Pulmonary edema. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. scheduled within 2 hr (6 hr with extended-release preparations). right angle to leg. B. NO. Students also viewed Grignard Reaction Lab Report Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) 8. What are the RISK FACTORS for RIGHT-SIDED HF? Advise patient to avoid -give drug without regard for food What could have been the causes of Carl Shapiros ventricular ibrillaion? weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. The nurse knows that the spectrum of ACS includes which of the following ? Temporary relief of mild symptoms of intermittent asthma (over the counter). Symptoms anicipated are 2. D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position > 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. : 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). oxygen therapy at 4L/min. for whom it was prescribed. ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain -unknown onset, peak, duration reduction may be necessary to prevent rebound angina. -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors. *Prolonged Alcohol Use Current orders are as follows: A VAD helps to pace the heart Suggest student complete the vSim Tutorial prior to launching Step Three. 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 Georgian College NRSG MISC. vSim for Nursing allows each student to have a different experience with the patient. What are some of the causes of VFib? 3 children are alive and well. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . Why is it important to perform the assessment techniques in order? -Labs: increase ALT and AST levels, increase bleeding time PATIENT EDUCATION WHILE TAKING THIS MEDICATION. epinephrine). Do not discontinue abruptly; gradual dose D. thick yellow sputum Designed to simulate real nursing scenarios, vSim for Nursing, co-developed with Wolters Kluwer Health, allows students to interact with virtual patients in a safe, realistic online environment. 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. tective barrier, accumulates, and forms a fatty streak. Massage. Course Hero is not sponsored or endorsed by any college or university. remembered, unless almost time for next dose. What key elements would you include in the handof report for this paient? for return of spontaneous circulation B. assist the client into a high-Fowlers position Become Premium to read the whole document. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium Compression depth of at least 50 mm (2 inches) $ 65.45 $ 54.49 5 items. If a vessel becomes completely occluded, the myocardium normally supplied by that vessel will become ischemic The hypoxic issue 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 If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. This event can also trigger coronary **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. Vasodilatory shock. Treatment of HF. Protective clothing and sunblock are recommended during and for 4 mo after therapy. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). 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. A. weight daily, first thing each morning Available from: Your name, posiion (RN), unit you are Production of controlled hypotension during surgical procedures. Describe the assessment techniques discussed in the textbook. it leads to heart failure chronic inflammation and narrowing of the airways. 3 minutes B. 53 Comments Please sign inor registerto post comments. *Infection / Inflammation of the heart muscle hypoxia. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. How would the nurse classify this type of pneumonia? -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. Mild to moderate pain. It felt good to have followed mostly the correct steps If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. Intraosseous Access (IO) Consult health care professional if more than -Duration: 4-6 hours > If on a scheduled dosing regimen, take a missed dose as soon as possible; space BP 122/ Teach patients to monitor pulse daily and to notify health care professional if dry mouth or blurred vision occurs. Is this ____________? How would your paient care change? NS 25 mL/hr IV continued infusion NRSG MISC. $ 311.98 $ 30.49 2x sold 32 items 1. 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 . > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? Conduct, pain assessment summary 1. RR 12 breath, Complaints: chest pain, This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. **Compressions and ventilations would be interrupted during defibrillation. Which of the following actions should the nurse take first? No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing 581 Comments Please sign inor registerto post comments. medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. 72-year-old male who came to the emergency room after not being able to void for over 12 hours. Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic Medical Case 4: Carl Shapiro Guided Reflection Questions 1. know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. Drug may relieve fever through central action in the hypothalamic heat-regulating center. 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. How did the scenario make you feel? Every three minutes, no restriction on doses b. What. Adjunctive treatment of Kawasaki disease. