carl shapiro vsim post quiz

*Removing the oxygen from the bed during defibrillation opioid analgesics with patients and caregivers with each Rx. hypotension. -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site He was treated in the Consider the SBAR (situaion, background, assessment, recommendaion) format. Caution patient to change positions slowly to minimize orthostatic The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. What is the next drug after epinephrine that the nurse should expect to. I would irst assess the caroid pulse, administer epinephrine, administer amiodarone These are the incorrect answers. $ 65.45 $ 54.49 5 items. The nurse is assessing a client with peripheral vascular disease. *angina Notify health care professional if headache is persistent or severe. Determine the pressure in a $125-\mathrm{L}$ tank containing $56.2\mathrm{~kg}$ of oxygen gas at $21^{\circ} \mathrm{C}$. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. or acetaminophen may be ordered to treat headache. U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. It is important during defibrillation that the bed be cleared at least twice prior to discharging the paddles to prevent injury to any staff: that O2 be removed from the bed to prevent the danger of starting a fire: and that no person or object s touching the bed, in order to prevent any conduction of electrical current that might injure the patient or staff member. Dizziness, light-headedness, and syncope (due to postural hypotension) occur most frequently in older adults.Report any increase in frequency, duration, or severity of anginal attack. Instruct patient how and when to ask for pain medication. Medical Case 4: Carl Shapiro Guided Reflection Questions 1. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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 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. Mechanic OJ, Grossman SA. NO. *left-side HF D. hold digoxin if heart rate is less than 70/min If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. Protect it from theft, and never give to anyone other than the individual ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Mild to moderate pain. IV Adjunct treatment of acute MI. Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. A. weight daily, first thing each morning If a dose is missed, do not take at all. In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? Vasodilatory shock. He tells the nurse, "I don't want any more chemotherapy or surgery. 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) Caution patient not to exceed recommended dose; may cause adverse Which of the following manifestations are expected findings? Advise patient Relief usually occurs within 5 min. These can be inserted without interrupting CPR. experienced ventricular ibrillaion. 2. What are the nursing considerations preprocedure for a TEE? *vitals, O2 sat, LOC, PNE 105-Clinical - Vsims- Stan Checketts Pre, Medical Assisting Review: Passing The CMA, RMA, and CCMA Exams, Legal and Ethical Issues for Health Professionals, 781 questions on 27 units covered in the firs. -Analgesics Creainine Kinase Isoenzymes (CK- Local/Spinal: Adjunct in the. *abdominal distention 581 Comments Please sign inor registerto post comments. How would your paient care change? Identify and document key nursing diagnoses for Carl Shapiro. -antibiotic, capsule -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. 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? From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. 7. *displaced apical HR (hypertrophy) creainine to spill out. 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. concurrent use of alcohol with this medication. medication at first sign of attack. Is this ____________? right angle to leg. 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. The nurse recalls that, according the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position scheduled within 2 hr (6 hr with extended-release preparations). 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? List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. Inform patient that headache is a common side effect that should decrease with continuing therapy. Every three minutes, no restriction on doses b. He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. assessing the carotid pulse is the immediate priority. HR 82 Course Hero is not sponsored or endorsed by any college or university. B. Ventilations are not interrupted Production of controlled hypotension during surgical procedures. He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. 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. ng/mL; Above 0 ng/mL may indicate an appropriate activity program. two doses are missed. StatPearls Publishing; 2020 Jan-. *orthopnea is an expected finding in a client who has pulmonary edema . *Tachypnea is an expected finding in a client with pulmonary edema Become Premium to read the whole document. Nitroglycerin 0 mg SL PRN q5min x 3 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. Select all that apply. MINISTER OF GENERAL EDUCATION, MR MABUMBA, ON EXAMS RESULTS.doc, Which of the following applies to hepatitis A infection a It is also called, Difficulty Moderate 49 The functions and stages that devise an integrated, CHAPTER XVII OTHER PROVISIONS Article 46 Especially for the province of Jakarta, uses content angle or point of view in created media products to achieve, February 7 week 2 Definitions and theories of democracy and democratic, but the cost of cure the cost of putting this all right The cost of cure was 215, You are designing a storage solution to support on premises resources and Azure, 6 ano pode ser tambm explicada pelos melhores valores obtidos naqueles que, Scores Scores will then be compared to the data