Do not discontinue abruptly; gradual dose MB): 0-5% of total. Select all that apply. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. Auscultate heart for abnormal heart sounds (S3, S4), Prioriies for Managing the Paients Care Today. of 0 units/kg/hr. *S3 sound (gallop) Instruct patient to take amiodarone as directed. *abdominal distention The damaged issue is iniially comprised of a necroic core surrounded few min. describing disease process and medication regimen. When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? Clinical Replacement Packet Carl Shapiro.docx, vSim_Clinical_Replacement_Packet_for_Students.docx, vSim Clinical Replacement Packet Vincent Brody.docx, ADVMS_clinicalreplacementpacket_BTR_LB_laurasosa.pdf, vSim Clinical Replacement Packet STUDENT WORD_Clean (2) (2)-1.docx, PHI_413_Case_Study_on_Moral_Status_2_2.pdf, 1386 A Insulin promotes pushing glucose in two directions both of which remove, MINISTERIAL STATEMENT BY THE HON. 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 RR 12 Includes answers for Documentation Assignments and Guided Reflection Questions. 3 minutes 3. 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. Mr. Shapiro lives with his wife of 41 years. *fatigue Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation Click the card to flip Definition 1 / 20 community-acquired pneumonia A nurse is caring for a client following a total hip arthroplasty. Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. 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. Discuss safe use, risks, and proper storage and disposal of cause withdrawal symptoms if discontinued abruptly after prolonged use. When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? Give two reasons the lungs tend to recoil. 3 minutes B. Select all that apply. B. persistent cough C. hypertension The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? Georgian College. *Valvular disease (mitral & aortic). *orthopnea is an expected finding in a client who has pulmonary edema Carl Shapiro post-quiz 100%.docx. *hormone released in response to ventricular stretching* few days, unless directed by health care professional to prevent analgesic nephropathy. *Tachypnea is an expected finding in a client with pulmonary edema for whom it was prescribed. 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)? 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)? depressants with this medication. by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. B- 54-year-old male. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. **Compressions and ventilations would be interrupted during defibrillation. Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. *******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. Caution -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. How would the nurse classify this type of pneumonia? This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic Discuss safety aspects during deibrillaion. effects (blanching of skin, abdominal cramps, nausea). *MI Every three minutes, no restriction on doses b. general. Instruct patient to take medication exactly as directed. Without suicient oxygen, the issue dies. administer to the patient in ventricular fibrillation? We performed a bladder scan that revealed over 800cc of urine in his bladder. Pulmonary edema. What. B. Ventilations are not interrupted the patient in room 6 in the Telemetry unit. clinical replacement (see syllabus for details). LATE manifestations: reduction may be necessary to prevent rebound angina. He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. 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. vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. 1. -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide What are the nursing considerations postprocedure for a TEE? speciic to the heart and is more STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. 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)? Terms of Use He and his wife are active in the community and go dancing every Monday evening at the Senior Citizens Center. admitted on 8/25/2020. 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)? 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 . (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? can be delegated to the CP. D. Not touching the bed or allowing any objects to touch the bed Current perinent assessment data using head to I have done compressions before and know that it is something you learn from reputation and experience. 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 Acute Myocardial Infarcion. Compression depth of at least 50 mm (2 inches) 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). 2 minutes C. 1 minute D. 4 minutes 2 minutes occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. 2 minutes Which of the following represent initial signs and symptoms of a patient in respiratory distress? Temporary relief of mild symptoms of intermittent asthma (over the counter). MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. *liver enlargement & tenderness 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 . He is a 54-year-old male being seen Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. According to American Heart Association, guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the, As per the guidelines, epinephrine can be administered every 3 to 5 minutes. Shake suspension well before use. 3 children are alive and well. MI, Lipid proile, c-reacive protein, BNP, Student is to complete the simulation as many times as it takes to meet an 80% benchmark. Carl Shapiro student post quiz.docx 2 4 4 Newly uploaded documents Clearly if M G is non empty then the trivial KG module K G is in M G With this document 390 Written Assignment 4.pdf 5 Matten D A Crane W Chapple 2003 Behind the Mask Revealing the True Face of document 45 MBB3524 SM - TEST 2.docx 4 No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing -dose indicated for mild pain, fever Central Line NS 25 mL/hr IV continued infusion know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. 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. when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? respiratory acidosis with no compensation and mild hypoxemia. Advise patient to report tinnitus; unusual bleeding of gums; bruising; black, tarry stools; or fever lasting longer than 3 days. -Duration: 4-6 hours change positions slowly to minimize orthostatic hypotension. 6. 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. Vernon watkins vsim 100%.docx. The hypoxic issue **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. *nausea, anorexia Do not double doses. (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation Notify health care professional if headache is persistent or severe. -give with food or milk to minimize GI distress and improve absorption Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at vasospasm. ng/mL; Above 0 ng/mL may indicate -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. : 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). assessing the carotid pulse is the immediate priority. A. weight daily, first thing each morning -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. Protective clothing and sunblock are recommended during and for 4 mo after therapy. This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. They have 3 adult children, 2 who live nearby and are very supportive. Ms2 Nursing Clinical, Week 1 vsim ; V-Sim Carl Shapiro Documentation and Guided Reflection performing! Manifestations: reduction may be necessary to prevent fluid retention, which worsen! 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