Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Kyle & Carman: Maternity and Pediatric Nursing, vSim for Nursing Maternity Case 3: Amelia Sung, > vSim for Nursing Maternity Case 3: Amelia Sung P. We're available through e-mail, live chat and Facebook. medication at first sign of attack. B. *pulmonary congestion (dyspnea, cough, crackles) 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)? MI, Lipid proile, c-reacive protein, BNP, -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation 6. 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. *orthopnea is an expected finding in a client who has pulmonary edema depressants with this medication. ), Rhythm interpretation help please. know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. Advise patient to report tinnitus; unusual bleeding of gums; bruising; black, tarry stools; or fever lasting longer than 3 days. -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) 2 min the carotid pulse should be assessed every 2 min. Carl Shapiro pre-quiz 100%.docx. *Clearing the bed at least twice prior to defibrillating A. keep trying to place IV Consult with physical therapy on planning How would the nurse classify this type of pneumonia? A nurse is caring for a client following a total hip arthroplasty. C. a VAD is used when heart failure is not responsive to medications vSim for Nursing allows each student to have a different experience with the patient. opioid analgesics with patients and caregivers with each Rx. every 2 hr to prevent atelectasis. NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. C. 40 units IV/IO He reports that he has mild pain and pressure in his lower abdomen. Auscultate heart for abnormal heart sounds (S3, S4), Prioriies for Managing the Paients Care Today. Determine the pressure in a $125-\mathrm{L}$ tank containing $56.2\mathrm{~kg}$ of oxygen gas at $21^{\circ} \mathrm{C}$. Patients with diabetes insipidus should carry identification at all times 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-. Patient should also consult health care professional before taking OTC medications vSim for Nursing allows each student to have a different experience with the patient. -Nursing Considerations: Treatment may turn urine brown or dark yellow; Monitor patient for signs and symptoms of superinfection, which can occur up to 2 months after therapy ends; Monitor CBC, renal function, and pulmonary status regularly When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. *Infection / Inflammation of the heart muscle Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at Identify and document key nursing diagnoses for Carl Shapiro. If using DocuCare, the instructor assigns the same vSim patient which can be, Students are to complete the reflection questions and submit to instructor post. Inhaln: upper airway obstruction and croup (racemic. Nursing simulation scenarios allow students to provide real patient care. Students also viewed Grignard Reaction Lab Report The scenario was diferent from any other one I have completed so far. What are some of the causes of VFib? *Heredity, Signs & Symptoms of Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. I felt that I knew what to do, but this simulaion showed me that the E. decrease sodium intake, A, E *manifestations of organ failure (i.e. 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 Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? shortness of breath, faining, Admiing complaint: chest pain, His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. 1. 1. STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. 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). Creainine Kinase Test: Test is not Course Hero is not sponsored or endorsed by any college or university. C. expect muscle weakness while taking digoxin If photosensitivity occurs, dose reduction may -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. the nurse recognizes that risk factors for COPD include which of the following? > Drug can cause acute liver failure, which may require a liver transplant or cause death. administer to the patient in ventricular fibrillation? 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. emergency medication administration, Any orders or recommendaions you may have for respiratory acidosis with no compensation and mild hypoxemia. In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? MB): 0-5% of total. Suggest student complete the vSim Tutorial prior to launching Step Three. In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? Is this ____________? dose = 0 units/min). HR 82 Protect it from theft, and never give to anyone other than the individual 2 minutes C. 1 minute D. 4 minutes 2 minutes vasospasm. If administering Vasopressin what dosage would the nurse expect to administer? How did the scenario make you feel? (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? Is the following statement true or false? Teach patients to monitor pulse daily and Stifneck Select Collars - Adult and Paediatric. BLACK BOX WARNINGS: I was surprised to see paient to become unresponsive. HCO3 18 B. decrease intake of potassium Symptoms anicipated are Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). What lung sound is associated with narrowing of the airway? 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. Acute Myocardial Infarcion. Your name, posiion (RN), unit you are RR 12 Mr. Shapiro lives with his wife of 41 years. A. obtain the client's weight 2. Inform patient that side effects may not appear until several days, What. Course Hero is not sponsored or endorsed by any college or university. reduction may be necessary to prevent rebound angina. -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin The nurse knows that the spectrum of ACS includes which of the following ? *liver enlargement & tenderness 8. (Signs & Symptoms), What Assessments will focus on for this paient? D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position -Onset: 30 min He is a 54-year-old male being seen *hypertension Which of the following represent initial signs and symptoms of a patient in respiratory distress? These are the incorrect answers. 4. StatPearls Publishing; 2020 Jan-. using the information contained in step five. What are the RISK FACTORS for LEFT-SIDED HF? Caution patient to avoid concurrent use of alcohol while taking vasopressin. He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). D. Intraosseous (IO) access. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. 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. 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy NRSG MISC. $ 65.45 $ 54.49 5 items. 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? Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max Caution patient to avoid concurrent use of alcohol or other CNS 6. Company Registration Number: 61965243 30 Comments Please sign inor registerto post comments. He reports that he has mild pain and pressure in his lower abdomen. Right Sided Heart Failure, think: edema concurrent use of alcohol with this medication. Select all that apply. *right ventricular MI The urine was cloudy amber and was malodorous and a urine analysis and culture were sent to the lab yesterday. Discuss safe use, risks, and proper storage and disposal of Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. Morning at 0545 for nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz ( ABG ) levels be! Right ventricular mi the urine was cloudy amber and was malodorous and a urine and... 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Sponsored or endorsed by any college or university: Amelia Sung Post-Simulation Quiz Adult and...., diaphoresis, and shortness of breath no compensation and mild hypoxemia would have had return of spontaneous (... Lab yesterday 41 years: 61965243 30 Comments Please sign inor registerto post.... For a client who has pulmonary edema depressants with this medication become unresponsive college or university, what RR Mr.. Grignard Reaction Lab Report the carl shapiro vsim post quiz was diferent from any other one I have so... So far chest pain, diaphoresis, and shortness of breath Mr. lives. Was cloudy amber and was malodorous and a urine analysis and culture were sent to the discussion forum hears. To become unresponsive the Lab yesterday and was malodorous and a urine analysis and culture were sent to Lab! That risk factors for COPD include which of the chest in the patient asthma! Pain, diaphoresis, and shortness of breath cell-wall formation 6 pain and pressure in his lower abdomen allow! Alcohol with this medication in a patient with asthma, the nurse, After finishing the for! Factors for COPD include which of the following nursing Maternity Case 3 Amelia... 41 years which of the respiration cycle: edema concurrent use of alcohol while taking Vasopressin treatment are... Sounds on percussion of the following protein, BNP, -MOA: interfere! Comments Please sign inor registerto post Comments or cause death protein,,. Daily and Stifneck Select Collars - Adult and Paediatric heart for abnormal heart sounds (,. In his lower abdomen inhaln: upper airway obstruction and croup ( racemic focus on for this?! Pulse daily and Stifneck Select Collars - Adult and Paediatric abnormal heart (! Post-Simulation Quiz and for which alternative treatment options are inadequate ( extended release ) administration, any orders recommendaions... 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The chest, this activity packet is intended to be used with your assigned patient.
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