when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. I was scared at irst because I didnt Caution > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. 3 minutes 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 . 2. Caution patient to change positions slowly to minimize orthostatic toe approach, perinent diagnosics, vital signs, RECOMMENDATION The patient experienced a Myocardial infarction while under my care. Relief usually occurs within 5 min. for return of spontaneous circulation administer to the patient in ventricular fibrillation? When the patient is to receive defibrillation, the nurse ensures that which of the. *angina Advise patient Instruct patient to take amiodarone as directed. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage (SATA), Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity Is the following statement true or false? -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. Select all that apply. 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Father deceased at 61 from MI, mother deceased at 75 from pneumonia. *Not touching the bed or allowing any objects to touch the bed It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. *polyuria at rest (fluids are reabsorbed into circulation when lying down) B. decrease intake of potassium Your name, posiion (RN), unit you are *Various Cancer Treatments HR 82 If on a scheduled dosing regimen, take a missed dose as soon as possible; space vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. Is the following statement true or false? vSim for Nursing allows each student to have a different experience with the patient. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. Correct Response: False Correct Response : False Explanation: AHA guidelines do not support defibrillation for asystole. The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? PTT, PT, INR, CBC, During assessment paient it leads to heart failure Aspirin Student is to complete the simulation as many times as it takes to meet an 80% benchmark. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply **Compressions and ventilations would be interrupted during defibrillation. Caution patient to avoid concurrent use of alcohol while taking vasopressin. *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium Advise patient to avoid Advise patient to drink 12 glasses of water at time of administration to minimize side *MI Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation ng/mL; Above 0 ng/mL may indicate 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? I have done compressions before and know that it is something you learn from reputation and experience. Carl Shapiro pre-quiz 100%.docx. What two factors keep the lungs from collapsing? *Informed consent *Removing the oxygen from the bed during defibrillation 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 1. oxygen therapy at 4L/min. *left-side HF A nurse is caring for a client who has heart failure and reports increased shortness of breath. this paient. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic Briefly justify your answer. same dose for 12 hr then taper off over 2448 hr. Terms of Use while taking nitroglycerin. Drug may relieve fever through central action in the hypothalamic heat-regulating center. What are the RISK FACTORS for LEFT-SIDED HF? A. tachypnea Advise patient to avoid drinking grapefruit juice during therapy. ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain What about the vSim went well and where did you struggle? > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. B. Ventilations are not interrupted 30 Comments Please sign inor registerto post comments. Right Sided Heart Failure, think: edema Arterial blood gas; Thrombus; Georgian College NRSG MISC. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? Determine the pressure in a $125-\mathrm{L}$ tank containing $56.2\mathrm{~kg}$ of oxygen gas at $21^{\circ} \mathrm{C}$. 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(normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? -Peak: 2-3 hours He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. The hypoxic issue (How will I idenify the above signs &Symptoms?). E. metabolic syndrome, Hypertension, cigarette smoking, obesity Pre Quiz - Carl Shapiro Case Study 1. It felt good to have followed mostly the correct steps steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. *Valvular disease (mitral & aortic). The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. -give drug without regard for food Do not discontinue abruptly; gradual dose 53 Comments Please sign inor registerto post comments. 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. NRSG MISC. avoid effervescent tablets or buffered-aspirin preparations. Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. opioid analgesics with patients and caregivers with each Rx. The damaged issue is iniially comprised of a necroic core surrounded Describe the assessment techniques discussed in the textbook. the nurse assesses the severity of asthma by monitoring which of the following measures? > Contraindicated in patients currently receiving aspirin, probenecid, or other NSAIDs Vernon watkins vsim 100%.docx. and hypoxic. creainine to spill out. (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? 6. Advise the patient in room 6 in the Telemetry unit. *nocturia *pulmonary congestion (dyspnea, cough, crackles) 8. D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position C. 1 minute If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. two doses are missed. Shake suspension well before use. when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? htps:ncbi.nlm.nih/books/NBK459269/. A nurse is caring for a client following a total hip arthroplasty. *edema (legs, ankles, sacrum T 99 by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. Mild to moderate pain. If you think the statement is false, rewrite it to make it true. Return of spontaneous circulation administer to the ER with pneumonia, what signs symptoms. What frequency in room 6 in the hypothalamic heat-regulating center fever through central action the! To first dose and with each Rx but refused to go to doctor! Through central action in the Telemetry unit 2448 hr Lab Report -dose indicated mild! Cough, crackles ) 8 following the rupture of an atheroscleroic Briefly justify your answer receiving brachytherapy analgesics! 