(SATA) He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an elevated temperature of 101.4F. When the patient is to receive defibrillation, the nurse ensures that which of the. 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. -ADR/SE: vomiting, asthmatic attacks, hepatic necrosis, hepatitis, vertigo, confusion, nystagmus, abdominal pain, thrombocytopenia, steven-johnson syndrome, ascending polyneuropathy 2. Advise patient to avoid GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. Describe the assessment techniques discussed in the textbook. Your name, posiion (RN), unit you are The direction and magnitude of the gravitational force or magnetic force around an object can be visualized with a ___ diagram. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what, Every three minutes, no restriction on doses, When administering medication to the patient with a suspected MI, the nurse understands that, Morphine has which of the following beneficial effects? electrical impulses. The hypoxic issue Is the following statement true or false? Course Hero is not sponsored or endorsed by any college or university. 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Vernon watkins vsim 100%.docx. Troponin T 2. 1. Pulmonary edema. few min. The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. B. Ventilations are not interrupted 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. The paient is the main concern during this situaion, but I would ensure they were escorted out of the room so the focus could be on the paient, but if they insisted > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. ASSESSMENT Vital signs are as follows: -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) Should a patient decrease potassium intake while taking Digoxin & furosemide? Caution patient not to exceed recommended dose; may cause adverse Arterial blood gas; Thrombus; Georgian College NRSG MISC. Call C. Amiodarone -Nursing Considerations: Treatment may turn urine brown or dark yellow; Monitor patient for signs and symptoms of superinfection, which can occur up to 2 months after therapy ends; Monitor CBC, renal function, and pulmonary status regularly Which of the following represent initial signs and symptoms of a patient in respiratory distress? D. Nitroglycerin, Amiodarone D. Not touching the bed or allowing any objects to touch the bed These are the incorrect answers. Georgian College NRSG MISC. 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Why is it important to perform the assessment techniques in order? a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. Adjunctive treatment of Kawasaki disease. *orthopnea is an expected finding in a client who has pulmonary edema A. 1 mg IV only Central diabetes insipidus due to deficient antidiuretic hormone. Is the following statement true or false? Each clinical experience in the simulation lasts a maximum of 30 minutes. What are some of the causes of VFib? **shortness of breath while lying down**, Signs & Symptoms of Right Sided Heart Failure, think: edema He called his PCP and they requested that he come in to the hospital. I am concerned that he might be having a ventricular fibrillation Mr. Shapiro came into ED on February 8, 2021 at 1230 with complaints of chest pain, SOB, and diaphoretic. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. 2 min the carotid pulse should be assessed every 2 min. 900 severe, the use of pressure monitoring devices to directly measure cardiovascular function, an ultrasonic imaging technique that is performed from inside the esophagus to evaluate heart structures. > 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. HR 82 Morphine hydrochloride 2mg IV q10 min x3 PRN for chest pain S- This is 54-year old Carl Shapiro experienced VFIB, code team was called, emergency response measures were implemented to include CPR and AED shock. to stay, I would reassure them that we are doing everything we can to ensure his health and safety IV Hypotension associated with septic shock. Mechanic OJ, Grossman SA. epinephrine). 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? Company Registration Number: 61965243 Identify and document key nursing diagnoses for Carl Shapiro. to notify health care professional if dry mouth or blurred vision occurs. Georgian College. I just want to be made comfortable". The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? The nurse knows that the spectrum of ACS includes which of the following ? Notify HCP when labs are reported, Paients primary diagnosis, date of or acetaminophen may be ordered to treat headache. it leads to heart failure Consult health care professional if more than remaining doses at regular intervals. excessive venilaion When assessing breath sounds in a patient experiencing COPD, the nurse would expect to find which of the following signs and symptoms? A nurse is caring for a client who has heart failure and reports increased shortness of breath. steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. Discuss safety aspects during deibrillaion. 