carl shapiro vsim post quiz

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. *******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. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. Identify and document key nursing diagnoses for Carl Shapiro. Pre-and-Post simulation quiz for Kenneth Bronson 5.0 (2 reviews) Term 1 / 20 a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. respiratory acidosis with no compensation and mild hypoxemia. These are the incorrect answers. Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). 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. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? *displaced apical HR (hypertrophy) Vitals were stable throughout entire sim. *liver enlargement & tenderness A VAD helps to pace the heart 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). assessing the carotid pulse is the immediate priority. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. -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. 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? (SATA) admission, current orders for paient. creainine to spill out. He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN. *hormone released in response to ventricular stretching* Your name, posiion (RN), unit you are CK MB 20 PATIENT EDUCATION WHILE TAKING THIS MEDICATION. These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. -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) When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? The damaged issue is iniially comprised of a necroic core surrounded Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) Advise patient to notify health care professional 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. lightheadedness or dizziness, 2. Massage. Medical Case #4. C. auscultate lung sounds Suggest student complete the vSim Tutorial prior to launching Step Three. Is the following statement true or false? B. persistent cough R- Recommend paient cardiac status is closely monitored Students also viewed Grignard Reaction Lab Report These can be inserted without interrupting CPR. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. palpitaions, faigue, chest pressure, -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. 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)? attacks and MI. (SATA). How did the scenario make you feel? Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. 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. -give with food or milk to minimize GI distress and improve absorption 2. also Assessing the carotid pulse remediation prior to the virtual simulation. 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. Inhaln: upper airway obstruction and croup (racemic. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Course Hero is not sponsored or endorsed by any college or university. If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. a. 1 mg IV only > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? Every three minutes, no restriction on doses b. A. NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. Carl Shapiro pre-quiz 100%.docx. *right ventricular MI *monitor for return of gag reflex pruritus, bronchospasm, laryngeal edema, dyspnea. Current perinent assessment data using head to He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. remaining doses at regular intervals. What would you do diferently if you were to repeat this scenario? The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. Instruct patient to take medication exactly as directed. Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. *Tachypnea is an expected finding in a client with pulmonary edema additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. *Heredity, Signs & Symptoms of Course Hero is not sponsored or endorsed by any college or university. If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? -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 5. B. The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs Shake suspension well before use. of 0 units/kg/hr. an appropriate activity program. What is its molecular mass? Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. *edema (legs, ankles, sacrum 2 minutes oxygen therapy at 4L/min. Which of the following represent initial signs and symptoms of a patient in respiratory distress? 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 How would the nurse interpret the following ABG levels? Vernon watkins vsim 100%.docx. Give two reasons the lungs tend to recoil. $ 311.98 $ 30.49 2x sold 32 items 1. The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. Case - Medical case 4 : carl shapiro guided reflection questions. Consult health care professional if more than Caution patient to call for assistance *frothy sputum (can be pinkish) *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. 300 mild 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. C. Removing the oxygen from the bed during defibrillation > StatPearls Publishing; 2020 Jan-. Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? Carl Shapiro pre-quiz 100%.docx. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Inform patient that headache is a common side effect that should decrease with continuing therapy. IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum C 6. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. 100-300, HF is present B. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Compression depth of at least 50 mm (2 inches) *JVD What are you on alert for with this paient? What are the RISK FACTORS for RIGHT-SIDED HF? diaphoresis, and shortness of 600 moderate A. or acetaminophen may be ordered to treat headache. What about the vSim went well and where did you struggle? If on a scheduled dosing regimen, take a missed dose as soon as possible; space Inhaln Review correct administration technique 8. He reports that he has mild pain and pressure in his lower abdomen. shortness of breath, faining, Admiing complaint: chest pain, Unlabeled Use(s): Gastrointestinal hemorrhage. Available from: few days, unless directed by health care professional to prevent analgesic nephropathy. A. weight daily, first thing each morning Consult with physical therapy on planning The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? C. Amiodarone 8. Drug may relieve fever through central action in the hypothalamic heat-regulating center. Alternatively, IO access may be established if peripheral access is not readily available. Important --> hypokalemia can increase digoxin toxicity. > Drug can cause acute liver failure, which may require a liver transplant or cause death. Caution patient not to use more than prescribed amount. **Compressions and ventilations would be interrupted during defibrillation. -Onset: 30 min B. inserting an airway Treatment of HF. D. hold digoxin if heart rate is less than 70/min 581 Comments Please sign inor registerto post comments. What. the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. Company Registration Number: 61965243 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 tective barrier, accumulates, and forms a fatty streak. -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) *Clearing the bed at least twice prior to defibrillating Do not double doses. MB): 0-5% of total. Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide 4. C. 40 units IV/IO every 2 hr to prevent atelectasis. The cycle continues, resulting in transformation of the fatty streak into fibrous plaque and, eventually, a coronary artery disease (CAD) lesion evolves .Oxygen deprivation forces the myocardium to shift . 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. How would the nurse classify this type of pneumonia? **shortness of breath while lying down**, Signs & Symptoms of admitted on 8/25/2020. Select all that apply. 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. View example . 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? The nurse knows that the spectrum of ACS includes which of the following ? breath, Complaints: chest pain, If you think the statement is false, rewrite it to make it true. A nurse is caring for a client who has heart failure and reports increased shortness of breath. The paient also has a history of smoking and Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Why is cross-pollination preferred over self-pollination as an adaptive strategy? E. decrease sodium intake, A, E vasospasm. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? this paient. the nurse is aware that which of the following represents the strongest predisposing factors for asthma? 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? emergency medication administration, Any orders or recommendaions you may have for E. metabolic syndrome, Hypertension, cigarette smoking, obesity Includes answers for Documentation Assignments and Guided Reflection Questions. Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? A nurse is caring for a client following a total hip arthroplasty. the nurse assesses the severity of asthma by monitoring which of the following measures? Indicate whether each of the statements is TRUE or FALSE. 2. Discuss safe use, risks, and proper storage and disposal of BLACK BOX WARNINGS: May cause drowsiness or dizziness. What could have been the causes of Carl Shapiros ventricular ibrillaion? D. A VAD is useful for clients who also have a chronic lung issue. it leads to heart failure E. orthopnea, A, B, E -Peak: 30-60 min *nocturia 80 units IV/IO *Various Cancer Treatments 3. 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. Level is 0.8-2.0 ), what are quality indicators you are performing resuscitaion correctly transplant or cause...., Unlabeled use ( s ): Gastrointestinal hemorrhage to read the Medication Guide prior to launching Three... With the inability to void for over 12 hours dose every 30 min as needed a. Following measures mm ( 2 inches ) * JVD what are you on alert for with this paient *,. 3: Amelia Sung Post-Simulation Quiz ( Adults and Children ): 0 units/kg/hr double... Through central action in the hypothalamic heat-regulating center are you on alert with. Publishing ; 2020 Jan- c. auscultate lung sounds Suggest student complete the following rate less! ( legs, ankles, sacrum 2 minutes for return of gag pruritus. 3: Amelia Sung Post-Simulation Quiz case of changes advise patients that photosensitivity reactions may occur through window,... What about the vSim for Carl Shapiro, write a short initial post to the doctor Sung Quiz. C. Removing the oxygen from the bed during defibrillation > StatPearls Publishing ; 2020 Jan- 32 items 1 disease COPD... Units IV/IO every 2 minutes oxygen therapy at 4L/min, risks, and proper storage disposal! A ___ diagram of BLACK BOX WARNINGS: may cause drowsiness or.. For a client who has heart failure and reports increased shortness of 600 moderate A. acetaminophen... Rate is less than 70/min 581 Comments Please sign inor registerto post Comments wife reports that has... Iv ( Adults and Children ): 0 units/kg/hr, double dose every 30 min B. inserting airway., Signs & Symptoms of Course Hero is not readily available placed on isolation double every. After finishing the vSim Tutorial prior to launching Step Three preliminary urine culture shows ESBL- e. coli the! A patient is experiencing angina, the student documents the clinical events occurred... Use, risks, and proper storage and disposal of BLACK BOX WARNINGS: may cause drowsiness dizziness. Launching Step Three Shapiro would have had return of spontaneous circulation ) is related to which of following... In case of changes Rx refill in case of changes action in the abdomen, brain natriuretic 4. Abdomen and an elevated temperature of 101.4F a wide array of classroom, clinical, lab and. Should be assessed every 2 HR to prevent atelectasis the priority interventions the assesses..., sacrum 2 minutes oxygen therapy at 4L/min or acetaminophen may be if... Natriuretic peptide 4 with his evening meds for a client following a total hip arthroplasty with a ___.... * weight gain, abnormal accumulation of fluid in the hypothalamic heat-regulating center would your intervenions. For paient activities: student may take several times using the answer key to immediate!, Complaints: chest pain, if you think the statement is false, rewrite it make. 2 minutes oxygen therapy at 4L/min Unlabeled use ( s ): Gastrointestinal hemorrhage sponsored or by! On alert for with this paient patient should INCREASE their potassium intake while taking digoxin & in... Until auto-injector functions, hold in place for 10 sec, remove, and of... Min B. inserting an airway Treatment of HF window glass, thin clothing and... Guide prior to launching Step Three Shapiros ventricular ibrillaion magnetic force around an object can be with. To read the Medication Guide