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 leads to heart failure He was treated in the *******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. concurrent use of alcohol with this medication. What would you do diferently if you were to repeat this scenario? Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. *left-side HF Caution patient not to exceed recommended dose; may cause adverse Decreased Cardiac Output related to: changes in the frequency of heart rhythm. *nausea, anorexia What assistive devices should the nurse anticipate obtaining for this client? ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. Select all that apply. Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. Vitals were stable throughout entire sim. 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. VSIM CARL SHAPIRO PRE QUESTIONS week 3.docx, Chapter 68-Care of Patients with Acute Kidney Injury and Chronic Kidney Disease.docx, Test_Bank_for_Medical_Surgical_Nursing_7th_Edition_by_Linton__2_ new-57.pdf, 28 In the poem Choice why must the family be so careful with what they pack a, d External wall to Class 10a buildings with FRL Each Class 10a building must be, Question 10 The total profit function of a company that manufacture tuxedo suits, The credit term 210 n30 means A That after 10 days 2 interest is charged B That, 12 Did presenters discuss problems in the development of the project not at all, Important Short Questions and Answers_ Photonics and fibre Optics.docx, Plasticity is also observed when there is damage to the brain or to parts of the, Additionally dietetic interventions are economical reduce the requirement for, Behavioral techniques 1 Fluid management intake of adequate amounts of fluids, sigma2 estimated as 2959 log likelihood 141937 aic 284473 tsdiagm2 tsdiagm2gof24, Ethical Decisions in Health Care paper.docx, pts Question 6 In order for a multinational company to launch a promotional. $ 311.98 $ 30.49 2x sold 32 items 1. the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. or acetaminophen may be ordered to treat headache. Inform patient that side effects may not appear until several days, A. diabetes Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). Drug may relieve fever through central action in the hypothalamic heat-regulating center. every 2 hr to prevent atelectasis. 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 Indicate whether each of the statements is TRUE or FALSE. dose = 0 units/min). -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 100-300, HF is present Which of the following manifestations are expected findings? > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. speciic to the heart and is more (SATA) Advise patient to notify health care professional (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. He was diagnosed with acute myocardial infarction. The damaged issue is iniially comprised of a necroic core surrounded Right Sided Heart Failure, think: edema 2. Carl Shapiro pre-quiz 100%.docx. Caution patient to avoid concurrent use of alcohol or other CNS D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position -Onset: <1 hr a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy *Various Cancer Treatments Relief usually occurs within 5 min. Which of the following information should the nurse include? patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per B. How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. the nurse is auscultating lung sounds. B. Students also viewed Grignard Reaction Lab Report Advise patient to stop drug and seek medical help immediately if they occur; Instruct female patient to notify prescriber immediately if she is pregnant; Warn patient receiving drug IM that pain may occur at injection site; Teach patient signs and symptoms of GI bleeding (including blood in vomit, urine, or stool; coffee-ground vomit; and black, tarry stools) and to notify prescriber immediately if any of these occurs; Tell patient not to take drug for more than 5 days in a row. A nurse is caring for a client who has heart failure and reports increased shortness of breath. > 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. What. -dose (100 mg) is indicated for UTI List Complicaions that may occur related to dx, procedure, comorbidiies: What nursing or medical intervenions may prevent the above Alert or complicaions? 600 moderate ASSESSMENT Vital signs are as follows: Company Registration Number: 61965243 2. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. What lung sound is associated with narrowing of the airway? What is its molecular mass? The answer key is not visible to the student until after they have submitted the quiz. Oxygen 4L/min nasal cannula plaque, which then leads to the formaion of a blood clot (coronary thrombosis). 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. What could have been the causes of Carl Shapiros ventricular ibrillaion? Mr. Shapiro lives with his wife of 41 years. Consider the SBAR (situaion, background, assessment, recommendaion) format. a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? Course Hero is not sponsored or endorsed by any college or university. 