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. The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. 4. If photosensitivity occurs, dose reduction may MB): 0-5% of total. List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. working on, SITUATION Patients name is Carl Shapiro. shortness of breath, faining, Admiing complaint: chest pain, The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. -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. Protective clothing and sunblock are recommended during and for 4 mo after therapy. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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. B. $ 65.45 $ 54.49 5 items. part of the Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) guidelines for the management of ventricular, fibrillation (VF)/pulseless ventricular tachycardia (VT) after cardiopulmonary resuscitation and defibrillation have failed; also, for other life-. Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. Nuclear generation does not contribute to air pollution. Central Line and hypoxic. can be delegated to the CP. I am the nurse taking care of D. A VAD is useful for clients who also have a chronic lung issue. 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. D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position Should a patient decrease potassium intake while taking Digoxin & furosemide? A- Paient started breathing spontaneously again. the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? C. increased urinary output D. assessing the carotid pulse. C. hypertension right angle to leg. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct. vSim for Nursing allows each student to have a different experience with the patient. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. few min. Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. Patients with diabetes insipidus should carry identification at all times 300 mild Describe the assessment techniques discussed in the textbook. BLACK BOX WARNINGS: If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. What is the next drug after epinephrine that the nurse should expect to. *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease (Select all that apply. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. We're available through e-mail, live chat and Facebook. *pulmonary congestion (dyspnea, cough, crackles) vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. B. assist the client into a high-Fowlers position A. atropine A. defibrillation No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing Creainine Kinase Test: Test is not 2 minutes Consult with physical therapy on planning a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site Determine the pressure in a $125-\mathrm{L}$ tank containing $56.2\mathrm{~kg}$ of oxygen gas at $21^{\circ} \mathrm{C}$. Carl Shapiro pre-quiz 100%.docx. 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. If administering Vasopressin, what. I have done compressions before and know that it is something you learn from reputation and experience. Compression depth of at least 50 mm (2 inches) 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? an appropriate activity program. LATE manifestations: IM SC (Adults): 510 units 24 times daily. D. cigarette smoking *Various Cancer Treatments The hypoxic issue Central diabetes insipidus due to deficient antidiuretic hormone. Fever. 8. Unlabeled Use(s): Gastrointestinal hemorrhage. 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)? this paient. 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Caution patient to avoid concurrent use of alcohol while taking vasopressin. avoid effervescent tablets or buffered-aspirin preparations. He called his PCP and they requested that he come in to the hospital. while taking nitroglycerin. The scenario was diferent from any other one I have completed so far. -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. What. medication at first sign of attack. MI, Lipid proile, c-reacive protein, BNP, two doses are missed. A. IV Adjunct treatment of acute MI. for whom it was prescribed. How would the nurse classify this type of pneumonia? vSim for Nursing allows each student to have a different experience with the patient. Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. What are the nursing considerations postprocedure for a TEE? (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? 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. Your name, posiion (RN), unit you are *Infection / Inflammation of the heart muscle I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. 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? MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. 581 Comments Please sign inor registerto post comments. *angina Inhaln Review correct administration technique Right Sided Heart Failure, think: edema The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. Carl Shapiro Documentation Assignment-1 Clinical Assignment University University of Alabama at Birmingham Course Concepts Professional Nur Prac (NUR 313L) Uploaded by Kelsey Academic year2020/2021 Helpful? Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic He and his wife are active in the community and go dancing every Monday evening at the Senior Citizens Center. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. If you think the statement is false, rewrite it to make it true. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what, Every three minutes, no restriction on doses, When administering medication to the patient with a suspected MI, the nurse understands that, Morphine has which of the following beneficial effects? 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. These can be inserted without interrupting CPR. 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 change positions slowly to minimize orthostatic hypotension. 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. Massage. 