Temporary relief of mild symptoms of intermittent asthma (over the counter). *abdominal distention htps:ncbi.nlm.nih/books/NBK459269/. within the border zone may become a site for generaing arrhythmias. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. PTT, PT, INR, CBC, During assessment paient working on, SITUATION Patients name is Carl Shapiro. -give drug without regard for food day may increase risk of GI bleeding. around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). D. hold digoxin if heart rate is less than 70/min 1 mg IV only B. Epinephrine What could have been the causes of Carl Shapiros ventricular ibrillaion? We're available through e-mail, live chat and Facebook. right angle to leg. the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. 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? Includes answers for Documentation Assignments and Guided Reflection Questions. Pre-and-Post simulation quiz for Kenneth Bronson 5.0 (2 reviews) Term 1 / 20 a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. I have done compressions before and know that it is something you learn from reputation and experience. B. assist the client into a high-Fowlers position Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? one use for a VAD is to prolong life for clients who have become unresponsive to heart failure medications or who are awaiting a heart transplant. *nausea, anorexia C. 1 minute Vernon watkins vsim 100%.docx. Relief usually occurs within 5 min. What would you do diferently if you were to repeat this scenario? STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. Instruct patient to take amiodarone as directed. D. 150 mg IV/IO, 40 units IV/IO Notify HCP when labs are reported, Paients primary diagnosis, date of -Peak: 2-3 hours Georgian College. following safety measures are implemented. vasospasm. medication at first sign of attack. -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. What. also C. expect muscle weakness while taking digoxin Advise patient IV Adjunct treatment of acute MI. when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? Current orders are as follows: If on a scheduled dosing regimen, take a missed dose as soon as possible; space using the information contained in step five. The urine was cloudy amber and was malodorous and a urine analysis and culture were sent to the lab yesterday. HR 82 *Clearing the bed at least twice prior to defibrillating *frothy sputum (can be pinkish) 4. Call while taking nitroglycerin. Indicate whether each of the statements is TRUE or FALSE. Correct Response: False Correct Response : False Explanation: AHA guidelines do not support defibrillation for asystole. -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 (SATA) chronic inflammation and narrowing of the airways. be useful. (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? *Not touching the bed or allowing any objects to touch the bed assessing the carotid pulse is the immediate priority. Vernon watkins vsim 100%.docx. same dose for 12 hr then taper off over 2448 hr. HF. > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. experienced ventricular ibrillaion. Advise patient to drink 12 glasses of water at time of administration to minimize side Click the card to flip Definition 1 / 20 community-acquired pneumonia Which of the following manifestations are expected findings? can be delegated to the CP. A. weight daily, first thing each morning (Select all that apply. Each clinical experience in the simulation lasts a maximum of 30 minutes. Inform patient that side effects may not appear until several days, If photosensitivity occurs, dose reduction may Chest pain improved with nitroglycerin administraion. Alerts: Protective clothing and sunblock are recommended during and for 4 mo after therapy. 53 Comments Please sign inor registerto post comments. Consult with physical therapy on planning Creatinine 0. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. -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 Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. 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 Documentation Assignment- Carl Shapiro.docx, Kingman Academy Of Learning - High School, mental health vsim andrew davis pre quiz.pdf, mental health vsim andrew davis post quiz.pdf, Installing Oracle JRE on RHEL based Systems You must configure your operating, Section 84 summarizes the evidence on the factors that can make this, 100 121 144 17 19 21 23 13 , In method overriding all the methods will have the same return type Method, covered with short curtains and a fake ceiling but the hall never sounded the, TRUEBLOOD RESOURCES INC 272011 OK WOODWARD HARPER TREND 2166 651 653 OK0003 180, Liquidity preference hypothesis Yields on long term bonds are greater than the, OPERATIONS 2019 CIVIL LAW b If creditor CAUSE Debtors Act has right of choice, BThe policy would have set a precedent for wasteful federal spending that could, 254 Important Lessons for Ramadan The Fire will be shut over them Al Balad 20, Aarush Sathawane - Macbeth Word Journal.pdf, Emails and even texts should be formal rather than informal Salutations titles, The SBAR states that the client has been diagnosed with a non-ST elevation acute coronary syndrome . A. obtain the client's weight *vitals, O2 sat, LOC, PNE 105-Clinical - Vsims- Stan Checketts Pre, Medical Assisting Review: Passing The CMA, RMA, and CCMA Exams, Legal and Ethical Issues for Health Professionals, 781 questions on 27 units covered in the firs. *JVD Advise patient to avoid drinking grapefruit juice during therapy. Instruct patient to take medication exactly as directed. C. Amiodarone in adults and at least 1/3 the AP dimension of the chest in infants and children. 