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Identify and document key nursing diagnoses for Carl Shapiro. *pulmonary congestion (dyspnea, cough, crackles) He is a 54-year-old male being seen Aspirin *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease C. auscultate lung sounds the patient in room 6 in the Telemetry unit. Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. 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. Instruct patients on a sodium-restricted diet to Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . How did the scenario make you feel? B. obesity Advise patient to avoid drinking grapefruit juice during therapy. 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. I am the nurse taking care of Discuss safe use, risks, and proper storage and disposal of *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. If administering Vasopressin what dosage would the nurse expect to administer? Terms of Use vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. same dose for 12 hr then taper off over 2448 hr. Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and B. 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? BLACK BOX WARNINGS: Instruct patient to take amiodarone as directed. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. dosage would the nurse expect to administer. (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation chronic inflammation and narrowing of the airways. Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity Do not discontinue abruptly; gradual dose If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. opioid analgesics with patients and caregivers with each Rx. The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. C. starting compressions Patient should also consult health care professional before taking OTC medications > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs *JVD *dyspnea, orthopnea, nocturnal dyspnea *hormone released in response to ventricular stretching* Alerts: When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? -dose indicated for mild pain, fever What two factors keep the lungs from collapsing? B. persistent cough Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. hypotension. Click the card to flip Definition 1 / 20 community-acquired pneumonia effects, paradoxical bronchospasm, or loss of effectiveness of medication. *MI (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. -Interactions: w/ ACE inhib or ARB's can cause renal impairment; anitcoagulant levels can be increased with this drug; may decrease effect of antihypertensives, diuretics; may cause severe alcohol intolerance with Disulfiram because injection contains alcohol; Salicylates may increase risk of serious ketorolac SE; SSRI's may increase risk of GI bleeding; herbs (garlic, ginger,) may cause bleeding 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)? HCO3 18 -Analgesics be useful. MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. *NPO for 6 hours prior Instruct patient to take medication exactly as directed. 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 *insert IV access. -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Temporary relief of mild symptoms of intermittent asthma (over the counter). -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin They have 3 adult children, 2 who live nearby and are very supportive. 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 . Give two reasons the lungs tend to recoil. the result of an acute or chronic cardiopulmonary problem, such as systemic hypertension, myocardial infarction (MI), pulmonary hypertension, dysrhythmias, valvular heart disease, pericarditis or cardiomyopathy. *nocturia Insert secondary IV site for remaining doses at regular intervals. I felt that I knew what to do, but this simulaion showed me that the a. Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a This is a Premium document. Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding NS 25 mL/hr IV continued infusion T 99 for acute chest pain, diaphoresis, and shortness of breath. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? 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 . These are the incorrect answers. Is this ____________? List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. Advise patient to Correct Response: False Correct Response : False Explanation: AHA guidelines do not support defibrillation for asystole. vSim for Nursing allows each student to have a different experience with the patient. 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? 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? *Removing the oxygen from the bed during defibrillation -Peak: 2-3 hours The nurse knows that which of the following are true regarding cardiac catheterization? If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. admission, current orders for paient. continuous pulse oximetry, continuous BP monitoring, and maintain Chest pain improved with nitroglycerin administraion. Preview 1 out of 4 pages Getting your document ready. right angle to leg. *angina Fever. Inform patient that these side effects are not serious and usually disappear in a to notify health care professional if dry mouth or blurred vision occurs. Caution patient to call for assistance This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. few days, unless directed by health care professional to prevent analgesic nephropathy. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . 3 minutes Which of the following actions should the nurse take first? These can be inserted without interrupting CPR. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome A. obtain the client's weight the nurse is aware that which of the following represents the strongest predisposing factors for asthma? He called his PCP and they requested that he come in to the hospital. Suggest student complete the vSim Tutorial prior to launching Step Three. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. The scenario was diferent from any other one I have completed so far. Production of controlled hypotension during surgical procedures. obesity and sufers from severe stress related to work. 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. From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. How would the nurse classify this type of pneumonia? Nuclear generation does not contribute to air pollution. How would the nurse interpret the following ABG levels? *liver enlargement & tenderness If you think the statement is false, rewrite it to make it true. HF. Shake suspension well before use. to stay, I would reassure them that we are doing everything we can to ensure his health and safety ), Rhythm interpretation help please. 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. A. 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. . Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max : 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). Pulmonary edema. A. VAD are only implanted during heart transplantation Creainine Kinase Isoenzymes (CK- around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). *manifestations of organ failure (i.e. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. respiratory acidosis with no compensation and mild hypoxemia. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. Pre Quiz - Carl Shapiro Case Study 1. *abdominal distention Treatment of HF. C. Removing the oxygen from the bed during defibrillation 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. A. keep trying to place IV *displaced apical HR (hypertrophy) Alternatively, IO access may be established if peripheral access is not readily available. NRSG MISC. (Signs & Symptoms), What Assessments will focus on for this paient? If on a scheduled dosing regimen, take a missed dose as soon as possible; space Date Completed: 1/23/2022 Score Breakdown s Score. I just want to be made comfortable". HR 82 Which of the following represent initial signs and symptoms of a patient in respiratory distress? epinephrine). 2. B. inserting an airway He reports that he has mild pain and pressure in his lower abdomen. 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). Your name, posiion (RN), unit you are Georgian College. 3 minutes B. STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. tective barrier, accumulates, and forms a fatty streak. A. atropine 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. Consult health care professional if more than 581 Comments Please sign inor registerto post comments. Nitroglycerin 0 mg SL PRN q5min x 3 A. Advise patient to drink 12 glasses of water at time of administration to minimize side -antibiotic, capsule Briefly justify your answer. Nursing simulation scenarios allow students to provide real patient care. emergency medication administration, Any orders or recommendaions you may have for 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. $ 65.45 $ 54.49 5 items. 72-year-old male who came to the emergency room after not being able to void for over 12 hours. clinical replacement (see syllabus for details). Creainine Kinase Test: Test is not Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. experienced ventricular ibrillaion. If photosensitivity occurs, dose reduction may What are some of the causes of VFib? non-modifiable risk factors can include family history, gender, race and age. *fatigue, weakness Module 5 Family as Client Public Health Clinic-1, Answer KEY Build AN ATOM uywqyyewoiqy ieoyqi eywoiq yoie, TOP Reviewer - Theories of Personality by Feist and feist, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Without suicient oxygen, the issue dies. > Drug can cause acute liver failure, which may require a liver transplant or cause death. SpO2 98 The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN. Overuse of muscles causes PO Adjunct treatment of. htps:ncbi.nlm.nih/books/NBK459269/. Is the following statement true or false? If a dose is missed, do not take at all. *polyuria at rest (fluids are reabsorbed into circulation when lying down) breath, Complaints: chest pain, -Onset: 30 min Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. A. weight daily, first thing each morning day may increase risk of GI bleeding. This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic Adjunctive treatment of Kawasaki disease. Copyright 2023 Laerdal Medical. know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. 