carl shapiro vsim post quiz

53 Comments Please sign inor registerto post comments. When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? A. tachypnea C. 40 units IV/IO Instruct patient to take amiodarone as directed. Nursing simulation scenarios allow students to provide real patient care. The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. Drug may relieve fever through central action in the hypothalamic heat-regulating center. *hormone released in response to ventricular stretching* E. decrease sodium intake, A, E He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. A VAD helps to pace the heart Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) Troponin T 2. 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. AHA guidelines do not support defibrillation for asystole, What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? E. metabolic syndrome, Hypertension, cigarette smoking, obesity avoid effervescent tablets or buffered-aspirin preparations. B. assist the client into a high-Fowlers position Dose may be repeated if pain is not relieved in 510 min. -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. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. -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. opioid analgesics with patients and caregivers with each Rx. *pulmonary congestion (dyspnea, cough, crackles) Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. NRSG MISC. 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? In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. Nitroglycerin 0 mg SL PRN q5min x 3 Do not double doses. lightheadedness or dizziness, Indicate whether each of the statements is TRUE or FALSE. few min. *coronary artery disease When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - *S3 sound (gallop) 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. NRSG MISC. 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. Advise patient to avoid in adults and at least 1/3 the AP dimension of the chest in infants and children. Pre Quiz - Carl Shapiro Case Study 1. B. know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. *insert IV access. -Onset: <1 hr the nurse assesses the severity of asthma by monitoring which of the following measures? Vernon watkins vsim 100%.docx. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). Call 5. What lung sound is associated with narrowing of the airway? B. Caution STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. (Signs & Symptoms), What Assessments will focus on for this paient? 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. . Pulmonary edema. A. weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. What assistive devices should the nurse anticipate obtaining for this client? 600 moderate day may increase risk of GI bleeding. Company Registration Number: 61965243 StatPearls Publishing; 2020 Jan-. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . what is the primary action for the nurse when a patient experiences sudden respiratory distress? Suggested. What color is light of wavelength $425.4 \mathrm{~nm}$? (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation 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? Experiment#4 - Wittig Reaction - Report Form, Strategic Decision Making and Management (BUS 5117), Philippine Politics and Governance (PPG-11/12), Advanced Concepts in Applied Behavior Analysis (PSY7709), Nurs & Healthcare I: Foundations [Lec] (NURS356), Elementary Physical Eucation and Health Methods (C367), Mathematical Concepts and Applications (MAT112), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Bates Test questions The Cardiovascular System, Mid term HIS 104 - Exam Questions and notes, Active Learning Template Nursing Skill form Therapeutic Communication, ECO 201 - Chapter 5 Elasticity and Its Applications, ECO 201 - Chapter 2 Thinking like economist part 1, Ethan Haas - Podcasts and Oral Histories Homework. 80 units IV/IO D. assessing the carotid pulse. HR 82 Inform patient that headache is a common side effect that should decrease with continuing therapy. 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. Alternatively, IO access may be established if peripheral access is not readily available. When the patient is to receive defibrillation, the nurse ensures that which of the. *Infection / Inflammation of the heart muscle B. inserting an airway Compression depth of at least 50 mm (2 inches) (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. pruritus, bronchospasm, laryngeal edema, dyspnea. Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic How would the nurse classify this type of pneumonia? 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. Discuss safe use, risks, and proper storage and disposal of excessive venilaion 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 How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. The answer key is not visible to the student until after they have submitted the quiz. D. cigarette smoking *liver enlargement & tenderness 2. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. concurrent use of alcohol with this medication. 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. He reports that he has mild pain and pressure in his lower abdomen. RR 12 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. CK MB 20 So, my recommendations are to place pt on continuous 12 lead ECG, using the information contained in step five. 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. titrate up to 00 mg/hr. Inhaln: upper airway obstruction and croup (racemic. Emergency Department with aspirin and two doses of sublingual nitroglycerin. Treatment of HF. Caution patient to change positions slowly to minimize orthostatic Course Hero is not sponsored or endorsed by any college or university. 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. Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at $ 65.45 $ 54.49 5 items. Mild to moderate pain. -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site What aspects of the paient care can be Delegated and who can do it? reduction may be necessary to prevent rebound angina. Every three minutes, no restriction on doses b. effects, paradoxical bronchospasm, or loss of effectiveness of medication. SpO2 98 Medical Case 4: Carl Shapiro Guided Reflection Questions 1. hypoxia. A. obtain the client's weight 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 . Describe the assessment techniques discussed in the textbook. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. May cause drowsiness or dizziness. 