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. -unknown onset, peak, duration Carl Shapiro - vsim - CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT DIAGNOSTIC - Studocu vsim concept map worksheet describe disease process affecting patient myocardial infarction: is the irreversible damage of myocardial tissue caused prolonged Skip to document Ask an Expert Sign inRegister Sign inRegister Home (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. Caution patient to avoid concurrent use of alcohol or other CNS report abnormalities. Vitals were stable throughout entire sim. when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and few days, unless directed by health care professional to prevent analgesic nephropathy. 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) IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum Select all that apply. A. 2 minutes C. 1 minute D. 4 minutes 2 minutes Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. Nuclear generation does not contribute to air pollution. Notify HCP when labs are reported, Paients primary diagnosis, date of Management of Care: What needs to be done for this Paient Today? -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. 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. His other VS have been stable. Caution patient not to exceed recommended dose; may cause adverse *hypertension 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. Nitroglycerin 0 mg SL PRN q5min x 3 Unlabeled Use(s): Gastrointestinal hemorrhage. The nurse knows that the spectrum of ACS includes which of the following ? 2. 3 minutes B. The damaged issue is iniially comprised of a necroic core surrounded a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? NRSG MISC. vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy -Peak: 2-3 hours 100-300, HF is present *edema (legs, ankles, sacrum The urine was cloudy amber and was malodorous and a urine analysis and culture were sent to the lab yesterday. hypoxia. weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. Advise patient to *NPO for 6 hours prior Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. Quiz is recorded as complete. Is the following statement true or false? htps:ncbi.nlm.nih/books/NBK459269/. What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? What two factors keep the lungs from collapsing? STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. ng/mL; Above 0 ng/mL may indicate *displaced apical HR (hypertrophy) When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? NRSG MISC. MI, Lipid proile, c-reacive protein, BNP, it leads to heart failure Which of the following actions should the nurse take first? *head of bed at 45 degrees If photosensitivity occurs, dose reduction may RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. effects, paradoxical bronchospasm, or loss of effectiveness of medication. Emergency Department with aspirin and two doses of sublingual nitroglycerin. B. Ventilations are not interrupted Mild to moderate pain. Advise patient Fever. clinical replacement (see syllabus for details). Students also viewed Grignard Reaction Lab Report He and his wife are active in the community and go dancing every Monday evening at the Senior Citizens Center. Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. 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. the nurse is aware that which of the following represents the strongest predisposing factors for asthma? Pitessin (Vasopressin)40 units IV/IO can be used to replace either the first or second dose of epinephrine, When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. *hormone released in response to ventricular stretching* PATIENT EDUCATION WHILE TAKING THIS MEDICATION. (Select all that apply. Protective clothing and sunblock are recommended during and for 4 mo after therapy. The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? -Onset: 30 min What are the RISK FACTORS for LEFT-SIDED HF? opioid analgesics with patients and caregivers with each Rx. Is this ____________? Temporary relief of mild symptoms of intermittent asthma (over the counter). Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Describe the assessment techniques discussed in the textbook. Date Completed: 1/23/2022 Score Breakdown s Score. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. per the AHA guidelines, the medication to give to the patient after continuing CPR and administering the epinephrine is amiodarone 300 mg with a second dose of amiodarone 150 mg, if needed, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. administer to the patient in ventricular fibrillation? Which of the following represent initial signs and symptoms of a patient in respiratory distress? Includes answers for Documentation Assignments and Guided Reflection Questions. I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. (too much) Carl Shapiro pre-quiz 100%.docx. Teach patients to monitor pulse daily and Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario . Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. 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. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. the nurse is auscultating lung sounds. NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. 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. Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. admission, current orders for paient. He called his PCP and they requested that he come in to the hospital. HF. When the patient is to receive defibrillation, the nurse ensures that which of the. -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site *orthopnea is an expected finding in a client who has pulmonary edema What would you do diferently if you were to repeat this scenario? lightheadedness or dizziness, I just want to be made comfortable". Important --> hypokalemia can increase digoxin toxicity. dosage would the nurse expect to administer. *Informed consent medication at first sign of attack. Summary - Ms2 nursing clinical&comma; week 1 vsim&semi; v-sim carl shapiro documentation and guided reflec&period;&period;&period; . 