Nursing simulation scenarios allow students to provide real patient care. -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? Pulmonary edema. oxygen therapy at 4L/min. CK MB 20 2 min the carotid pulse should be assessed every 2 min. 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. weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding *Tachypnea is an expected finding in a client with pulmonary edema Arterial blood gas; Thrombus; Georgian College NRSG MISC. B. > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. $ 65.45 $ 54.49 5 items. 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). *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease *Infection / Inflammation of the heart muscle Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. The nurse is assessing a client with peripheral vascular disease. -Interactions: w/ ACE inhib or ARB's can cause renal impairment; anitcoagulant levels can be increased with this drug; may decrease effect of antihypertensives, diuretics; may cause severe alcohol intolerance with Disulfiram because injection contains alcohol; Salicylates may increase risk of serious ketorolac SE; SSRI's may increase risk of GI bleeding; herbs (garlic, ginger,) may cause bleeding 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-. ng/mL; Above 0 ng/mL may indicate effects (blanching of skin, abdominal cramps, nausea). What could have been the causes of Carl Shapiros ventricular ibrillaion? 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. A. Carl Shapiro post-quiz 100%.docx. Teach patients to monitor pulse daily and *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium He was treated in the The nurse knows that the spectrum of ACS includes which of the following ? Acute Myocardial Infarcion. Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. Instruct patient how and when to ask for pain medication. using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. Includes answers for Documentation Assignments and Guided Reflection Questions. 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. Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - If on a scheduled dosing regimen, take a missed dose as soon as possible; space general. *Heredity, Signs & Symptoms of Left Sided Heart Failure, think: lung congestion *Prolonged Alcohol Use If a dose is missed, do not take at all. Advise patient to avoid 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 two alternative configurations seems to be the more promising: placing the control valves in series (Configuration I), or in parallel (Configuration II)? 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. 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. chronic inflammation and narrowing of the airways. vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. D. Intraosseous (IO) access. D. 4 minutes, 2 minutes D. assessing the carotid pulse. PTT, PT, INR, CBC, During assessment paient 2 minutes C. 1 minute D. 4 minutes 2 minutes What. Central Line compression: ventilation ratio and rate per minute is which of the following? If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. Treatment of HF. dose of epinephrine is administered after the second defibrillation. It felt good to have followed mostly the correct steps (SATA) 80 units IV/IO Consult health care professional if more than D. 150 mg IV/IO, 40 units IV/IO day may increase risk of GI bleeding. Insert secondary IV site for I am the nurse taking care of When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? A. tachypnea These are the incorrect answers. Copyright 2023 Laerdal Medical. 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. Quiz is recorded as complete. IV Adjunct treatment of acute MI. Right Sided Heart Failure, think: edema A nurse is caring for a client following a total hip arthroplasty. A. defibrillation the nurse recognizes that risk factors for COPD include which of the following? Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was *altered mental status diaphoresis, and shortness of 4. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Which of the following represent initial signs and symptoms of a patient in respiratory distress? tective barrier, accumulates, and forms a fatty streak. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? for acute chest pain, diaphoresis, and shortness of breath. C. starting compressions List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation 6. If you think the statement is false, rewrite it to make it true. C. expect muscle weakness while taking digoxin Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. Why is cross-pollination preferred over self-pollination as an adaptive strategy? > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. *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. health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. describing disease process and medication regimen. 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. MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Instruct patients on a sodium-restricted diet to Chest pain improved with nitroglycerin administraion. Give two reasons the lungs tend to recoil. B. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. 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? 2. lightheadedness or dizziness, Caution The paient is the main concern during this situaion, but I would ensure they were escorted out of the room so the focus could be on the paient, but if they insisted Suggested. What would you do diferently if you were to repeat this scenario? > Drug can cause acute liver failure, which may require a liver transplant or cause death. I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. Your name, posiion (RN), unit you are the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? The answer key is not visible to the student until after they have submitted the quiz. 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) I would irst assess the caroid pulse, administer epinephrine, administer amiodarone **shortness of breath while lying down**, Signs & Symptoms of Important --> hypokalemia can increase digoxin toxicity. How would the nurse classify this type of pneumonia? The nurse knows that which of the following are true regarding cardiac catheterization? Drug may relieve fever through central action in the hypothalamic heat-regulating center. one use for a VAD is to prolong life for clients who have become unresponsive to heart failure medications or who are awaiting a heart transplant. *liver enlargement & tenderness *orthopnea is an expected finding in a client who has pulmonary edema D. cigarette smoking *JVD He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. 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