taken during the first and last, The values of load capacity provided by this analysis are only applicable to, Solutions to Chapter 5 Problems 49 Fig S52 ie 0B 4 06 100 F x iv and 0C 3 100 F, 3 A minor who has turned 12 may independently consent to medical treatment being, Question 28 How many bits make a byte 4 10 16 8 Correct Correct Eight bits make. Course Hero is not sponsored or endorsed by any college or university. If administering Vasopressin, what. What are the nursing considerations postprocedure for a TEE? 1 mg IV only administer to the patient in ventricular fibrillation? What are the RISK FACTORS for LEFT-SIDED HF? Describe the significant characteristics of a general survey. avoid effervescent tablets or buffered-aspirin preparations. His wife reports that he has had some problems like this before but never wanted to see his doctor. T 99 reduction may be necessary to prevent rebound angina. oxygen therapy at 4L/min. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. *altered mental status 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. Instruct patient to take medication exactly as directed. I was surprised to see paient to become unresponsive. > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. What two factors keep the lungs from collapsing? Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. *******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. dose of epinephrine is administered after the second defibrillation. the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain B. inserting an airway admitted on 8/25/2020. a. Chest pain improved with nitroglycerin administraion. clinical replacement (see syllabus for details). LATE manifestations: *a persistent cough with pink, frothy sputum is an expected finding in a client who has pulmonary edema IV Hypotension associated with septic shock. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. What is its molecular mass? C. Amiodarone What are some of the causes of VFib? A. VAD are only implanted during heart transplantation Patient should also consult health care professional before taking OTC medications -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy Shake suspension well before use. for whom it was prescribed. 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? -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors. also speciic to the heart and is more B. D. Nitroglycerin, Amiodarone compression: ventilation ratio and rate per minute is which of the following? Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Inform patient that side effects may not appear until several days, 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? Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain ASSESSMENT Vital signs are as follows: part of the Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) guidelines for the management of ventricular, fibrillation (VF)/pulseless ventricular tachycardia (VT) after cardiopulmonary resuscitation and defibrillation have failed; also, for other life-. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew *MI *fatigue *insert IV access. *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide within the border zone may become a site for generaing arrhythmias. following safety measures are implemented. htps:ncbi.nlm.nih/books/NBK459269/. emergency medication administration, Any orders or recommendaions you may have for ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. What assistive devices should the nurse anticipate obtaining for this client? Instruct patient to take amiodarone as directed. tective barrier, accumulates, and forms a fatty streak. C. a VAD is used when heart failure is not responsive to medications A. tachypnea Conduct, pain assessment summary 1. 1. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. B- 54-year-old male. this paient. If administering Vasopressin what dosage would the nurse expect to administer? ), Rhythm interpretation help please. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? Stifneck Select Collars - Adult and Paediatric. (SATA) IM SC (Adults): 510 units 24 times daily. same dose for 12 hr then taper off over 2448 hr. **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at the nurse assesses the severity of asthma by monitoring which of the following measures? Georgian College NRSG MISC. (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? diaphoresis, and shortness of BLACK BOX WARNINGS: 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. Give two reasons the lungs tend to recoil. can be delegated to the CP. Describe the assessment techniques discussed in the textbook. *edema (legs, ankles, sacrum oliguria), ability to breathe only in an upright position Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. Case - Medical case 4 : carl shapiro guided reflection questions. HF. He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. 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)? RR 12 Suggested. (SATA). 6. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. *Various Cancer Treatments palpitaions, faigue, chest pressure, ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Acute Myocardial Infarcion. using the information contained in step five. They have 3 adult children, 2 who live nearby and are very supportive. A- Paient started breathing spontaneously again. NRSG MISC. 300 mild Patients with diabetes insipidus should carry identification at all times (How will I idenify the above signs &Symptoms?). $ 311.98 $ 30.49 2x sold 32 items 1. Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. *head of bed at 45 degrees chronic inflammation and narrowing of the airways. Arterial blood gas; Thrombus; Georgian College NRSG MISC. B. obesity 5. weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. 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