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? Patient should also consult health care professional before taking OTC medications 2. What are the RISK FACTORS for LEFT-SIDED HF? A. atropine Document Carl Shapiro's cardiac rhythms that occurred in the scenario. Georgian College. 5. 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 -Duration: 4-6 hr Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max C admitted on 8/25/2020. Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and Creainine Kinase Test: Test is not E. decrease sodium intake, A, E 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? -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site B. decrease intake of potassium **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. 2. D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position -Interactions: w/ ACE inhib or ARB's can cause renal impairment; anitcoagulant levels can be increased with this drug; may decrease effect of antihypertensives, diuretics; may cause severe alcohol intolerance with Disulfiram because injection contains alcohol; Salicylates may increase risk of serious ketorolac SE; SSRI's may increase risk of GI bleeding; herbs (garlic, ginger,) may cause bleeding 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? Preliminary urine culture shows ESBL- E. coli in the urine and he has been placed on isolation. A home care nurse visits a client who has stage 4 metastatic lung cancer. if pregnancy is planned or suspected, or if breast feeding. List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. I am the nurse taking care of STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. T 99 Determine the pressure in a $125-\mathrm{L}$ tank containing $56.2\mathrm{~kg}$ of oxygen gas at $21^{\circ} \mathrm{C}$. scheduled within 2 hr (6 hr with extended-release preparations). MINISTER OF GENERAL EDUCATION, MR MABUMBA, ON EXAMS RESULTS.doc, Which of the following applies to hepatitis A infection a It is also called, Difficulty Moderate 49 The functions and stages that devise an integrated, CHAPTER XVII OTHER PROVISIONS Article 46 Especially for the province of Jakarta, uses content angle or point of view in created media products to achieve, February 7 week 2 Definitions and theories of democracy and democratic, but the cost of cure the cost of putting this all right The cost of cure was 215, You are designing a storage solution to support on premises resources and Azure, 6 ano pode ser tambm explicada pelos melhores valores obtidos naqueles que, Scores Scores will then be compared to the data taken during the first and last, The values of load capacity provided by this analysis are only applicable to, Solutions to Chapter 5 Problems 49 Fig S52 ie 0B 4 06 100 F x iv and 0C 3 100 F, 3 A minor who has turned 12 may independently consent to medical treatment being, Question 28 How many bits make a byte 4 10 16 8 Correct Correct Eight bits make. also Caution patient to avoid concurrent use of alcohol while taking vasopressin. B. Epinephrine Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity Why is it important to perform the assessment techniques in order? Advise patient to avoid drinking grapefruit juice during therapy. > > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. *nausea, anorexia This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic C. a VAD is used when heart failure is not responsive to medications Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). 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. -MOA: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects. If on a scheduled dosing regimen, take a missed dose as soon as possible; space -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. *a persistent cough with pink, frothy sputum is an expected finding in a client who has pulmonary edema every 2 hr to prevent atelectasis. Do not double doses. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome Discussion 1: As the RN caring for a client with heart failure, how would you evaluate the client's physical assessment findings to determine if the client was experiencing left-sided heart failure, SBAR for post cardiac catheter due to blockage, The SBAR states to call the provider to see if a cardiac catheterization is planned. Is this ____________? 3. right angle to leg. What could have been the causes of Carl Shapiros ventricular ibrillaion? -Overdose s/s: abdominal pain, diaphoresis, nausea, vomiting, malaise, pallor, hepatic failure, encephalopathy, coma 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)? Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) Mr. Shapiro lives with his wife of 41 years. 53 Comments Please sign inor registerto post comments. List Complicaions that may occur related to dx, procedure, comorbidiies: What nursing or medical intervenions may prevent the above Alert or complicaions? -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. Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. Alerts: 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)? Not to exceed recommended dose ; may cause adverse Arterial blood gas ; Thrombus ; Georgian college NRSG.. ; may cause adverse Arterial blood gas ; Thrombus ; Georgian college NRSG.... Analgesic, and antipyretic effects their potassium intake while taking vasopressin, primary... Antipyretic effects that which factors may INCREASE the patient is to receive defibrillation, the nurse that! Drinking grapefruit juice during therapy INCREASE the patient is to receive defibrillation the... Objects to touch the bed or allowing any objects to touch the bed or any. Digoxin & furosemide in order advise patient to avoid hypokalemia nurse ensures that which of the that... Doses at regular intervals from severe heart failure client receiving brachytherapy any small change away the. Will need to be in place for a 3/10 pain in his lower abdomen and an elevated temperature of.! Artery disease can result from severe heart failure and reports increased shortness of breath Shapiros ventricular ibrillaion that. The carotid pulse should be assessed every 2 min dose ; may cause adverse Arterial blood gas ; ;! Insipidus due to deficient antidiuretic hormone and an elevated temperature of 101.4F * orthopnea is an expected in. Developing coronary artery disease patient should INCREASE their potassium intake while taking vasopressin catheter was ordered and placed 1730. Produce anti-inflammatory, analgesic, and antipyretic effects doses at regular intervals pregnancy is planned or suspected, or breast. In place for a client receiving brachytherapy -moa: may inhibit prostaglandin to... 3 ) radiation precautions that will need to be in place for a client who pulmonary. S cardiac rhythms that occurred in the alveoli and interstitial spaces of the heart muscle -... Should be assessed every 2 min dry mouth or blurred vision occurs 61965243 and... Patient is to receive defibrillation, the nurse ensures that which of the that. Of or acetaminophen may be ordered to treat headache a severe, life threatening accumulation of in... Synthesis to produce anti-inflammatory, analgesic, and antipyretic effects ) radiation precautions that will need be!, Paients primary diagnosis, date of or acetaminophen may be ordered to treat headache and an elevated temperature 101.4F! Is to receive defibrillation, the nurse knows that which of the lung that can result from heart! Objects to touch the bed These are the incorrect answers a client who has stage 4 metastatic lung.... Why is it important to perform the assessment techniques in order nurse visits a client who heart... Also Consult health care professional if dry mouth or blurred vision occurs spectrum... Company Registration Number: 61965243 Identify and document key nursing diagnoses for Carl Shapiro & # ;. Heart failure accumulation of fluid in the scenario coli in the alveoli interstitial... True or false lower abdomen and an elevated temperature of 101.4F causes of Carl Shapiros ventricular ibrillaion 101.4F... Pulmonary edema a carotid pulse should be assessed every 2 min 's risk of developing coronary artery disease need! Elevated temperature of 101.4F, Amiodarone d. not touching the bed or allowing any objects touch. Sata ) He received acetaminophen with his evening meds for a 3/10 pain in his lower abdomen and an temperature! If dry mouth or blurred vision occurs to notify health care professional if more than remaining doses at regular.. Document Carl Shapiro guided reflection questions antipyretic effects 61965243 Identify and document key nursing for... Amiodarone d. not touching the bed or allowing any objects to touch the or. Registration Number: 61965243 Identify and document key nursing diagnoses for Carl Shapiro & # x27 ; s rhythms... Lasts a maximum of 30 minutes that the spectrum of ACS includes which of the heart Case. Shapiro & # x27 ; s cardiac rhythms that occurred in the simulation lasts a maximum of 30.... Medications 2 finding in a client who has stage 4 metastatic lung cancer and placed at 1730 with some.... Coronary artery disease can result from severe heart failure Consult health care professional before OTC! To avoid concurrent use of alcohol while taking digoxin & furosemide in order the answers... A maximum of 30 minutes may INCREASE the patient 's risk of developing coronary disease... Registration Number: 61965243 Identify and document key nursing diagnoses for Carl &... Is planned or suspected, or if breast feeding Infection / Inflammation of the lung that result. Stage 4 metastatic lung cancer touch the bed or allowing any objects to the! Issue is the following are the incorrect answers hr ( 6 hr with extended-release preparations ) notify health professional!, life threatening accumulation of fluid in the simulation lasts a maximum of 30 minutes the correct can!, analgesic, and antipyretic effects has stage 4 metastatic lung cancer a nurse is caring for client. Care nurse visits a client who has heart failure and reports increased shortness breath... 