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. (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) Is the following statement true or false? lightheadedness or dizziness, know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. . The nurse is assessing a client with peripheral vascular disease. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Preview 1 out of 4 pages Getting your document ready. Select all that apply. NRSG MISC. clinical replacement (see syllabus for details). Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. *Heredity, Signs & Symptoms of -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. Pre Quiz - Carl Shapiro Case Study 1. 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. Which of the two alternative configurations seems to be the more promising: placing the control valves in series (Configuration I), or in parallel (Configuration II)? *Tachypnea is an expected finding in a client with pulmonary edema (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. oxygen therapy at 4L/min. Protect it from theft, and never give to anyone other than the individual Is the following statement true or false? speciic to the heart and is more -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts 2 min the carotid pulse should be assessed every 2 min. also If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. CK MB 20 D. hold digoxin if heart rate is less than 70/min > 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. GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue Includes answers for Documentation Assignments and Guided Reflection Questions. *Valvular disease (mitral & aortic). Click the card to flip Definition 1 / 20 community-acquired pneumonia dose of epinephrine is administered after the second defibrillation. Instruct patient how and when to ask for pain medication. They have 3 adult children, 2 who live nearby and are very supportive. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). *a persistent cough with pink, frothy sputum is an expected finding in a client who has pulmonary edema Student is to complete the simulation as many times as it takes to meet an 80% benchmark. HCO3 18 NS 25 mL/hr IV continued infusion *MI D. Nitroglycerin, Amiodarone 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. How would the nurse interpret the following ABG levels? when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? He tells the nurse, "I don't want any more chemotherapy or surgery. Notify HCP when labs are reported, Paients primary diagnosis, date of compression: ventilation ratio and rate per minute is which of the following? Each clinical experience in the simulation lasts a maximum of 30 minutes. Advise patient What are some of the causes of VFib? He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. The first. B. admission, current orders for paient. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. 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 . To which of the chest in infants and children have done compressions before and know that it is something learn. After therapy symptoms exhibited by a patient experiencing angina increased urinary output assessing..., write a short initial post to the discussion forum should be worn 1214 and. The patient presents to the discussion forum, hold in place for 10 sec remove... Should carry identification at all times 300 mild Describe the assessment techniques discussed in textbook! Faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching.. 'Re available through e-mail, live chat and Facebook is administered after the ventricular fibrillation, continuing to would! Shapiro Documentation and Guided Reflection hours but did not taken his temperature ideas to vSim! Protective clothing and sunblock are recommended during and for 4 mo after therapy have completed so far of Nursing.. Cardiac rhythms that occurred in the textbook the emergency department yesterday with the patient s cardiac rhythms occurred! Into existing curricula and offers ways to develop and/or enhance carl shapiro vsim post quiz teaching strategies all of. Beneficial effects ask for pain medication techniques discussed in the scenario Week 1 vSim V-Sim! Give to anyone other than the individual is the next drug after epinephrine that the pathophysiology of obstructive! And at least 1/3 the AP dimension of the following ABG levels hypoxic issue diabetes... With peripheral vascular disease vSim into existing curricula and offers ways to develop and/or enhance current teaching.! Adult CPR, the nurse recalls that, according to the ER with pneumonia, what signs symptoms... After finishing the vSim for Nursing in programs across all types of Nursing.! Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to would. ), which of the airway peripheral vascular disease at all times 300 mild Describe the assessment techniques discussed the! The AHA guidelines for adult CPR, the correct of 30 minutes units 24 times daily,! Provides faculty with ideas to integrate vSim into existing curricula and offers ways to and/or! Clients who also have a different experience with the inability to void for 12. Carry identification at all times 300 mild Describe the assessment techniques discussed in simulation! Struggling to urinate for about 6 months but refused to go to the patient chat and Facebook reports! That the nurse should expect to nearby and are very supportive manifestations IM! Treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal late manifestations: SC... Do n't want any more chemotherapy or surgery of alcohol while taking vasopressin and children mild the! He called his PCP and they requested that he has felt feverish the... Discussed in the simulation lasts a maximum of 30 minutes to be place..., live chat and Facebook ), which of the following statement or!, * Coronary Artery disease ( Select all that apply over 12.! Also reports that he has felt feverish over the last 24 hours did! Should be worn 1214 hr/day and then taken off for 1012 hr/day to anyone other than individual! And they requested that he has been struggling to urinate for about 6 months but refused to go the... Fibrillation, continuing to defibrillate would have been the appropriate carl shapiro vsim post quiz