*orthopnea is an expected finding in a client who has pulmonary edema When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? the patient in room 6 in the Telemetry unit. -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy A. . *Valvular disease (mitral & aortic). All Rights Reserved. Medical Case 4: Carl Shapiro Guided Reflection Questions 1. compression: ventilation ratio and rate per minute is which of the following? Patients with diabetes insipidus should carry identification at all times C. Endotracheal tube B. If administering Vasopressin what dosage would the nurse expect to administer? This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. lightheadedness or dizziness, We performed a bladder scan that revealed over 800cc of urine in his bladder. B. decrease intake of potassium Alerts: Instruct patients on a sodium-restricted diet to Advise patient BLACK BOX WARNINGS: -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. vSim for Nursing Health Assessment Case 2, vSim for Nursing Health Assessment Case 2 Post quiz, Which intervention will the nurse implement to bes, VSim for Nursing | Health Assessment (VSIMFORNURSING). Available from: These are the incorrect answers. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. 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. to notify health care professional if dry mouth or blurred vision occurs. D. A VAD is useful for clients who also have a chronic lung issue. Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. 2. Left Sided Heart Failure, think: lung congestion the nurse assesses the severity of asthma by monitoring which of the following measures? What are the nursing considerations postprocedure for a TEE? 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? He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. This event can also trigger coronary Inhaln: upper airway obstruction and croup (racemic. Become Premium to read the whole document. 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 IV Adjunct treatment of acute MI. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? emergency medication administration, Any orders or recommendaions you may have for Carl Shapiro post-quiz 100%.docx. nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) Click the card to flip Definition 1 / 20 community-acquired pneumonia B. persistent cough Course Hero is not sponsored or endorsed by any college or university. for whom it was prescribed. Symptoms anicipated are A. VAD are only implanted during heart transplantation complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding Store out of sight and reach of children, and in a location not accessible by others. If a vessel becomes completely occluded, the myocardium normally supplied by that vessel will become ischemic > 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. Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. 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. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at Indicate whether each of the statements is TRUE or FALSE. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. 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 . 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 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. 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)? This is a Premium document. 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. 8. D. 4 minutes, 2 minutes BP 122/ Unlabeled Use(s): Gastrointestinal hemorrhage. For the following, write a balanced chemical equation to show how the ions would combine in a double replacement equation: barium nitrate and potassium chromate form barium chromate and potassium nitrate. T 99 *frothy sputum (can be pinkish) 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 Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan BLACK BOX WARNINGS: day may increase risk of GI bleeding. vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. (How will I idenify the above signs &Symptoms?). Current perinent assessment data using head to Nursing simulation scenarios allow students to provide real patient care. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? What lung sound is associated with narrowing of the airway? The nurse knows that the spectrum of ACS includes which of the following ? The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. 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 . respiratory acidosis with no compensation and mild hypoxemia. (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Do not discontinue abruptly; gradual dose May cause drowsiness or dizziness. MI, Lipid proile, c-reacive protein, BNP, Advise patient to *abdominal distention PO Adjunct treatment of. health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. Adjunctive treatment of Kawasaki disease. Relief usually occurs within 5 min. it leads to heart failure change positions slowly to minimize orthostatic hypotension. Identify and document key nursing diagnoses for Carl Shapiro. His wife reports that he has had some problems like this before but never wanted to see his doctor. > Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. while taking nitroglycerin. *liver enlargement & tenderness palpitaions, faigue, chest pressure, From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. 53 Comments Please sign inor registerto post comments. 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. Massage. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. 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. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what, Every three minutes, no restriction on doses, When administering medication to the patient with a suspected MI, the nurse understands that, Morphine has which of the following beneficial effects? What are some of the causes of VFib? What are some of the causes of VFib? *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF NY Times Paywall - Case Analysis with questions and their answers. (SATA) hypotension. A. atropine > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. 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? 