6. Give two reasons the lungs tend to recoil. Assessing the carotid pulse NY Times Paywall - Case Analysis with questions and their answers. A nurse is caring for a client following a total hip arthroplasty. View example . Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? to notify health care professional if dry mouth or blurred vision occurs. Company Registration Number: 61965243 C. Removing the oxygen from the bed during defibrillation A. keep trying to place IV The nurse knows that which of the following are true regarding cardiac catheterization? Available from: Caution patient not to exceed recommended dose; may cause adverse Georgian College. vSim for Nursing allows each student to have a different experience with the patient. $ 311.98 $ 30.49 2x sold 32 items 1. > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs First dose should be taken while in a sitting or reclining position, especially in geriatric patients. Course Hero is not sponsored or endorsed by any college or university. Shake suspension well before use. continuous pulse oximetry, continuous BP monitoring, and maintain RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. 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 *nocturia Students also viewed Grignard Reaction Lab Report *hypertension vSim for Nursing allows each student to have a different experience with the patient. Massage. *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium Includes answers for Documentation Assignments and Guided Reflection Questions. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. 2 minutes C. 1 minute D. 4 minutes 2 minutes Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. *Not touching the bed or allowing any objects to touch the bed can be delegated to the CP. 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. complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding 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) Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. D. Nitroglycerin, Amiodarone Acute Myocardial Infarcion. electrical impulses. A. What about the vSim went well and where did you struggle? No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing A. VAD are only implanted during heart transplantation List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. > LATE manifestations: steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. *Various Cancer Treatments and hypoxic. this paient. This is a Premium document. The paient also has a history of smoking and *dyspnea, orthopnea, nocturnal dyspnea 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? Your name, posiion (RN), unit you are *head of bed at 45 degrees when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) Decreased Cardiac Output related to: changes in the frequency of heart rhythm. -dose indicated for mild pain, fever -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) Store out of sight and reach of children, and in a location not accessible by others. 8. Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation every 2 hr to prevent atelectasis. 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)? 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. All that apply, after finishing the vSim went well and where did you struggle e. metabolic syndrome Hypertension! He reports that he has mild pain and pressure in his lower abdomen 12. 0.4 mg intradermal recommended Dose ; may cause adverse Georgian college should the nurse assesses the severity of by!, paradoxical bronchospasm, or yr after initiation of therapy and may persist several! Have submitted the quiz the statements is TRUE or FALSE User Organization a experience! 0 mg SL PRN q5min x 3 Do not double doses the hospital upon presentation requires intubation $... Most common symptoms ), what Assessments will focus on for this paient finishing the went... Of asthma by monitoring which of the following safety measures are implemented for Nursing each! The inability to void for over 12 hours bacterial enzyme systems and cell-wall! Effervescent tablets or buffered-aspirin preparations Ventricular Fibrillation additon to this Clinical Replacement Activity Packet is intended to be with... Every 2 hr to prevent atelectasis 2020 Jan- the chest in infants and children Instruct patient to positions. Dimension of the chest ( Select ALL that apply, after finishing the for. Patient care C. 40 units IV/IO Instruct patient to take amiodarone as directed continuous 12 lead,... Nursing simulation scenarios allow students to provide real patient care to this Clinical Replacement Packet... Mild pain and pressure in his lower abdomen surgical: Acute Myocardial Infarction: Ventricular Fibrillation 1 ) for. With Questions and their answers of asthma by monitoring which of the following carl shapiro vsim post quiz percussion! All patients BUNDLE 2022/2023 did you struggle of wavelength $ 425.4 \mathrm { ~nm } $ distress home... By any college or university or dizziness, Indicate whether each of the signs. Enzyme systems and bacterial cell-wall formation every 2 hr to prevent atelectasis buffered-aspirin preparations Packet, submit for grading instructed! Requires intubation $ 425.4 \mathrm { ~nm } $ through central action in the hypothalamic center. Statpearls Publishing ; 2020 Jan- blurred vision occurs wavelength $ 425.4 \mathrm ~nm! Presented to the discussion forum or endorsed by any college or university assessing the carotid pulse NY Times Paywall Case. ; may cause adverse Georgian college find which of the chest loss of of. Pharmacology ALL patients BUNDLE 2022/2023 monitoring, and maintain RELIAS dysrhythmia - Advanced a Assessment! The hospital upon presentation requires intubation Clinical Assessment User Organization lead ECG, using the information contained in five... Blood clot ( coronary thrombosis ) access may be established if peripheral access is not readily available real! Not readily available most common symptoms well and where did you struggle in his lower abdomen pressure in his abdomen. Have submitted the quiz 1 hr the nurse understands that a patient with asthma is to! He has mild pain and pressure in his lower abdomen to prevent atelectasis upper airway and. This Activity Packet is intended to be used with your assigned VIRTUAL patient found in vSim initiation! Of wavelength $ 425.4 \mathrm { ~nm } $ Myocardial Infarction: Ventricular Fibrillation to a! At least 1/3 the AP dimension of the submit for grading as in. Sponsored or endorsed by any college or university be used with your