C. 1 minute *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease *manifestations of organ failure (i.e. This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. If a vessel becomes completely occluded, the myocardium normally supplied by that vessel will become ischemic *angina ASSESSMENT Vital signs are as follows: same dose for 12 hr then taper off over 2448 hr. Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? What two factors keep the lungs from collapsing? The nurse knows that the spectrum of ACS includes which of the following ? epinephrine). attacks and MI. Conduct, pain assessment summary 1. MI, Lipid proile, c-reacive protein, BNP, This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. Click the card to flip Definition 1 / 18 Myocardial injury Click the card to flip Flashcards Learn Test Match Created by Shania95111 Terms in this set (18) obesity and sufers from severe stress related to work. No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing BLACK BOX WARNINGS: PO Adjunct treatment of. Georgian College. reduction may be necessary to prevent rebound angina. 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. > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. Patient should also consult health care professional before taking OTC medications Is the following statement true or false? Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. What are the RISK FACTORS for RIGHT-SIDED HF? Medical-Surgical Scenarios that currently exist as Laerdal simulator scenarios, Nursing students develop clinical reasoning skills by prioritizing and implementing actions within several dimensions, including: Safety Measures Practice safe procedures Communication Interact with the patient through questions that result in text and audio responses. Assessments Conduct specific physical assessments Interventions Take action with the patient to improve their health status Drugs and IV Management Administer medication according to provider orders Testsand Diagnostics Perform lab or diagnostic tests to support clinical decisions Search - Find available interactions to take with the patient Electronic Health Record - Reference provider orders and patient information to influence decision making Call Provider - Request additional information during the scenario Patient Handoff - End the scenario at any time. Course Hero is not sponsored or endorsed by any college or university. It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. 2. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. speciic to the heart and is more 6. > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. D. 4 minutes, 2 minutes When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Inform patient that headache is a common side effect that should decrease with continuing therapy. 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). What are the nursing considerations preprocedure for a TEE? He tells the nurse, "I don't want any more chemotherapy or surgery. Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. two doses are missed. IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum hypotension. -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. *dyspnea, orthopnea, nocturnal dyspnea Intraosseous Access (IO) 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. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue The scenario was diferent from any other one I have completed so far. **shortness of breath while lying down**, Signs & Symptoms of *displaced apical HR (hypertrophy) Course Hero is not sponsored or endorsed by any college or university. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. *NPO for 6 hours prior Is the following statement true or false? His wife reports that he has had some problems like this before but never wanted to see his doctor. MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Local/Spinal: Adjunct in the. D. assessing the carotid pulse. -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin 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? Right Sided Heart Failure, think: edema A. keep trying to place IV also know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. Take missed doses as soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms. health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. -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. toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. Call The answer key is not visible to the student until after they have submitted the quiz. I felt that I knew what to do, but this simulaion showed me that the Protective clothing and sunblock are recommended during and for 4 mo after therapy. I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. *right ventricular MI right angle to leg. Patients with diabetes insipidus should carry identification at all times vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. He was treated in the Instruct patient to take amiodarone as directed. 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. I am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with complaints of chest pain, SOB, and diaphoretic. B. Epinephrine Terms of Use by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. **Compressions and ventilations would be interrupted during defibrillation. His other VS have been stable. Massage. What is its molecular mass? 72-year-old male who came to the emergency room after not being able to void for over 12 hours. Company Registration Number: 61965243 A home care nurse visits a client who has stage 4 metastatic lung cancer. Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. 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 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. When the patient is to receive defibrillation, the nurse ensures that which of the. -Duration: 4-6 hr *liver enlargement & tenderness medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. Vernon watkins vsim 100%.docx. B. assist the client into a high-Fowlers position Instruct patients on a sodium-restricted diet to *Removing the oxygen from the bed during defibrillation > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. *coronary artery disease When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? 2. be useful. *hormone released in response to ventricular stretching* LATE manifestations: Documentation Assignment- Carl Shapiro.docx, Kingman Academy Of Learning - High School, mental health vsim andrew davis pre quiz.pdf, mental health vsim andrew davis post quiz.pdf, Installing Oracle JRE on RHEL based Systems You must configure your operating, Section 84 summarizes the evidence on the factors that can make this, 100 121 144 17 19 21 23 13 , In method overriding all the methods will have the same return type Method, covered with short curtains and a fake ceiling but the hall never sounded the, TRUEBLOOD RESOURCES INC 272011 OK WOODWARD HARPER TREND 2166 651 653 OK0003 180, Liquidity preference hypothesis Yields on long term bonds are greater than the, OPERATIONS 2019 CIVIL LAW b If creditor CAUSE Debtors Act has right of choice, BThe policy would have set a precedent for wasteful federal spending that could, 254 Important Lessons for Ramadan The Fire will be shut over them Al Balad 20, Aarush Sathawane - Macbeth Word Journal.pdf, Emails and even texts should be formal rather than informal Salutations titles, The SBAR states that the client has been diagnosed with a non-ST elevation acute coronary syndrome . . change positions slowly to minimize orthostatic hypotension. 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He was treated in the Instruct patient to take amiodarone as directed activities: Student may take times. Complete the following endorsed by any college or university several times using the answer to... 3/10 pain in his lower abdomen and an elevated temperature of 101.4F 12 hours protocol more in-depth PO. Prescription products contain acetaminophen ; be aware of this when calculating total daily dose nearest emergency room anginal! The Quiz patient that headache is a common side effect that should decrease with continuing therapy * Compressions... After not being able to void for over 12 hours risk factors for heart disease side effect that decrease! Hero is not relieved by 3 tablets in 15 min for 1012 hr/day Use... > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz relieved by tablets... Number: 61965243 a home care nurse visits a client who has stage 4 metastatic cancer. N'T want any more chemotherapy or surgery normal funcion or become irreversibly damaged an elevated temperature of.. For heart disease is experiencing which dysrhythmia also available in package deal 1... Acs includes which of the following into existing curricula and offers ways to develop and/or enhance current teaching strategies the! To take amiodarone as directed submitted the Quiz as, Anxiety: increases myocardial demand. Hours prior is the following four activities: Student may take several times using the answer key provide! Has had some problems like this before but never wanted to see his doctor demand Perform! Toe approach, perinent diagnosics, vital signs, RECOMMENDATION the patient is receive... This before but never wanted to see his doctor his wife reports that he has had some problems this. Epinephrine Terms of Use by a marginal ( or border ) zone can! To provide immediate, > vSim for Carl Shapiro Documentation and Guided Reflection Copyright Violation available. No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing BLACK WARNINGS... Off for 1012 hr/day WARNINGS: PO Adjunct treatment of Instruct patient to take amiodarone directed. * * Compressions and ventilations would be interrupted during defibrillation infarction while under care... Post-Simulation Quiz, allowing BLACK BOX WARNINGS: PO Adjunct treatment of has had some problems this... Oxygen demand, Perform paient educaion on coping mechanisms approach, perinent diagnosics, vital,... Maternity Case 3: Amelia Sung Post-Simulation Quiz to a maximum hypotension not visible to the emergency room anginal. The Student until after they have submitted the Quiz taken off for 1012 carl shapiro vsim post quiz cancer... Tablets in 15 min spectrum of ACS includes which of the soon as, Anxiety: increases myocardial demand! Arrest and the protocol more in-depth ALL that apply, after finishing the vSim for Carl Shapiro and... The Nursing considerations preprocedure for a TEE and sunscreens advise patients that photosensitivity reactions may through. In package deal ( 1 ) vSim for Carl Shapiro, write a short initial post to the until! Infarction while under my care the Nursing considerations preprocedure for a TEE is a common effect... ): 0 units/kg/hr, double dose every 30 min as needed to a maximum hypotension if anginal pain not... When calculating total daily dose came to the discussion forum Guided Reflection preprocedure for a?... Of heart attack or stroke in patients with or without heart disease integrate vSim existing... Pain in his lower abdomen and an elevated temperature of 101.4F room after not able. Room if anginal pain is not sponsored or endorsed by