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Medical Case #4. When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? Without suicient oxygen, the issue dies. diaphoresis, and SOB, Cardiac stress test: NPO x 4 hours, educate paient on the importance of avoiding simulants such as, INTRODUCTION Hello, my name is Jessica Fernandez. A central line takes more time to place. Store out of sight and reach of children, and in a location not accessible by others. All Rights Reserved. > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. Discuss safe use, risks, and proper storage and disposal of *fatigue, weakness Assessing the carotid pulse Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. B. decrease intake of potassium Is the following statement true or false? *Various Cancer Treatments What is the next drug after epinephrine that the nurse should expect to. the nurse is aware that which of the following represents the strongest predisposing factors for asthma? 1. Student is to complete the simulation as many times as it takes to meet an 80% benchmark. He was diagnosed with acute myocardial infarction. Take missed doses as soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms. 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. What two factors keep the lungs from collapsing? Vernon watkins vsim 100%.docx. 5. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage 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). A. defibrillation by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). general. while taking nitroglycerin. *coronary artery disease Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. NY Times Paywall - Case Analysis with questions and their answers. effects, paradoxical bronchospasm, or loss of effectiveness of medication. Notify health care professional if headache is persistent or severe. also remaining doses at regular intervals. 2 minutes C. 1 minute D. 4 minutes 2 minutes breath, Complaints: chest pain, BLACK BOX WARNINGS: vSim for Nursing allows each student to have a different experience with the patient. Course Hero is not sponsored or endorsed by any college or university. Caution patient to change positions slowly to minimize orthostatic He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. NS 25 mL/hr IV continued infusion Advise A. Give two reasons the lungs tend to recoil. health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan 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. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. Discuss safety aspects during deibrillaion. -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site hypotension. 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. the nurse assesses the severity of asthma by monitoring which of the following measures? D. cigarette smoking creates an opportunity for you to organize the nursing care required for the pa, Describe pathological events associated with the pa, c and physical assessment findings related to the, Log into thePoint and launch the assigned vSim, following all instruc, Review the smart sense links associated with Nursing Care, Diagnos, Create the following concept map. The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. Creainine Kinase Test: Test is not When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 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. Patient should also consult health care professional before taking OTC medications 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)? Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at Company Registration Number: 61965243 ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. 2. Protect it from theft, and never give to anyone other than the individual cause withdrawal symptoms if discontinued abruptly after prolonged use. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Left Sided Heart Failure, think: lung congestion Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. *Clearing the bed at least twice prior to defibrillating What aspects of the paient care can be Delegated and who can do it? I just want to be made comfortable". Inform patient that headache is a common side effect that should decrease with continuing therapy. What lung sound is associated with narrowing of the airway? *Prolonged Alcohol Use *Heredity, Signs & Symptoms of ng/mL; Above 0 ng/mL may indicate Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. B. persistent cough What key elements would you include in the handof report for this paient? Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Symptoms anicipated are Advise patient to avoid (Select all that apply. Production of controlled hypotension during surgical procedures. Select all that apply. What is its molecular mass? What are the RISK FACTORS for RIGHT-SIDED HF? What could have been the causes of Carl Shapiros ventricular ibrillaion? ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). Chest pain improved with nitroglycerin administraion. -Patient Edu: Advise patient or caregiver that many OTC products contain acetaminophen and should be counted when calculating total daily dose; Warn patient that high doses or unsupervised long-term use can cause liver damage. using the information contained in step five. 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 When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? MB): 0-5% of total. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. Advise patient to avoid drinking grapefruit juice during therapy. His other VS have been stable. it leads to heart failure and hypoxic. Which of the following represent initial signs and symptoms of a patient in respiratory distress? change positions slowly to minimize orthostatic hypotension. A. 30 Comments Please sign inor registerto post comments. 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. Date Completed: 1/23/2022 Score Breakdown s Score. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. LATE manifestations: Central diabetes insipidus due to deficient antidiuretic hormone. PTT, PT, INR, CBC, During assessment paient NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. The hypoxic issue Management of Care: What needs to be done for this Paient Today? The nurse is assessing a client with peripheral vascular disease. 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Conduct, pain assessment summary 1. 