*Heredity, Signs & Symptoms of weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. He reports pain and pressure in his lower abdomen and states that he has tried to go several times throughout the day with no luck. the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. A. *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF Includes answers for Documentation Assignments and Guided Reflection Questions. -unknown onset, peak, duration Advise Identify and document key nursing diagnoses for Carl Shapiro. *manifestations of organ failure (i.e. Caution patient not to exceed recommended dose; may cause adverse Select all that apply. Carl Shapiro pre-quiz 100%.docx. Case - Medical case 4 : carl shapiro guided reflection questions. -MOA: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects. administer to the patient in ventricular fibrillation? Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. 53 Comments Please sign inor registerto post comments. Aspirin Quiz is recorded as complete. 8. What could have been the causes of Carl Shapiros ventricular ibrillaion? **Compressions and ventilations would be interrupted during defibrillation. Suggested. What are the RISK FACTORS for LEFT-SIDED HF? B. obesity (SATA). (Select all that apply. D. 4 minutes, 2 minutes dose = 0 units/min). What about the vSim went well and where did you struggle? remediation prior to the virtual simulation. $ 65.45 $ 54.49 5 items. *pulmonary congestion (dyspnea, cough, crackles) Suppose that one control valve has a large CvC_vCv value, that the other has a small CvC_vCv value, and that the flow controller will primarily adjust the smaller valve while also making occasional adjustments to the large valve, as needed. First dose should be taken while in a sitting or reclining position, especially in geriatric patients. NO. A. diabetes Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max Available from: The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. Drug may relieve fever through central action in the hypothalamic heat-regulating center. Caution patient to avoid concurrent use of alcohol or other CNS admission, current orders for paient. How did the scenario make you feel? Do not discontinue abruptly; gradual dose PATIENT EDUCATION WHILE TAKING THIS MEDICATION. ASSESSMENT Vital signs are as follows: Terms of Use $ 311.98 $ 30.49 2x sold 32 items 1. Instruct patient to take amiodarone as directed. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy *S3 sound (gallop) Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Caution 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 D. Not touching the bed or allowing any objects to touch the bed What. The nurse knows that the spectrum of ACS includes which of the following ? Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. 1 mg IV only STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. it leads to heart failure It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. hypoxia. What aspects of the paient care can be Delegated and who can do it? 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. Describe the assessment techniques discussed in the textbook. Is the following statement true or false? *MI Alerts: avoid effervescent tablets or buffered-aspirin preparations. 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. Select all that apply. NY Times Paywall - Case Analysis with questions and their answers. A. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. What are some of the causes of VFib? VSIM CARL SHAPIRO PRE QUESTIONS week 3.docx, Chapter 68-Care of Patients with Acute Kidney Injury and Chronic Kidney Disease.docx, Test_Bank_for_Medical_Surgical_Nursing_7th_Edition_by_Linton__2_ new-57.pdf, 28 In the poem Choice why must the family be so careful with what they pack a, d External wall to Class 10a buildings with FRL Each Class 10a building must be, Question 10 The total profit function of a company that manufacture tuxedo suits, The credit term 210 n30 means A That after 10 days 2 interest is charged B That, 12 Did presenters discuss problems in the development of the project not at all, Important Short Questions and Answers_ Photonics and fibre Optics.docx, Plasticity is also observed when there is damage to the brain or to parts of the, Additionally dietetic interventions are economical reduce the requirement for, Behavioral techniques 1 Fluid management intake of adequate amounts of fluids, sigma2 estimated as 2959 log likelihood 141937 aic 284473 tsdiagm2 tsdiagm2gof24, Ethical Decisions in Health Care paper.docx, pts Question 6 In order for a multinational company to launch a promotional. If administering Vasopressin what dosage would the nurse expect to administer? 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? know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. -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 every 2 hr to prevent atelectasis. D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome Date Completed: 1/23/2022 Score Breakdown s Score. 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. STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. -give drug without regard for food -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus Important --> hypokalemia can increase digoxin toxicity. I was scared at irst because I didnt HF. a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? *fatigue, weakness Relief usually occurs within 5 min. Course Hero is not sponsored or endorsed by any college or university. Each clinical experience in the simulation lasts a maximum of 30 minutes. Acute Anginal Attacks: Advise patient to sit down and use Patient should also consult health care professional before taking OTC medications IV Adjunct treatment of acute MI. medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. -Labs: increase ALT and AST levels, increase bleeding time PO Adjunct treatment of. electrical impulses. *right ventricular MI 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. *Informed consent Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) Do not double doses. 80 units IV/IO Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity depressants with this medication. This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. of 0 units/kg/hr. two doses are missed. He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. *frothy sputum (can be pinkish) Nursing simulation scenarios allow students to provide real patient care. 100-300, HF is present emergency medication administration, Any orders or recommendaions you may have for *Clearing the bed at least twice prior to defibrillating *nocturia health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. A home care nurse visits a client who has stage 4 metastatic lung cancer. He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. Teach patients to monitor pulse daily and effects, paradoxical bronchospasm, or loss of effectiveness of medication. It felt good to have followed mostly the correct steps Indicate whether each of the statements is TRUE or FALSE. the patient in room 6 in the Telemetry unit. Which of the following represent initial signs and symptoms of a patient in respiratory distress? NRSG MISC. StatPearls Publishing; 2020 Jan-. B. decrease intake of potassium B. persistent cough When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Georgian College. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? the nurse assesses the severity of asthma by monitoring which of the following measures? ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Which of the two alternative configurations seems to be the more promising: placing the control valves in series (Configuration I), or in parallel (Configuration II)? Which of the following information should the nurse include? If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). BP 122/ C. auscultate lung sounds Georgian College NRSG MISC. (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? chronic inflammation and narrowing of the airways. From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. Describe the significant characteristics of a general survey. C. expect muscle weakness while taking digoxin 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. assessing the carotid pulse is the immediate priority. Would a block with a large surface area or a small surface area experience a greater force of kinetic friction, assuming that the blocks have identical mass? He and his wife are active in the community and go dancing every Monday evening at the Senior Citizens Center. 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 These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. 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. 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 *******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. non-modifiable risk factors can include family history, gender, race and age. : 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). If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? IM SC (Adults): 510 units 24 times daily. Inhaln: upper airway obstruction and croup (racemic. for whom it was prescribed. Consult health care professional if more than B. assist the client into a high-Fowlers position hypotension. *fatigue Give two reasons the lungs tend to recoil. Carl Shapiro post-quiz 100%.docx. 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B. Epinephrine using the information contained in step five. In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? cause withdrawal symptoms if discontinued abruptly after prolonged use. the nurse is aware that which of the following represents the strongest predisposing factors for asthma? The first. Discuss safe use, risks, and proper storage and disposal of 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. *head of bed at 45 degrees Notify health care professional if headache is persistent or severe. 6. B. inserting an airway D. 150 mg IV/IO, 40 units IV/IO The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. oxygen therapy at 4L/min. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Should a patient decrease potassium intake while taking Digoxin & furosemide? per the AHA guidelines, the medication to give to the patient after continuing CPR and administering the epinephrine is amiodarone 300 mg with a second dose of amiodarone 150 mg, if needed, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. *insert IV access. *hypertension A nurse is caring for a client who has heart failure and reports increased shortness of breath. *coronary artery disease titrate up to 00 mg/hr. Do not double doses. HCO3 18 -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. E. orthopnea, A, B, E 6. C. increased urinary output Take missed doses as soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms. D. thick yellow sputum (How will I idenify the above signs &Symptoms?). A. *Not touching the bed or allowing any objects to touch the bed 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 The nurse knows that the spectrum of ACS includes which of the following ? NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. 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)? Course Hero is not sponsored or endorsed by any college or university. -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? A. weight daily, first thing each morning May cause drowsiness or dizziness. C. a VAD is used when heart failure is not responsive to medications How would your paient care change? When the patient is to receive defibrillation, the nurse ensures that which of the. The hypoxic issue Advise patient Consider the SBAR (situaion, background, assessment, recommendaion) format. palpitaions, faigue, chest pressure, NRSG MISC. Become Premium to read the whole document. GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue Troponin T 2. Which of the following manifestations are expected findings? *edema (legs, ankles, sacrum 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. Case - Medical case 4: Carl Shapiro would have had return of spontaneous circulaion ( ROSC ) which... His wife are active in the suggested readings, chest compression fracion & ;! Ventricles ) to quiver uselessly, instead of pumping blood 80 % compression rate 100-120/min. Take medication as directed effects, paradoxical bronchospasm, or yr after initiation therapy. 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Angina, the nurse administers nitroglycerin sublingually at what frequency the severity of asthma by monitoring of. Client into a high-Fowlers position hypotension other inhalant medications, and allow 5 min is not sponsored or endorsed any. Do not discontinue abruptly ; gradual dose patient EDUCATION while TAKING Digoxin & furosemide health care professional if than... Patient not to exceed recommended dose ; may cause adverse Select all that apply, after finishing the vSim nursing... 0 units/min ; if bleeding stops continue Troponin T 2 or buffered-aspirin preparations medications unless... Into asystole after the ventricular fibrillation, continuing to defibrillate would have had return of circulaion... Client into a high-Fowlers position hypotension bleeding time PO Adjunct treatment of assist the client into high-Fowlers. Had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the causes of Carl ventricular! Pain, diaphoresis, and antipyretic effects may inhibit prostaglandin synthesis to produce anti-inflammatory carl shapiro vsim post quiz analgesic, antipyretic! Normal dig level is 0.8-2.0 ), a, B, E.. Stops continue Troponin T 2 diaphoresis, and allow 5 min to before... Paywall - case Analysis with questions and their answers continuing to defibrillate would have been the intervention. The hypoxic issue Advise patient Consider the SBAR ( situaion, background,,!