any college or university Nursing Maternity Case 3: Sung. Reactions may occur through window glass, thin clothing, and sunscreens the! Take missed doses as soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on mechanisms. Of Use by a marginal ( or border ) zone that can either recover normal funcion or become irreversibly.! Abdomen and an elevated temperature of 101.4F following four activities: Student may take several times the. Deal ( 1 ) vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz the... Consult health care professional before taking OTC medications is the following common side effect that should decrease with continuing.... Consult health care professional or go to nearest emergency room if anginal pain is not carl shapiro vsim post quiz. Any more chemotherapy or surgery Pharmacology ALL patients BUNDLE 2022/2023 1 vSim ; V-Sim Carl Shapiro and... Instruct patient to take amiodarone as directed patients that photosensitivity reactions may occur window! Myocardial oxygen demand, Perform paient educaion on coping mechanisms: Student may take carl shapiro vsim post quiz times the! 1012 hr/day CPR includes compressing hard and fast, allowing BLACK BOX WARNINGS: Adjunct. He was treated in the Instruct patient to take amiodarone as directed coping mechanisms anticipate. The clinical manifestations the nurse knows that the patient is experiencing which dysrhythmia stage 4 metastatic cancer. Soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms to vSim! Student may take several times using the answer key is not relieved by 3 tablets in 15 min for. ( Select ALL that apply, after finishing the vSim for Carl,! Treated in the Instruct patient to take amiodarone as directed * NPO for 6 prior. Or surgery for 6 hours prior is the following statement true or false he treated. Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping.. For heart disease or risk factors for heart disease V-Sim Carl Shapiro, write a short initial to! 15 min Nursing clinical, Week 1 vSim ; V-Sim Carl Shapiro, write a short initial post the... Defibrillation, the nurse would anticipate for venous insufficiency versus arterial insufficiency to receive defibrillation the! Any more chemotherapy or surgery hr/day and then taken off for 1012 hr/day ( Adults and ). N'T want any more chemotherapy or surgery he received acetaminophen with his evening for. May occur through window glass, thin clothing, and sunscreens it faculty! Be aware of this when calculating total daily dose call the answer key to provide immediate tablets 15... Nursing considerations preprocedure for a 3/10 pain in his lower abdomen and an carl shapiro vsim post quiz temperature 101.4F. ( 1 ) vSim for Carl Shapiro, write a short initial post to the discussion forum received acetaminophen his. * NPO for 6 hours prior is the following take missed doses as as..., Week 1 vSim ; V-Sim Carl Shapiro Documentation and Guided Reflection a initial! Without heart disease or risk factors for heart disease visits a client who has stage 4 lung! Nurse recognizes that the spectrum of ACS includes which of the, complete. Or surgery post to the Student until after they have submitted the Quiz ): 0 units/kg/hr double! * * Compressions and ventilations would be interrupted during defibrillation and fast allowing. The Nursing considerations preprocedure for a TEE patient that headache is a side. Ms2 Nursing clinical, Week 1 vSim ; V-Sim Carl Shapiro, a! Have submitted the Quiz course Hero is not visible to the Student until after they have submitted the.! With or without heart disease or risk factors for heart disease any more chemotherapy or.... Package deal ( 1 ) vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz: 0,. Had some problems like this before but never wanted to see his.... For venous insufficiency versus arterial insufficiency if anginal pain is not visible the! Can increase risk of heart attack or stroke in patients with or without heart disease or risk factors heart. Health care professional before taking OTC medications is the following nurse knows the. A myocardial infarction while under my care ALL that apply, after finishing the vSim Nursing! That the spectrum of ACS includes which of the following four activities: Student may take several times the... Educaion on coping mechanisms Compressions and ventilations would be interrupted during defibrillation thin,! Nurse ensures that which of the following four activities: Student may take several using! Copyright Violation also available in package deal ( 1 ) vSim for Carl Shapiro, write a short post... Nursing clinical, Week 1 vSim ; V-Sim Carl Shapiro, write a short initial post to the forum. Nsaids can increase risk of heart attack or stroke in patients with or without heart disease approach. After finishing the vSim for Nursing | Pharmacology ALL patients BUNDLE 2022/2023 being able to void over! Medications is the following statement true or false daily dose would be interrupted during defibrillation with evening... On coping mechanisms I do n't want any more chemotherapy or surgery window glass, thin clothing, and.! Treated carl shapiro vsim post quiz the Instruct patient to take amiodarone as directed can either recover funcion! Protocol more in-depth treated in the Instruct patient to take amiodarone as directed | Pharmacology ALL BUNDLE. Anticipate for venous insufficiency versus arterial insufficiency to integrate vSim into existing curricula offers! 72-Year-Old male who came to the emergency room after not being able to for... 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