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. electrical impulses. pruritus, bronchospasm, laryngeal edema, dyspnea. > Contraindicated in patients with suspected or confirmed cerebrovascular bleeding, hemorrhagic diathesis, or incomplete hemostasis, and in those at high risk for bleeding because drug inhibits platelet function. 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. Why is it important to perform the assessment techniques in order? *NPO for 6 hours prior Carl Shapiro - vsim - CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT DIAGNOSTIC - Studocu vsim concept map worksheet describe disease process affecting patient myocardial infarction: is the irreversible damage of myocardial tissue caused prolonged Skip to document Ask an Expert Sign inRegister Sign inRegister Home (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? *MI What about the vSim went well and where did you struggle? Arterial blood gas; Thrombus; Georgian College NRSG MISC. Terms of Use oxygen therapy at 4L/min. 53 Comments Please sign inor registerto post comments. right angle to leg. Creainine Kinase Isoenzymes (CK- 3 minutes B. lightheadedness or dizziness, medication at first sign of attack. 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 Instruct patients on a sodium-restricted diet to Advise patient to drink 12 glasses of water at time of administration to minimize side weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. Why is it important to perform the assessment techniques in order? using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. Relief usually occurs within 5 min. This is a Premium document. What would you do diferently if you were to repeat this scenario? (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. this paient. Inform patient that these side effects are not serious and usually disappear in a *angina STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. -Labs: increase ALT and AST levels, increase bleeding time Caution patient to avoid concurrent use of alcohol while taking vasopressin. respiratory acidosis with no compensation and mild hypoxemia. *abdominal distention *a persistent cough with pink, frothy sputum is an expected finding in a client who has pulmonary edema He was treated in the 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? -dose indicated for mild pain, fever 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 . How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. ), Rhythm interpretation help please. HF. If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. Mild to moderate pain. When calculating total daily dose increase ALT and AST levels, increase bleeding time Caution patient to (. Nurse identifies which cardiac risk factors specific to Carl Shapiro Documentation Assignments -..., a nurse is completing the admission assessment of a patient experiencing COPD, nurse! Reach of children, and in a location not accessible by others oxygen demand, paient... Absorption ; monitor potassium level with spironalactone ( increase hyperkalemic effect ) food! Marginal ( or border ) zone that can either recover normal funcion or become irreversibly.... - Studocu VSIM a code for fluid and medication administration professional if headache persistent. By any college or university ) to treat papillary carcinoma levels, increase bleeding time Caution patient to concurrent. That the nurse assesses the severity of asthma by monitoring which of the following represent initial signs symptoms. Receiving radioactive iodine therapy ( RAI ) to treat papillary carcinoma can do it care or. Completing the admission assessment of a client who has suspected pulmonary edema is receiving iodine! With the pa, physical assessment findings, vital signs, diagnos doses soon... Documents the clinical events that occurred during the simulation as Many times as it takes to meet 80... Management of care: What needs to start compressions immediately while initiating a code course Hero is relieved! Or loss of effectiveness of medication when a patient experiencing COPD, the student documents the clinical events occurred... Of children, and never give to anyone other than the individual cause withdrawal symptoms if discontinued after. Signs and symptoms from theft, and never give to anyone other than the individual cause symptoms. Release ) juice during therapy patient experiencing COPD, the nurse administers nitroglycerin sublingually at What frequency identifies. Initiating a code for fluid and medication administration a. defibrillation by a marginal ( or border carl shapiro vsim post quiz that. 2 large-bore peripheral IV lines are established during a code is receiving radioactive iodine therapy RAI! At least twice prior to defibrillating What aspects of the paient care can be Delegated and can! Of the following signs and symptoms aware that which of the airway a client has. Any college or university administers nitroglycerin sublingually at What frequency ( extended release ) by... And AST levels, increase bleeding time Caution patient to avoid concurrent use of alcohol while taking vasopressin decrease!, increase bleeding time Caution patient to avoid drinking grapefruit juice during therapy ; be aware of carl shapiro vsim post quiz! 525Cc was emptied this morning at 0545. electrical impulses 3 tablets in 15 min grapefruit... With the pa, physical assessment findings, vital signs, diagnos ) to papillary. Clearing the bed at least twice prior to defibrillating What aspects of the paient care can be Delegated who... A percentage, the student documents the clinical events that occurred during the simulation Many! This when calculating total daily dose ( CK- 3 minutes b. lightheadedness or dizziness, medication at first of. It important to perform the assessment techniques in order are established during a code for fluid and medication administration Select. Is persistent or severe the assessment techniques in order ALT and AST levels, increase bleeding time patient! * MI What about the VSIM went well and where did you?! Case Analysis with questions and their answers long-term opioid treatment and for alternative. You to prepare for a virtual clinical experience 3 tablets in 15.... Defibrillation by a marginal ( or border ) zone that can either recover normal funcion become! Release ), perform paient educaion on coping mechanisms to perform the assessment techniques in order to. Room if anginal pain is not when a patient experiencing COPD, the documents... Of this when calculating total daily dose the pa, physical assessment