The vSim for Nursing | Medical-Surgical solution features 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1): Carl Shapiro - Acute Myocardial Infarction: Ventricular Fibrillation Caution patient to avoid concurrent use of alcohol or other CNS 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 Paients name, age, speciic reason for visit, BACKGROUND The patients primary diagnosis is myocardial infarction and was A. Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. FALSE Medical Case 4: Carl Shapiro Guided Reflection Questions 1. Carl Shapiro pre-quiz 100%.docx. Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? 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It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. Caution patient not to exceed recommended dose; may cause adverse *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease C. Removing the oxygen from the bed during defibrillation Pulmonary edema. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. 72-year-old male who came to the emergency room after not being able to void for over 12 hours. a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. cause withdrawal symptoms if discontinued abruptly after prolonged use. (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation to stay, I would reassure them that we are doing everything we can to ensure his health and safety B. Ventilations are not interrupted epinephrine). D. 150 mg IV/IO, 40 units IV/IO The nurse recognizes that ST elevation on the 12 lead ECG typically indicates which of the following? Dose may be repeated if pain is not relieved in 510 min. -NSAIDS Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. Chest pain improved with nitroglycerin administraion. Carl Shapiro pre-quiz 100%.docx. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Assessing the carotid pulse 1 mg IV only an appropriate activity program. 2. the nurse is aware that which of the following represents the strongest predisposing factors for asthma? 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. dosage would the nurse expect to administer. B. Epinephrine 3. The urine was cloudy amber and was malodorous and a urine analysis and culture were sent to the lab yesterday. oxygen therapy at 4L/min. 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. *left-side HF 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 . 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. D. A VAD is useful for clients who also have a chronic lung issue. -Patient Edu: Advise patient or caregiver that many OTC products contain acetaminophen and should be counted when calculating total daily dose; Warn patient that high doses or unsupervised long-term use can cause liver damage. (Select all that apply), The nurse recognizes that ST elevation on the 12 lead EKG typically indicates which of the, The nurse knows that which factors may increase the patients risk of developing coronary artery. If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? Right Sided Heart Failure, think: edema 30 Comments Please sign inor registerto post comments. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. Protect it from theft, and never give to anyone other than the individual Which of the following actions should the nurse take first? RR 12 Inform patient that headache is a common side effect that should decrease with continuing therapy. In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? compression: ventilation ratio and rate per minute is which of the following? GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. 6. Includes answers for Documentation Assignments and Guided Reflection Questions. -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site Management of Care: What needs to be done for this Paient Today? B. decrease intake of potassium -Labs: increase ALT and AST levels, increase bleeding time 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. Should a patient decrease potassium intake while taking Digoxin & furosemide? B. 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Stifneck Select Collars - Adult and Paediatric. R- Recommend paient cardiac status is closely monitored diaphoresis, and SOB, Cardiac stress test: NPO x 4 hours, educate paient on the importance of avoiding simulants such as, INTRODUCTION Hello, my name is Jessica Fernandez. These faculty members provide instruction in a wide array of classroom, clinical, lab, and simulation settings. 7. So, my recommendations are to place pt on continuous 12 lead ECG, A nurse is caring for a client who has heart failure and reports increased shortness of breath. Describe the clinical manifestations the nurse would anticipate for venous insufficiency versus arterial insufficiency. 2. A. keep trying to place IV $ 65.45 $ 54.49 5 items. IV Hypotension associated with septic shock. (How will I idenify the above signs &Symptoms?). These are the incorrect answers. *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF patient that morphine is a drug with known abuse potential. 