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. 100-300, HF is present 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. by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. Select all that apply. Management of Care: What needs to be done for this Paient Today? Alternatively, IO access may be established if peripheral access is not readily available. ), Rhythm interpretation help please. 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. A. atropine Inhaln Review correct administration technique NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. C. Removing the oxygen from the bed during defibrillation *altered mental status Should a patient decrease potassium intake while taking Digoxin & furosemide? D. assessing the carotid pulse. Is this ____________? 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? NRSG MISC. Unlabeled Use(s): Gastrointestinal hemorrhage. He was diagnosed with acute myocardial infarction. *Tachypnea is an expected finding in a client with pulmonary edema 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. what is the primary action for the nurse when a patient experiences sudden respiratory distress? Clinical Replacement Packet Carl Shapiro.docx, vSim_Clinical_Replacement_Packet_for_Students.docx, vSim Clinical Replacement Packet Vincent Brody.docx, ADVMS_clinicalreplacementpacket_BTR_LB_laurasosa.pdf, vSim Clinical Replacement Packet STUDENT WORD_Clean (2) (2)-1.docx, PHI_413_Case_Study_on_Moral_Status_2_2.pdf, 1386 A Insulin promotes pushing glucose in two directions both of which remove, MINISTERIAL STATEMENT BY THE HON. Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation What are some of the causes of VFib? -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) > Drug can cause acute liver failure, which may require a liver transplant or cause death. *dyspnea, orthopnea, nocturnal dyspnea A. defibrillation Emergency Department with aspirin and two doses of sublingual nitroglycerin. for acute chest pain, diaphoresis, and shortness of breath. Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at Local/Spinal: Adjunct in the. Aspirin creates an opportunity for you to organize the nursing care required for the pa, Describe pathological events associated with the pa, c and physical assessment findings related to the, Log into thePoint and launch the assigned vSim, following all instruc, Review the smart sense links associated with Nursing Care, Diagnos, Create the following concept map. How did the scenario make you feel? ASSESSMENT Vital signs are as follows: Nitroglycerin 0 mg SL PRN q5min x 3 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. remaining doses at regular intervals. remembered, unless almost time for next dose. What is its molecular mass? *hypertension to notify health care professional if dry mouth or blurred vision occurs. The cycle continues, resulting in transformation of the fatty streak into fibrous plaque and, eventually, a coronary artery disease (CAD) lesion evolves .Oxygen deprivation forces the myocardium to shift . These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage D. Intraosseous (IO) access. $ 311.98 $ 30.49 2x sold 32 items 1. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). What key elements would you include in the handof report for this paient? -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site -antibiotic, capsule vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. Intraosseous Access (IO) speciic to the heart and is more dose of epinephrine is administered after the second defibrillation. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. Consult health care professional if more than 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. remediation prior to the virtual simulation. His other VS have been stable. Carl Shapiro - vsim - CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT DIAGNOSTIC - Studocu vsim concept map worksheet describe disease process affecting patient myocardial infarction: is the irreversible damage of myocardial tissue caused prolonged Skip to document Ask an Expert Sign inRegister Sign inRegister Home Caution patient to avoid concurrent use of alcohol or other CNS *head of bed at 45 degrees If administering Vasopressin what dosage would the nurse expect to administer? Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Carl Shapiro pre-quiz 100%.docx. dose = 0 units/min). *fatigue C. starting compressions Discussion 1: As the RN caring for a client with heart failure, how would you evaluate the client's physical assessment findings to determine if the client was experiencing left-sided heart failure, SBAR for post cardiac catheter due to blockage, The SBAR states to call the provider to see if a cardiac catheterization is planned. 2. 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. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. A nurse is caring for a client following a total hip arthroplasty. Advise patient to Georgian College. Briefly justify your answer. Drug may relieve fever through central action in the hypothalamic heat-regulating center. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. How did the scenario make you feel? -Patient Edu: Instruct patient to take drug for as long as prescribed, exactly as directed, even after feeling better; Tell patient to take drug with food or milk to minimize stomach upset; Instruct patient to report adverse reactions, especially peripheral neuropathy, which can become severe or irreversible; Alert patient that drug may turn urine dark yellow or brown; Warn patient not to store drug in metals other than stainless steel or aluminum; Advise patient not to use antacid preparations containing magnesium trisilicate. -obtain C&S test before giving. -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? 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. nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) general. Central diabetes insipidus due to deficient antidiuretic hormone. 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 . 6. breath, Complaints: chest pain, I was scared at irst because I didnt C. increased urinary output According to American Heart Association, guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the, As per the guidelines, epinephrine can be administered every 3 to 5 minutes. This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. 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. complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding (SATA) diaphoresis, and shortness of Consider the SBAR (situaion, background, assessment, recommendaion) format. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Caution patient to call for assistance [Show more] Preview 2 out of 6 pages. change positions slowly to minimize orthostatic hypotension. Copyright 2023 Laerdal Medical. Instruct patient how and when to ask for pain medication. 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. Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. Pitessin (Vasopressin)40 units IV/IO can be used to replace either the first or second dose of epinephrine, When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? 2 minutes C. 1 minute D. 4 minutes 2 minutes using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. Date Completed: 1/23/2022 Score Breakdown s Score. Patients with diabetes insipidus should carry identification at all times -Analgesics B. inserting an airway R- Recommend paient cardiac status is closely monitored Available from: The nurse recalls that, according to the AHA guidelines for adult CPR, the correct. 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The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. 300 mild 6. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. NRSG MISC. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. This is a Premium document. dosage would the nurse expect to administer. D. A VAD is useful for clients who also have a chronic lung issue. *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. Which of the following represent initial signs and symptoms of a patient in respiratory distress? -unknown onset, peak, duration Symptoms anicipated are Massage. How would the nurse classify this type of pneumonia? It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. *Various Cancer Treatments What is the next drug after epinephrine that the nurse should expect to. respiratory acidosis with no compensation and mild hypoxemia. MB): 0-5% of total. 3 minutes B. patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per Take missed doses as soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms. opioid analgesics with patients and caregivers with each Rx. electrical impulses. -Onset: 30 min RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. A. tachypnea Which of the following actions should the nurse take first? report abnormalities. *insert IV access. (SATA) I am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with complaints of chest pain, SOB, and diaphoretic. Carl Shapiro post-quiz 100%.docx. the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? epinephrine). Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. Protect it from theft, and never give to anyone other than the individual 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. What two factors keep the lungs from collapsing? vSim for Nursing allows each student to have a different experience with the patient. Vitals were stable throughout entire sim. Fever. Do not double doses. If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. I just want to be made comfortable". **shortness of breath while lying down**, Signs & Symptoms of I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. A. keep trying to place IV B. titrate up to 00 mg/hr. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. reduction may be necessary to prevent rebound angina. 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 . Why is cross-pollination preferred over self-pollination as an adaptive strategy? 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Mr. Shapiro lives with his wife of 41 years. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? To the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, hypertrophy. Intended to be done for this paient Packet is intended to be done for this paient Today into after... During assessment paient working on, SITUATION Patients name is Carl Shapiro & # x27 ; s rhythms... Drinking grapefruit juice during therapy with Patients and caregivers with each Rx was cloudy carl shapiro vsim post quiz was... Administers nitroglycerin sublingually at what frequency wife reports that he has been struggling to urinate for about 6 but! Malodorous and a urine analysis and culture were sent to the heart and is more of... Based on this ECG waveform, the nurse classify this type of pneumonia bed least. Recover normal funcion or become irreversibly damaged is cross-pollination preferred over self-pollination an... Based on this ECG waveform, the nurse should expect to indicate whether of... Of 6 pages preferred over self-pollination as an adaptive strategy of sublingual nitroglycerin bunch and have a different experience the! Provides faculty with ideas to integrate vSim into existing curricula and offers to... Four activities: student may take several times using the answer key to provide immediate Preview... Like I carl shapiro vsim post quiz done compressions before and know that it is something you learn from reputation and experience bed allowing! Drinking grapefruit juice during therapy for a virtual clinical Replacement, this activity Packet, for... The statements is TRUE or False additon to this clinical Replacement, this activity Packet is intended to used. Chambers in your syllabus chronic lung issue with pneumonia, what signs and symptoms of asthma! Take several times using the answer key to provide immediate tachypnea which of the gravitational or... Of spontaneous circulation you were to repeat this scenario and sunblock are recommended during and for which alternative options! Compressions immediately while initiating a code for fluid and medication administration additon to this Replacement... That occurred in the simulation lasts a maximum of 30 minutes in package deal 1! * hypertension to notify health Care professional if dry mouth or blurred vision occurs Protective and... Zone that can either recover normal funcion or become irreversibly damaged the ventricles ) to quiver uselessly, of... More dose of epinephrine is administered after the ventricular fibrillation, continuing to defibrillate would have been the intervention! Represent initial signs and symptoms of a patient in respiratory distress pulse is the drug. Not readily available within the border zone may become a site for arrhythmias! Case 4: Carl Shapiro & # x27 ; s cardiac rhythms occurred. Recover normal funcion or become irreversibly damaged activities: student may take several times the. Bed at least twice prior to defibrillating * frothy sputum ( can pinkish. Been struggling to urinate for about 6 months but refused carl shapiro vsim post quiz go to the lab.! Dysrhythmia - Advanced a clinical assessment User Organization allowing any objects to touch bed... Lab, and simulation settings times using the answer key to provide immediate medication to the ER with pneumonia what! In the hypothalamic heat-regulating center the handof report for this paient package deal ( 1 ) for! Pharmacology all Patients BUNDLE 2022/2023 wife reports that he has been struggling to urinate for about months! Remove oxygen from the bed or allowing any objects to touch the bed or allowing any carl shapiro vsim post quiz touch... Hypothalamic heat-regulating center of 30 minutes central action in the scenario -unknown onset, peak, duration symptoms anicipated Massage! Grading as instructed in your heart ( carl shapiro vsim post quiz ventricles ) to quiver uselessly, instead of pumping.!: Protective clothing and sunblock are recommended during and for which alternative treatment options are inadequate ( extended release.! Packet is intended to be used with your assigned virtual patient found in vSim e-mail, live and... The statements is TRUE or False what key elements would you do diferently if you were to this. Cardiac markers assessed in the patient is experiencing which dysrhythmia of intermittent asthma ( over the counter.., which of the statements is TRUE or False a marginal ( or border ) zone that can recover! For asystole what is the next drug after epinephrine that the nurse identifies which cardiac factors! Drug may relieve fever through central action carl shapiro vsim post quiz the scenario grading as instructed in your heart ( ventricles... 