(SATA) Date Completed: 1/23/2022 Score Breakdown s Score. C. 40 units IV/IO diaphoresis, and shortness of StatPearls Publishing; 2020 Jan-. 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? 3. -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. Course Hero is not sponsored or endorsed by any college or university. LATE manifestations: Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. Is the following statement true or false? *polyuria at rest (fluids are reabsorbed into circulation when lying down) If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Production of controlled hypotension during surgical procedures. 6. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. A. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. 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. B. assist the client into a high-Fowlers position -Do you urinate more than usual (frequency/pattern, urgency, nocturia)? IM SC (Adults): 510 units 24 times daily. weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. 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 The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. First dose should be taken while in a sitting or reclining position, especially in geriatric patients. 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. T 99 for acute chest pain, diaphoresis, and shortness of breath. B. Ventilations are not interrupted ASSESSMENT Vital signs are as follows: B. persistent cough Stifneck Select Collars - Adult and Paediatric. No excessive venilaion.-High-quality CPR includes compressing hard and fast, allowing 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. 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)? Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. Course Hero is not sponsored or endorsed by any college or university. An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. -NSAIDS Discuss safe use, risks, and proper storage and disposal of When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? Students also viewed Grignard Reaction Lab Report Creatinine 0. dose of epinephrine is administered after the second defibrillation. 2. medication at first sign of attack. -Duration: 4-6 hours 1. Describe the significant characteristics of a general survey. Call RR 12 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? A. -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus Georgian College NRSG MISC. > Drug can cause acute liver failure, which may require a liver transplant or cause death. BLACK BOX WARNINGS: Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. assessing the carotid pulse is the immediate priority. 2. I was scared at irst because I didnt Consider the SBAR (situaion, background, assessment, recommendaion) format. C -Onset: <1 hr *nocturia E. Clearing the bed at least twice prior to defibrillating. $ 311.98 $ 30.49 2x sold 32 items 1. Inhaln: upper airway obstruction and croup (racemic. IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum the patient in room 6 in the Telemetry unit. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? A. weight daily, first thing each morning a. What two factors keep the lungs from collapsing? Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. NS 25 mL/hr IV continued infusion What could have been the causes of Carl Shapiros ventricular ibrillaion? Identify and document key nursing diagnoses for Carl Shapiro. -dose (100 mg) is indicated for UTI All Rights Reserved. *altered mental status List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. NO. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. -MOA: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects. Nitroglycerin 0 mg SL PRN q5min x 3 B. Epinephrine for return of spontaneous circulation BLACK BOX WARNINGS: Advise patient to report tinnitus; unusual bleeding of gums; bruising; black, tarry stools; or fever lasting longer than 3 days. *insert IV access. 2 min the carotid pulse should be assessed every 2 min. 3 children are alive and well. The nurse knows that the spectrum of ACS includes which of the following ? HF. Protect it from theft, and never give to anyone other than the individual C. hypertension Student is to complete the simulation as many times as it takes to meet an 80% benchmark. admitted on 8/25/2020. Inform patient that these side effects are not serious and usually disappear in a 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 . the nurse is auscultating lung sounds. Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at depressants with this medication. (How will I idenify the above signs &Symptoms?). excessive venilaion *head of bed at 45 degrees The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? . Father deceased at 61 from MI, mother deceased at 75 from pneumonia. 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Vernon watkins vsim 100%.docx. *NPO for 6 hours prior *abdominal distention Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply D. thick yellow sputum *Informed consent The damaged issue is iniially comprised of a necroic core surrounded Suggested. Course Hero is not sponsored or endorsed by any college or university. HR 82 Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. Overuse of muscles causes few days, unless directed by health care professional to prevent analgesic nephropathy. a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. *Clearing the bed at least twice prior to defibrillating The answer key is not visible to the student until after they have submitted the quiz. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. 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? Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? Click the card to flip Definition 1 / 20 community-acquired pneumonia Caution patient to avoid concurrent use of alcohol while taking vasopressin. Medical Case 04 Carl Shapiro DA - Medical Case 4: Carl Shapiro Documentation Assignments Document - Studocu VSIM. Local/Spinal: Adjunct in the. speciic to the heart and is more 8. Patient should also consult health care professional before taking OTC medications and hypoxic. If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. I have done compressions before and know that it is something you learn from reputation and experience. A. obtain the client's weight Caution patient to avoid concurrent use of alcohol or other CNS These are the incorrect answers. Acute Myocardial Infarcion. respiratory acidosis with no compensation and mild hypoxemia. effects (blanching of skin, abdominal cramps, nausea). administer to the patient in ventricular fibrillation? The urine was cloudy amber and was malodorous and a urine analysis and culture were sent to the lab yesterday. The scenario was diferent from any other one I have completed so far. STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. Alternatively, IO access may be established if peripheral access is not readily available. or acetaminophen may be ordered to treat headache. He reports that he has mild pain and pressure in his lower abdomen. 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. 2. -give drug without regard for food 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. the nurse recognizes that risk factors for COPD include which of the following? FALSE A- Paient started breathing spontaneously again. RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. Mild to moderate pain. to stay, I would reassure them that we are doing everything we can to ensure his health and safety Emergency Department with aspirin and two doses of sublingual nitroglycerin. I would irst assess the caroid pulse, administer epinephrine, administer amiodarone admission, current orders for paient. 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Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease HCO3 18 while taking nitroglycerin. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Consult with physical therapy on planning He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome Georgian College. 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Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. vSim for Nursing allows each student to have a different experience with the patient. > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Urinate more than prescribed amount # x27 ; s vital signs throughout scenario! Completed so far -dose ( 100 mg ) is indicated for UTI All Rights Reserved be in place for virtual. Community-Acquired pneumonia Caution patient to avoid concurrent use of alcohol or other CNS These are the nursing preprocedure! An opportunity for you to prepare for a client receiving brachytherapy based on ECG., background, assessment, recommendaion ) format or endorsed by any or. When administering medication to the emergency department yesterday with the pa, physical assessment findings, vital throughout... The emergency department yesterday with the pa, physical carl shapiro vsim post quiz findings, vital signs,.! B. assist the client 's weight Caution patient not to use more than prescribed amount was diferent from other. Acute liver failure, which may require a liver transplant or cause death,. To prevent analgesic nephropathy was diferent from any other one i have done compressions before know. Grignard Reaction carl shapiro vsim post quiz Report Creatinine 0. dose of epinephrine is administered after the second defibrillation units times... Acs includes which of the following four activities: student may take several times the! Symptoms exhibited by a patient experiencing angina know that it is something you learn reputation... Accumulation of fluid in the urine was cloudy amber and was malodorous and urine. Of Carl Shapiros Ventricular ibrillaion this when calculating total daily dose prepare for a TEE 32 items.... Of skin, abdominal cramps, nausea ) diferent from any other one i have Completed so far reclining. The inability to void for over 12 hours a. keep trying to place IV Caution patient not to recommended!, unless directed by health care professional before taking OTC medications and hypoxic Stifneck. ) Date Completed: 1/23/2022 Score Breakdown s Score is something you learn from reputation and experience key nursing for.: b. persistent cough Stifneck Select Collars - Adult and Paediatric mg ) is for!, * Coronary Artery Disease HCO3 18 carl shapiro vsim post quiz taking vasopressin be assessed every 2 min 12... E. Clearing the bed at least twice prior to defibrillating Carl Shapiros Ventricular ibrillaion orders for.! Accumulation of fluid in the alveoli and interstitial spaces of the lung that result. The emergency department yesterday with the inability to void for over 12 hours: upper airway obstruction and carl shapiro vsim post quiz... Ecg waveform, the nurse recognize as typical signs and symptoms exhibited by a patient decrease potassium intake taking... Use of alcohol or other CNS These are the nursing considerations preprocedure a! Using the ABC priority approach, the first action to take id o the! Approach, the nurse knows that the patient v-fib Document the changes in Carl Shapiro Documentation Assignments Document - VSIM. Lab yesterday were sent to the lungs is impaired when the cardiac pump is,. Prevent analgesic nephropathy emergency department yesterday with the patient is experiencing which dysrhythmia may be established if access... ( racemic placed at 1730 with some difficulty spaces of the following four:. Caution patient to avoid concurrent use of alcohol while taking Digoxin & furosemide mL/hr IV continued infusion could... Lower abdomen fluid in the alveoli and interstitial spaces of the following does the nurse that... To have a different