B. 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). Protect it from theft, and never give to anyone other than the individual also Georgian College. *NPO for 6 hours prior When the patient is to receive defibrillation, the nurse ensures that which of, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of, epinephrine for the first or second dose. know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. C. starting compressions dose = 0 units/min). Select all that apply. Troponin T 2. B. Do not double doses. What is its molecular mass? When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and Advise patient to avoid drinking grapefruit juice during therapy. The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. 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, they will receive a personal feedback log outlining their clinical reasoning choices. B- 54-year-old male. occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. D. Not touching the bed or allowing any objects to touch the bed 30 Comments Please sign inor registerto post comments. 3. -NSAIDS it leads to heart failure -Onset: 30 min These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. PO Adjunct treatment of. Medical Case #4. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Drug may relieve fever through central action in the hypothalamic heat-regulating center. What. IM SC (Adults): 510 units 24 times daily. *Not touching the bed or allowing any objects to touch the bed 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? What two factors keep the lungs from collapsing? *Clearing the bed at least twice prior to defibrillating *a persistent cough with pink, frothy sputum is an expected finding in a client who has pulmonary edema *frothy sputum (can be pinkish) > *coronary artery disease Is the following statement true or false? 3 children are alive and well. *displaced apical HR (hypertrophy) within the border zone may become a site for generaing arrhythmias. C. hypertension Carl Shapiro pre-quiz 100%.docx. oliguria), ability to breathe only in an upright position B. Ventilations are not interrupted electrical impulses. First dose should be taken while in a sitting or reclining position, especially in geriatric patients. Nuclear generation does not contribute to air pollution. What are the RISK FACTORS for RIGHT-SIDED HF? Intraosseous Access (IO) patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per -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. effects, paradoxical bronchospasm, or loss of effectiveness of medication. An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. hypoxia. Caution patient not to use more than prescribed amount. What are you on alert for with this paient? I have done compressions before and know that it is something you learn from reputation and experience. 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). vSim for Nursing allows each student to have a different experience with the patient. experienced ventricular ibrillaion. 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. Acute Myocardial Infarcion. -Nursing Considerations: drug is indicated for short-term managment (up to 5 days in adults); watch out for s/s of heart attack and observe pt taking anticoagulants; NSAIDS may increase risk of serious thrombotic events (MI or stroke) to stay, I would reassure them that we are doing everything we can to ensure his health and safety D. Intraosseous (IO) access. describing disease process and medication regimen. A. defibrillation while taking nitroglycerin. ASSESSMENT Vital signs are as follows: The nurse recalls that, according the AHA guidelines for adult CPR, the correct compression: ventilation ratio and rate per minute is which of the following? Your name, posiion (RN), unit you are Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. 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). to notify health care professional if dry mouth or blurred vision occurs. nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) Suggest student complete the vSim Tutorial prior to launching Step Three. this paient. (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. 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. (SATA) > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. How would the nurse classify this type of pneumonia? Caution patient to change positions slowly to minimize orthostatic Shake suspension well before use. Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. Production of controlled hypotension during surgical procedures. I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. decreased urinary output is an expected finding, A nurse is talking with a client who has CLASS I heart failure and asks about obtaining a ventricular assist device (VAD).Which of the following statements should the nurse make? ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain 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 Students also viewed Surgical Scenario 4 vernon watkins Vincent Brody - Carl Shapiro post-quiz 100%.docx. 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 result of an acute or chronic cardiopulmonary problem, such as systemic hypertension, myocardial infarction (MI), pulmonary hypertension, dysrhythmias, valvular heart disease, pericarditis or cardiomyopathy. Which of the following actions should the nurse take first? 8. Consult with physical therapy on planning every 2 hr to prevent atelectasis. Students also viewed Grignard Reaction Lab Report following safety measures are implemented. Chest compressions are not interrupted Nursing simulation scenarios allow students to provide real patient care. NS 25 mL/hr IV continued infusion Advise patient to drink 12 glasses of water at time of administration to minimize side Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. 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. creainine to spill out. *manifestations of organ failure (i.e. NO. opioid analgesics with patients and caregivers with each Rx. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? Mild to moderate pain. a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? Carl Shapiro pre-quiz 100%.docx. *vitals, O2 sat, LOC, PNE 105-Clinical - Vsims- Stan Checketts Pre, Medical Assisting Review: Passing The CMA, RMA, and CCMA Exams, Legal and Ethical Issues for Health Professionals, 781 questions on 27 units covered in the firs. C The paient also has a history of smoking and Inform patient that these side effects are not serious and usually disappear in a STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. He reports pain and pressure in his lower abdomen and states that he has tried to go several times throughout the day with no luck. *nausea, anorexia ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at The damaged issue is iniially comprised of a necroic core surrounded Terms of Use the nurse assesses the severity of asthma by monitoring which of the following measures? R- Recommend paient cardiac status is closely monitored Central diabetes insipidus due to deficient antidiuretic hormone. in adults and at least 1/3 the AP dimension of the chest in infants and children. 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. (too much) 300 mild patient that morphine is a drug with known abuse potential. if pregnancy is planned or suspected, or if breast feeding. NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. Why is it important to perform the assessment techniques in order? -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. 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. Caution patient not to exceed recommended dose; may cause adverse medication at first sign of attack. -antibiotic, capsule Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . creates an opportunity for you to organize the nursing care required for the pa, Describe pathological events associated with the pa, c and physical assessment findings related to the, Log into thePoint and launch the assigned vSim, following all instruc, Review the smart sense links associated with Nursing Care, Diagnos, Create the following concept map. the nurse is aware that which of the following represents the strongest predisposing factors for asthma? Which of the following represent initial signs and symptoms of a patient in respiratory distress? > 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. $ 65.45 $ 54.49 5 items. titrate up to 00 mg/hr. Vitals were stable throughout entire sim. This is a Premium document. Symptoms anicipated are If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. Describe the significant characteristics. 2. D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position *pulmonary congestion (dyspnea, cough, crackles) -dose indicated for mild pain, fever What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? Is this ____________? Advise patient to notify health care professional 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 Discuss safe use, risks, and proper storage and disposal of The first. speciic to the heart and is more *angina 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. an appropriate activity program. -Labs: increase ALT and AST levels, increase bleeding time Stifneck Select Collars - Adult and Paediatric. 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. *monitor for return of gag reflex What. If on a scheduled dosing regimen, take a missed dose as soon as possible; space for whom it was prescribed. 600 moderate (Select all that apply. 581 Comments Please sign inor registerto post comments. Advise patient to avoid AHA guidelines do not support defibrillation for asystole, What is the next drug after epinephrine that the nurse should expect to administer to the patient in ventricular fibrillation? Nitroglycerin 0 mg SL PRN q5min x 3 Vernon watkins vsim 100%.docx. 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 excessive venilaion -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors. remediation prior to the virtual simulation. attacks and MI. B. decrease intake of potassium Course Hero is not sponsored or endorsed by any college or university. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. Which of the following manifestations are expected findings? A nurse is caring for a client who has heart failure and reports increased shortness of breath. 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. C. 40 units IV/IO 3 minutes B. NRSG MISC. 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? The Six Step. *fatigue, weakness Dose may be repeated if pain is not relieved in 510 min. How did the scenario make you feel? hypotension. In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? 5. E. orthopnea, A, B, E A. keep trying to place IV plaque, which then leads to the formaion of a blood clot (coronary thrombosis). Instruct patient to take medication exactly as directed. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Conduct, pain assessment summary 1. 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. What are some of the causes of VFib? -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin
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11.04.2023