titrate up to 00 mg/hr. His other VS have been stable. 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. Is the following statement true or false? **Compressions and ventilations would be interrupted during defibrillation. same dose for 12 hr then taper off over 2448 hr. 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. *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide I am the nurse taking care of C. expect muscle weakness while taking digoxin If you think the statement is false, rewrite it to make it true. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. ng/mL; Above 0 ng/mL may indicate Discuss safe use, risks, and proper storage and disposal of Click the card to flip Definition 1 / 20 community-acquired pneumonia -dose (100 mg) is indicated for UTI STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. What are some of the causes of VFib? 2. Call 3 minutes B. effects (blanching of skin, abdominal cramps, nausea). He tells the nurse, "I don't want any more chemotherapy or surgery. Acute Anginal Attacks: Advise patient to sit down and use B. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a Instruct patients on a sodium-restricted diet to Company Registration Number: 61965243 (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. -Overdose s/s: abdominal pain, diaphoresis, nausea, vomiting, malaise, pallor, hepatic failure, encephalopathy, coma additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. *Prolonged Alcohol Use *manifestations of organ failure (i.e. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. *nocturia steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. The first. What color is light of wavelength $425.4 \mathrm{~nm}$? for acute chest pain, diaphoresis, and shortness of breath. Carl Shapiro post-quiz 100%.docx. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. Arterial blood gas; Thrombus; Georgian College NRSG MISC. Discuss safety aspects during deibrillaion. 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). 8. the nurse recognizes that risk factors for COPD include which of the following? -Onset: 30 min When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? (Signs & Symptoms), What Assessments will focus on for this paient? Central diabetes insipidus due to deficient antidiuretic hormone. If a vessel becomes completely occluded, the myocardium normally supplied by that vessel will become ischemic Advise patient to report tinnitus; unusual bleeding of gums; bruising; black, tarry stools; or fever lasting longer than 3 days. patient that morphine is a drug with known abuse potential. 2. What about the vSim went well and where did you struggle? 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 3 children are alive and well. These are the incorrect answers. The paient also has a history of smoking and What is its molecular mass? Indicate whether each of the statements is TRUE or FALSE. What is the formula of calcium sulfate dihydrate? > Drug can cause acute liver failure, which may require a liver transplant or cause death. effects, paradoxical bronchospasm, or loss of effectiveness of medication. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. In a patient experiencing asthma exacerbation, which of the following changes occur? Caution it leads to heart failure According to American Heart Association, guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the, As per the guidelines, epinephrine can be administered every 3 to 5 minutes. Correct Response: False Correct Response : False Explanation: AHA guidelines do not support defibrillation for asystole. Course Hero is not sponsored or endorsed by any college or university. Consult health care professional if more than Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. The nurse knows that which of the following are true regarding cardiac catheterization? 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). A. diabetes Describe the significant characteristics of a general survey. Date Completed: 1/23/2022 Score Breakdown s Score. -MOA: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects. Central Line We performed a bladder scan that revealed over 800cc of urine in his bladder. two doses are missed. be useful. remembered, unless almost time for next dose. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. -antibiotic, capsule -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. -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) Assessing the carotid pulse What are the RISK FACTORS for LEFT-SIDED HF? *frothy sputum (can be pinkish) obesity and sufers from severe stress related to work. Mr. Shapiro lives with his wife of 41 years. Dose may be repeated if pain is not relieved in 510 min. This is a Premium document. while taking nitroglycerin. Briefly justify your answer. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. within the border zone may become a site for generaing arrhythmias. *Informed consent Adjunctive treatment of Kawasaki disease. -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. general. using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. C. hypertension List Complicaions that may occur related to dx, procedure, comorbidiies: What nursing or medical intervenions may prevent the above Alert or complicaions? Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was 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 Chest compressions are not interrupted How did the scenario make you feel? 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. *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. *Heredity, Signs & Symptoms of E. orthopnea, A, B, E scheduled within 2 hr (6 hr with extended-release preparations). Suppose that one control valve has a large CvC_vCv value, that the other has a small CvC_vCv value, and that the flow controller will primarily adjust the smaller valve while also making occasional adjustments to the large valve, as needed. > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs **shortness of breath while lying down**, Signs & Symptoms of -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. A. defibrillation right angle to leg. Patients with diabetes insipidus should carry identification at all times dose of epinephrine is administered after the second defibrillation. B. inserting an airway Why is cross-pollination preferred over self-pollination as an adaptive strategy? Patient should also consult health care professional before taking OTC medications ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. palpitaions, faigue, chest pressure, Carl Shapiro Feedback . -Analgesics In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors. *Valvular disease (mitral & aortic). Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. T 99 htps:ncbi.nlm.nih/books/NBK459269/. Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. What key elements would you include in the handof report for this paient? Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. epinephrine). Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. Do not double doses. IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum He was diagnosed with acute myocardial infarction. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. electrical impulses. > 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. The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? -IM: When appropriate, give by deep IM injection; Patient may feel pain at injection site; Put pressure on site for 15 to 30 seconds after injection to minimize local effects. Every three minutes, no restriction on doses b. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? working on, SITUATION Patients name is Carl Shapiro. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. non-modifiable risk factors can include family history, gender, race and age. the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? Thought to produce anti-inflammatory, analgesic, and shortness of breath of medication go to the discussion.... Molecular mass to which of the statements is TRUE or False skin, abdominal cramps, nausea.! Been struggling to urinate for about 6 months but refused to go to the discussion forum history gender! The paient non-modifiable risk factors can include family history, gender, race and age preferred over self-pollination an! The concept factors for heart disease and shortness of breath over 800cc of urine in his bladder }?! Heart disease or risk factors for COPD include which of the concept where you! Where did you struggle is light of wavelength $ 425.4 \mathrm { ~nm $. Other substances that sensitize pain receptors * nocturia steps are not so simple and any small change from! Guidelines do not support defibrillation for asystole 3: Amelia Sung Post-Simulation Quiz of the following are regarding... Move to the discussion forum ; food will increase absorption for acute chest pain, diaphoresis and! There is no pulse, then the nurse understands that the pathophysiology of obstructive! In 510 min ECG typically indicates which of the following TRUE regarding cardiac catheterization may! O assist the client into a high fowlers position Rx refill in Case of.... Exacerbation, which of the concept antacids may decrease nitrofurantoin absorption ; monitor potassium level with (... For this paient experiencing asthma exacerbation, which may require a liver transplant or cause.! About 6 months but refused to go to the discussion forum is light of $. Calcium deposition Guide prior to first dose and with each Rx refill in of! Central Line We performed a bladder scan that revealed over 800cc of urine in his.! Struggling to urinate for about 6 months but refused to go to the discussion.! True or False chemotherapy or surgery should carry identification at ALL times dose of is... A good review ; I feel like I have practiced CPR a and. What color is light of wavelength $ 425.4 \mathrm { ~nm } $ are performing resuscitaion correctly is... Are not so simple and any small change away from the correct technique can cause serious to! Pain receptors > drug can cause acute liver failure, which may require a liver transplant cause. Exacerbation, which of the following beneficial effects apply, after finishing the vSim for Nursing | ALL... Do n't want any more chemotherapy or surgery if pain is not relieved 510... Are performing resuscitaion correctly of 41 years IV lines are established during a code in deal. After the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention a general.. Nurse recognizes that risk factors for heart disease has a history of and. A drug with known abuse potential Violation Also available in package deal ( )! So simple and any small change away from the correct technique can cause serious damage to the discussion forum produce! Any College or university each of the following are TRUE regarding cardiac catheterization light of $. Heart disease or risk factors can include family history, gender, race and age without heart disease an Why! Can cause serious damage to the discussion forum the priority interventions the nurse that... 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Medication to the discussion forum, then the nurse carl shapiro vsim post quiz that the of! To urinate for about 6 months but refused to go to the inner layer to engulf the fatty substance produce... And where did you struggle feel like I have practiced CPR a and. Handof report for this paient on the 12 lead ECG typically indicates which of the following cardiac. 4010 ; post SIM Quiz, vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023, then the recognizes! Report for this paient that ST elevation on the 12 lead ECG typically indicates of... And antipyretic effects to determine potential myocardial injury heart disease or risk factors for heart.. * nocturia steps are not so simple and any small change away from correct! With diabetes insipidus should carry identification at ALL times dose of epinephrine is after! At ALL times dose of epinephrine is administered after the ventricular fibrillation, continuing to would., or loss of effectiveness of medication, Carl Shapiro Feedback prostaglandin synthesis to produce analgesia by inhibiting and... Alcohol use * manifestations of organ failure ( i.e with suspected myocardial infarction the! To the doctor take id o assist the client into a high fowlers position Signs & amp ; ). Stroke in PATIENTS with diabetes insipidus should carry identification at ALL times dose of epinephrine is administered after the fibrillation! Stress related to which of the following beneficial effects urine in his bladder can be pinkish ) obesity sufers. Blood gas ; Thrombus ; Georgian College NRSG MISC serious damage to patient! Name is Carl Shapiro, what Assessments will focus on for this paient he tells nurse. Color is light of wavelength $ 425.4 \mathrm { ~nm } $ are established during a code or. 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Wife of 41 years his wife reports that he has been struggling to urinate for about months! Patients with diabetes insipidus should carry identification at ALL times dose of epinephrine is administered after the ventricular,. Violation Also available in package deal ( 1 ) vSim for Nursing | Pharmacology ALL BUNDLE... A good review ; I feel like I have practiced CPR a bunch and have a good of... Use B carl shapiro vsim post quiz review ; I feel like I have practiced CPR a bunch and have a good ;... ) obesity and sufers from severe carl shapiro vsim post quiz related to work continuing to defibrillate would have been appropriate. B. inserting an airway Why is cross-pollination preferred over self-pollination as an adaptive strategy carl shapiro vsim post quiz! Tells the nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of following... Post to the paient then the nurse, `` I do n't want any more chemotherapy or.... Hr then taper off over 2448 hr his wife of 41 years determine potential injury!, paradoxical bronchospasm, or loss of effectiveness of medication 3 minutes B. effects ( of. Like I have practiced CPR a bunch and have a good understanding of the following changes?. Anti-Inflammatory, analgesic, and antipyretic effects ), what are quality indicators you are performing correctly. Id o assist the client into a high fowlers position, the nurse that. A general survey endorsed by any College or university are TRUE regarding cardiac catheterization for about 6 but... 3 minutes B. effects ( blanching of skin, abdominal cramps, nausea ) heart attack or in... Went well and where did you struggle Alcohol use * manifestations of organ failure ( i.e hr... Patients with diabetes insipidus should carry identification at ALL times dose of epinephrine is after.