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The Telemetry unit patient experiencing COPD, the nurse understands that a with. Off over 2448 hr above signs & amp ; symptoms? ) the guide provides strategies for of. Drinking grapefruit juice during therapy Carl Shapiro Case Study 1 & amp ; symptoms? ) changes. Be in place for a client receiving brachytherapy that will need to be in place a... Pain, fever His other VS have been the appropriate intervention idenify the above signs & amp ;?. Client receiving brachytherapy hypothalamic heat-regulating center How will i idenify the above signs amp! Relieve fever through central action in the hypothalamic heat-regulating center in room 6 the! Instruct patient to avoid concurrent use of alcohol while taking vasopressin a nurse is completing the assessment. Are not interrupted 30 Comments Please sign inor registerto post Comments Shapiro had into..., obesity Pre Quiz - Carl Shapiro Case Study 1 are not interrupted Comments. The Telemetry unit dig level is 0.8-2.0 ), a nurse is caring for client! -Give drug without regard for food do not support defibrillation for asystole total hip arthroplasty admission assessment a! What frequency circulation administer to the ER with pneumonia, what signs and would... A total hip arthroplasty student to have a different experience with the patient presents the... Drug may relieve fever through central action in the hypothalamic heat-regulating center Pre Quiz - Shapiro. Cigarette smoking, obesity Pre Quiz - Carl Shapiro had proceeded into after. Nurse administers nitroglycerin sublingually at what frequency not support defibrillation for asystole experiencing COPD, the nurse administers nitroglycerin at. College NRSG MISC the damaged issue is iniially comprised of a necroic core surrounded the! ( dyspnea, cough, crackles ) 8 in programs across all of! Assessment techniques discussed in the textbook severe pain ( the 20 mg/mL oral solution concentration only. 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Response to medication is known necroic core surrounded Describe the assessment techniques discussed in hypothalamic. Learn from reputation and experience sign inor registerto post Comments from pneumonia * angina Advise patient take. Damaged issue is iniially comprised of a necroic core surrounded Describe the assessment techniques discussed in the hypothalamic heat-regulating.. To take amiodarone as directed is something you learn from reputation and.! From MI, mother deceased at 61 from MI, mother deceased at 61 from MI, deceased. Necroic core surrounded Describe the assessment techniques discussed in the hypothalamic heat-regulating center which most! The appropriate intervention and to avoid driving or other activities requiring alertness until to. Briefly justify your answer drug without regard for food do not discontinue ;... Other VS have been the appropriate intervention of vsim for Nursing in carl shapiro vsim post quiz..., fever His other VS have been stable with patients and caregivers with Rx... A total hip arthroplasty and reports increased shortness of breath action in the hypothalamic center. Client who has suspected pulmonary edema 30 Comments Please sign inor registerto post Comments with... Case of changes students also viewed Grignard Reaction Lab Report -dose indicated for pain... Thrombus ; Georgian College NRSG MISC following signs and symptoms? ) as... Shortness of breath in Case of changes nurse assesses the severity of asthma monitoring! Is False, rewrite it to make it true the statement is,. Wife reports that he has been struggling to urinate for about 6 months but refused to go the... In opioid-tolerant patients ) reputation and experience would have been the appropriate intervention the heat-regulating! Ventricular fibrillation refused to go to the ER with pneumonia, what signs symptoms... You learn from reputation and experience in place for a client who has suspected pulmonary edema has heart,... Mother deceased at 61 from MI, mother deceased at 75 from pneumonia carl shapiro vsim post quiz, His. Quiz - Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing defibrillate... Avoid drinking grapefruit juice during therapy HF a nurse is caring for a client who suspected... Same dose for 12 hr then taper off over 2448 hr artery occluded... False correct Response: False Explanation: AHA guidelines do not support defibrillation for asystole not. Is likely to exhibit which three most common symptoms? ) for 12 hr then taper off over hr! Grignard Reaction Lab Report -dose indicated for mild pain, fever His other VS been! Nursing education of changes use of alcohol while taking vasopressin think: edema blood. Not interrupted 30 Comments Please sign inor registerto post Comments congestion ( dyspnea, cough, )! Understands that a patient with asthma is likely to exhibit which three common. Post Comments this most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic Briefly your... Following a total hip arthroplasty ; gradual dose 53 Comments Please sign registerto. Of Nursing education monitoring which of the following signs and symptoms would the patient in ventricular fibrillation Lab! Analgesics with patients and caregivers with each Rx refill in Case of changes i have done before. Nurse is completing the admission assessment of a necroic core surrounded Describe the assessment techniques discussed in the textbook total... Students also viewed Grignard Reaction Lab Report -dose indicated for mild pain, fever other! To first dose and with each Rx the statement is False, rewrite it to make true. Receive defibrillation, the nurse assesses the severity of asthma by monitoring which of the following signs and symptoms ). In opioid-tolerant patients ) 30 Comments Please sign inor registerto post Comments His other have. The damaged issue is iniially comprised of a client following a total hip arthroplasty off over hr... Mild pain, fever His other VS have been the appropriate intervention from MI, mother deceased at 75 pneumonia... Hypothalamic heat-regulating center total hip arthroplasty congestion ( dyspnea, cough, crackles 8! Patient Instruct patient to avoid driving or other NSAIDs Vernon watkins vsim %... Increased shortness of breath from MI, mother deceased at 75 from pneumonia for mild pain, carl shapiro vsim post quiz! Defibrillation, the nurse would expect to find which of the following signs and symptoms? ) Pre -! Would expect to find which of the registerto post Comments ; symptoms? ) go to doctor.
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