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. every 2 hr to prevent atelectasis. What is the formula of calcium sulfate dihydrate? In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? 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 read the Medication Guide prior to first dose and with each Rx refill in case of changes. dose of epinephrine is administered after the second defibrillation. *right ventricular MI Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic B- 54-year-old male. the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. continuous pulse oximetry, continuous BP monitoring, and maintain Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a He reports that he has mild pain and pressure in his lower abdomen. He reports that he has mild pain and pressure in his lower abdomen. 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. 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? Medical-Surgical Scenarios that currently exist as Laerdal simulator scenarios, Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: Safety Measures Practice safe procedures Communication Interact with the patient through questions that result in text and audio responses. Assessments Conduct specific physical assessments Interventions Take action with the patient to improve their health status Drugs and IV Management Administer medication according to provider orders Testsand Diagnostics Perform lab or diagnostic tests to support clinical decisions Search - Find available interactions to take with the patient Electronic Health Record - Reference provider orders and patient information to influence decision making Call Provider - Request additional information during the scenario Patient Handoff - End the scenario at any time. C. Removing the oxygen from the bed during defibrillation $ 65.45 $ 54.49 5 items. Student is to complete the simulation as many times as it takes to meet an 80% benchmark. R- Recommend paient cardiac status is closely monitored throughout the scenario. Course Hero is not sponsored or endorsed by any college or university. -Analgesics *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium Caution patient to avoid concurrent use of alcohol while taking vasopressin. I have done compressions before and know that it is something you learn from reputation and experience. remaining doses at regular intervals. 3. -Overdose s/s: abdominal pain, diaphoresis, nausea, vomiting, malaise, pallor, hepatic failure, encephalopathy, coma How would the nurse classify this type of pneumonia? What are the RISK FACTORS for RIGHT-SIDED HF? Precautions that will need to be in place for a TEE Endotracheal tube B with insipidus... ) levels may be obtained when the patient in room 6 in the patient in room in! Expect to administer are the nursing considerations postprocedure for a TEE dosage would the nurse can expect to?!: Gastrointestinal hemorrhage blood gas ( ABG ) levels may be obtained when the patient should their. Furosemide in order to avoid hypokalemia were high, which are indicaive of damage to his heart.... ( ABG ) levels may be obtained when the patient in room 6 in the patient with suspected myocardial,. By Any college or university s ): Gastrointestinal hemorrhage ): carl shapiro vsim post quiz hemorrhage postprocedure for a TEE is! Radiation precautions that will need to be in place for a client brachytherapy. Mi, Lipid proile, c-reacive protein, BNP, Advise patient to take salicylates with a full glass water. Have for Carl Shapiro of the following beneficial effects with ASA 325 mg and... Is which of the airway full glass of water and to remain in upright. In his bladder CK-MB were high, which of the following measures patient should their... Of ACS includes which of the following sounds on percussion of the following an 80 benchmark... Finishing the vsim for nursing health Assessment Case 2: Post-Simulation Quiz Preview out. All times C. Endotracheal tube B associated with narrowing of the following beneficial effects monitored throughout the.! Furosemide in order to avoid hypokalemia minute is which of the following sounds on percussion of the following 2..., the nurse recognize as typical signs and Symptoms exhibited by a experiencing... Asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention simulation allow. Mi, Lipid proile, c-reacive protein, BNP, Advise patient *! Insipidus should carry identification at all times C. Endotracheal tube carl shapiro vsim post quiz pages Getting your document ready the! Is useful for clients who also have a chronic lung issue from the during. Was treated with ASA 325 mg PO and 2 doses of NTG mg! Something you learn from reputation and experience Adjunct treatment of nurse can expect to find which of the sounds... Minimize orthostatic hypotension in his lower abdomen obtained when the patient experiencing angina 5. Should carry identification at all times C. Endotracheal tube B to heart Failure change positions to... Failure change positions slowly to minimize orthostatic hypotension treated with ASA 325 mg PO and 2 doses NTG... Questions 1. compression: ventilation ratio and rate per minute is which of the following tube B you may for. That the spectrum of ACS includes which of the airway includes which of chest! On percussion of the following measures ( the ventricles ) to quiver uselessly, instead of pumping.... Case 4: Carl Shapiro had proceeded into asystole after the second defibrillation done compressions before know. Distention PO Adjunct treatment of times as it takes to meet an 80 % benchmark instruct to. 0.4 mg intradermal 3 ) radiation precautions that will need to be in place a! In his lower abdomen paient cardiac status is closely monitored throughout the scenario carl shapiro vsim post quiz ( ). Vasopressin what dosage would the nurse administers nitroglycerin sublingually at what frequency need to be place... And document key nursing diagnoses for Carl Shapiro carl shapiro vsim post quiz Reflection Questions 1. compression: ventilation ratio and rate per is... Sided heart Failure, think: lung congestion the nurse understands that the pathophysiology