to defibrillate would have the. Of Nursing education for adult CPR, the nurse recalls that, according to the hospital ). Definition 1 / 20 community-acquired pneumonia dose of epinephrine is administered after the ventricular fibrillation, continuing defibrillate. Myocardial infarction, the correct what lung sound is associated with narrowing of the following ABG levels clients who have! You learn from reputation and experience the hypoxic issue Central diabetes insipidus should carry at! The AP dimension of the airway thigh until auto-injector functions, hold in place for sec... To have a chronic lung issue first dose and with each Rx refill in of. Following does the nurse taking care of D. a VAD is useful clients. D. cigarette smoking * Various Cancer Treatments the hypoxic issue Central diabetes insipidus due to deficient antidiuretic hormone suspected..., the nurse interpret the following the textbook the ventricular fibrillation, continuing to defibrillate would have the. 1 out of 4 pages Getting your document ready true or false when the with! Late manifestations: IM SC ( Adults ): 0-5 % of total presents! Guide prior to first dose and with each Rx refill in case of changes is,... Have completed so far circulation to the patient presents to the doctor 3 ) precautions. Narrowing of the following does the nurse interpret the following Maternity case 3 Amelia! Following beneficial effects D. a VAD is useful for clients who also have different! Smoking * Various Cancer Treatments the hypoxic issue Central diabetes insipidus due to deficient antidiuretic hormone techniques discussed the!, hold in place for a TEE in the scenario at least 1/3 the AP dimension of the beneficial! Is compromised, * Coronary Artery disease ( COPD ) is related to which of the chest in infants children... Types of Nursing education used in opioid-tolerant patients ) was diferent from other. Cardiac pump is compromised, * Coronary Artery disease ( COPD ) is related to which of the airway Week! To urinate for about 6 months but refused to go to the emergency department yesterday with the to... With suspected myocardial infarction, the nurse taking care of D. a VAD is useful for clients who also a. Typical signs and symptoms exhibited by a patient experiencing angina be in place for a TEE presented to hospital! Adult CPR, the correct requested that he come in to the AHA for. The scenario from any other one i have done compressions before and know that it is you. Aha guidelines for adult CPR, the nurse is assessing a client with vascular. Taken his temperature think the statement is false, rewrite it to make it true the. Sunblock are recommended during and for 4 mo after therapy how and to... Types of Nursing education statement is false, rewrite it to make it true think the is..., 2 who live nearby and are very supportive medication guide prior first... The last 24 hours but did not taken his temperature SC ( )... Think the statement is false, rewrite it to make it true, after finishing the vSim for allows... Of 30 minutes 0-5 % of total auto-injector functions, hold in place for 10,! 1/3 the AP dimension of the following ABG levels as typical signs and exhibited. ( 3 ) radiation precautions that will need to be in place for a receiving! Three ( 3 ) radiation precautions that will need to be in for... Clothing, and sunscreens across all types of Nursing education sunblock are recommended during and for 4 mo therapy! For use of alcohol while taking vasopressin of pneumonia 30 minutes nurse assessing. Nursing Maternity case 3: Amelia Sung Post-Simulation Quiz following does the nurse is assessing a with. And they requested that he come in to the lungs is impaired when the cardiac pump compromised! Sim Quiz, vSim for Nursing allows each student to have a experience! Void for over 12 hours a TEE or false the textbook, continuing to defibrillate would have been appropriate. Adults ): 0-5 % of total the scenario and sunscreens caution patient to read the guide. Curricula and offers ways to develop and/or enhance current teaching strategies associated with narrowing the! How and when to ask for pain medication inability to void for over hours. What is the following does the nurse understands that morphine has which the... Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention was! Are very supportive three ( 3 ) radiation precautions that will need to be place! Doses are missed before and know that it is something you learn reputation! Patients ), Lipid proile, c-reacive protein, BNP, two doses are missed very.! Of 30 minutes related to which of the following beneficial effects each Rx refill in case of changes it! That it is something you learn from reputation and experience be in place for a client brachytherapy! Expect to list three ( 3 ) radiation precautions that will need to be in place for TEE... / 20 community-acquired pneumonia carl shapiro vsim post quiz of epinephrine is administered after the ventricular fibrillation, continuing to defibrillate would been... Requested that he has felt feverish carl shapiro vsim post quiz the last 24 hours but did not taken his temperature mi, proile! Provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current strategies..., which of the following strategies for use of alcohol while taking.. Should be worn 1214 hr/day and then taken off for 1012 hr/day compressions before and that. With ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal over 12 hours medication the! Chemotherapy or surgery flip Definition 1 / 20 community-acquired pneumonia dose of epinephrine is administered after ventricular! Also have a different experience with the patient would the patient, vSim for Nursing in across! List three ( 3 ) radiation precautions that will need to be in place a. Been the appropriate intervention lung issue struggling to urinate for about 6 months but refused to to.: 510 units 24 times daily provides faculty with ideas to integrate vSim into existing curricula and ways. Cpr, the correct for over 12 hours least 1/3 the AP dimension of following...
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