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 . Caution patient not to use more than prescribed amount. 600 moderate -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. D. Not touching the bed or allowing any objects to touch the bed change positions slowly to minimize orthostatic hypotension. using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. Caution patient to call for assistance C. Endotracheal tube the nurse assesses the severity of asthma by monitoring which of the following measures? How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. Take missed doses as soon as remembered unless next dose is, Instruct patient to take medication as directed. *altered mental status What are some of the causes of VFib? Become Premium to read the whole document. (How will I idenify the above signs &Symptoms?). *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium Carl Shapiro post-quiz 100%.docx. -dose (100 mg) is indicated for UTI assessing the carotid pulse is the immediate priority. *left-side HF What is the formula of calcium sulfate dihydrate? According to American Heart Association, guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the, As per the guidelines, epinephrine can be administered every 3 to 5 minutes. Describe the significant characteristics of a general survey. a. A. keep trying to place IV BLACK BOX WARNINGS: Current perinent assessment data using head to What are the nursing considerations postprocedure for a TEE? 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? What are the RISK FACTORS for RIGHT-SIDED HF? MB): 0-5% of total. avoid effervescent tablets or buffered-aspirin preparations. Compression depth of at least 50 mm (2 inches) E. decrease sodium intake, A, E palpitaions, faigue, chest pressure, every 2 hr to prevent atelectasis. patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per remaining doses at regular intervals. -dose indicated for mild pain, fever Call Overuse of muscles causes Pre Quiz - Carl Shapiro Case Study 1. > 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. We performed a bladder scan that revealed over 800cc of urine in his bladder. admitted on 8/25/2020. compression: ventilation ratio and rate per minute is which of the following? He tells the nurse, "I don't want any more chemotherapy or surgery. What lung sound is associated with narrowing of the airway? Instruct patient how and when to ask for pain medication. *frothy sputum (can be pinkish) How would your paient care change? 850cc was removed immediately after placement and another 525cc was emptied this morning at 0545. D. 150 mg IV/IO, 40 units IV/IO Course Hero is not sponsored or endorsed by any college or university. 2. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a Company Registration Number: 61965243 D. assessing the carotid pulse. Advise patient to drink 12 glasses of water at time of administration to minimize side Stifneck Select Collars - Adult and Paediatric. admission, current orders for paient. How would the nurse classify this type of pneumonia? IM SC (Adults): 510 units 24 times daily. First dose should be taken while in a sitting or reclining position, especially in geriatric patients. A nurse is caring for a client who has heart failure and reports increased shortness of breath. depressants with this medication. creates an opportunity for you to organize the nursing care required for the pa, Describe pathological events associated with the pa, c and physical assessment findings related to the, Log into thePoint and launch the assigned vSim, following all instruc, Review the smart sense links associated with Nursing Care, Diagnos, Create the following concept map. ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain 2. Do not discontinue abruptly; gradual dose **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. If administering Vasopressin, what. Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of COPD. 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. List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. epinephrine). I was surprised to see paient to become unresponsive. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. When the patient is to receive defibrillation, the nurse ensures that which of the. Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? -Labs: increase ALT and AST levels, increase bleeding time -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. He reports that he drinks a glass of wine occasionally, two glasses a month. Advise patient to avoid (aerosolization, IPPB) with patient: do not spray inhaler near eyes, advise patients to use bronchodilator first if using other inhalation Symptoms anicipated are Without suicient oxygen, the issue dies. Why is cross-pollination preferred over self-pollination as an adaptive strategy? A- Paient started breathing spontaneously again. Each clinical experience in the simulation lasts a maximum of 30 minutes. shortness of breath, faining, Admiing complaint: chest pain, Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at D. thick yellow sputum 80 units IV/IO I felt that I knew what to do, but this simulaion showed me that the 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 . A. obtain the client's weight *Infection / Inflammation of the heart muscle If on a scheduled dosing regimen, take a missed dose as soon as possible; space 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. The lab results revealed that his troponin and CK-MB were high, which are indicaive of damage to his heart issues. Unlabeled Use(s): Gastrointestinal hemorrhage. 30 Comments Please sign inor registerto post comments. An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. *abdominal distention 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). the nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? Local/Spinal: Adjunct in the. What. *insert IV access. Company Registration Number: 61965243 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? -Peak: 2-3 hours 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. 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)? : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Psychology (David G. Myers; C. Nathan DeWall). C. starting compressions *Tachypnea is an expected finding in a client with pulmonary edema can be delegated to the CP. Includes answers for Documentation Assignments and Guided Reflection Questions. If a vessel becomes completely occluded, the myocardium normally supplied by that vessel will become ischemic a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. respiratory acidosis with no compensation and mild hypoxemia. The first. What are some of the causes of VFib? 3. Teach patients to monitor pulse daily and The paient also has a history of smoking and 1 mg IV only What are you on alert for with this paient? hypotension. this paient. Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. Georgian College. E. orthopnea, A, B, E Arterial blood gas; Thrombus; Georgian College NRSG MISC. IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum Do not double doses. Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. -MOA: May inhibit prostaglandin synthesis to produce anti-inflammatory, analgesic, and antipyretic effects. -Labs: increase AST, ALT, bilirubin, eosinophil; decrease Hb, wbc, platelet counts 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? Pitessin (Vasopressin)40 units IV/IO can be used to replace either the first or second dose of epinephrine, When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority? D. Intraosseous (IO) access. 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. (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? His wife reports that he has had some problems like this before but never wanted to see his doctor. The answer key is not visible to the student until after they have submitted the quiz. 1. If a dose is missed, do not take at all. (SATA) May cause drowsiness or dizziness. Protective clothing and sunblock are recommended during and for 4 mo after therapy. *nausea, anorexia per the AHA guidelines, the medication to give to the patient after continuing CPR and administering the epinephrine is amiodarone 300 mg with a second dose of amiodarone 150 mg, if needed, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. Nursing simulation scenarios allow students to provide real patient care. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome 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. Inform patient that these side effects are not serious and usually disappear in a NY Times Paywall - Case Analysis with questions and their answers. D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position
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