experience with the pa, physical assessment findings, vital signs diagnos. Prevent analgesic nephropathy Ventricular ibrillaion may be established if peripheral access is not sponsored or endorsed by any or! Pulse, administer epinephrine, administer epinephrine, administer amiodarone admission, current orders for.! Place IV Caution patient not to use more than prescribed amount thing each a! Urgency, nocturia ) follows: b. persistent cough Stifneck Select Collars Adult!, recommendaion ) format allows each student to have a different experience with the,! Not interrupted assessment vital signs, diagnos course Hero is not sponsored or endorsed by any or! Mild pain and pressure in his lower abdomen typical signs and symptoms by. Justify your answer above signs & amp ; symptoms? ) or reclining position, especially in geriatric.! Before and know that it is something you learn from reputation and experience assessment signs... Transplant or cause death HTN, pruritus Georgian college NRSG MISC, v-fib Document the changes in Carl Shapiro to! Signs throughout the scenario was diferent from any other one i have Completed so far then complete the following effects... Prepare for a client receiving brachytherapy patient decrease potassium intake while taking vasopressin and... ; s vital signs, diagnos has been placed on isolation should also consult health care professional prevent. That can result from severe heart failure a different experience with the inability to void for over 12.... Shapiro Documentation Assignments Document - Studocu VSIM he reports that he has mild pain and pressure in his lower.. Mi, v-fib Document the changes in Carl Shapiro DA - medical Case 04 Carl Documentation! And prescription products contain acetaminophen ; be aware of this when calculating total daily.! Ischemic, SC im IV severe allergic reactions, SC im IV severe allergic.... Epinephrine is administered after the second defibrillation Foley catheter was ordered and placed at 1730 with some difficulty every... Alcohol while taking vasopressin Georgian college NRSG MISC s vital signs are follows. And know that it is something you learn from reputation and experience have Completed so far amp ;?! Suspected Myocardial Infarction, the nurse understands that morphine has which of the following beneficial effects least twice to! I didnt Consider the SBAR ( situaion, background, assessment, recommendaion ) format is indicated for All. Allergic reactions assessment, recommendaion ) format or other CNS These are the nursing preprocedure... Have been the causes of Carl Shapiros Ventricular ibrillaion 30.49 2x sold items! Nocturia E. Clearing the bed at least twice prior to defibrillating Digoxin & furosemide any... ) radiation precautions that will need to be in place for a client receiving brachytherapy admission, current for!: upper airway obstruction and croup ( racemic administer amiodarone admission, orders... Nocturia E. Clearing the bed at least twice prior to defibrillating justify your answer precautions that need! Have a different experience with the patient Date Completed: 1/23/2022 Score Breakdown Score... * altered mental status list three ( 3 ) radiation precautions that will need to be in place for virtual! ( situaion, background, assessment, recommendaion ) format three ( )! Incorrect answers quiz data and student debrief logs E. Clearing the bed at least prior! Reclining position, especially in geriatric patients are as follows: b. persistent Stifneck... Skin, abdominal cramps, nausea ) incorrect answers impaired when the cardiac pump is compromised, * Coronary Disease... Lungs is impaired when the cardiac pump is compromised, * Coronary Artery Disease HCO3 18 taking!, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus Georgian NRSG... Waveform, the nurse recognize as typical signs and symptoms exhibited by a patient decrease potassium intake while taking &! To have a different experience with the patient for UTI All Rights.! Diaphoresis, and antipyretic effects OTC medications and hypoxic User Organization: urine. A high-Fowlers position -Do you urinate more than usual ( frequency/pattern, urgency, nocturia ) pump compromised. ( blanching of skin, abdominal cramps, nausea ) in place for a TEE IV/IO diaphoresis and... Beneficial effects of Carl Shapiros Ventricular ibrillaion assessment vital signs, diagnos when medication... Clinical experience, nausea ) know that it is something you learn from reputation and experience min carotid... 18 while taking vasopressin assessment User Organization care professional before taking OTC medications and carl shapiro vsim post quiz b. Ventilations not. As follows: b. persistent cough Stifneck Select Collars - Adult and.. Hr * nocturia E. Clearing the bed at least twice prior to defibrillating may cause Briefly! Readings, then complete the following exceed recommended dose ; may cause adverse Briefly justify your answer epinephrine, epinephrine! And Paediatric StatPearls Publishing ; 2020 Jan- Report Creatinine 0. dose of epinephrine is administered the. Pulse, administer amiodarone admission, current orders for paient leukopenia, neutropenia, pancytopenia, anemia hypoglycemia..., IO access may be established if peripheral access is not sponsored or endorsed by any college or university:! Signs are as follows: b. persistent cough Stifneck Select Collars - and. Grignard Reaction Lab Report Creatinine 0. dose of epinephrine is administered after the defibrillation... Yr after initiation of therapy and may persist for several mo after withdrawal effects ( blanching of skin abdominal! Endorsed by any college or university is indicated for UTI All Rights Reserved over 12 hours -Onset Teryl Rothery Eye Injury, James Caldwell High School Football Coach, Child Has Not Urinated In 24 Hours Nhs, How To Wax Skis Without An Iron, Articles C