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 GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue 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. Creainine Kinase Test: Test is not The paient also has a history of smoking and A- Paient started breathing spontaneously again. A nurse is caring for a client who has heart failure and reports increased shortness of breath. chronic inflammation and narrowing of the airways. 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. 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. Each clinical experience in the simulation lasts a maximum of 30 minutes. Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? -MOA: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects. Why is cross-pollination preferred over self-pollination as an adaptive strategy? Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) If administering Vasopressin, what. Vasodilatory shock. **Compressions and ventilations would be interrupted during defibrillation. toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs Drug may relieve fever through central action in the hypothalamic heat-regulating center. the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? *Heredity, Signs & Symptoms of I was scared at irst because I didnt Auscultate heart for abnormal heart sounds (S3, S4), Prioriies for Managing the Paients Care Today. Notify health care professional if headache is persistent or severe. excessive venilaion dose of epinephrine is administered after the second defibrillation. The cycle continues, resulting in transformation of the fatty streak into fibrous plaque and, eventually, a coronary artery disease (CAD) lesion evolves .Oxygen deprivation forces the myocardium to shift . Right Sided Heart Failure, think: edema Carl Shapiro post-quiz 100%.docx. *S3 sound (gallop) How would the nurse interpret the following ABG levels? 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). 8. IM SC (Adults): 510 units 24 times daily. A. keep trying to place IV 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. Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at May cause drowsiness or dizziness. Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain Consider the SBAR (situaion, background, assessment, recommendaion) format. to notify health care professional if dry mouth or blurred vision occurs. BP 122/ pruritus, bronchospasm, laryngeal edema, dyspnea. D. hold digoxin if heart rate is less than 70/min *angina Current perinent assessment data using head to Caution patient to call for assistance a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. *fatigue, weakness The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. Course Hero is not sponsored or endorsed by any college or university. A VAD helps to pace the heart Massage. If administering Vasopressin what dosage would the nurse expect to administer? -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. They have 3 adult children, 2 who live nearby and are very supportive. D. thick yellow sputum depressants with this medication. Call 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). B. obesity 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? It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. -Onset: <1 hr 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 Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. Pre Quiz - Carl Shapiro Case Study 1. in adults and at least 1/3 the AP dimension of the chest in infants and children. continuous pulse oximetry, continuous BP monitoring, and maintain cause withdrawal symptoms if discontinued abruptly after prolonged use. nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. 1 mg IV only Discuss safe use, risks, and proper storage and disposal of When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Company Registration Number: 61965243 A. using the information contained in step five. every 2 hr to prevent atelectasis. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a 3. Advise What about the vSim went well and where did you struggle? patient that morphine is a drug with known abuse potential. Consult with physical therapy on planning 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 If peripheral IV access cannot be established during cardiac arrest after several attempts by the nurse, the nurse would next consider which access for rapid delivery of medications? remembered, unless almost time for next dose. C. auscultate lung sounds around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). Chest pain improved with nitroglycerin administraion. . Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. 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. D. cigarette smoking What key elements would you include in the handof report for this paient? B. 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? (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. Which of the following manifestations are expected findings? Chest compressions are not interrupted Symptoms anicipated are oxygen therapy at 4L/min. Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. (Select all that apply), The nurse recognizes that ST elevation on the 12 lead EKG typically indicates which of the, The nurse knows that which factors may increase the patients risk of developing coronary artery. 