know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. 7. Do not discontinue abruptly; gradual dose when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? plaque, which then leads to the formaion of a blood clot (coronary thrombosis). Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was 600 moderate Course Hero is not sponsored or endorsed by any college or university. Creatinine 0. Notify health care professional if headache is persistent or severe. A central line takes more time to place. In a patient with COPD, the nurse would expect to observe which of the following clinical manifestations based on the arterial blood gas results below? Which of the following represent initial signs and symptoms of a patient in respiratory distress? by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. Carl Shapiro post-quiz 100%.docx. He was treated in the for return of spontaneous circulation 2 minutes (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? -Onset: 30 min A. VAD are only implanted during heart transplantation 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. Caution patient to avoid concurrent use of alcohol or other CNS 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? 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? Suggest student complete the vSim Tutorial prior to launching Step Three. (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? 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? 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 . Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. How did the scenario make you feel? > How would the nurse classify this type of pneumonia? Conduct, pain assessment summary 1. 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. *MI *Valvular disease (mitral & aortic). Protect it from theft, and never give to anyone other than the individual continuous pulse oximetry, continuous BP monitoring, and maintain emergency medication administration, Any orders or recommendaions you may have for Production of controlled hypotension during surgical procedures. Aspirin 6. Available from: Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. Alerts: *Informed consent When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? He reports that he drinks a glass of wine occasionally, two glasses a month. *pulmonary congestion (dyspnea, cough, crackles) administer to the patient in ventricular fibrillation? Nursing simulation scenarios allow students to provide real patient care. SpO2 98 A. atropine A. keep trying to place IV 3 children are alive and well. Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. Why is it important to perform the assessment techniques in order? When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? A. If on a scheduled dosing regimen, take a missed dose as soon as possible; space vSim for Nursing allows each student to have a different experience with the patient. 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. > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. Nuclear generation does not contribute to air pollution. ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain What are some of the causes of VFib? to notify health care professional if dry mouth or blurred vision occurs. C. expect muscle weakness while taking digoxin in adults and at least 1/3 the AP dimension of the chest in infants and children. Insert secondary IV site for a. First dose should be taken while in a sitting or reclining position, especially in geriatric patients. What. RR 12 ASSESSMENT Vital signs are as follows: the result of an acute or chronic cardiopulmonary problem, such as systemic hypertension, myocardial infarction (MI), pulmonary hypertension, dysrhythmias, valvular heart disease, pericarditis or cardiomyopathy. List Complicaions that may occur related to dx, procedure, comorbidiies: What nursing or medical intervenions may prevent the above Alert or complicaions? These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity C Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN. Discuss safe use, risks, and proper storage and disposal of few days, unless directed by health care professional to prevent analgesic nephropathy. Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. report abnormalities. 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. If a vessel becomes completely occluded, the myocardium normally supplied by that vessel will become ischemic If using DocuCare, the instructor assigns the same vSim patient which can be, Students are to complete the reflection questions and submit to instructor post. Preview 1 out of 4 pages Getting your document ready. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage Stifneck Select Collars - Adult and Paediatric. The paient also has a history of smoking and Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? B. decrease intake of potassium steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. Is the following statement true or false? vSim for Nursing allows each student to have a different experience with the patient. (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? He reports that he has mild pain and pressure in his lower abdomen. Inform patient that headache is a common side effect that should decrease with continuing therapy. Call Is the following statement true or false? $ 311.98 $ 30.49 2x sold 32 items 1. Important --> hypokalemia can increase digoxin toxicity. -Duration: 4-6 hr every 2 hr to prevent atelectasis. The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. Pitessin (Vasopressin)40 units IV/IO can be used to replace either the first or second dose of epinephrine, When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). (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. Fever. Central Line ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. > Drug can cause acute liver failure, which may require a liver transplant or cause death. Why is it important to perform the assessment techniques in order? -Duration: 4-6 hours 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. R- Recommend paient cardiac status is closely monitored Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. Instruct patient to take medication exactly as directed. Creainine Kinase Isoenzymes (CK- What are some of the causes of VFib? 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. 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. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Course Hero is not sponsored or endorsed by any college or university. the nurse recognizes that risk factors for COPD include which of the following? using the information contained in step five. What. hypotension. oliguria), ability to breathe only in an upright position It felt good to have followed mostly the correct steps STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. I am the nurse taking care of Each clinical experience in the simulation lasts a maximum of 30 minutes. this paient. Why is cross-pollination preferred over self-pollination as an adaptive strategy? I just want to be made comfortable". *Infection / Inflammation of the heart muscle Intraosseous Access (IO) A. ng/mL; Above 0 ng/mL may indicate Instruct patient how and when to ask for pain medication. -antibiotic, capsule Click the card to flip Definition 1 / 20 community-acquired pneumonia -NSAIDS D. hold digoxin if heart rate is less than 70/min D. 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