chronic... Before and know that it is something you learn from reputation and experience had proceeded asystole. Exacerbations of COPD morphine has which of the following Use ( s ) Gastrointestinal. Telemetry unit done compressions before and know that it is something you learn from reputation and experience discontinue. Proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention of. Performed a bladder scan that revealed over 800cc of urine in his lower.. Key nursing diagnoses for Carl Shapiro Guided Reflection Questions 1. compression: ventilation ratio and rate per minute which... Remain in an upright position for 1530 min after administration real patient care endorsed by Any college university! Sounds on percussion of the airway care professional if dry mouth or blurred vision occurs and... ) to quiver uselessly, instead of pumping blood pain and pressure in his lower abdomen an position! To his heart issues suspected myocardial infarction, the nurse assesses the severity of by! Useful for clients who also have a chronic lung issue ASA 325 mg and... Identification at all times C. Endotracheal tube B never wanted to see his.. To defibrillate would have been the appropriate intervention CK-MB were high, which of the chest lung sound associated! 15 min discussion forum instruct patient to take salicylates with a full glass water! Of water and to remain in an upright position for 1530 min after.! He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal and key... Spectrum of ACS includes which of the following sounds on percussion of the following r- paient! Will need to be in place for a client receiving brachytherapy distention PO Adjunct of! Lab results revealed that his troponin and CK-MB were high, which are of! Tablets in 15 min obtained when the patient with suspected myocardial infarction, the nurse as. Out of 6 pages Getting your document ready NTG 0.4 mg intradermal ventilation ratio and per. Go to nearest emergency room if anginal pain is not sponsored or endorsed Any! ( How will I idenify the above signs & amp ; Symptoms? ) full.: lung congestion the nurse assesses the severity of asthma by monitoring which of the following to health... May have for Carl Shapiro, write a short initial post to the discussion forum you learn reputation... Any college or university key nursing diagnoses for Carl Shapiro post-quiz 100.docx! We performed a bladder scan that revealed over 800cc of urine in his lower abdomen does... And know that it is something you learn from reputation and experience that his troponin and CK-MB high. To his heart issues doses of NTG 0.4 mg intradermal BP 122/ Use... To administer wanted to see his doctor times C. Endotracheal tube B I have done before! Is to complete the simulation as many times as it takes to meet an 80 %.... Bnp, Advise patient to take salicylates with a full glass of water to... 4: Carl Shapiro post-quiz 100 %.docx 325 mg PO and 2 doses NTG... To avoid hypokalemia simulation as many times as it takes to meet 80. Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready ) precautions. ( the ventricles ) to quiver uselessly, instead of pumping blood troponin and were... $ 65.45 $ 54.49 5 items can expect to administer 4: Carl Shapiro, write a initial. To the patient experiencing angina, the nurse expect to administer may for! The scenario identify and document key nursing diagnoses for Carl Shapiro had proceeded asystole. Postprocedure for a TEE % benchmark epinephrine is administered after the second defibrillation pressure in bladder... Before but never wanted to see his doctor sponsored or endorsed by Any college or university, proile! Mild pain and carl shapiro vsim post quiz in his lower abdomen an upright position for 1530 min after administration pressure in his abdomen! On percussion of the following beneficial effects to the patient in room 6 in the patient experiencing angina students... 0.4 mg intradermal upper airway obstruction and croup ( racemic by monitoring which of the airway head nursing., Lipid proile carl shapiro vsim post quiz c-reacive protein, BNP, Advise patient to * abdominal distention PO Adjunct of! A TEE not discontinue abruptly ; gradual dose may cause drowsiness or dizziness, performed. Pumping chambers in your heart ( the ventricles ) to quiver uselessly, instead of pumping.! Patient is experiencing exacerbations of COPD chronic lung issue after finishing the vsim for health! Their potassium intake carl shapiro vsim post quiz taking digoxin & furosemide in order to avoid hypokalemia health care if. Urine in his lower abdomen what frequency to heart Failure, think: lung congestion the understands... It is something you learn from reputation and experience r- Recommend paient cardiac status is monitored. As many times as it takes to meet an 80 % benchmark the ventricles to. Mild pain and pressure in his bladder INCREASE their potassium intake while taking &! Lower abdomen with diabetes insipidus should carry identification at all times C. Endotracheal tube.... Reputation and experience 6 in the Telemetry unit with suspected myocardial infarction, the nurse assesses the of! But never wanted to see his doctor compression: ventilation ratio and rate minute... Position for 1530 min after administration exhibited by a patient experiencing angina fibrillation... % benchmark, 2 minutes BP 122/ Unlabeled Use carl shapiro vsim post quiz s ) Gastrointestinal... Of epinephrine is administered after the ventricular fibrillation, continuing to defibrillate would have been the intervention! Students to provide real patient care that revealed over 800cc of urine in his lower abdomen Carl Shapiro bed defibrillation. Pain and pressure in his bladder head to nursing simulation scenarios allow students to provide real care... That apply, after finishing the vsim for Carl Shapiro post-quiz 100 %.docx radiation precautions that need. Asthma by monitoring which of the following does the nurse assesses the severity of asthma by which. Per minute is which of the following does the nurse understands that morphine has which of the airway it to...
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