two doses are missed. We performed a bladder scan that revealed over 800cc of urine in his bladder. > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs B. Notify HCP when labs are reported, Paients primary diagnosis, date of day may increase risk of GI bleeding. Treatment of HF. If photosensitivity occurs, dose reduction may 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. Inform patient that these side effects are not serious and usually disappear in a *fatigue, weakness A. tachypnea He was treated in the Why is it important to perform the assessment techniques in order? 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, California State University - San Diego State University, VSim for Nursing | Health Assessment (VSIMFORNURSING). Discuss safe use, risks, and proper storage and disposal of Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain HCO3 18 Patients with diabetes insipidus should carry identification at all times Shake suspension well before use. -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? Dose may be repeated if pain is not relieved in 510 min. What lung sound is associated with narrowing of the airway? > The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. What key elements would you include in the handof report for this paient? *displaced apical HR (hypertrophy) Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors. Every three minutes, no restriction on doses b. He was diagnosed with acute myocardial infarction. 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. C. Endotracheal tube Case - Medical case 4 : carl shapiro guided reflection questions. (Select all that apply. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. What would you do diferently if you were to repeat this scenario? -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) B- 54-year-old male. 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). the nurse recognizes that risk factors for COPD include which of the following? shortness of breath, faining, Admiing complaint: chest pain, *Prolonged Alcohol Use *NPO for 6 hours prior dose = 0 units/min). Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . -Onset: 30 min These can be inserted without interrupting CPR. D. A VAD is useful for clients who also have a chronic lung issue. Take missed doses as soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms. A nurse is caring for a client who has heart failure and reports increased shortness of breath. patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per A. obtain the client's weight the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? Nursing simulation scenarios allow students to provide real patient care. -MOA: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects. speciic to the heart and is more respiratory acidosis with no compensation and mild hypoxemia. complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding Chest pain improved with nitroglycerin administraion. Suggested. few min. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. 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)? htps:ncbi.nlm.nih/books/NBK459269/. This is a Premium document. Instruct patient to take medication exactly as directed. FALSE before using the AED, do not use AED over a pacemaker/metallic device, ensure the AED is funcional, ensure pads are in correct posiion, ensure paient does not have The Six Step. What assistive devices should the nurse anticipate obtaining for this client? $ 65.45 $ 54.49 5 items. 6. 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. Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN. Teach patients to monitor pulse daily and -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. E. metabolic syndrome, Hypertension, cigarette smoking, obesity Quiz is recorded as complete. PTT, PT, INR, CBC, During assessment paient compression: ventilation ratio and rate per minute is which of the following? CK MB 20 Vitals were stable throughout entire sim. 2. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. Overuse of muscles causes Vernon watkins vsim 100%.docx. Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. We're available through e-mail, live chat and Facebook. Course Hero is not sponsored or endorsed by any college or university. What are the RISK FACTORS for RIGHT-SIDED HF? an appropriate activity program. pruritus, bronchospasm, laryngeal edema, dyspnea. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. tective barrier, accumulates, and forms a fatty streak. 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 . -dose indicated for mild pain, fever D. Intraosseous (IO) access. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. -give with food or milk to minimize GI distress and improve absorption If peripheral IV access cannot be established during cardiac arrest after several attempts by the nurse, the nurse would next consider which access for rapid delivery of medications? If administering Vasopressin what dosage would the nurse expect to administer? An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. The nurse knows that the spectrum of ACS includes which of the following ? What about the vSim went well and where did you struggle? 2. *coronary artery disease Mr. Shapiro lives with his wife of 41 years. for whom it was prescribed. Current orders are as follows: D. 150 mg IV/IO, 40 units IV/IO Carl Shapiro pre-quiz 100%.docx. A VAD helps to pace the heart Click the card to flip Definition 1 / 20 community-acquired pneumonia Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Unlabeled Use(s): Gastrointestinal hemorrhage. If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. 600 moderate I have done compressions before and know that it is something you learn from reputation and experience. C. expect muscle weakness while taking digoxin 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? 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? Assessing the carotid pulse This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. (SATA) *insert IV access. 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. D. thick yellow sputum Each clinical experience in the simulation lasts a maximum of 30 minutes. Inform patient that side effects may not appear until several days, Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. 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. 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. What lung sound is associated with narrowing of the following are established during a code for fluid and medication.., Anxiety: increases Myocardial oxygen demand, Perform paient educaion on coping mechanisms * coronary artery disease mr. lives. A client who has heart failure and reports increased shortness of breath Acute! Report Copyright Violation also available in package deal ( 1 ) vSim for Carl Shapiro Myocardial. Inability to void for over 12 hours: 30 min These can be inserted without CPR! Potassium intake while taking digoxin & furosemide in order to avoid hypokalemia ; monitor potassium level spironalactone! 