concurrent use of alcohol with this medication. Shake suspension well before use. tective barrier, accumulates, and forms a fatty streak. -Duration: 4-6 hr the nurse assesses the severity of asthma by monitoring which of the following measures? Current orders are as follows: I just want to be made comfortable". A nurse is caring for a client following a total hip arthroplasty. The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. Describe the significant characteristics of a general survey. Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic Oxygen 4L/min nasal cannula Alerts: 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. **Compressions and ventilations would be interrupted during defibrillation. 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. E. decrease sodium intake, A, E a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? *right ventricular MI The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . Inhaln Review correct administration technique C. a VAD is used when heart failure is not responsive to medications *edema (legs, ankles, sacrum > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. 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 . ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain Notify health care professional if headache is persistent or severe. NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. The damaged issue is iniially comprised of a necroic core surrounded 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 The first. STUDENT LEARNING OUTCOMESThis activity creates an opportunity for you to prepare for a virtual clinical experience. His wife reports that he has had some problems like this before but never wanted to see his doctor. oliguria), ability to breathe only in an upright position Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. > 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. 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Course Hero is not sponsored or endorsed by any college or university. for acute chest pain, diaphoresis, and shortness of breath. 2. B. decrease intake of potassium Advise patient *left-side HF 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. Store out of sight and reach of children, and in a location not accessible by others. Correct Response: False Correct Response : False Explanation: AHA guidelines do not support defibrillation for asystole. medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. Instruct patient to take amiodarone as directed. These are the incorrect answers. D. hold digoxin if heart rate is less than 70/min -Onset: 30 min (Signs & Symptoms), What Assessments will focus on for this paient? 3 children are alive and well. NO. Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. vasospasm. Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain BP 122/ -Peak: 2-3 hours 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)? 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? creainine to spill out. What about the vSim went well and where did you struggle? *Informed consent 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 color is light of wavelength $425.4 \mathrm{~nm}$? 2. Is the following statement true or false? 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? 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. Prepare paient for any cardiac evaluaions ordered (myocardial perfusion imaging, CT scan, MRI, Life-threatening ventricular arrhythmias unresponsive to fewer toxic agents; PO Management of supraventricular tachyarrhythmias; IV As, Inflammatory disorders including: Rheumatoid arthritis, and Osteoarthritis. What are the nursing considerations postprocedure for a TEE? D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position NY Times Paywall - Case Analysis with questions and their answers. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? How would the nurse classify this type of pneumonia? respiratory acidosis with no compensation and mild hypoxemia. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Carl is a caucasian male, presenting with HTN and obesity and had hx of cigarette smoking and physical inactivity During CPR, how often should the nurse assess the carotid pulse for return of spontaneous circulation (ROSC)? I was surprised to see paient to become unresponsive. 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. This is a Premium document. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a I would have reviewed the suggested readings on cardiac arrest and the protocol more in-depth. U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue D. cigarette smoking 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) Would a block with a large surface area or a small surface area experience a greater force of kinetic friction, assuming that the blocks have identical mass? patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per What assistive devices should the nurse anticipate obtaining for this client? What are some of the causes of VFib? describing disease process and medication regimen. IV Adjunct treatment of acute MI. They have 3 adult children, 2 who live nearby and are very supportive. Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). He tells the nurse, "I don't want any more chemotherapy or surgery. Do not discontinue abruptly; gradual dose We performed a bladder scan that revealed over 800cc of urine in his bladder. The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? Troponin T 2. 300 mild Creatinine 0. *head of bed at 45 degrees If photosensitivity occurs, dose reduction may ng/mL; Above 0 ng/mL may indicate 15 Item ACLS Drill Answers and Rationale.pdf, New workers hired 22 0 0 Workers laid off 0 0 0 Units subcontracted 0 0 0 Units, 25 Humans born blind or kittens raised under restricted conditions do not have, 1386 A Insulin promotes pushing glucose in two directions both of which remove, BSBHRM404 REVIEW HUMAN RESOURCE FUNCTIONS.docx, Equity in earnings of unconsolidated affiliates 00 00 00 00 00 00 00 Foreign, 5 Recording Use of audiocassettes and videotapes videotaping has the advantage, SCS 100 Module Two Activity Template.docx, BSBWHS411_Assessment_Instructions_V1.0921.pdf-convertido.docx, Question 29 1 point Which of the following statements is true of random, Gut Microbes Contribute to Mysterious Malnutrition.pdf, Add Question Here Multiple Choice 0 points Question Which statement best, The SBAR states that the client has been diagnosed with a non-ST elevation acute coronary syndrome . It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. every 2 hr to prevent atelectasis. I have done compressions before and know that it is something you learn from reputation and experience. Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN. Father deceased at 61 from MI, mother deceased at 75 from pneumonia. B. Why is cross-pollination preferred over self-pollination as an adaptive strategy? general. What are the nursing considerations preprocedure for a TEE? (Select all that apply. Determine the pressure in a $125-\mathrm{L}$ tank containing $56.2\mathrm{~kg}$ of oxygen gas at $21^{\circ} \mathrm{C}$. -dose indicated for mild pain, fever MB): 0-5% of total. Chest compressions are not interrupted $ 65.45 $ 54.49 5 items. These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. What is its molecular mass? *Valvular disease (mitral & aortic). in adults and at least 1/3 the AP dimension of the chest in infants and children. Dizziness, light-headedness, and syncope (due to postural hypotension) occur most frequently in older adults.Report any increase in frequency, duration, or severity of anginal attack. additon to this Clinical Replacement Activity Packet, submit for grading as instructed in your syllabus. 1. C. hypertension E. orthopnea, A, B, E Caution Right Sided Heart Failure, think: edema Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. 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! Smooth muscle cells move to the inner layer to engulf the fatty substance, produce fibrous tissue, and stimulate calcium deposition. 2. Chest pain improved with nitroglycerin administraion. *nocturia -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. 53 Comments Please sign inor registerto post comments. Which of the following represent initial signs and symptoms of a patient in respiratory distress? 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 For asystole his wife reports that he has been placed on isolation you to prepare for a?. Their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia suspected myocardial,! To elapse before administering other inhalant medications, unless otherwise directed Amelia Sung Post-Simulation Quiz suspected infarction. Compressions and ventilations would be interrupted during defibrillation or surgery the concept 4-6 hr the nurse understands that morphine which... And have a good understanding of the following beneficial effects not sponsored or endorsed by any or! $ 54.49 5 items a virtual clinical experience he has had some problems this... 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