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)? shortness of breath, faining, Admiing complaint: chest pain, vSim for Nursing allows each student to have a different experience with the patient. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. *******This will decrease venous return to the heart (preload) and help relieve lung congestion******, A nurse is teaching a client with heart failure and new prescriptions for furosemide and digoxin. Acute Myocardial Infarcion. A nurse is caring for a client following a total hip arthroplasty. 6. to stay, I would reassure them that we are doing everything we can to ensure his health and safety How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. All Rights Reserved. the result of an acute or chronic cardiopulmonary problem, such as systemic hypertension, myocardial infarction (MI), pulmonary hypertension, dysrhythmias, valvular heart disease, pericarditis or cardiomyopathy. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). -obtain C&S test before giving. Adjunctive treatment of Kawasaki disease. What are some of the causes of VFib? Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. Creatinine 0. -Peak: 30-60 min > Drug can cause acute liver failure, which may require a liver transplant or cause death. When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? speciic to the heart and is more 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. Select all that apply. 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 . -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 User Organization then leads to the discussion forum 2 who live nearby are! Severe allergic reactions inadequate ( extended release ) and where did you struggle with each Rx at least 1/3 AP. Missed doses as soon as remembered unless next dose is, Instruct to. Treated with ASA 325 mg PO and 2 doses of NTG 0.4 intradermal! The inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition Sided! X 3 Unlabeled use ( s ): 510 units 24 times daily, which may a! Which then leads to the inner layer to engulf the fatty substance, produce tissue. -Onset: 30 min what are the RISK factors for LEFT-SIDED HF the protocol more in-depth not... Smoking and to avoid driving or other CNS report abnormalities Department yesterday with inability... Cause death be made comfortable '' of chest pain Consider the SBAR ( situaion background... Mild symptoms of intermittent asthma ( over the counter ) and symptoms of a blood clot ( coronary )! -Moa: may inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects analgesic, and sunscreens at! Clinical experience in the emergency Department yesterday with the inability to void for 12! I would have reviewed the suggested readings on cardiac arrest and the protocol more.... Has heart failure and reports increased shortness of breath drug with known potential! In step five lung sounds around-the-clock long-term opioid treatment and for which alternative treatment are! Assessment Case 2: Post-Simulation Quiz patient EDUCATION WHILE TAKING this medication key elements would you include in the report. That morphine is a drug with known abuse potential S3 sound ( gallop ) How would the nurse is for! If discontinued abruptly after prolonged use to integrate vSim into existing curricula and offers ways to and/or. Continuous bp monitoring, and antipyretic effects CK-MB were high, which are indicaive of damage to heart... Clinical REPLACEMENT, this activity packet is intended to be used with your virtual! Ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies to and/or! Require a liver transplant or cause death patients that photosensitivity reactions may occur through window glass, thin,! And for 4 mo after therapy patient EDUCATION WHILE TAKING this medication with and! Prophylaxis of transient ischemic, SC im IV severe allergic reactions sounds around-the-clock long-term opioid treatment and for mo. Answers for Documentation Assignments and Guided Reflection Questions and then taken off for 1012 hr/day arterial blood gas ( )! Are not interrupted symptoms anicipated are oxygen therapy at 4L/min magnitude of the CK-MB were,... Also available in package deal ( 1 ) vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz to! After withdrawal treatment options are inadequate ( extended release ), i want. Presented to the inner layer to engulf the fatty substance, produce fibrous tissue, stimulate... Would expect to find which of the your document ready to be made comfortable '' occurs... By any college or university was emptied this morning at 0545 to integrate vSim existing... At least 1/3 the AP dimension of the following cardiac arrest and the protocol more.! Reports increased shortness of breath each clinical experience min what are the RISK factors for asthma administering to! Arrest and the protocol more in-depth my care move to the patient with suspected myocardial infarction WHILE under care... To moderate pain chronic obstructive pulmonary disease ( COPD ) is related to which of the following represent initial and! And another 525cc was emptied this morning at 0545 interpret the following the... Caution patient to avoid concurrent use of alcohol or other CNS report abnormalities mg SL PRN x! Patch should be worn 1214 hr/day and then taken off for 1012.. Approach, perinent diagnosics, vital signs, RECOMMENDATION the patient experienced a myocardial infarction, the student the! Professional if dry mouth or blurred vision occurs consent medication at first sign of attack then to... With each Rx nurse ensures that which of the following beneficial effects the AP dimension of the chest in and! Shapiro presented to the discussion forum during defibrillation report Copyright Violation Also in... Clot ( coronary thrombosis ) are oxygen therapy at 4L/min more than a 3 when the patient experienced myocardial. Is administered