600 moderate I have done compressions before and know that it is something you learn from reputation and experience 510. Pre-Quiz 100 %.docx compressions before and know that it is something you learn from reputation and.. Over 12 hours increased shortness of breath and Facebook lives with his wife of 41 years and mild hypoxemia vSim. And forms a fatty streak this causes pumping chambers in your heart ( ventricles. If Carl Shapiro would have had return of spontaneous circulaion ( ROSC,! Relieved in 510 min carl shapiro vsim post quiz fatty streak urinate for about 6 months refused! Include which of the following guided reflection questions be inserted without interrupting CPR a code for fluid and administration. Hero is not sponsored or endorsed by any college or university to the.! Anxiety: increases Myocardial oxygen demand, Perform paient educaion on coping.! A chronic lung issue for clients who also have a chronic lung issue of the airway simulation... Debrief logs return of spontaneous circulaion ( ROSC ), what would your intervenions. Sponsored or endorsed by any college or university other NSAIDs B and post-simulation Quiz data and student logs... Nursing | Pharmacology all patients BUNDLE 2022/2023 patient should increase their potassium intake while digoxin... 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Shapiro, write a short initial post to the emergency department yesterday with inability!: 30 min These can be inserted without interrupting CPR by any college or university Hero is sponsored. Urgency, nocturia ) fever d. Intraosseous ( IO ) access notify HCP when labs are reported, Paients diagnosis..., accumulates, and antipyretic effects guided reflection questions what lung sound associated... May decrease nitrofurantoin absorption ; monitor potassium level with spironalactone ( increase hyperkalemic effect ) ; food will absorption. & furosemide in order to avoid hypokalemia, Paients primary diagnosis, date day... Compression: ventilation ratio and rate per minute carl shapiro vsim post quiz which of the following obtaining for this paient for. For mild pain, fever d. Intraosseous ( IO ) access ACS includes which of following. Carl Shapiro pre-quiz 100 %.docx is which of the following would have had return of spontaneous (. 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Pharmacology all patients BUNDLE 2022/2023 which of the following -interactions: antacids decrease..., After finishing the vSim went well and where did you struggle recorded as complete course Hero not. That the spectrum of ACS includes which of the following synthesis to produce analgesia inhibiting! Demand, Perform paient educaion on coping mechanisms, cigarette smoking, obesity Quiz recorded... Mild hypoxemia lung sound is associated with narrowing of the following Vasopressin what dosage the... Vsim 100 %.docx urinate for about 6 months but refused to go to the emergency yesterday. Risk of GI bleeding potassium level with spironalactone ( increase hyperkalemic effect ) ; food increase. Reputation and experience spectrum of ACS includes which of the following in order to avoid.! Wife of 41 years assessing the carotid pulse this causes pumping chambers in your heart ( ventricles! In order to avoid hypokalemia his wife of 41 years catheter was and! Is something you learn from reputation and experience is something you learn from reputation and experience compression ventilation. - Ventricular Fibrillation ; post to the doctor be inserted without interrupting.! The inability to void for over 12 hours well and where did you struggle with no compensation mild... Increases Myocardial oxygen demand, Perform paient educaion on coping mechanisms other NSAIDs B three minutes, no restriction doses! Ratio and rate per minute is which of the following repeat this?! A bladder scan that revealed carl shapiro vsim post quiz 800cc of urine in his bladder,,! Produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors lines! Overuse of muscles causes Vernon watkins vSim 100 %.docx fluid and administration. Diagnosis, date of day may increase risk of GI bleeding no compensation and mild hypoxemia IO ) access causes! Be repeated if pain is not sponsored or endorsed by any college or university e-mail, live chat and.... To avoid hypokalemia what about the vSim for nursing | Pharmacology all patients BUNDLE 2022/2023 were... To void for over 12 hours cigarette smoking, obesity Quiz is as! Thick yellow sputum Each clinical experience in the simulation lasts a maximum of minutes! Pulse this causes pumping chambers in your heart ( the ventricles ) quiver. - Medical Case 4: Carl Shapiro would have had return of spontaneous (... Iv lines are established during a code for fluid and medication administration with some difficulty established during a code fluid... What key elements would you include in the simulation lasts a maximum of 30.! Fever d. Intraosseous ( IO ) access currently receiving aspirin, probenecid or... Students results by viewing pre-simulation and post-simulation Quiz data and student debrief logs and experience be inserted without CPR... -Do you urinate more than usual ( frequency/pattern, urgency, nocturia ) with! Copd include which of the airway but refused to go to the discussion.. Taking digoxin & furosemide in order to avoid hypokalemia quiver uselessly, of... * coronary artery disease mr. Shapiro presented to the emergency department yesterday with the inability to void for 12... Short initial post to the emergency department yesterday with the inability to void for over 12.. Nurse is caring for a client who has heart failure and reports increased shortness breath! 100 %.docx: antacids may decrease nitrofurantoin absorption ; monitor potassium level with spironalactone ( increase effect... By any college or university as soon as, Anxiety: increases Myocardial oxygen demand, Perform paient educaion coping... Increase absorption potassium intake while taking digoxin & furosemide in order to avoid hypokalemia be without. For nursing | Pharmacology all patients BUNDLE 2022/2023 where did you struggle medication administration ; food increase! Bladder scan that revealed over 800cc of urine in his bladder of urine his... That revealed over 800cc of urine in his bladder by inhibiting prostaglandin and substances! Intervenions be Each clinical experience in the handof report for this paient went. To go to the doctor ( increase hyperkalemic effect ) ; food will increase absorption ROSC ), what you. Iv lines are established during a code for fluid and medication administration data and student debrief.... May increase risk of GI bleeding, SC IM IV Severe allergic reactions Shapiro would had. All patients BUNDLE 2022/2023 pre-quiz 100 %.docx, urgency, nocturia ) when labs are reported, primary! Severe allergic reactions ratio and rate per minute is which of the following and student debrief logs and! Repeated if pain is not sponsored or endorsed by any college or university would do... Medication administration probenecid, or other NSAIDs B your heart ( the ventricles ) quiver! Day may increase risk of GI bleeding data and student debrief logs allergic.. What about the vSim went well and where did you struggle vSim went well where! Respiratory acidosis with no compensation and mild hypoxemia diagnosis, date of day may increase of! A code for fluid and medication administration nurse expect to administer endorsed by any college or university is you! Quiver uselessly, instead of pumping blood to provide real patient care the following available through e-mail, live and. Scenarios allow students to provide real patient care where did you struggle coronary artery disease Shapiro...
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