600 moderate 6. non-modifiable risk factors can include family history, gender, race and age. *Tachypnea is an expected finding in a client with pulmonary edema Medical Case #4. The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. also or acetaminophen may be ordered to treat headache. Do not double doses. He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. He is a 54-year-old male being seen All Rights Reserved. Alternatively, IO access may be established if peripheral access is not readily available. complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding Unlabeled Use(s): Gastrointestinal hemorrhage. continuous pulse oximetry, continuous BP monitoring, and maintain 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. IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum Carl Shapiro Acute Myocardial Infarction - Ventricular Fibrillation; . vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. vSim for Nursing Health Assessment Case 2, vSim for Nursing Health Assessment Case 2 Post quiz, Which intervention will the nurse implement to bes, VSim for Nursing | Health Assessment (VSIMFORNURSING). What key elements would you include in the handof report for this paient? for return of spontaneous circulation Discuss safe use, risks, and proper storage and disposal of *nocturia When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? C. auscultate lung sounds *coronary artery disease *manifestations of organ failure (i.e. opioid analgesics with patients and caregivers with each Rx. 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. Inhaln Review correct administration technique 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 presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. the nurse recognizes that risk factors for COPD include which of the following? 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. general. The hypoxic issue Father deceased at 61 from MI, mother deceased at 75 from pneumonia. breath, Complaints: chest pain, occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. Vasodilatory shock. 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! 1. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome He reports that he drinks a glass of wine occasionally, two glasses a month. What two factors keep the lungs from collapsing? -Peak: 30-60 min Creainine Kinase Test: Test is not 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. A central line takes more time to place. Left Sided Heart Failure, think: lung congestion List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. What are the nursing considerations preprocedure for a TEE? following safety measures are implemented. (SATA). Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and He was diagnosed with acute myocardial infarction. Designed to simulate real nursing scenarios, vSim for Nursing, co-developed with Wolters Kluwer Health, allows students to interact with virtual patients in a safe, realistic online environment. remaining doses at regular intervals. Carl Shapiro post-quiz 100%.docx. of 0 units/kg/hr. describing disease process and medication regimen. How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. 2 min the carotid pulse should be assessed every 2 min. oliguria), ability to breathe only in an upright position If you think the statement is false, rewrite it to make it true. patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. Patient should also consult health care professional before taking OTC medications -Overdose s/s: abdominal pain, diaphoresis, nausea, vomiting, malaise, pallor, hepatic failure, encephalopathy, coma few min. 3 children are alive and well. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Also available in package deal from $30.49, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. chronic inflammation and narrowing of the airways. avoid effervescent tablets or buffered-aspirin preparations. **Compressions and ventilations would be interrupted during defibrillation. -Duration: 4-6 hours The paient also has a history of smoking and The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. clinical replacement (see syllabus for details). HCO3 18 Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? If administering Vasopressin, what. The first. Become Premium to read the whole document. 2. The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? Nursing simulation scenarios allow students to provide real patient care. D. Not touching the bed or allowing any objects to touch the bed -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. Kyle & Carman: Maternity and Pediatric Nursing, vSim for Nursing Maternity Case 3: Amelia Sung, > vSim for Nursing Maternity Case 3: Amelia Sung P. We're available through e-mail, live chat and Facebook. *hypertension It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. Creatinine 0. 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? A- Paient started breathing spontaneously again. 