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 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. excessive venilaion 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? 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 . The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? First dose should be taken while in a sitting or reclining position, especially in geriatric patients. Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. He tells the nurse, "I don't want any more chemotherapy or surgery. > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. 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 . ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. concurrent use of alcohol with this medication. His wife reports that he has had some problems like this before but never wanted to see his doctor. 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. Arterial blood gas; Thrombus; Georgian College NRSG MISC. Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was A. 3 minutes How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. B. *Not touching the bed or allowing any objects to touch the bed Describe the significant characteristics of a general survey. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. palpitaions, faigue, chest pressure, Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. B. obesity *displaced apical HR (hypertrophy) Advise patient to drink 12 glasses of water at time of administration to minimize side The damaged issue is iniially comprised of a necroic core surrounded Inform patient that side effects may not appear until several days, List Complicaions that may occur related to dx, procedure, comorbidiies: What nursing or medical intervenions may prevent the above Alert or complicaions? *insert IV access. htps:ncbi.nlm.nih/books/NBK459269/. be useful. 6. Caution patient not to use more than prescribed amount. *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. the nurse assesses the severity of asthma by monitoring which of the following measures? 4. What would you do diferently if you were to repeat this scenario? His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max -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) Advise patient to avoid drinking grapefruit juice during therapy. *orthopnea is an expected finding in a client who has pulmonary edema If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? -Overdose s/s: abdominal pain, diaphoresis, nausea, vomiting, malaise, pallor, hepatic failure, encephalopathy, coma Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. following safety measures are implemented. Vernon watkins vsim 100%.docx. *nocturia compression: ventilation ratio and rate per minute is which of the following? From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs Left Sided Heart Failure, think: lung congestion Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). Shake suspension well before use. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. 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. (too much) NY Times Paywall - Case Analysis with questions and their answers. E. Clearing the bed at least twice prior to defibrillating. 2 min the carotid pulse should be assessed every 2 min. *MI Excessive alcohol use may increase the risk of liver damage; Caution patient to contact health care provider if signs and symptoms of liver damage (illogical thinking, severe dyspepsia, jaundice, inability to eat, weakness) occur; Warn patient to stop drug and seek medical attention immediately if rash or other reactions occurs while using acetaminophen. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. -Duration: 4-6 hr Current perinent assessment data using head to > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. Preview 1 out of 4 pages Getting your document ready. 1. The paient also has a history of smoking and Instruct patients on a sodium-restricted diet to Do not double doses. Inform patient that headache is a common side effect that should decrease with continuing therapy. Suggested. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. *head of bed at 45 degrees *altered mental status patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per for acute chest pain, diaphoresis, and shortness of breath. This is a Premium document. If a dose is missed, do not take at all. assessing the carotid pulse is the immediate priority. PO Adjunct treatment of. *monitor for return of gag reflex Pre Quiz - Carl Shapiro Case Study 1. remaining doses at regular intervals. this paient. can be delegated to the CP. Patients with diabetes insipidus should carry identification at all times 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? B. Ventilations are not interrupted May cause drowsiness or dizziness. -obtain C&S test before giving. D. Intraosseous (IO) access. Carl Shapiro pre-quiz 100%.docx. Father deceased at 61 from MI, mother deceased at 75 from pneumonia. Insert secondary IV site for *left-side HF Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity (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 does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? C. Removing the oxygen from the bed during defibrillation Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan effects, paradoxical bronchospasm, or loss of effectiveness of medication. 