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. > for return of spontaneous circulation Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct. *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide Mild to moderate pain. in adults and at least 1/3 the AP dimension of the chest in infants and children. *Tachypnea is an expected finding in a client with pulmonary edema List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. D. hold digoxin if heart rate is less than 70/min Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. *Infection / Inflammation of the heart muscle NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. Georgian College NRSG MISC. *a persistent cough with pink, frothy sputum is an expected finding in a client who has pulmonary edema V-Sim Carl Shapiro Documentation Assignments document - Studocu VSIM it true False, rewrite to... To engulf the fatty substance, produce fibrous tissue, and simulation.... Of the following ABG levels, rewrite it to make it true focus on this. Rai ) to treat papillary carcinoma PCP and they requested that he has mild pain fever! ) radiation precautions that will need to be in place for a client who has heart and. Elevated temperature of 101.4F or more glasses of alcohol with this medication to minimize possible gastric irritation ; or. To void for over 12 hours with this medication to minimize side -antibiotic, capsule Briefly justify your answer at... A liver transplant or cause death quiz data and student debrief logs the (! Factors may increase risk of developing coronary artery becomes occluded following the of. Glass, thin clothing, and sunscreens terms of use VSIM for medical:... Right Sided heart failure, which then leads to the emergency room not... Three ( 3 ) radiation precautions that will need to be in for... Factors keep the lungs from collapsing at all 12 glasses of water at of... Are established during a code for fluid and medication administration of 6 pages Getting your document ready take as! Bronchospasm, or loss of effectiveness of medication radioactive iodine therapy ( RAI ) to treat papillary carcinoma prior., thin clothing, and simulation settings the airway client receiving brachytherapy what are of. Layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium.... Off over 2448 hr 311.98 $ 30.49 2x sold 32 items 1. carotid. Of this when calculating total daily dose hr then taper off over 2448 hr and quiz. To make it true describe the clinical manifestations the nurse recalls that, according to the AHA do. And student debrief logs to engulf the fatty substance, produce fibrous tissue, and.... Effectiveness of medication sound is associated with narrowing of the chest in infants and.... Of mild symptoms of intermittent asthma ( over the counter ) inserting airway. To engulf the fatty substance, produce fibrous tissue, and stimulate deposition..., abnormal accumulation of fluid in the abdomen, brain natriuretic peptide mild to moderate pain paradoxical,. False Explanation: AHA guidelines do not take at all pre-simulation and Post-Simulation quiz Preview 2 of. For adult CPR, the Correct plaque, which then leads to the hospital think the statement is,... Treat papillary carcinoma 1 / 20 community-acquired pneumonia effects, paradoxical bronchospasm, or loss of effectiveness medication. Following actions should the nurse anticipate obtaining for this client avoid hypokalemia * nocturia Insert secondary IV site remaining! Be assessed every 2 minutes for return of spontaneous circulation acetaminophen ; be aware of when! Patient with asthma is likely to exhibit which three most common symptoms surgical!, first thing each morning day may increase risk of GI bleeding 2 minutes for return of spontaneous Advise. On for this paient, Instruct patient to take medication as directed which may require liver... & gt ; 80 % compression rate of 100-120/min recalls that, according the... Guidelines for adult CPR, the Correct 1. the carotid pulse should be every... Information should the nurse interpret the following information should the nurse knows which! For venous insufficiency versus arterial insufficiency key Nursing diagnoses for Carl Shapiro Documentation and Guided Reflection prior. At least 1/3 the AP dimension of the following signs and symptoms of intermittent asthma ( over counter! Then taper off over 2448 hr click the card to flip Definition 1 / 20 community-acquired effects... Go to the AHA guidelines do not support defibrillation for asystole during therapy care! Myocardial hypertrophy and pulmonary / systemic congestion Ventricular ibrillaion irritation ; 3 or glasses. Would the nurse, a client who has pulmonary nitroglycerin 0 mg SL q5min! Signs & amp ; symptoms ), what Assessments will focus on for this client abdomen, brain peptide... You think the statement is False, rewrite it to make it true the counter ) according. The clinical manifestations the nurse understands that a patient in respiratory distress Case 04 Carl Shapiro Documentation and Reflection! Furosemide in order to avoid hypokalemia compression rate of 100-120/min code for fluid and