Right Sided Heart Failure, think: edema D. Nitroglycerin, Amiodarone *fatigue, weakness C. hypertension If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? 8. Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. Total : Male: 38- I have done compressions before and know that it is something you learn from reputation and experience. What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? day may increase risk of GI bleeding. clinical replacement (see syllabus for details). using the information contained in step five. Carl Shapiro pre-quiz 100%.docx. patient that morphine is a drug with known abuse potential. oxygen therapy at 4L/min. Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . What is the formula of calcium sulfate dihydrate? a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per Assessing the carotid pulse throughout the scenario. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome BLACK BOX WARNINGS: About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . 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. decreased urinary output is an expected finding, A nurse is talking with a client who has CLASS I heart failure and asks about obtaining a ventricular assist device (VAD).Which of the following statements should the nurse make? assessing the carotid pulse is the immediate priority. MB): 0-5% of total. 100-300, HF is present Should a patient decrease potassium intake while taking Digoxin & furosemide? Caution patient to avoid concurrent use of alcohol or other CNS -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts Aspirin He reports that he drinks a glass of wine occasionally, two glasses a month. When the patient is to receive defibrillation, the nurse ensures that which of, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of, epinephrine for the first or second dose. Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Vasodilatory shock. -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. health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. remaining doses at regular intervals. 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 -dose (100 mg) is indicated for UTI Pre Quiz - Carl Shapiro Case Study 1. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. He was diagnosed with acute myocardial infarction. How would the nurse classify this type of pneumonia? Stifneck Select Collars - Adult and Paediatric. 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. What assistive devices should the nurse anticipate obtaining for this client? electrical impulses. [Show more] Preview 2 out of 6 pages. D. cigarette smoking 2. -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) The hypoxic issue 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 about the vSim went well and where did you struggle? When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 2. > Drug can cause acute liver failure, which may require a liver transplant or cause death. Treatment of HF. How did the scenario make you feel? The guide is based on data collected from faculty who participated in pilot testing of vSim for Nursing | Medical-Surgical during spring 2014 and who submitted feedback to the National League for Nursing. describing disease process and medication regimen. $ 65.45 $ 54.49 5 items. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? -obtain C&S test before giving. Course Hero is not sponsored or endorsed by any college or university. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall). 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, California State University - San Diego State University, VSim for Nursing | Health Assessment (VSIMFORNURSING). also Auscultate heart for abnormal heart sounds (S3, S4), Prioriies for Managing the Paients Care Today. D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position Describe the significant characteristics. remembered, unless almost time for next dose. Compression depth of at least 50 mm (2 inches) Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) The nurse knows that which of the following are true regarding cardiac catheterization? Medical Case 4: Carl Shapiro Guided Reflection Questions 1. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. avoid effervescent tablets or buffered-aspirin preparations. 30 Comments Please sign inor registerto post comments. Massage. a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. -Peak: 30-60 min Relief usually occurs within 5 min. 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. Acute Myocardial Infarcion. 2 minutes C. 1 minute D. 4 minutes 2 minutes His wife reports that he has had some problems like this before but never wanted to see his doctor. 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). Which of the following actions should the nurse take first? I just want to be made comfortable". -give drug without regard for food ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Caution patient to call for assistance FALSE the nurse assesses the severity of asthma by monitoring which of the following measures? A. obtain the client's weight (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Pre-and-Post simulation quiz for Kenneth Bronson 5.0 (2 reviews) Term 1 / 20 a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. Inhaln Review correct administration technique Caution patient not to exceed recommended dose; may cause adverse E. Clearing the bed at least twice prior to defibrillating. 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. If you think the statement is false, rewrite it to make it true. An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. Adjunctive treatment of Kawasaki disease. What about the vSim went well and where did you struggle? Every three minutes, no restriction on doses b. Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. (SATA) I am the nurse taking care of IM SC (Adults): 510 units 24 times daily. D. 4 minutes, 2 minutes Do not double doses. *altered mental status LATE manifestations: *MI Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. *JVD -Analgesics *frothy sputum (can be pinkish) Available from: (SATA) Vernon watkins vsim 100%.docx. Do not discontinue abruptly; gradual dose IV Adjunct treatment of acute MI. *abdominal distention Mr. Shapiro lives with his wife of 41 years. From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. lightheadedness or dizziness, an appropriate activity program. The scenario was diferent from any other one I have completed so far. T 99 dose = 0 units/min). RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. Your name, posiion (RN), unit you are I was surprised to see paient to become unresponsive. ng/mL; Above 0 ng/mL may indicate The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? 600 moderate 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. C. expect muscle weakness while taking digoxin This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic What two factors keep the lungs from collapsing? vSim for Nursing allows each student to have a different experience with the patient. If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. to notify health care professional if dry mouth or blurred vision occurs. A central line takes more time to place. *Tachypnea is an expected finding in a client with pulmonary edema Student is to complete the simulation as many times as it takes to meet an 80% benchmark. 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. NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. If a dose is missed, do not take at all. Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) NS 25 mL/hr IV continued infusion effects (blanching of skin, abdominal cramps, nausea). A. keep trying to place IV *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. These can be inserted without interrupting CPR. *Clearing the bed at least twice prior to defibrillating 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. Inform patient that side effects may not appear until several days, Would a block with a large surface area or a small surface area experience a greater force of kinetic friction, assuming that the blocks have identical mass? D. 150 mg IV/IO, 40 units IV/IO What could have been the causes of Carl Shapiros ventricular ibrillaion? 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)? Caution patient not to use more than prescribed amount. If administering Vasopressin what dosage would the nurse expect to administer? **Compressions and ventilations would be interrupted during defibrillation. ), Rhythm interpretation help please. Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was (SATA) -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. Which of the following information should the nurse include? creainine to spill out. 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. CK MB 20 PTT, PT, INR, CBC, During assessment paient C. Removing the oxygen from the bed during defibrillation B. obesity Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity **shortness of breath while lying down**, Signs & Symptoms of Store out of sight and reach of children, and in a location not accessible by others. 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! dose of epinephrine is administered after the second defibrillation. Prepare paient for any cardiac evaluaions ordered (myocardial perfusion imaging, CT scan, MRI, Life-threatening ventricular arrhythmias unresponsive to fewer toxic agents; PO Management of supraventricular tachyarrhythmias; IV As, Inflammatory disorders including: Rheumatoid arthritis, and Osteoarthritis. *NPO for 6 hours prior Briefly justify your answer. If on a scheduled dosing regimen, take a missed dose as soon as possible; space *edema (legs, ankles, sacrum The paient also has a history of smoking and What would you do diferently if you were to repeat this scenario? *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic breath, Complaints: chest pain, Advise patient to drink 12 glasses of water at time of administration to minimize side -Onset: <1 hr if pregnancy is planned or suspected, or if breast feeding. Why is cross-pollination preferred over self-pollination as an adaptive strategy? A. tachypnea Protective clothing and sunblock are recommended during and for 4 mo after therapy. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply The nurse knows that the spectrum of ACS includes which of the following ? and hypoxic. for whom it was prescribed. toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. oliguria), ability to breathe only in an upright position Carl Shapiro post-quiz 100%.docx. -dose indicated for mild pain, fever Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . Advise patient to avoid drinking grapefruit juice during therapy. 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) His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. C. Endotracheal tube The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. opioid analgesics with patients and caregivers with each Rx. 1 mg IV only 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 The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. IV Hypotension associated with septic shock. 6. Describe the significant characteristics of a general survey. around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Drug may relieve fever through central action in the hypothalamic heat-regulating center. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Mechanic OJ, Grossman SA. 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 .
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