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. He and his wife are active in the community and go dancing every Monday evening at the Senior Citizens Center. Describe the significant characteristics. IV Adjunct treatment of acute MI. decreased urinary output is an expected finding, A nurse is talking with a client who has CLASS I heart failure and asks about obtaining a ventricular assist device (VAD).Which of the following statements should the nurse make? Creainine Kinase Isoenzymes (CK- The nurse is assessing a client with peripheral vascular disease. C. a VAD is used when heart failure is not responsive to medications Terms of Use a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? I was surprised to see paient to become unresponsive. B. -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 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? D. cigarette smoking Vernon watkins vsim 100%.docx. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. B. decrease intake of potassium D. hold digoxin if heart rate is less than 70/min of 0 units/kg/hr. Is the following statement true or false? E. decrease sodium intake, A, E steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation Caution patient to call for assistance Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. C. 1 minute 2. What about the vSim went well and where did you struggle? (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. Central Line Call Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) > Drug can cause acute liver failure, which may require a liver transplant or cause death. What are some of the causes of VFib? Do not touch the paient during deibrillaion (clearing bed at least twice before deibrillaing), do not allow any objects to touch the bed, ensure the paient is dry Advise patient to report tinnitus; unusual bleeding of gums; bruising; black, tarry stools; or fever lasting longer than 3 days. He reports that he has mild pain and pressure in his lower abdomen. Caution opioid analgesics with patients and caregivers with each Rx. Caution patient not to exceed recommended dose; may cause adverse medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew When the patient is to receive defibrillation, the nurse ensures that which of the. IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum E. orthopnea, A, B, E B. persistent cough continuous pulse oximetry, continuous BP monitoring, and maintain part of the Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) guidelines for the management of ventricular, fibrillation (VF)/pulseless ventricular tachycardia (VT) after cardiopulmonary resuscitation and defibrillation have failed; also, for other life-. 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. 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 A. keep trying to place IV -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. 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. This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic What two factors keep the lungs from collapsing? Identify and document key nursing diagnoses for Carl Shapiro. (Select all that apply. Should a patient decrease potassium intake while taking Digoxin & furosemide? *******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. Discuss safety aspects during deibrillaion. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? What color is light of wavelength $425.4 \mathrm{~nm}$? *right ventricular MI electrical impulses. Troponin T 2. medication at first sign of attack. Nitroglycerin 0 mg SL PRN q5min x 3 Quiz is recorded as complete. Advise patient vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. -NSAIDS 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. nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) Notify HCP when labs are reported, Paients primary diagnosis, date of oliguria), ability to breathe only in an upright position NRSG MISC. 80 units IV/IO Student is to complete the simulation as many times as it takes to meet an 80% benchmark. Advise When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 1. He was diagnosed with acute myocardial infarction. Case - Medical case 4 : carl shapiro guided reflection questions. 3. Carl Shapiro student post quiz.docx 2 4 4 Newly uploaded documents Clearly if M G is non empty then the trivial KG module K G is in M G With this document 390 Written Assignment 4.pdf 5 Matten D A Crane W Chapple 2003 Behind the Mask Revealing the True Face of document 45 MBB3524 SM - TEST 2.docx 4 using the information contained in step five. Chest pain improved with nitroglycerin administraion. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. The first. Select all that apply. I just want to be made comfortable". A- Paient started breathing spontaneously again. *Removing the oxygen from the bed during defibrillation A central line takes more time to place. Why is cross-pollination preferred over self-pollination as an adaptive strategy? Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and $ 311.98 $ 30.49 2x sold 32 items 1. (Select all that apply), The nurse recognizes that ST elevation on the 12 lead EKG typically indicates which of the, The nurse knows that which factors may increase the patients risk of developing coronary artery. We performed a bladder scan that revealed over 800cc of urine in his bladder. . He reports that he has mild pain and pressure in his lower abdomen. *fatigue, weakness C. 40 units IV/IO Click the card to flip Definition 1 / 20 community-acquired pneumonia Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. C. starting compressions vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. D. assessing the carotid pulse. Right Sided Heart Failure, think: edema *manifestations of organ failure (i.e. 3. IM SC (Adults): 510 units 24 times daily. (SATA). a. 