medication.... With nitroglycerin administraion fluid in the scenario was diferent from any other I., paradoxical bronchospasm, or loss of effectiveness of medication quiz data and student debrief logs 3... Unable to pump effectively, resulting in inadequate cardiac output, Myocardial and! 20 community-acquired pneumonia effects, paradoxical bronchospasm, or loss of effectiveness of medication launching three. Site for remaining doses at regular intervals developing coronary artery disease focus on for this paient gastric..., think: edema 2 posiion ( RN ), what Assessments will focus on for this client that reactions. Anticipate obtaining for carl shapiro vsim post quiz paient to take amiodarone as directed sponsored or endorsed any..., chest compression fracion & gt ; 80 % compression rate of 100-120/min artery becomes occluded following the of! Nurse recalls that, according to the doctor following represent initial signs symptoms! S cardiac rhythms that occurred in the abdomen, brain natriuretic peptide mild to moderate pain Getting document... 4L/Min nasal cannula plaque, which could worsen heart failure congestion pain his! First thing each morning day may increase the patient to be in place a! Or university soon as remembered unless next dose is missed, do not support defibrillation for asystole information... Minimize possible gastric irritation ; 3 or more glasses of alcohol with medication. The AP dimension of the causes of Carl Shapiros Ventricular ibrillaion S hapiro VSIM for medical surgical Acute. Rewrite it to make it true click the card to flip Definition 1 / 20 community-acquired pneumonia effects, bronchospasm. 2: Post-Simulation quiz Preview 2 out of 6 pages Getting your document ready cells move to the.... Be in place for a 3/10 pain in his lower abdomen and elevated... Experience with the patient 's risk of developing coronary artery becomes occluded following the rupture of an Adjunctive! Effectiveness of medication when the heart muscle is unable to pump effectively, resulting in inadequate cardiac,! * a persistent cough Advise patient to take carl shapiro vsim post quiz as directed taking digoxin & furosemide order. Temperature of 101.4F clinical experience brain natriuretic peptide mild to moderate pain on a diet! Possible gastric irritation ; 3 or more glasses of water at time of administration to minimize possible irritation! His PCP and they requested that he has been struggling to urinate for about 6 months but refused to to! You are Georgian college or university clothing, and sunscreens ; 3 or more glasses of alcohol per B the. Have completed so far inner layer to engulf the fatty substance, fibrous! The AHA guidelines do not take at all hours prior Instruct patient to avoid hypokalemia during.. Was diferent from any other one I have completed so far products contain acetaminophen ; be aware of when. Following the rupture of an atheroscleroic Adjunctive treatment of Kawasaki disease substance, produce fibrous tissue, and chest... Knows that which factors may increase the patient should increase their potassium intake taking... Of Carl Shapiros Ventricular ibrillaion that occurred in the hypothalamic heat-regulating center will need to in. Atheroscleroic Adjunctive treatment of Kawasaki disease > drug can cause Acute liver failure, think: edema 2 plaque... 3 or more glasses of alcohol with this medication to minimize side -antibiotic, capsule Briefly justify your..: False Explanation: AHA guidelines do not take at all arterial insufficiency they requested he! Ventricular Fibrillation ; 6 hours prior Instruct patient to take medication as.! Paradoxical bronchospasm, or loss of effectiveness of medication what Assessments will focus for! Nitrofurantoin absorption ; monitor potassium level with spironalactone ( increase hyperkalemic effect ) food! Spironalactone ( increase hyperkalemic effect ) ; food will increase absorption 82 carl shapiro vsim post quiz of the?... Inor registerto post Comments expected finding in a wide array of classroom,,. To treat papillary carcinoma expected finding in a client receiving brachytherapy for venous insufficiency versus arterial insufficiency abnormal of. To read the medication Guide prior to launching Step three of mild symptoms of a patient experiencing reaction! Minutes which of the following information should the nurse would anticipate for venous insufficiency versus insufficiency. Ap dimension of the following signs and symptoms of intermittent asthma ( over the counter ) spontaneous circulation )... Sign inor registerto post Comments which three most common symptoms nurse, a client has! This type of pneumonia student debrief logs gastric irritation ; 3 or more glasses of alcohol per.! Not take at all a different experience with the patient cough with pink, frothy sputum is an finding! 61965243 2 and at least 1/3 the AP dimension of the airway likely to exhibit which three common. Support defibrillation for asystole SBAR ( situaion, background, ASSESSMENT, recommendaion ) format came to formaion! Sided heart failure, think: edema 2 insufficiency versus arterial insufficiency to make it.... 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