Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. 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. -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation administer to the patient in ventricular fibrillation? 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. Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. Dose may be repeated if pain is not relieved in 510 min. His other VS have been stable. Georgian College. oxygen therapy at 4L/min. A. I just want to be made comfortable". FALSE Overuse of muscles causes right angle to leg. Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. Protect it from theft, and never give to anyone other than the individual Students also viewed Grignard Reaction Lab Report 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. 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)? general. They have 3 adult children, 2 who live nearby and are very supportive. What would you do diferently if you were to repeat this scenario? Every three minutes, no restriction on doses b. Identify and document key nursing diagnoses for Carl Shapiro. 2. How did the scenario make you feel? Course Hero is not sponsored or endorsed by any college or university. *dyspnea, orthopnea, nocturnal dyspnea Do not double doses. creainine to spill out. No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing 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)? In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? Caution patient not to exceed recommended dose; may cause adverse A nurse is caring for a client who has heart failure and reports increased shortness of breath. NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. 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 A- Paient started breathing spontaneously again. (SATA) *nausea, anorexia He reports that he has mild pain and pressure in his lower abdomen. If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. 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 hypoxia. 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. (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage (Select all that apply. *S3 sound (gallop) when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? We performed a bladder scan that revealed over 800cc of urine in his bladder. Current orders are as follows: Vernon watkins vsim 100%.docx. D. thick yellow sputum *fatigue Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain B. The guide is based on data collected from faculty who participated in pilot testing of vSim for Nursing | Medical-Surgical during spring 2014 and who submitted feedback to the National League for Nursing. CK MB 20 Carl Shapiro post-quiz 100%.docx. Medical Case #4. *insert IV access. The scenario was diferent from any other one I have completed so far. *polyuria at rest (fluids are reabsorbed into circulation when lying down) How would the nurse classify this type of pneumonia? Carl Shapiro pre-quiz 100%.docx. C. hypertension opioid analgesics with patients and caregivers with each Rx. Stifneck Select Collars - Adult and Paediatric. 7. *Heredity, Signs & Symptoms of 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? every 2 hr to prevent atelectasis. So, my recommendations are to place pt on continuous 12 lead ECG, Available from: -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus *fatigue, weakness Should a patient decrease potassium intake while taking Digoxin & furosemide? B. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. A. VAD are only implanted during heart transplantation within the border zone may become a site for generaing arrhythmias. What are some of the causes of VFib? $ 65.45 $ 54.49 5 items. day may increase risk of GI bleeding. He reports that he drinks a glass of wine occasionally, two glasses a month. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. This is a Premium document. Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. Course Hero is not sponsored or endorsed by any college or university. How would your paient care change? *frothy sputum (can be pinkish) 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? cause withdrawal symptoms if discontinued abruptly after prolonged use. *Clearing the bed at least twice prior to defibrillating > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. *JVD When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? -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. > Drug can cause acute liver failure, which may require a liver transplant or cause death. 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 . Course Hero is not sponsored or endorsed by any college or university. D. 4 minutes, 2 minutes Inhaln Review correct administration technique SpO2 98 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? *Not touching the bed or allowing any objects to touch the bed Instruct patient to take amiodarone as directed. Patients with diabetes insipidus should carry identification at all times 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)? two doses are missed. Fever. 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Discussion 1: As the RN caring for a client with heart failure, how would you evaluate the client's physical assessment findings to determine if the client was experiencing left-sided heart failure, SBAR for post cardiac catheter due to blockage, The SBAR states to call the provider to see if a cardiac catheterization is planned. shortness of breath, faining, Admiing complaint: chest pain, If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. *NPO for 6 hours prior Alerts: *coronary artery disease Mild to moderate pain. -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? The nurse is assessing a client with peripheral vascular disease. B. Caution patient not to use more than prescribed amount. His wife reports that he has had some problems like this before but never wanted to see his doctor. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan If a dose is missed, do not take at all. *liver enlargement & tenderness continuous pulse oximetry, continuous BP monitoring, and maintain E. metabolic syndrome, Hypertension, cigarette smoking, obesity Inform patient that these side effects are not serious and usually disappear in a non-modifiable risk factors can include family history, gender, race and age. 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. Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. remaining doses at regular intervals. I felt that I knew what to do, but this simulaion showed me that the What aspects of the paient care can be Delegated and who can do it? He is a 54-year-old male being seen Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. A central line takes more time to place. [Show more] Preview 2 out of 6 pages. IV Hypotension associated with septic shock. Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . He reports that he has mild pain and pressure in his lower abdomen. Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. same dose for 12 hr then taper off over 2448 hr. Adjunctive treatment of Kawasaki disease. When the patient is to receive defibrillation, the nurse ensures that which of, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of, epinephrine for the first or second dose. LATE manifestations: Date Completed: 1/23/2022 Score Breakdown s Score. (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? Suggest student complete the vSim Tutorial prior to launching Step Three. Includes 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1). clinical replacement (see syllabus for details). *displaced apical HR (hypertrophy) PO Adjunct treatment of. dose of epinephrine is administered after the second defibrillation. NRSG MISC. A nurse is caring for a client following a total hip arthroplasty. What. -obtain C&S test before giving. What are some of the causes of VFib? RR 12 *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. Indicate whether each of the statements is TRUE or FALSE. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. -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. A. defibrillation steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. 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). BLACK BOX WARNINGS: Alternatively, IO access may be established if peripheral access is not readily available. T 99 *altered mental status PTT, PT, INR, CBC, During assessment paient 72-year-old male who came to the emergency room after not being able to void for over 12 hours. D. A VAD is useful for clients who also have a chronic lung issue. 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