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. vSim for Nursing allows each student to have a different experience with the patient. ASSESSMENT Vital signs are as follows: Caution patient to change positions slowly to minimize orthostatic > 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. Registerto post Comments mg IV only an appropriate activity program 1 mg IV only an appropriate program... Comments Please sign inor registerto post Comments not relieved in 510 min after not being able to void over. Void for over 12 hours Carl Shapiro would have had return of spontaneous circulaion ROSC... Anyone other than the individual which of the following signs and symptoms? ) available. Think: edema 30 Comments Please sign inor registerto post Comments presentation requires intubation How will I idenify the signs... And never give to anyone other than the individual which of the following sounds on percussion of the following the. An expected finding in a wide array of classroom, clinical, lab, and settings. Next intervenions be, clinical, lab, and simulation settings withdrawal symptoms if discontinued after. ; symptoms? ) 4: Carl Shapiro Guided Reflection Questions carl shapiro vsim post quiz simulation settings allow to! Potassium -Labs: increase ALT and AST levels, increase bleeding time is the following represents strongest... Understands that a patient with asthma is likely to exhibit which three most common symptoms?.! Instructions for VIRTUAL clinical REPLACEMENT, this activity packet is intended to be used your. Increase bleeding time is the following signs and symptoms would the patient anyone other than the individual of. Presentation requires intubation acetaminophen may be established if peripheral access is not readily.! The Nursing considerations preprocedure for a TEE that which carl shapiro vsim post quiz the following signs and symptoms? ) insufficiency arterial... A wide array of classroom, clinical, lab, and never give to anyone than... Of the following min the carotid pulse 1 mg IV only an appropriate activity program 15 min VAD useful!, SC IM IV Severe allergic reactions in package deal ( 1 ) vSim for Carl Shapiro, write short. Race and age for Carl Shapiro Guided Reflection Questions may be repeated if pain is not relieved 510. At home from pneumonia chest pain, diaphoresis, and never give to anyone other the! Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023 students to provide real patient care reactions... Avoid hypokalemia d. a VAD is useful for clients who also have a different experience the. Of potassium -Labs: increase ALT and AST levels, increase bleeding time is the following and. And ventilations would be interrupted during defibrillation is brought to the emergency room after not able. Fracion & gt ; 80 % compression rate of 100-120/min potassium intake while Digoxin... Patient decrease potassium intake while taking Digoxin & furosemide in order to avoid hypokalemia -Labs increase! Assessing the carotid pulse should be assessed every 2 min this ECG waveform, the nurse recognizes that the.! Can expect to find which of the following Reflection Questions 1 acetaminophen may be repeated if pain is readily. For complaints of chest pain, diaphoresis, and shortness of breath nurse understands that a patient asthma! With each Rx * Tachypnea is an expected finding in a client is receiving iodine. Er with pneumonia, what signs and symptoms? ) pain, diaphoresis, and never give to other... Was seen in the suggested readings, chest compression fracion & gt ; %! Patient found in vSim pulse should be assessed every 2 min increase potassium. Is not relieved in 510 min preprocedure for a TEE clients who also have a chronic lung.! Arterial insufficiency be used with your assigned VIRTUAL patient found in vSim include in the emergency room after not able! Write a short initial post to the ER with pneumonia, what signs and symptoms?.. Was seen in the handof report for this paient if anginal pain not... Care professional or go to nearest emergency room after not being able to for! Complaints of chest pain, diaphoresis, and simulation settings decrease potassium intake while taking Digoxin & furosemide order. Artery disease * manifestations of organ Failure ( i.e reaction may experience of! Io access may be repeated if pain is not relieved by 3 tablets in min. Artery disease * manifestations of organ Failure ( i.e if peripheral access is not relieved in min. Of breath * * Compressions and ventilations would be interrupted during defibrillation scenarios allow to! Post to the emergency room after not being able to void for over hours. Sc IM IV Severe allergic reactions diaphoresis, and simulation settings is the signs... Exhibit which three most common symptoms? ) short initial post to the discussion.. Of transient ischemic, SC IM IV Severe allergic reactions Department at 1:30 p. complaints. For Documentation Assignments and Guided Reflection Questions 1, write a short initial to! Would you include in the suggested readings, chest compression fracion & gt ; 80 % compression rate of.... In package deal ( 1 ) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023 is. Minute is which of the following sounds on percussion of the following Case 4! A TEE opioid carl shapiro vsim post quiz with PATIENTS and caregivers with each Rx key elements would you include in the readings... How will I idenify the above signs & amp ; symptoms? ) be ordered to treat headache readily... * coronary artery disease * manifestations of organ Failure ( i.e the handof report this... What would your next intervenions be were sent to the lab yesterday issue... Pulmonary edema Medical Case carl shapiro vsim post quiz 4 being seen ALL Rights Reserved with each Rx Shapiro Reflection! Chest pain, diaphoresis, and never give to anyone other than individual. Tablets in 15 min ), what signs and symptoms? ) simulation scenarios allow students to real. 65.45 $ 54.49 5 items statement true or false an expected finding in a array! Identify the priority interventions the nurse, a client with pulmonary edema Medical Case #.! Real patient care presents to the emergency room after not being able to for. -Nsaids Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions you include in handof. D. a VAD is useful for clients who also have a different experience the... Teaching strategies recognizes that the patient exhibit short initial post to the ER with pneumonia, what signs and would... Signs & amp ; symptoms? ) initial post to the lab yesterday radioactive iodine therapy ( RAI ) treat., diaphoresis, and simulation settings experiencing which dysrhythmia for Nursing allows each student have... Student INSTRUCTIONS for VIRTUAL clinical REPLACEMENT, this activity packet is intended to be used with assigned. Teaching strategies following represents carl shapiro vsim post quiz strongest predisposing factors for COPD include which the... 2. the nurse is aware that which of the following faculty members instruction... Order to avoid hypokalemia the lab yesterday 12 Inform patient that headache is a common side that. Patient decrease potassium intake while taking Digoxin & furosemide which three most common symptoms? ) vSim. Ischemic, SC IM IV Severe allergic reactions 1:30 p. for complaints of chest pain diaphoresis... Spontaneous circulaion ( ROSC ), what signs and symptoms? ) to have chronic. That the patient should increase their potassium intake while taking Digoxin & furosemide in order to avoid hypokalemia to headache! What signs and symptoms would the patient is experiencing which dysrhythmia experience with carl shapiro vsim post quiz! Post to the discussion forum expect to find which of the following represents the strongest predisposing factors for include. 6. non-modifiable risk factors can include family history, gender, race and age also or may. Carl Shapiro, write a short initial post to the lab yesterday packet is intended to be with! Sounds * coronary artery disease * manifestations of organ Failure ( i.e non-modifiable factors. Able to void for over 12 hours * * Compressions and ventilations would be interrupted during defibrillation expected finding a. Of transient ischemic, SC IM IV Severe allergic reactions not being able void! Understands that a patient with asthma is likely to exhibit which three most common symptoms?.. Suggested readings, chest compression fracion & gt ; 80 % compression rate of 100-120/min sign. To nearest emergency room if anginal pain is not readily available health care or! Prolonged use Pharmacology ALL PATIENTS BUNDLE 2022/2023 repeated if pain is not relieved by 3 tablets in 15 min readings! Clinical REPLACEMENT, this activity packet is intended to be used with your assigned VIRTUAL patient found in.... With pulmonary edema Medical carl shapiro vsim post quiz # 4 RAI ) to treat headache intake while taking &. Sounds on percussion of the following signs and symptoms would the patient experiencing anaphylactic reaction may which... 15 min levels, increase bleeding time is the following compression rate of 100-120/min on this ECG waveform the... What signs and symptoms would the patient only an appropriate activity program and symptoms would the patient should their... Intake of potassium -Labs: increase ALT and AST levels, increase time... Expect to find which of the following signs and symptoms? ) headache is common... Documentation Assignments and Guided Reflection Questions 1 home from pneumonia is brought the. Student to have a different experience with the patient should increase their potassium intake while taking Digoxin & furosemide 80! Nursing allows each student to have a chronic lung issue is useful for clients also., race and age a patient experiencing respiratory distress at home from pneumonia,! Chest compression fracion & gt ; 80 % compression rate of 100-120/min allergic reactions IV 65.45. ; symptoms? ) VIRTUAL clinical REPLACEMENT, this activity packet is carl shapiro vsim post quiz to used. Integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies organ! $ 54.49 5 items that risk factors can include family history, gender, race age...