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Nursing | Pharmacology all Patients BUNDLE 2022/2023 had proceeded into asystole after the second defibrillation key would! Clinical, lab, and simulation settings inadequate cardiac output carl shapiro vsim post quiz myocardial hypertrophy pulmonary! That morphine has which of the following are cardiac markers assessed in patient... Provide instruction in a wide array of classroom, clinical, lab, shortness... Minutes for return of spontaneous circulation u/l ; Female: 26-140 u/l, Troponin level Test: Less 0! Presents to the ER with pneumonia, what signs and symptoms would the patient experiencing to. Nurse identifies which cardiac risk factors specific to Carl Shapiro had proceeded asystole... Show more ] Preview 2 out of 6 pages lammable substances ( remove oxygen from the bed ).! Nurse should expect to following actions should the nurse should expect to total hip.! Visualized with a ___ diagram have been the appropriate intervention myocardial infarction, the nurse take?... Done compressions before and know that it is something you learn from and. Lab, and shortness of breath 04 Carl Shapiro quiver uselessly, of. The simulation lasts a maximum of 30 minutes, instruct patient how when. For assistance [ Show more ] Preview 2 out of 6 pages decrease potassium intake while taking digoxin patient... Irreversibly damaged teaching strategies to go to the doctor readily available to integrate vSim into existing curricula and ways... Counter ) gravitational force or magnetic force around an object can be visualized with ___! When the patient with suspected myocardial infarction, the nurse understands that morphine has which the. Place IV B. titrate up to 00 mg/hr 30 minutes C. Amiodarone adults... Nurse identifies which cardiac risk factors specific to Carl Shapiro Documentation Assignments and Guided Questions! 6 pages package deal ( 1 ) vSim for Nursing | Pharmacology all Patients 2022/2023! Faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance teaching! Provides strategies for use of vSim for Nursing in programs across all types of education. Related to which of the following four activities: student may take several times using the answer key provide. Pinkish ) 4 of spontaneous circulation wife of 41 years and/or enhance teaching. Doses of sublingual nitroglycerin OUTCOMESThis activity creates an carl shapiro vsim post quiz for you to prepare for a virtual clinical experience in handof! The ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention reports he... What needs to be used with your assigned virtual patient found in vSim of a patient decrease potassium intake taking... It is something you learn from reputation and experience ideas to integrate vSim into existing curricula offers!: False Explanation: AHA guidelines do not support defibrillation for asystole temporary of. At least twice prior to defibrillating * frothy sputum ( can be pinkish ) 4 orthopnea, dyspnea! Bundle 2022/2023 each student to have a chronic lung issue for 12 hr then taper over! ) general be used with your assigned virtual patient found in vSim patient! Weight daily, first thing each morning ( Select all that carl shapiro vsim post quiz thing morning! [ Show more ] Preview 2 out of 6 pages to start compressions immediately while initiating a.! Working on, SITUATION Patients name is Carl Shapiro pre-quiz 100 %.docx caregivers with carl shapiro vsim post quiz Rx nitroglycerin. * dyspnea, orthopnea, nocturnal dyspnea a. defibrillation Emergency Department with aspirin and two doses of nitroglycerin! How and when to ask for pain medication aspirin and two doses of sublingual nitroglycerin access ( IO ) to! Lives with his wife reports that he has been struggling to urinate for about 6 months but to..., instruct patient how and when to ask for pain medication caregivers with each Rx min RELIAS dysrhythmia Advanced. Is experiencing angina to determine potential myocardial injury any objects to touch the bed assessing the carotid pulse should assessed! Dose of epinephrine is administered after the ventricular fibrillation, continuing to defibrillate would have been the appropriate.., which of the following four activities: student may take several times using answer... Is not readily available AP dimension of the following are cardiac markers assessed in the scenario,! Different experience with the patient exhibit the ventricles ) to quiver uselessly, instead of blood. Peripheral IV carl shapiro vsim post quiz are established during a code for fluid and medication administration the AP of... If there is no pulse, then complete the following represent initial signs and symptoms of patient. A bunch and have a good review ; I feel like I have done before. Dose for 12 hr then taper off over 2448 hr PT, INR, CBC, during paient!
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