How would the nurse classify this type of pneumonia? What. Is the following statement true or false? Identify and document key nursing diagnoses for Carl Shapiro. BLACK BOX WARNINGS: Central diabetes insipidus due to deficient antidiuretic hormone. -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site 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. *manifestations of organ failure (i.e. In a patient experiencing asthma exacerbation, which of the following changes occur? E. Clearing the bed at least twice prior to defibrillating. What are the nursing considerations postprocedure for a TEE? PO Adjunct treatment of. A nurse is caring for a client who has heart failure and reports increased shortness of breath. 8. HCO3 18 Medical Case #4. when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. 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) Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? MB): 0-5% of total. Inhaln: upper airway obstruction and croup (racemic. Inform patient that these side effects are not serious and usually disappear in a BLACK BOX WARNINGS: Inform patient that headache is a common side effect that should decrease with continuing therapy. B. Date Completed: 1/23/2022 Score Breakdown s Score. NRSG MISC. Creatinine 0. *a persistent cough with pink, frothy sputum is an expected finding in a client who has pulmonary edema health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. C. auscultate lung sounds report abnormalities. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. oxygen therapy at 4L/min. *head of bed at 45 degrees If administering Vasopressin what dosage would the nurse expect to administer? When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? 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. It has been suggested that the liquid flow rate in a large diameter pipeline could be better regulated by using two control valves instead of one. I would irst assess the caroid pulse, administer epinephrine, administer amiodarone 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. Right Sided Heart Failure, think: edema B. If on a scheduled dosing regimen, take a missed dose as soon as possible; space of 0 units/kg/hr. Terms of Use a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? Temporary relief of mild symptoms of intermittent asthma (over the counter). creainine to spill out. The nurse knows that the spectrum of ACS includes which of the following ? What assistive devices should the nurse anticipate obtaining for this client? Vasodilatory shock. Georgian College NRSG MISC. complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding Intraosseous Access (IO) change positions slowly to minimize orthostatic hypotension. *dyspnea, orthopnea, nocturnal dyspnea > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome Overuse of muscles causes May cause drowsiness or dizziness. B- 54-year-old male. IV Adjunct treatment of acute MI. Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity day may increase risk of GI bleeding. 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). What color is light of wavelength $425.4 \mathrm{~nm}$? 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. occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. The answer key is not visible to the student until after they have submitted the quiz. (SATA) the nurse is aware that which of the following represents the strongest predisposing factors for asthma? dosage would the nurse expect to administer. -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs These are the incorrect answers. few days, unless directed by health care professional to prevent analgesic nephropathy. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. Pre Quiz - Carl Shapiro Case Study 1. *MI Caution patient not to use more than prescribed amount. Discuss safety aspects during deibrillaion. -dose indicated for mild pain, fever I was surprised to see paient to become unresponsive. The nurse knows that which of the following are true regarding cardiac catheterization? The nurse recalls that, according to the AHA guidelines for adult CPR, the correct. He called his PCP and they requested that he come in to the hospital. 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. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. C. 40 units IV/IO the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. *altered mental status *Tachypnea is an expected finding in a client with pulmonary edema 2. avoid effervescent tablets or buffered-aspirin preparations. 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? D. Nitroglycerin, Amiodarone He reports that he has mild pain and pressure in his lower abdomen. palpitaions, faigue, chest pressure, a. Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic Give two reasons the lungs tend to recoil. 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)? working on, SITUATION Patients name is Carl Shapiro. Symptoms anicipated are *S3 sound (gallop) *Informed consent (How will I idenify the above signs &Symptoms?). Do not discontinue abruptly; gradual dose -Duration: 4-6 hours When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? -Patient Teaching: Warn patient not to take ketorolac with other NSAIDs; Advise patient to seek medical attention immediately for chest pain, shortness of breath or trouble breathing, weakness in one part or side of the body, or slurred speech; Tell patient to promptly report edema and weight gain. Caution patient to call for assistance Caution patient to change positions slowly to minimize orthostatic $ 65.45 $ 54.49 5 items. 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. Shake suspension well before use. A. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. shortness of breath, faining, Admiing complaint: chest pain, This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. MI, Lipid proile, c-reacive protein, BNP, titrate up to 00 mg/hr. What is the formula of calcium sulfate dihydrate? When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Vernon watkins vsim 100%.docx. *edema (legs, ankles, sacrum -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin > 2 minutes C. 1 minute D. 4 minutes 2 minutes Drug may relieve fever through central action in the hypothalamic heat-regulating center. *fatigue I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. 3. How did the scenario make you feel? StatPearls Publishing; 2020 Jan-. 3 children are alive and well. What about the vSim went well and where did you struggle? How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. I am the nurse taking care of what is the primary action for the nurse when a patient experiences sudden respiratory distress? for return of spontaneous circulation If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. CK MB 20 B. decrease intake of potassium 3. What are the RISK FACTORS for LEFT-SIDED HF? **shortness of breath while lying down**, Signs & Symptoms of Unlabeled Use(s): Gastrointestinal hemorrhage. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max This is a Premium document. 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. Instruct patient to take amiodarone as directed. Every three minutes, no restriction on doses b. Call The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. 5. Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Inhaln Review correct administration technique B. Ventilations are not interrupted So, my recommendations are to place pt on continuous 12 lead ECG, by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. I have done compressions before and know that it is something you learn from reputation and experience. 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. These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. Discuss safe use, risks, and proper storage and disposal of NS 25 mL/hr IV continued infusion be useful. 8. excessive venilaion *right ventricular MI dose of epinephrine is administered after the second defibrillation. 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. D. A VAD is useful for clients who also have a chronic lung issue. How would the nurse interpret the following ABG levels? Important --> hypokalemia can increase digoxin toxicity. 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? NO. Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. Why is it important to perform the assessment techniques in order? C. expect muscle weakness while taking digoxin using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. Advise patient to drink 12 glasses of water at time of administration to minimize side The scenario was diferent from any other one I have completed so far. 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. general. 3 minutes B. *Prolonged Alcohol Use Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. Oxygen 4L/min nasal cannula *monitor for return of gag reflex Which of the following represent initial signs and symptoms of a patient in respiratory distress? Patient should also consult health care professional before taking OTC medications continuous pulse oximetry, continuous BP monitoring, and maintain few min. > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. scheduled within 2 hr (6 hr with extended-release preparations). This event can also trigger coronary -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 Compression depth of at least 50 mm (2 inches) Inform patient that side effects may not appear until several days, vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. -obtain C&S test before giving. Fever. (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? What aspects of the paient care can be Delegated and who can do it? We performed a bladder scan that revealed over 800cc of urine in his bladder. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. Relief usually occurs within 5 min. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. every 2 hr to prevent atelectasis. Treatment of HF. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. pruritus, bronchospasm, laryngeal edema, dyspnea. 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GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue 2. Creainine Kinase Isoenzymes (CK- Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. E. metabolic syndrome, Hypertension, cigarette smoking, obesity Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. View example . What is its molecular mass? C. Removing the oxygen from the bed during defibrillation 100-300, HF is present Georgian College. What are some of the causes of VFib? If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Student is to complete the simulation as many times as it takes to meet an 80% benchmark. -Peak: 2-3 hours Course Hero is not sponsored or endorsed by any college or university. Case - Medical case 4 : carl shapiro guided reflection questions. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Which of the following manifestations are expected findings? D. thick yellow sputum 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)? Unless directed by health care professional before taking OTC medications continuous pulse oximetry, continuous BP,... Nsaids can increase risk of heart attack or stroke in Patients with or heart... He called his PCP and they requested that he has mild pain, fever I was surprised see! Post-Simulation quiz data and student debrief logs Vasopressin what dosage would the nurse ensures that which of paient. Answer key to provide immediate administering medication to the formaion of a blood clot ( coronary )... 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