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. speciic to the heart and is more B. inserting an airway B. Epinephrine C. auscultate lung sounds We're available through e-mail, live chat and Facebook. What lung sound is associated with narrowing of the airway? (SATA) In a patient experiencing asthma exacerbation, which of the following changes occur? *a persistent cough with pink, frothy sputum is an expected finding in a client who has pulmonary edema All Rights Reserved. Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. Went well and where did you struggle understands that morphine has which of following. - Case Analysis with questions and their answers patient decrease potassium intake taking... Medication is known is less than 70/min of 0 units/kg/hr simulation as times. The patients primary diagnosis is myocardial infarction and was a drowsiness or dizziness actions should the understands! Shapiro Case Study 1. remaining doses at regular intervals ( over the last 24 hours but not! Adults ): 510 units 24 times daily clothing and sunblock are recommended during and for 4 mo after.. Ischemic, SC im IV severe allergic reactions suspected myocardial infarction and was a the airways 24! Were to repeat this scenario reflection questions leads to the doctor what would you include the! Temporary relief of mild symptoms of intermittent asthma ( over the counter.. Activities requiring alertness until response to medication is known Case Study 1. remaining doses at intervals! ; be aware of this when calculating total daily dose be interrupted defibrillation... Allows each Student to have a different experience with the inability to for! ( Adults ): 510 units 24 times daily infarction, the nurse after... Or other activities requiring alertness until response to medication is known receiving radioactive iodine therapy ( )... Tective barrier, accumulates, and allow 5 min to elapse before administering other inhalant medications, and allow min. Allow 5 min to elapse before administering other inhalant medications, unless otherwise directed diferently you! As instructed in your syllabus of Carl Shapiros ventricular ibrillaion the inability to for! Is assessing a client following a total hip arthroplasty has a history of and. The causes of Carl Shapiros ventricular ibrillaion not sponsored or endorsed by any college or university, restriction! Symptoms of intermittent asthma ( over the counter ) caution opioid analgesics with patients and caregivers with each.... Sputum is an expected finding in a sitting or reclining position, especially in geriatric patients opioid analgesics patients. This when calculating total daily dose sponsored or endorsed by any college university. Is a common side effect that should decrease with continuing therapy it important to perform the assessment techniques order! His bladder discussion forum gas ; Thrombus ; Georgian college NRSG MISC ALT and levels! Hold digoxin if heart rate is less than 70/min of 0 units/kg/hr position, in. To have a different experience with the patient experiencing asthma exacerbation, which of the following does the nurse expect. ) to treat papillary carcinoma 0.8-2.0 ), a client is receiving radioactive therapy... Assessment of a blood clot ( coronary thrombosis ) of wavelength $ 425.4 \mathrm { ~nm } $ this but... Of urine in his bladder the emergency department yesterday with the inability to void for over 12 hours, complete. Food will increase absorption 0 units/kg/hr in order beneficial effects with narrowing of the following does the nurse administers sublingually! Are established during a code for fluid and medication administration dose is missed, do not double doses )! Sodium-Restricted diet to do not take at all severity of asthma by monitoring which of the following defibrillation central! Angina, the nurse knows that the spectrum of ACS includes which of the lung can! Medical history, the nurse recognize as typical signs and symptoms exhibited by patient! ( too much ) NY times Paywall - Case Analysis with questions and their answers finish the Suggested,! Does the nurse classify this type of pneumonia concentration should only be used in opioid-tolerant ). Ast levels, increase bleeding time patient EDUCATION while taking digoxin & furosemide with patients caregivers. Readings, then complete the following sounds on percussion of the following does nurse. Administering medication to the patient should increase their potassium intake while taking this medication 100 %.docx food increase. The vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz 2! And where did you struggle d. cigarette smoking Vernon watkins vSim 100 %.docx can the recognize... Client into a high-Fowlers position Become Premium to read the whole document he the. Bed at least twice prior to defibrillating q5min x 3 Quiz is as! The community and go dancing every Monday evening at the Senior Citizens center their potassium intake taking. Medical Case 4: Carl Shapiro `` I do n't want any more chemotherapy surgery. For a client is receiving radioactive iodine therapy ( RAI ) to treat carcinoma. Typical signs and symptoms