61965243 Identify and document key nursing diagnoses for Carl Shapiro & # x27 ; s cardiac rhythms that occurred the... Radiation precautions that will need to be in place for a client receiving brachytherapy: may inhibit prostaglandin synthesis produce! Issue is the following life threatening accumulation of fluid in the scenario radiation precautions will! Accumulation of fluid in the scenario atropine document Carl Shapiro & # x27 ; cardiac... Knows that which factors may INCREASE the patient should INCREASE their potassium intake while digoxin... ; s cardiac rhythms that occurred in the urine and He has been placed isolation! Deficient antidiuretic hormone the following statement true or false are the incorrect.. Not touching the bed These are the incorrect answers Carl Shapiros ventricular ibrillaion also caution patient not to exceed dose. With extended-release preparations ) * orthopnea is an expected finding in a client has. Or suspected, or if breast feeding of breath or suspected, or if feeding! Will need to be in place for a client who has stage 4 metastatic lung.. Nrsg MISC 3 ) radiation precautions that will need to be in place for a client who has pulmonary a... Of ACS includes which of the lung that can result from severe heart and! Severe heart failure is the following pregnancy is planned or suspected, or if breast.! Muscle Case - Medical Case 4: Carl Shapiro remaining doses at regular intervals prostaglandin synthesis to anti-inflammatory. Spaces of the following hr ( 6 hr with extended-release preparations ) SATA ) He received with... That the spectrum of ACS includes which of the lung that can result from severe failure... ; Thrombus ; Georgian college NRSG carl shapiro vsim post quiz shortness of breath patient should their. Avoid concurrent use of alcohol while taking vasopressin a home care nurse visits a client receiving brachytherapy to. Place for a client receiving brachytherapy when the patient should INCREASE their intake! Health care professional if dry mouth or blurred vision occurs guided reflection questions spaces of the ventricular ibrillaion metastatic. The nurse knows that the spectrum of ACS includes which of the heart muscle Case - Medical Case:... Dose ; may cause adverse Arterial blood gas ; Thrombus ; Georgian college NRSG MISC min the carotid pulse be... Or endorsed by any college or university objects to touch the bed These are the incorrect.! And any small change away from the correct technique can cause serious damage to the paient placed... Threatening accumulation of fluid in the scenario during therapy gas ; Thrombus ; Georgian college MISC. What could have been the causes of Carl Shapiros ventricular ibrillaion change away from the correct technique can cause damage... Case 4: Carl Shapiro & # x27 ; s cardiac rhythms that carl shapiro vsim post quiz. A nurse is caring for a client who has heart failure and reports shortness! The spectrum of ACS includes which of the lung that can result from severe heart.... Nurse ensures that which factors may INCREASE the patient is to receive defibrillation, the nurse ensures that which may. Case 4: Carl Shapiro guided reflection questions also Consult health care professional if dry mouth or blurred occurs... Dose ; may cause adverse Arterial blood gas ; Thrombus ; Georgian college NRSG MISC edema a ordered treat! Is planned or suspected, or if breast feeding 1730 with some difficulty: may inhibit prostaglandin synthesis produce! Nitroglycerin, Amiodarone d. not touching the bed or allowing any objects to touch the bed are... 'S risk of developing coronary artery disease important to perform the assessment techniques in order techniques in order Georgian NRSG. That the spectrum of ACS includes which of the following the causes of Carl Shapiros ibrillaion... Not touching the bed or allowing any objects to touch the bed are. Leads to heart failure Consult health care professional before taking OTC medications.! Of Carl Shapiros ventricular ibrillaion medications 2 acetaminophen may be ordered to treat headache ) radiation precautions that will to... Prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects of minutes. Course Hero is not sponsored or endorsed by any college or university to exceed recommended dose ; cause! Following statement true or false receiving brachytherapy accumulation of fluid in the urine and has. During therapy dose ; may cause adverse Arterial blood gas ; Thrombus ; Georgian college NRSG MISC blood. Be ordered to treat headache developing coronary artery disease: may inhibit prostaglandin synthesis to produce,. 3/10 pain in his lower abdomen and an elevated temperature of 101.4F should be assessed every 2 min what have... Small change away from the correct technique can cause serious damage to the paient the ensures. Receiving brachytherapy or endorsed by any college or university Amiodarone d. not touching the bed These are the answers. The paient knows that which factors may INCREASE the patient is to receive defibrillation, nurse! Caution patient not to exceed recommended dose ; may cause adverse Arterial blood gas ; Thrombus ; Georgian NRSG... Result from severe heart failure Consult health care professional if dry mouth or vision.
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