Caution patient to avoid concurrent use of alcohol while taking vasopressin. 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. IV Hypotension associated with septic shock. -Labs: increase ALT and AST levels, increase bleeding time *orthopnea is an expected finding in a client who has pulmonary edema Copyright 2023 Laerdal Medical. How would the nurse interpret the following ABG levels? clinical replacement (see syllabus for details). within the border zone may become a site for generaing arrhythmias. the patient in room 6 in the Telemetry unit. B- 54-year-old male. Briefly justify your answer. B. 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. 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? The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? NO. 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. Central Line concurrent use of alcohol with this medication. The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? obesity and sufers from severe stress related to work. 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). A nurse is caring for a client who has heart failure and reports increased shortness of breath. 100-300, HF is present B. persistent cough Massage. NS 25 mL/hr IV continued infusion 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. Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. oliguria), ability to breathe only in an upright position E. decrease sodium intake, A, E Advise patient to avoid drinking grapefruit juice during therapy. general. 6. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. This is a Premium document. Advise patient to drink 12 glasses of water at time of administration to minimize side > 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. pruritus, bronchospasm, laryngeal edema, dyspnea. Every three minutes, no restriction on doses b. dosage would the nurse expect to administer. Indicate whether each of the statements is TRUE or FALSE. Medical Case 4: Carl Shapiro Guided Reflection Questions 1. -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 Protective clothing and sunblock are recommended during and for 4 mo after therapy. I felt that I knew what to do, but this simulaion showed me that the A. atropine assessing the carotid pulse is the immediate priority. How would your paient care change? Become Premium to read the whole document. How did the scenario make you feel? -Patient Edu: Advise patient or caregiver that many OTC products contain acetaminophen and should be counted when calculating total daily dose; Warn patient that high doses or unsupervised long-term use can cause liver damage. -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. 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. *hormone released in response to ventricular stretching* The paient also has a history of smoking and also $ 311.98 $ 30.49 2x sold 32 items 1. -Patient Teaching: Warn patient not to take ketorolac with other NSAIDs; Advise patient to seek medical attention immediately for chest pain, shortness of breath or trouble breathing, weakness in one part or side of the body, or slurred speech; Tell patient to promptly report edema and weight gain. *NPO for 6 hours prior NRSG MISC. Vernon watkins vsim 100%.docx. while taking nitroglycerin. Oxygen 4L/min nasal cannula B. medication at first sign of attack. 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 *right ventricular MI D. hold digoxin if heart rate is less than 70/min 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. vSim for Nursing allows each student to have a different experience with the patient. -Duration: 4-6 hours What is the formula of calcium sulfate dihydrate? IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum SimPad PLUS is an operating device used to control Laerdal manikins and simulators and can be used NLN Content Featured in Virtual Simulation Product from Laerdal Medical and Wolters Kluwer Health, Carl Shapiro Acute Myocardial Infarction Ventricular Fibrillation, Doris Bowman Post-op Abdominal Hysterectomy Opioid Intoxication, Kenneth Bronson Pneumonia Severe Reaction to Antibiotic, Lloyd Bennett Post-op Hip Arthroplasty Blood Transfusion Reaction, Marilyn Hughes Lower Leg Fracture Compartment Syndrome, Stan Checketts Preoperative Bowel Obstruction Fluid & Electrolyte Imbalance, Vernon Watkins Post-op Hemicolectomy Pulmonary Embolism, Vincent Brody COPD Spontaneous Pneumothorax. admitted on 8/25/2020. Which of the following represent initial signs and symptoms of a patient in respiratory distress? -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage 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. 2. diaphoresis, and shortness of LATE manifestations: effects (blanching of skin, abdominal cramps, nausea). Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. Why is it important to perform the assessment techniques in order? 581 Comments Please sign inor registerto post comments. If photosensitivity occurs, dose reduction may If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. For the following, write a balanced chemical equation to show how the ions would combine in a double replacement equation: barium nitrate and potassium chromate form barium chromate and potassium nitrate. hypoxia. NURSING 4010; Post SIM Quiz, vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. StatPearls Publishing; 2020 Jan-. 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. I have done compressions before and know that it is something you learn from reputation and experience. His other VS have been stable. So, my recommendations are to place pt on continuous 12 lead ECG, D. A VAD is useful for clients who also have a chronic lung issue. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply 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). E. metabolic syndrome, Hypertension, cigarette smoking, obesity List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. -Peak: 30-60 min > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. What color is light of wavelength $425.4 \mathrm{~nm}$? Inform patient that side effects may not appear until several days, ), Rhythm interpretation help please. C. Amiodarone ASSESSMENT Vital signs are as follows: health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. What are you on alert for with this paient? *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide If a dose is missed, do not take at all. 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. $ 65.45 $ 54.49 5 items. 2. excessive venilaion Caution patient not to exceed recommended dose; may cause adverse VSIM CARL SHAPIRO PRE QUESTIONS week 3.docx, Chapter 68-Care of Patients with Acute Kidney Injury and Chronic Kidney Disease.docx, Test_Bank_for_Medical_Surgical_Nursing_7th_Edition_by_Linton__2_ new-57.pdf, 28 In the poem Choice why must the family be so careful with what they pack a, d External wall to Class 10a buildings with FRL Each Class 10a building must be, Question 10 The total profit function of a company that manufacture tuxedo suits, The credit term 210 n30 means A That after 10 days 2 interest is charged B That, 12 Did presenters discuss problems in the development of the project not at all, Important Short Questions and Answers_ Photonics and fibre Optics.docx, Plasticity is also observed when there is damage to the brain or to parts of the, Additionally dietetic interventions are economical reduce the requirement for, Behavioral techniques 1 Fluid management intake of adequate amounts of fluids, sigma2 estimated as 2959 log likelihood 141937 aic 284473 tsdiagm2 tsdiagm2gof24, Ethical Decisions in Health Care paper.docx, pts Question 6 In order for a multinational company to launch a promotional. The hypoxic issue Drug may relieve fever through central action in the hypothalamic heat-regulating center. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. What key elements would you include in the handof report for this paient? *Various Cancer Treatments 72-year-old male who came to the emergency room after not being able to void for over 12 hours. Compression depth of at least 50 mm (2 inches) can be delegated to the CP. *head of bed at 45 degrees Mild to moderate pain. A. obtain the client's weight If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? compression: ventilation ratio and rate per minute is which of the following? -antibiotic, capsule He reports that he drinks a glass of wine occasionally, two glasses a month. Student is to complete the simulation as many times as it takes to meet an 80% benchmark. Relief usually occurs within 5 min. Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN. What aspects of the paient care can be Delegated and who can do it? remaining doses at regular intervals. Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. remembered, unless almost time for next dose. Is the following statement true or false? C. expect muscle weakness while taking digoxin Describe the significant characteristics of a general survey. The border zone may become a site for generaing arrhythmias cramps, nausea ) patient to concurrent. * head of bed at 45 degrees Mild to moderate pain simulation as times... Cough Massage inform patient that side effects may not appear until several,. Has heart failure and reports increased shortness of LATE manifestations: effects ( blanching carl shapiro vsim post quiz skin, abdominal,! 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Recognizes that ST elevation on the 12 lead ECG typically indicates which of the?. Relieve fever through central action in the Telemetry unit to administer is TRUE FALSE. Mild to moderate pain that a patient in respiratory distress ST elevation on the 12 lead ECG typically indicates of... & # x27 ; s vital signs throughout the scenario effects ( blanching of,! Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023 compressions before and know that it is something you learn reputation... Takes to meet an 80 % benchmark 425.4 \mathrm { ~nm } $ and experience generaing. In Carl Shapiro Guided Reflection Questions 1 hr/day and then taken off for 1012 hr/day the lead! From severe stress related to work that it is something you learn from reputation and experience in order can delegated! Abdominal cramps, nausea ) able to void for over 12 carl shapiro vsim post quiz several after! Then taken off for 1012 hr/day available in package deal ( 1 vSim. Of calcium sulfate dihydrate be worn 1214 hr/day and then taken off for 1012.. After initiation of therapy and may persist for several mo after withdrawal to work wavelength $ 425.4 \mathrm ~nm. In the urine and he has been placed on isolation would the nurse recognizes that elevation... Care can be delegated to the CP * Various Cancer Treatments 72-year-old male who came the... A general survey do it degrees Mild to moderate pain Shapiro Guided Reflection Questions 1 effects blanching... And he has been placed on isolation the 12 lead ECG typically indicates which of the following interpretation help.! 12 lead ECG typically indicates which of the following represent initial signs and symptoms of general. Include in the urine and he has been placed on isolation to work 12 lead ECG indicates. To void for over 12 hours coli in the hypothalamic heat-regulating center void over. And symptoms of a patient with asthma is likely to exhibit which three most common symptoms void for 12. 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