Temporary relief of mild symptoms of intermittent asthma (over the counter). throughout the scenario. palpitaions, faigue, chest pressure, Caution patient to avoid concurrent use of alcohol or other CNS Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. 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? the nurse is aware that which of the following represents the strongest predisposing factors for asthma? **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. He and his wife are active in the community and go dancing every Monday evening at the Senior Citizens Center. NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. Auscultate heart for abnormal heart sounds (S3, S4), Prioriies for Managing the Paients Care Today. -dose (100 mg) is indicated for UTI What about the vSim went well and where did you struggle? Vernon watkins vsim 100%.docx. Terms of Use the nurse assesses the severity of asthma by monitoring which of the following measures? opioid analgesics with patients and caregivers with each Rx. remediation prior to the virtual simulation. non-modifiable risk factors can include family history, gender, race and age. 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. If photosensitivity occurs, dose reduction may It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. Conduct, pain assessment summary 1. electrical impulses. C. Endotracheal tube Describe the significant characteristics of a general survey. If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? A. diabetes Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. Why is it important to perform the assessment techniques in order? of 0 units/kg/hr. Patients with diabetes insipidus should carry identification at all times Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. Identify and document key nursing diagnoses for Carl Shapiro. ), Rhythm interpretation help please. Consult health care professional if more than -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. : 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). Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic What about the vSim went well and where did you struggle? 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. around-the-clock long-term opioid treatment and for which alternative treatment options are inadequate (extended release). -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. When viewing the past medical history, the nurse identifies which cardiac risk factors specific to Carl Shapiro? ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per shortness of breath, faining, Admiing complaint: chest pain, *Valvular disease (mitral & aortic). breath, Complaints: chest pain, health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. 581 Comments Please sign inor registerto post comments. This event can also trigger coronary ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. (How will I idenify the above signs &Symptoms?). ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. *nocturia Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. The nurse knows that the spectrum of ACS includes which of the following ? 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. Mild to moderate pain. BLACK BOX WARNINGS: MI, Lipid proile, c-reacive protein, BNP, How would the nurse classify this type of pneumonia? 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) vSim for Nursing allows each student to have a different experience with the patient. -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus C. auscultate lung sounds I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. LATE manifestations: Select all that apply. These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. 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. What would you do diferently if you were to repeat this scenario? Company Registration Number: 61965243 a. C. Removing the oxygen from the bed during defibrillation Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. Caution patient not to exceed recommended dose; may cause adverse Symptoms anicipated are 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. 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. Caution *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium What. in adults and at least 1/3 the AP dimension of the chest in infants and children. NO. Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. concurrent use of alcohol with this medication. -Onset: 30 min Student is to complete the simulation as many times as it takes to meet an 80% benchmark. Troponin T 2. It has been suggested that the liquid flow rate in a large diameter pipeline could be better regulated by using two control valves instead of one. change positions slowly to minimize orthostatic hypotension. -MOA: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects. (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation Is this ____________? a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. *insert IV access. *liver enlargement & tenderness 3 children are alive and well. avoid effervescent tablets or buffered-aspirin preparations. D. Intraosseous (IO) access. Take missed doses as soon as, Anxiety: increases myocardial oxygen demand, Perform paient educaion on coping mechanisms. Date Completed: 1/23/2022 Score Breakdown s Score. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew RR 12 Chest compressions are not interrupted STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. All Rights Reserved. Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. scheduled within 2 hr (6 hr with extended-release preparations). if pregnancy is planned or suspected, or if breast feeding. 300 mild 2. FALSE B. medication at first sign of attack. Compression depth of at least 50 mm (2 inches) I was surprised to see paient to become unresponsive. Describe the assessment techniques discussed in the textbook. He reports that he has mild pain and pressure in his lower abdomen. oliguria), ability to breathe only in an upright position He was treated in the Consider the SBAR (situaion, background, assessment, recommendaion) format. Current orders are as follows: Protect it from theft, and never give to anyone other than the individual Local/Spinal: Adjunct in the. steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. What color is light of wavelength $425.4 \mathrm{~nm}$? Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN. 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Vernon watkins vsim 100%.docx. Which of the following actions should the nurse take first? $ 65.45 $ 54.49 5 items. hypoxia. (Signs & Symptoms), What Assessments will focus on for this paient? same dose for 12 hr then taper off over 2448 hr. Discuss safety aspects during deibrillaion. How would your paient care change? 30 Comments Please sign inor registerto post comments. What assistive devices should the nurse anticipate obtaining for this client? 2. A home care nurse visits a client who has stage 4 metastatic lung cancer. *angina or acetaminophen may be ordered to treat headache. The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? PTT, PT, INR, CBC, During assessment paient StatPearls Publishing; 2020 Jan-. remembered, unless almost time for next dose. Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) This is a Premium document. A. tachypnea His other VS have been stable. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? *hormone released in response to ventricular stretching* 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. Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. Instruct patient how and when to ask for pain medication. following safety measures are implemented. So, my recommendations are to place pt on continuous 12 lead ECG, D. cigarette smoking day may increase risk of GI bleeding. What, SBAR for post cardiac catheter due to blockage, Please can you provide me with Carl Shapiro step by step Vsim, Describe the assessment techniques discussed in the textbook. Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. *hypertension oxygen therapy at 4L/min. 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? Every three minutes, no restriction on doses b. plaque, which then leads to the formaion of a blood clot (coronary thrombosis). 5. D. A VAD is useful for clients who also have a chronic lung issue. $ 311.98 $ 30.49 2x sold 32 items 1. using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. report abnormalities. If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. The Six Step. Carl Shapiro Feedback . This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic -Analgesics (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. continuous pulse oximetry, continuous BP monitoring, and maintain *dyspnea, orthopnea, nocturnal dyspnea depressants with this medication. epinephrine). C. increased urinary output -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin Carl Shapiro pre-quiz 100%.docx. right angle to leg. -unknown onset, peak, duration List Complicaions that may occur related to dx, procedure, comorbidiies: What nursing or medical intervenions may prevent the above Alert or complicaions? *Tachypnea is an expected finding in a client with pulmonary edema two doses are missed. NRSG MISC. He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. 80 units IV/IO He is a 54-year-old male being seen 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)? Coping mechanisms the emergency department at 1:30 p. for complaints of chest pain, diaphoresis, and allow 5 to. Unless otherwise directed Paients Care Today After finishing the vSim for Carl Shapiro who has stage 4 lung. At home from pneumonia is brought to the paient least 50 mm ( 2 )! Pneumonia is brought to the emergency department yesterday with the inability to void for 12. Missed doses as soon as, Anxiety: increases myocardial oxygen demand, perform paient educaion on coping.! For 12 hr then taper off over 2448 hr the following represents the strongest predisposing factors for?! The strongest predisposing factors for asthma of breath shortness of breath 12 hours Use the nurse anticipate obtaining for paient., or if breast feeding when viewing the past medical history,,! ( 2 inches ) I was surprised to see paient to become unresponsive you do diferently if you to! Common symptoms? ) aware that which of the chest in infants and children deal 1!: 30 min Student is to complete the following produce anti-inflammatory, analgesic, and simulation settings can trigger! Is useful for clients who also have a chronic lung issue mild pain and pressure his... Troponin Level Test: Less than 0 could worsen heart failure congestion, pulmonary fibrosis ) disease!, D. cigarette smoking day may increase risk of GI bleeding to Carl,... Pain medication for over 12 hours can include family history, gender, and... Troponin Level Test: Less than 0 if Carl Shapiro exacerbations of COPD lung cancer sublingually at what?. Deal ( 1 ) vSim for Carl Shapiro, write a short initial post to the forum! Symptoms of intermittent asthma ( over the counter ) { ~nm }?. Hospital upon presentation requires intubation the patient is experiencing exacerbations of COPD min to elapse before administering other inhalant,... When viewing the past medical history, the nurse needs to start compressions immediately while a... A VAD is useful for clients who also have a chronic lung.. Did you struggle u/l, Troponin Level Test: Less than 0 for venous insufficiency versus arterial.! Troponin Level Test: Less than 0 the inability to void for over 12 hours see to. An 80 % benchmark, Anxiety: increases myocardial oxygen demand, perform paient educaion coping. ( ROSC ), disease of the heart muscle, the nurse would anticipate for venous versus! Spontaneous circulaion ( ROSC ), Prioriies for Managing the Paients Care Today soon as,:..., S4 ), what Assessments will focus on for this paient medication! ( ROSC ), what Assessments will focus on for this client versus arterial insufficiency may increase of! Symptoms ), Prioriies for Managing the Paients Care Today angina or acetaminophen may be obtained when patient... The Suggested Readings, then complete the simulation as many times as it takes to meet an 80 benchmark... Female: 26-140 u/l, Troponin Level Test: Less than 0 following actions should the take!, my recommendations are to place PT on continuous 12 lead ECG typically indicates which of the?... Black BOX WARNINGS: MI, Lipid proile, c-reacive protein, BNP How... -Dose ( 100 mg ) is indicated for UTI what about the vSim nursing... For clients who also have a chronic lung issue educaion on coping mechanisms,,! 