-Onset: <1 hr 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? Advise patient to In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? Inhaln Review correct administration technique Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. *Various Cancer Treatments When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Vasodilatory shock. Why is it important to perform the assessment techniques in order? Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . *frothy sputum (can be pinkish) B. assist the client into a high-Fowlers position 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) We performed a bladder scan that revealed over 800cc of urine in his bladder. right angle to leg. What are some of the causes of VFib? Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. MI, Lipid proile, c-reacive protein, BNP, the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. The nurse knows that the spectrum of ACS includes which of the following ? dosage would the nurse expect to administer. How would the nurse classify this type of pneumonia? Course Hero is not sponsored or endorsed by any college or university. Medical Case #4. Available from: -obtain C&S test before giving. ng/mL; Above 0 ng/mL may indicate Do not double doses. Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. How did the scenario make you feel? Stifneck Select Collars - Adult and Paediatric. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage same dose for 12 hr then taper off over 2448 hr. -Onset: 30 min BLACK BOX WARNINGS: If a vessel becomes completely occluded, the myocardium normally supplied by that vessel will become ischemic tective barrier, accumulates, and forms a fatty streak. Your name, posiion (RN), unit you are If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Case - Medical case 4 : carl shapiro guided reflection questions. Current perinent assessment data using head to epinephrine). B. Epinephrine D. A VAD is useful for clients who also have a chronic lung issue. creainine to spill out. What are the RISK FACTORS for LEFT-SIDED HF? Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. RR 12 Carl Shapiro Feedback . Chest pain improved with nitroglycerin administraion. every 2 hr to prevent atelectasis. dose of epinephrine is administered after the second defibrillation. A. diabetes When the patient is to receive defibrillation, the nurse ensures that which of the. 2. Select all that apply. ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain Give two reasons the lungs tend to recoil. vasospasm. Instruct patient how and when to ask for pain medication. Carl Shapiro pre-quiz 100%.docx. Copyright 2023 Laerdal Medical. reduction may be necessary to prevent rebound angina. opioid analgesics with patients and caregivers with each Rx. 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 The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. In a patient experiencing asthma exacerbation, which of the following changes occur? (Select all that apply. Preview 1 out of 4 pages Getting your document ready. D. hold digoxin if heart rate is less than 70/min A. VAD are only implanted during heart transplantation D. thick yellow sputum Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Overuse of muscles causes Briefly justify your answer. Is the following statement true or false? > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs experienced ventricular ibrillaion. nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) CK MB 20 Medical Case 4: Carl Shapiro Guided Reflection Questions 1. 4. IV Adjunct treatment of acute MI. How would the nurse classify this type of pneumonia? Inform patient that headache is a common side effect that should decrease with continuing therapy. E. orthopnea, A, B, E vSim for Nursing allows each student to have a different experience with the patient. *manifestations of organ failure (i.e. Emergency Department with aspirin and two doses of sublingual nitroglycerin. These can be inserted without interrupting CPR. Consider the SBAR (situaion, background, assessment, recommendaion) format. assessing the carotid pulse is the immediate priority. $ 311.98 $ 30.49 2x sold 32 items 1. Massage. Nuclear generation does not contribute to air pollution. 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. *******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. Instruct patients on a sodium-restricted diet to How would the nurse interpret the following ABG levels? Protect it from theft, and never give to anyone other than the individual 3. -Duration: 4-6 hr (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Conduct, pain assessment summary 1. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Store out of sight and reach of children, and in a location not accessible by others. 1 mg IV only STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. in adults and at least 1/3 the AP dimension of the chest in infants and children. *left-side HF obesity and sufers from severe stress related to work. the nurse is auscultating lung sounds. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation A. keep trying to place IV a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. concurrent use of alcohol with this medication. Inform patient that side effects may not appear until several days, describing disease process and medication regimen. remembered, unless almost time for next dose. Left Sided Heart Failure, think: lung congestion Inform patient that these side effects are not serious and usually disappear in a His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. admitted on 8/25/2020. 2 minutes patient that morphine is a drug with known abuse potential. Advise patient to notify health care professional 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. 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-. Inhaln: upper airway obstruction and croup (racemic. Each clinical experience in the simulation lasts a maximum of 30 minutes. 2. Quiz is recorded as complete. know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. Compression depth of at least 50 mm (2 inches) Why is it important to perform the assessment techniques in order? The nurse answers a client's call bell to find the client's abdominal wound bleeding and after a brief assessment discovers the wound has eviscerated. *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium working on, SITUATION Patients name is Carl Shapiro. the nurse is aware that which of the following represents the strongest predisposing factors for asthma? Chest compressions are not interrupted When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? *monitor for return of gag reflex > Contraindicated in patients with suspected or confirmed cerebrovascular bleeding, hemorrhagic diathesis, or incomplete hemostasis, and in those at high risk for bleeding because drug inhibits platelet function. The quiz grade is recorded as a percentage, The student documents the clinical events that occurred during the simulation. 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. Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). Date Completed: 1/23/2022 Score Breakdown s Score. What key elements would you include in the handof report for this paient? *JVD I have done compressions before and know that it is something you learn from reputation and experience. If you think the statement is false, rewrite it to make it true. Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. Terms of Use A- Paient started breathing spontaneously again. *edema (legs, ankles, sacrum B. Georgian College NRSG MISC. B. Ventilations are not interrupted 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. titrate up to 00 mg/hr. Patients with diabetes insipidus should carry identification at all times (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. *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF B. Unlabeled Use(s): Gastrointestinal hemorrhage. Course Hero is not sponsored or endorsed by any college or university. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Instruct patient to take medication exactly as directed. 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What color is light of wavelength $425.4 \mathrm{~nm}$? I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. Aspirin complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding 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 When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? R- Recommend paient cardiac status is closely monitored An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. 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 . 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. 1. *abdominal distention A central line takes more time to place. admission, current orders for paient. *displaced apical HR (hypertrophy) two doses are missed. E. Clearing the bed at least twice prior to defibrillating. Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. Document Carl Shapiro's cardiac rhythms that occurred in the scenario. > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. NO. Suggested. RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. -antibiotic, capsule Caution patient to change positions slowly to minimize orthostatic What are some of the causes of VFib? What are the nursing considerations postprocedure for a TEE? Symptoms anicipated are -NSAIDS Vernon watkins vsim 100%.docx. Alternatively, IO access may be established if peripheral access is not readily available. Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. HR 82 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 . B. decrease intake of potassium Georgian College. 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? What is its molecular mass? The paient also has a history of smoking and The Six Step. The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. C. starting compressions Carl Shapiro Virtual Simulation Virtual simulation through the Point online resource University National University (US) Course Medical-Surgical Nursing II (NSG 320) Uploaded by Chad Cronin Academic year2021/2022 Helpful? A. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? B. inserting an airway -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? Georgian College. He was diagnosed with acute myocardial infarction. Nitroglycerin 0 mg SL PRN q5min x 3 to notify health care professional if dry mouth or blurred vision occurs. Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? **shortness of breath while lying down**, Signs & Symptoms of IM SC (Adults): 510 units 24 times daily. Pain severe enough to require daily, Acute (translingual, SL, ointment) and long-term prophylactic (oral, transdermal) management of angina pectoris. -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin How would your paient care change? few min. C. Removing the oxygen from the bed during defibrillation *insert IV access. C. expect muscle weakness while taking digoxin I am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with complaints of chest pain, SOB, and diaphoretic. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. 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