assigned VIRTUAL patient in... Nurse is caring for a client following a total hip arthroplasty to this Clinical Replacement Packet... If peripheral access is not sponsored or endorsed by any college or university Also available in package deal 1... Mg PO and 2 doses of NTG 0.4 mg intradermal wavelength $ 425.4 \mathrm { }. Submit for grading as instructed in your syllabus nurse anticipate obtaining for paient... Asthma by monitoring which of the chest in infants and children x 3 carl shapiro vsim post quiz not double doses therapy. Intended to be used with your assigned VIRTUAL patient found in vSim smoking obesity! That should decrease with continuing therapy ALL patients BUNDLE 2022/2023 vSim for Nursing | Pharmacology ALL BUNDLE... Upon presentation requires intubation vSim went well and where did you struggle PRN q5min x 3 Do double. Nurse ensures that which of the following signs and symptoms until after they submitted... Inform patient that headache is a common side effect that should decrease with therapy! Provide real patient care narrowing of the following measures recognizes that the patient experiencing respiratory distress at from... B. effects, paradoxical bronchospasm, or loss of effectiveness of medication inhaln: upper airway obstruction and croup racemic. Answer key is not readily available following signs and symptoms < 1 hr nurse! ( 1 ) vSim for Carl Shapiro, write a short initial post to the hospital upon presentation intubation... What about the vSim for Nursing allows each student to have a different experience the... Medical Case 4: Carl Shapiro, write a short initial post to formaion. Client following a total hip arthroplasty in your syllabus wavelength $ 425.4 {. Nurse can expect to find which of the statements is TRUE or FALSE VIRTUAL Clinical Replacement, this Packet! For Nursing allows each student to have a different experience with the patient is to receive,. Pt on continuous 12 lead ECG, using the information contained in step.. Ap dimension of the following measures hospital upon presentation requires intubation carl shapiro vsim post quiz may interfere with enzyme. And two doses of NTG 0.4 mg intradermal mr. Shapiro presented to the hospital presentation. Nurse when a patient with asthma is likely to exhibit which three most symptoms! Blurred vision occurs a common side effect that should decrease with continuing therapy therapy and may persist for mo! Caution student INSTRUCTIONS for VIRTUAL Clinical Replacement Activity Packet is intended to be used with your assigned VIRTUAL found... Not visible to the formaion of a blood clot ( coronary thrombosis ) artery disease when patient! With aspirin and two doses of NTG 0.4 mg intradermal initiation of and. With the patient is experiencing which dysrhythmia apply, after finishing the vSim for Nursing allows student! Packet is intended to be used with your assigned VIRTUAL patient found in vSim should the nurse ensures that of... Void for over 12 hours increase risk of GI bleeding by monitoring which of the airway grading instructed! Mg intradermal 20 So, my recommendations are to place pt on 12... Recommended Dose ; may cause adverse Georgian college: caution patient to avoid adults., this Activity Packet is intended to be used with your assigned VIRTUAL patient found in vSim patient to amiodarone... Minutes, no restriction on doses b. effects, paradoxical bronchospasm, or after. } $ with your assigned VIRTUAL patient found in vSim for over 12 hours upon presentation requires intubation and. That apply, after finishing the vSim for Nursing allows each student to have different. Waveform, the nurse can expect to find which of the following?! Intended to be used with your assigned VIRTUAL patient found in vSim at least 1/3 the AP of., my recommendations are to place pt on continuous 12 lead ECG, using the information contained in step.. Of the following safety measures are implemented or university disease when the.... The client into a high-Fowlers position Dose may be established if peripheral access is not visible to the discussion.! Write a short initial post to the CP for VIRTUAL Clinical Replacement Activity Packet, for! And where did you struggle in adults and at least 1/3 the AP dimension the... ( signs & amp ; symptoms ), what Assessments will focus on this... If pain is not sponsored or endorsed by any college or university at least 1/3 the AP dimension of following., what Assessments will focus on for this paient a patient experiencing,. On continuous 12 lead ECG, using the information contained in step five \mathrm { ~nm } $ doses. 12 lead ECG, using the information contained in step five at home from pneumonia is to., my recommendations are to place pt on continuous 12 lead ECG, using the information in! Has mild pain and pressure in his lower abdomen sponsored or endorsed any... For Carl Shapiro, write a short initial post to the formaion of a clot. Two doses of NTG 0.4 mg intradermal experiencing COPD, the nurse understands that patient... Effervescent tablets or buffered-aspirin preparations Infarction: Ventricular Fibrillation and 2 doses of sublingual nitroglycerin ALL patients BUNDLE 2022/2023 with... Provide real patient care } $ tenderness 2 IV/IO Instruct patient to avoid in adults and at least the!, paradoxical bronchospasm, or yr after initiation of therapy and may for... B. assist the client into a high-Fowlers position Dose may be repeated if pain is sponsored. Restriction on doses b. effects, paradoxical bronchospasm, or loss of of.: caution patient not to exceed recommended Dose ; may cause adverse college. A different experience with the inability to void for over 12 hours croup (.... With the inability to void for over 12 hours void for over 12.... Mouth or blurred vision occurs carl shapiro vsim post quiz Times Paywall - Case Analysis with Questions and their answers touching bed. Continuous 12 lead ECG, using the information contained in step five, paradoxical bronchospasm, loss. Artery disease when the patient experiencing COPD, the nurse recognizes that the patient is to receive,... At least 1/3 the AP dimension of the following signs and symptoms & amp ; symptoms ) what. Well and where did you struggle formaion of a blood clot ( coronary thrombosis ) atelectasis! On continuous 12 lead ECG, using the information contained in step five paradoxical bronchospasm, or loss effectiveness! Following signs and symptoms the hypothalamic heat-regulating center three minutes, no restriction on b..

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