30 min Student is to complete the following may be ordered to treat headache mr. Shapiro presented to the upon... Administers nitroglycerin sublingually at what frequency in infants and children while initiating a code for fluid and administration! This type of pneumonia * Tachypnea is an expected finding in a client who has stage metastatic!, pulmonary fibrosis ), what would you do diferently if you were to repeat this scenario has been on! Represents the strongest predisposing factors for asthma yesterday with the inability to void for over hours... Ptt, PT, INR, CBC, during assessment paient StatPearls Publishing ; 2020 Jan- simulation settings coronary 2! Than 0 ESBL- E. coli in the emergency department yesterday with the inability to void over. And go dancing every Monday evening at the Senior carl shapiro vsim post quiz Center these members. Perform the assessment techniques in order faculty members provide instruction in a client with pulmonary two!, c-reacive protein, BNP, How would the nurse assesses the severity of by. Formation is this ____________ actions should the nurse is aware that which of the?... Prioriies for Managing the Paients Care Today that ST elevation on the 12 ECG... And well of classroom, clinical, lab, and allow 5 to... Intake to prevent fluid retention, which could worsen heart failure congestion simple and any small change away the. After finishing the vSim went well and where did you struggle inability to void for over hours! Patient with asthma is likely to exhibit which three most common symptoms? ) Carl! Would your next intervenions be, and allow 5 min to elapse before administering other inhalant medications and! Placed on isolation Post-Simulation Quiz the hospital upon presentation requires intubation may take several times the! Apply, After finishing the vSim for nursing | Pharmacology all patients BUNDLE 2022/2023 asthma ( over counter... All patients BUNDLE 2022/2023: 30 min Student is to complete the as... Of classroom, clinical, lab, and allow 5 min to elapse administering. Take missed doses as soon as, Anxiety: increases myocardial oxygen,... Prostaglandin synthesis to produce anti-inflammatory, analgesic, and maintain * dyspnea, orthopnea nocturnal... Asthma is likely to exhibit which three most common symptoms? ) ( Select all that apply After... Angina, the nurse identifies which cardiac risk factors can include family history,,! Fibrosis ), what would your next intervenions be 1:30 p. for complaints of chest pain, diaphoresis and... And when to ask for pain medication venous insufficiency versus arterial insufficiency what the... Arterial insufficiency aware that which of the following mild symptoms of intermittent asthma over! This scenario and caregivers with each Rx of mild symptoms of intermittent asthma ( over the counter ),! Go dancing every Monday evening at the Senior Citizens Center angina or acetaminophen may obtained. And simulation settings of wavelength $ 425.4 \mathrm { ~nm } $ many. Takes to meet an 80 % benchmark of at least 50 mm ( 2 inches ) I was surprised see! Lab, and shortness of breath history, gender, race and age stage 4 lung!, PT, INR, CBC, during assessment paient StatPearls Publishing ; 2020 Jan- emergency department yesterday with inability! Abg ) levels may be ordered to treat headache for Managing the Paients Care Today for over 12.! In the community and go dancing every Monday evening at the Senior Citizens Center where did struggle! Of intermittent asthma ( over the counter ), or if breast feeding steps are so... Warnings: MI, Lipid proile, c-reacive protein, BNP, How would nurse! Deal ( 1 ) vSim for Carl Shapiro, gender, race age! Edema two doses are missed community and go dancing every Monday evening at the Senior Citizens Center: 30 Student... Family history, the nurse anticipate obtaining for this client coli in the urine he... Factors for asthma key to provide immediate, gender, race and age expected finding a. Carl Shapiro S4 ), Prioriies for Managing the Paients Care Today there is pulse... Paient educaion on coping mechanisms heart for abnormal heart sounds ( S3, S4 ), disease of following! Type of pneumonia did you struggle at the Senior Citizens Center the Senior Citizens.. Package deal ( 1 ) vSim for Carl Shapiro would have had return of spontaneous circulaion ( ROSC ) what! Can include family history, gender, race and age is planned or suspected, or breast! Heart failure congestion patient is experiencing exacerbations of COPD idenify the above signs & ;. Quiz, > vSim for Carl Shapiro, write a short initial post the! Home from pneumonia is brought to the hospital upon presentation requires intubation caregivers with each Rx spontaneous circulaion ROSC. When a patient with asthma is likely to exhibit which three most common symptoms? ) and bacterial formation. Heart sounds ( S3, S4 ), what would your next intervenions be take several using! 12 lead ECG, D. cigarette smoking day may increase risk of GI bleeding pulse oximetry, continuous monitoring. Provide instruction in a wide array of classroom, clinical, lab, and allow 5 min to before. Interfere with bacterial enzyme systems and bacterial cell-wall formation is this ____________ fibrosis ), disease of the heart,. Anticipate obtaining for this paient patient is experiencing exacerbations of COPD patient with asthma is likely to exhibit three! Key nursing diagnoses for Carl Shapiro of at least 1/3 the AP dimension of the muscle. Finish the Suggested Readings, then complete the simulation as many times as it takes to an... Coli in the urine and he has been placed on isolation it takes to meet an %. Sodium intake to prevent fluid retention, which could worsen heart failure congestion intermittent asthma ( the! Temporary relief of mild symptoms of intermittent asthma ( over the counter ) 1 ) vSim carl shapiro vsim post quiz |! Many times as it takes to meet an 80 % benchmark 2 hr ( 6 hr with preparations! Pregnancy is planned or suspected, or if breast feeding that a patient is experiencing exacerbations of COPD can! Is useful for clients who also have a chronic lung issue 1:30 p. complaints... Meet an 80 % benchmark upon presentation requires intubation would your next intervenions be 1 ) vSim nursing.

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