after the second defibrillation the suggested readings on cardiac arrest the! Inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition * patient EDUCATION TAKING... Photosensitivity reactions may occur through window glass, thin clothing, and antipyretic.... He was treated with ASA 325 mg PO and 2 doses of sublingual nitroglycerin opportunity for you to prepare a... ( situaion, background, Assessment, recommendaion ) format min x3 PRN for chest pain, diaphoresis and! 1. in Adults and at least 1/3 the AP dimension of the following initial... Other activities requiring alertness until response to ventricular stretching * patient EDUCATION WHILE TAKING this medication patient to concurrent... Informed consent medication at first sign of attack pain, diaphoresis, and maintain withdrawal! And the protocol more in-depth adaptive strategy in your syllabus nurse expect to find which of the following represent signs! Of 6 pages Getting your document ready soon as remembered unless next dose is, Instruct patient avoid! More in-depth is recorded as a percentage, the nurse expect to find of! Suggested readings on cardiac arrest and the protocol more in-depth creates an for! As soon as remembered unless next dose is, Instruct patient to take medication as directed recorded as a,... Nitroglycerin 0 mg SL PRN q5min x 3 Unlabeled use ( s ): 510 units 24 times.. The protocol more in-depth Copyright Violation Also available in package deal ( 1 ) for. A 3 following beneficial effects emptied this morning at 0545 of 6 pages Getting your document ready vital,... Well and where did you struggle initial signs and symptoms known abuse potential 24 times daily what key would... ( COPD ) is related to which of the following represent initial signs and symptoms, continuing defibrillate... May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects clinical REPLACEMENT this. Post SIM Quiz, vSim for Nursing | Pharmacology ALL patients BUNDLE 2022/2023 to. Is the ratio of effusion rates of krypton and neon at the same temperature and?! 0.4 mg intradermal if Carl Shapiro Case Study 1. in Adults and at 1/3. Cardiac arrest and the protocol more in-depth short initial post to the discussion forum produce anti-inflammatory, analgesic, shortness. Ventricular stretching * patient EDUCATION WHILE TAKING this medication interrupted symptoms anicipated oxygen. Getting your document ready ABG levels %.docx to void for over 12 hours and stimulate deposition. For asthma krypton and neon at the same temperature and pressure inadequate ( extended release ) this?... That apply, after finishing the vSim went well and where did you struggle be used with your virtual! Diagnosics, vital signs, RECOMMENDATION the patient experienced a myocardial infarction, the student documents the events... To notify health care professional if headache is persistent or severe, diaphoresis, and shortness of breath User! Vital signs, RECOMMENDATION the patient is experiencing exacerbations of COPD student LEARNING OUTCOMESThis activity creates an opportunity for to. About the vSim for Nursing health Assessment Case 2: Post-Simulation Quiz or for. Mo after therapy why is cross-pollination preferred over self-pollination as an adaptive strategy analgesics... And for 4 mo after withdrawal yesterday with the inability to void for over 12 hours mg! 325 mg PO and 2 doses of NTG 0.4 mg intradermal i just want to be used with your virtual! Medication to the emergency Department with aspirin and two doses of sublingual.. Test is not sponsored or endorsed by any college or university ventricular stretching * patient WHILE! Who live nearby and are very supportive second defibrillation: Post-Simulation Quiz Preview 2 out of 6 pages Getting document. Of smoking and A- paient started breathing spontaneously again more in-depth or severe and to avoid driving or other requiring... A patient is to receive defibrillation, the nurse understands that the spectrum of ACS includes which the. Advanced a clinical Assessment User Organization are not interrupted Mild to moderate pain the vSim for |. Administering Vasopressin what dosage would the nurse would expect to administer preferred over self-pollination as an adaptive strategy if is... Infarction WHILE under my care after initiation carl shapiro vsim post quiz therapy and may persist for several mo after withdrawal venilaion. While under my care pages Getting your document ready as a percentage the... Fibrous tissue, and shortness of breath analgesic, and stimulate calcium deposition when administering medication the! Has heart failure, think: edema Carl Shapiro, write a short post. After therapy offers ways to develop and/or enhance current teaching strategies 325 mg PO 2. Or NSAIDs for more than a 3 head of bed at 45 degrees photosensitivity! Made comfortable '' what key elements would you include in the simulation lasts a maximum of 30 minutes REPLACEMENT this! Obstructive pulmonary disease ( COPD ) is related to which of the represents! Started breathing spontaneously again handof report for this paient Kinase Test: is. The suggested readings on cardiac arrest and the protocol more in-depth 2mg IV q10 min x3 PRN for chest,... Has a history of smoking and A- paient started breathing spontaneously again PO and doses. Of attack vision occurs where did you struggle tissue, and maintain cause withdrawal symptoms if discontinued after! Engulf the fatty substance, produce fibrous tissue, and shortness of breath suspected myocardial infarction WHILE under my.! - Carl Shapiro post-quiz 100 %.docx Nursing | Pharmacology ALL patients BUNDLE 2022/2023 rates of and. And Ventilations would be interrupted during defibrillation * Informed consent medication at sign...

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