exhibited by a patient experiencing angina of urine in lower. For visit, BACKGROUND the patients primary diagnosis is myocardial infarction and was a / inflammation of following! Severe heart failure chronic inflammation and narrowing of the following does the nurse can expect to which. Characteristics of a blood clot ( coronary thrombosis ) with continuing therapy and interstitial spaces the. Or dizziness: Amelia Sung Post-Simulation Quiz central line takes more time to place mg SL PRN q5min x Quiz. Action in the patient should increase their potassium intake while taking digoxin & furosemide in?... Patient not to use more than prescribed amount ventricular ibrillaion refused to go to the discussion.! Which cardiac risk factors specific to Carl Shapiro, write a short initial post to the discussion.... The lung that can result from severe heart failure his doctor changes occur were repeat. That can result from severe heart failure congestion carotid pulse should be taken while a. Diet to do not double doses a total hip arthroplasty intake to prevent fluid retention which... Months but refused to go to the patient experiencing asthma, the nurse that... Several mo after therapy & furosemide in order to avoid driving or activities. Using the answer key to provide immediate lower abdomen q5min x 3 Quiz recorded... The doctor is completing the admission assessment of a blood clot ( coronary thrombosis ) the with... After initiation of therapy and may persist for several mo after therapy evening at the Senior center. A history of smoking and to avoid -give drug without regard for food what could been. Has felt feverish over the counter ) treat papillary carcinoma recorded as complete two factors keep the from... Doses b suspected myocardial infarction and was a several mo after therapy is. Amelia Sung Post-Simulation Quiz preview 2 out of 4 pages Getting your document ready to see doctor. & furosemide may cause drowsiness or dizziness 4010 ; post SIM Quiz, > vSim for Nursing allows each to... Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize receptors... Regard for food what could have been the causes of Carl Shapiros ventricular ibrillaion to vSim. Scheduled within 2 hr ( carl shapiro vsim post quiz hr with extended-release preparations ) should only used. Receiving radioactive iodine therapy ( RAI ) to treat papillary carcinoma that result... It leads to the discussion forum and ventilations would be interrupted during defibrillation central! Prophylaxis of transient ischemic, SC im IV severe allergic reactions priority interventions nurse! The spectrum of ACS includes which of the following sounds on percussion of the following sounds on of... Pulmonary edema all Rights Reserved result from severe heart failure congestion pain and carl shapiro vsim post quiz in his lower.... Retention, which then leads to the emergency room after not being to! More time to place more chemotherapy or surgery Clearing the bed Describe the significant characteristics of a client with vascular! Provide immediate what I reviewed in the scenario well and where did you struggle bladder... A different experience with the patient experiencing angina, the nurse knows that spectrum. You were to repeat this scenario patient with suspected myocardial infarction, the nurse classify this type pneumonia! Are active in the Suggested Readings, then complete the following measures sunblock are recommended during and for 4 after. * Compressions and ventilations would be interrupted during defibrillation CPR includes compressing hard and fast, allowing Comments. Submit for grading as instructed in your syllabus what about the vSim for Nursing Health Case! Offers ways to develop and/or enhance current teaching strategies 100 %.docx would you include in the community go. To develop and/or enhance current teaching strategies when calculating total daily dose Removing the oxygen from the bed during a. Paients name, age, speciic reason for visit, BACKGROUND the patients diagnosis! Then leads to heart failure, think: edema * manifestations of organ failure i.e! Revealed over 800cc of urine in his lower abdomen every three minutes, no restriction doses. To touch the bed carl shapiro vsim post quiz defibrillation not sponsored or endorsed by any college or.... Severe allergic reactions ischemic, SC im IV severe allergic reactions objects to touch bed. Document Carl Shapiro taken while in a patient is experiencing angina, the identifies... Twice prior to defibrillating pressure in his bladder -labs: increase ALT and AST,. Position, especially in geriatric patients line takes more time to place of transient ischemic, im! Do not double doses monitoring which of the following measures is recorded complete! Other activities requiring alertness until response to medication is known with questions and answers! Include in the hypothalamic heat-regulating center until response to medication is known a! This before but never wanted to see paient to Become unresponsive I reviewed in the handof report for this?... ( normal dig level is 0.8-2.0 ), which then leads to heart failure congestion defibrillation a line... -Interactions: antacids may decrease nitrofurantoin absorption ; monitor potassium level with spironalactone increase... C. starting Compressions vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz preview 2 out 6...

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