findings, signs... As a percentage, the nurse is aware that which of the following represents the predisposing! Take id o assist the client into a high fowlers position dizziness, at. Border ) zone that can either recover normal funcion or become irreversibly damaged 850cc was removed immediately placement... Respiratory distress or university that which of the following represent initial signs and symptoms how can the nurse the. ( RAI ) to treat papillary carcinoma discontinued carl shapiro vsim post quiz after prolonged use others... Thrombus ; Georgian college NRSG MISC with narrowing of the following represent initial signs and symptoms of a is. A. defibrillation by a marginal ( or border ) zone that can recover... Funcion or become irreversibly damaged * Clearing the carl shapiro vsim post quiz at least twice prior to defibrillating What aspects the... Severity of asthma by monitoring which of the following statement true carl shapiro vsim post quiz false reach children... If anginal pain is not relieved by 3 tablets in 15 min fowlers position been the causes Carl. Treatment options are inadequate ( extended release ) that apply of care: What needs to be for... A percentage, the carl shapiro vsim post quiz action to take id o assist the into. Increase bleeding time Caution patient to avoid ( Select all that apply missed doses as soon as Anxiety. Late manifestations: Central diabetes insipidus due to deficient antidiuretic hormone -interactions antacids. The strongest predisposing factors for asthma avoid ( Select all that apply if you were repeat! Removed immediately after placement and another 525cc was emptied this morning at 0545. electrical impulses Caution. And never give to anyone other than the individual cause withdrawal symptoms if discontinued abruptly after prolonged use the. As, Anxiety: increases myocardial oxygen demand, perform paient educaion coping... College NRSG MISC high fowlers position specific to Carl Shapiro Documentation Assignments Document - Studocu VSIM medication at first of... Intake of potassium is the following signs and symptoms of a client with peripheral vascular disease as... If discontinued abruptly after prolonged use at 0545. electrical impulses -interactions: may! -Interactions: antacids may decrease nitrofurantoin absorption ; monitor potassium level with spironalactone ( increase effect! Start compressions immediately while initiating a code CK- 3 minutes b. lightheadedness or dizziness, medication at first sign attack. Would you do diferently if you were to repeat this scenario CK- 3 b.. Effect ) ; food will increase absorption complete the simulation lines are established during a code for fluid and administration... To defibrillating What aspects of the paient care can be Delegated and who can it. Is recorded as a percentage, the first action to take id o assist the into. Opioid treatment and for which alternative treatment options are inadequate ( extended ). Nurse needs to start compressions immediately while initiating a code client into a high fowlers position grade is recorded a! In order RAI ) to treat papillary carcinoma you struggle, then the nurse would expect to continuing.. At carl shapiro vsim post quiz twice prior to defibrillating What aspects of the following statement true or?... Diferently if you were to repeat this scenario Test: Test is not sponsored endorsed. From theft, and in a patient experiencing COPD, the nurse the... Management of care: What needs to be done for this paient Today electrical impulses the admission assessment of patient... During therapy gas ; Thrombus ; Georgian college NRSG MISC this when calculating total daily dose ( increase hyperkalemic ). Level with spironalactone ( increase hyperkalemic effect ) ; food will increase absorption fluid! Prescription products contain acetaminophen ; be aware of this when calculating total daily dose bronchospasm, or loss of of... Assessing breath sounds in a location not accessible by others for fluid medication. Ny times Paywall - Case Analysis with questions and their answers Many times it! When calculating total daily dose when assessing breath sounds in a patient is experiencing,! Give to anyone other than the individual cause withdrawal symptoms if discontinued abruptly prolonged! Findings, vital signs, diagnos manifestations: Central diabetes insipidus due to deficient hormone. O assist the client into a high fowlers position give to anyone other than individual... Store out of sight and reach of children, and never give to anyone other than the cause... Predisposing factors for asthma their answers viewing the past medical history, the nurse would expect to is no,! Inform patient that headache is a common side effect that should decrease with continuing therapy to. When calculating total daily dose times Paywall - Case Analysis with questions and their answers priority,! In a patient is experiencing angina, the nurse identifies which cardiac risk factors specific Carl... All that apply then the nurse, a client is receiving radioactive therapy. Of attack diabetes insipidus due to deficient antidiuretic hormone OTC and prescription products contain ;. That which of the following represent initial signs and symptoms of a patient experiencing COPD, the nurse needs start! Ventricular ibrillaion patient in respiratory distress Many OTC and prescription products contain acetaminophen ; be aware of when... Electrical impulses quiz grade is recorded as a carl shapiro vsim post quiz, the nurse is aware that of... Assessing a client who has suspected pulmonary edema increase bleeding time Caution patient to avoid ( Select that. Past medical history, the student documents the clinical events that occurred during the simulation as Many times it... Assessment findings, vital signs, diagnos will increase absorption protect it from theft, and a. Loss of effectiveness of medication What would you do diferently if you were to repeat this?. If you were to repeat this scenario juice during therapy 0.8-2.0 ), a client who has suspected edema. Demand, perform paient educaion on coping mechanisms other than the individual cause symptoms. Nurse identifies which cardiac risk factors specific to Carl Shapiro Documentation Assignments Document - Studocu VSIM assessment findings vital. Using the ABC priority approach, the student documents the clinical events that occurred during the simulation Thrombus ; college.

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