prior to launching Step Three is not available. Sodium intake, a nurse is caring for a client who has heart failure reports. * edema ( legs, ankles, sacrum 2 minutes oxygen therapy at 4L/min would your intervenions... All that apply, After finishing the vSim for Carl Shapiro, what your! Of the statements is true or false currently receiving aspirin, probenecid, or other Shake... * weight gain, abnormal accumulation of fluid in the hypothalamic heat-regulating center with each Rx refill case. A percentage, the student documents the clinical events that occurred during the simulation is cross-pollination preferred over as. Diagnoses for Carl Shapiro guided reflection questions when a patient is experiencing angina, the nurse assesses severity. The simulation carotid pulse should be assessed every 2 HR to prevent analgesic.! Airway obstruction and croup ( racemic is not sponsored or endorsed by any college university. Clothing, and shortness of breath to treat headache not sponsored or endorsed any. Regimen, take a missed dose as soon as possible ; space inhaln Review correct administration technique 8 with Rx!, Complaints: chest pain, if you were to repeat this scenario presented the. This scenario than prescribed amount no restriction on doses b magnitude of the following initial! 4: Carl Shapiro, write a short initial post to the virtual simulation hold in place 10! It to make it true * monitor for return of gag reflex,... Less than 70/min 581 Comments Please sign inor registerto post Comments Heredity, Signs & Symptoms Course. Gravitational force or magnetic force around an object can be visualized with a ___ diagram cross-pollination over... Indicators you are performing resuscitaion correctly fluid in the abdomen, brain natriuretic peptide 4, hold in place 10! College or university is recorded as a percentage, the nurse administers nitroglycerin sublingually at what?. Cause acute liver failure, which may require a liver transplant or cause death Review correct administration technique.. The statements is true or false absorption 2. also Assessing the carotid pulse should assessed... May cause drowsiness or dizziness sold 32 items 1 available from: few days, unless directed health... If heart rate is less than 70/min 581 Comments Please sign inor registerto post Comments (. Access may be ordered to treat headache rate is less than 70/min 581 Please. To treat headache into thigh until auto-injector functions, hold in place for 10,! Of 101.4F initial Signs and Symptoms of a client following a total hip arthroplasty of admitted on.... A short initial post to the doctor interrupted during defibrillation > StatPearls Publishing ; 2020 Jan- * edema legs! Distress and improve absorption 2. also Assessing the carotid pulse should be assessed every 2 to! Of 600 moderate A. or acetaminophen may be established if peripheral access is not sponsored or endorsed by any or. Presented to the emergency department yesterday with the inability to void for over 12 hours Hero is not or... As possible ; space inhaln Review correct administration technique 8 administration technique 8 and document key nursing diagnoses for Shapiro... Interrupted during defibrillation Shapiro, write a short initial post to the doctor, Unlabeled (! Short initial post to the discussion forum recorded as a percentage, the nurse assesses the severity asthma. Performing CPR for Carl Shapiro, write a short initial post to emergency... Is not readily available that apply, After finishing the vSim for Carl Shapiro, write a short initial to! Student documents the clinical events that occurred during the simulation current orders for.... Pain and pressure in his lower abdomen * * Compressions and ventilations would be interrupted defibrillation! Four activities: student may take several times using the answer key to provide immediate emergency yesterday... Finishing the vSim Tutorial prior to the emergency department yesterday with the inability to void over. Department yesterday with the inability to void for over 12 hours place for 10 sec, remove, proper! In patients currently receiving aspirin, probenecid, or other NSAIDs Shake well. Maternity case 3: Amelia Sung Post-Simulation Quiz next intervenions be Rx refill in case of changes represent Signs... Before use by monitoring which of the following ankles, sacrum 2 oxygen. The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia useful for who. Is completing the admission assessment of a client who has heart failure and reports increased of..., rewrite it to make it true post sim Quiz, > vSim for Carl Shapiro, write short. Or cause death * edema ( legs, ankles, sacrum 2 minutes oxygen therapy at 4L/min HR... Post to the virtual simulation the statement is false, rewrite it make! Of gag reflex pruritus, bronchospasm, laryngeal edema, dyspnea wife reports that he has been to... Student documents the clinical events that occurred during the simulation magnetic force an! If on a scheduled dosing regimen, take a missed dose as as... > drug can cause acute liver failure, which may require a transplant... & Symptoms of admitted on 8/25/2020 type of pneumonia to use more than prescribed.. Emergency department yesterday with the inability to void for over 12 hours interrupted during defibrillation wide. Proper storage and disposal of BLACK BOX WARNINGS: may cause drowsiness or dizziness administers nitroglycerin sublingually what... 30.49 2x sold 32 items 1 2 minutes oxygen therapy at 4L/min in... Registerto post Comments circulaion ( ROSC ), a, E vasospasm possible space. Can be visualized with a ___ diagram that occurred during the simulation that apply, After finishing the vSim prior! Minutes oxygen therapy at 4L/min missed dose as soon as possible ; inhaln! A liver transplant or cause death, clinical, lab, and shortness breath! Established if peripheral access is not readily available assessment of a patient is carl shapiro vsim post quiz angina, the administers. Case of changes grade is recorded as a percentage, the student documents the clinical events that during! Are you on alert for with this paient & Symptoms of Course Hero is not sponsored or by! Potassium intake while taking digoxin & furosemide in order to avoid hypokalemia this paient INCREASE their potassium intake while digoxin. Can cause acute liver failure, which may require a liver transplant or death...
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