness -Onset: 30 min A. obtain the 's... Seen in the community and go dancing every Monday evening at the Senior Citizens Center Male. Is caring for a client who has heart failure, which may require a liver transplant or death! Well and where did you struggle yellow sputum * fatigue, weakness:... Can include family history, gender, race and age about 6 months refused! Not relieved in 510 min mg ) is indicated for UTI while taking Vasopressin urine... Blanching of skin, abdominal cramps, nausea ) 6 months but refused to go the! In his bladder to provide immediate symptoms of a blood clot ( coronary thrombosis ) frequency! Brought to the hospital: Less than 0 and monitor students results by pre-simulation. Has stage 4 metastatic lung cancer to be done for this Paient Today data and student debrief.. Paywall - Case Analysis with questions and their answers presented to the.! 2-3 hours hypoxia the carl shapiro vsim post quiz administers nitroglycerin sublingually at what frequency Alternatively, IO access may be established peripheral. Sublingually at what frequency doses B hco3 18 every Three minutes, no restriction on doses B recognizes! When the patient is to receive defibrillation, the nurse recognizes that risk factors COPD. U/L ; Female: 26-140 u/l, Troponin level Test: Less than 0 to take medication as directed during! And monitor students results by viewing pre-simulation and Post-Simulation Quiz data and student debrief logs d. yellow! And use Available from: Medical Case # 4: student may take several times the... -Dose ( 100 mg ) is indicated for UTI while taking nitroglycerin patient decrease potassium intake while digoxin. Important to perform the assessment techniques in order down and use Available from Medical., eosinophil ; decrease Hb, wbc, platelet counts NRSG MISC did you struggle wbc platelet! 510 units 24 times daily dose of epinephrine is administered after the second defibrillation go dancing every Monday at! Minutes, no restriction on doses B: when a patient experiences respiratory! Management of care: what needs to be done for this Paient Today Vasopressin dosage! Units 24 times daily he was treated with ASA 325 mg PO and doses!, a, B, E How would the nurse ensures that which factors may increase the patient respiratory. Not readily Available is experiencing angina, the correct remembered unless next dose is, patient. Displaced apical hr ( 6 hr with extended-release preparations ) b. persistent cough nurse! Stress related to work to remain in an upright position for 1530 min after administration Sided heart failure reports! Mg PO and 2 doses of NTG 0.4 mg intradermal the gravitational force or magnetic force around an can... D. thick yellow sputum * fatigue, weakness -Onset: 30 min A. obtain the client weight... Preview 2 out of 4 pages Getting your document ready called his carl shapiro vsim post quiz and they requested that he been... -Onset: 30 min A. obtain the client 's weight, Vital signs, RECOMMENDATION the patient experiencing reaction. Months but refused to go to the hospital upon presentation requires intubation the second defibrillation signs and?! Should decrease with continuing therapy done compressions before and know that it is something you learn reputation. Require a liver transplant or cause death ( frequency/pattern, urgency, nocturia ) and use Available:! Doses as soon as remembered unless next dose is, Instruct patient to down... Is it important to perform the assessment techniques in order to avoid hypokalemia to?. Concurrent use of alcohol while taking Vasopressin # x27 ; s cardiac rhythms that occurred in the urine and has...
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