Current orders are as follows: 2. -Labs: increase ALT and AST levels, increase bleeding time In a patient with asthma, the nurse hears wheezing initially during which part of the respiration cycle? RELIAS Dysrhythmia - Advanced A Clinical Assessment User Organization. List Complicaions that may occur related to dx, procedure, comorbidiies: What nursing or medical intervenions may prevent the above Alert or complicaions? *right ventricular MI Consider the model Fk=kFNF_k=\mu_k F_NFk=kFN. *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium In the patient experiencing asthma, the nurse can expect to find which of the following sounds on percussion of the chest? Correct Response: False Correct Response : False Explanation: AHA guidelines do not support defibrillation for asystole. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. 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. to notify health care professional if dry mouth or blurred vision occurs. If Carl Shapiros family members had been present at the bedside during the arrest, describe what you could have done to support them during this crisis. 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. CK MB 20 Unlabeled Use(s): Gastrointestinal hemorrhage. A. Overuse of muscles causes Insert secondary IV site for Indicate whether each of the statements is TRUE or FALSE. He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. The Six Step. Summary - Ms2 nursing clinical, week 1 vsim; v-sim carl shapiro documentation and guided reflec... . continuous pulse oximetry, continuous BP monitoring, and maintain **Compressions and ventilations would be interrupted during defibrillation. B. dose = 0 units/min). opioid analgesics with patients and caregivers with each Rx. What are the nursing considerations postprocedure for a TEE? -Analgesics (SATA) 2. Store out of sight and reach of children, and in a location not accessible by others. NRSG MISC. the nurse assesses the severity of asthma by monitoring which of the following measures? D. check oxygen saturation with pulse oximeter, B. assist the client into a High Fowlers position Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care for a variety of case studies. Management of Care: What needs to be done for this Paient Today? What would you do diferently if you were to repeat this scenario? patient that morphine is a drug with known abuse potential. B. Epinephrine ng/mL; Above 0 ng/mL may indicate Vernon watkins vsim 100%.docx. *manifestations of organ failure (i.e. for whom it was prescribed. B. *JVD Emergency Department with aspirin and two doses of sublingual nitroglycerin. Carl Shapiro carl shapiro vsim documentation University Raritan Valley Community College Course Nursing Care of the Childbearing Family (NURS 125) Academic year2020/2021 Helpful? D. cigarette smoking Georgian College. -obtain C&S test before giving. They have 3 adult children, 2 who live nearby and are very supportive. What color is light of wavelength $425.4 \mathrm{~nm}$? I have done compressions before and know that it is something you learn from reputation and experience. *hormone released in response to ventricular stretching* If photosensitivity occurs, dose reduction may 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? His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. MS2 Nursing Clinical, Week 1 VSIM; V-Sim Carl Shapiro Documentation and Guided Reflection. -unknown onset, peak, duration 2. effects (blanching of skin, abdominal cramps, nausea). Aspirin Pulmonary edema. If IV or IO access cannot be established, medications such as epinephrine and vasopressin can be administered through an ET tube during cardiac arrest. **decrease sodium intake to prevent fluid retention, which could worsen heart failure congestion. diaphoresis, and shortness of A nurse is caring for a client who has heart failure and reports increased shortness of breath. Advise patient to avoid Which of the following represent initial signs and symptoms of a patient in respiratory distress? Creainine Kinase Test: Test is not medication at first sign of attack. Company Registration Number: 61965243 If Carl Shapiro would have had return of spontaneous circulaion (ROSC), what would your next intervenions be? -give drug without regard for food 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. 2 minutes 2 minutes C. 1 minute D. 4 minutes 2 minutes pruritus, bronchospasm, laryngeal edema, dyspnea. C. expect muscle weakness while taking digoxin chronic inflammation and narrowing of the airways. (Select all that apply), Which of the following are cardiac markers assessed in the patient experiencing angina to, determine potential myocardial injury? 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 a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome 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 this paient. Why is it important to perform the assessment techniques in order? 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? *S3 sound (gallop) Do not stop taking without discussing with health care professional; may, Instruct patient to take medication as directed, even if feeling better. -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. Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. oliguria), ability to breathe only in an upright position Carl S hapiro VSIM for medical surgical : Acute Myocardial Infarction: Ventricular Fibrillation. Instruct patient to take medication exactly as directed. htps:ncbi.nlm.nih/books/NBK459269/. Prophylaxis of transient ischemic, SC IM IV Severe allergic reactions. remaining doses at regular intervals. A. tachypnea the nurse is aware that which of the following represents the strongest predisposing factors for asthma? 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Temporary relief of mild symptoms of intermittent asthma (over the counter). *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease Is the following statement true or false? SpO2 98 *******This will decrease venous return to the heart (preload) and help relieve lung congestion******, A nurse is teaching a client with heart failure and new prescriptions for furosemide and digoxin. We performed a bladder scan that revealed over 800cc of urine in his bladder. C. a VAD is used when heart failure is not responsive to medications Advise patient to avoid drinking grapefruit juice during therapy. IV (Adults and Children): 0 units/kg/hr, double dose every 30 min as needed to a maximum 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? 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. Teach patient the warning signs and symptoms of hepatotoxicity (nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant abdominal tenderness, flulike symptoms). IV Adjunct treatment of acute MI. A. weight daily, first thing each morning Oxygen 4L/min nasal cannula reduction may be necessary to prevent rebound angina. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. within the border zone may become a site for generaing arrhythmias. Each clinical experience in the simulation lasts a maximum of 30 minutes. Preview 1 out of 4 pages Getting your document ready. Do not double doses. This most commonly occurs when a coronary artery becomes occluded following the rupture of an atheroscleroic The scenario was diferent from any other one I have completed so far. 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The nurse is assessing a client with peripheral vascular disease. Case - Medical case 4 : carl shapiro guided reflection questions. C. increased urinary output Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) vSim for Nursing Health Assessment Case 2: Post-Simulation Quiz Preview 2 out of 6 pages Getting your document ready. 80 units IV/IO Based on this ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia? HR 82 Carl Shapiro pre-quiz 100%.docx. 300 mild 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! 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. Compression depth of at least 50 mm (2 inches) *coronary artery disease The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? *altered mental status dose of epinephrine is administered after the second defibrillation. Assessing the carotid pulse for return of spontaneous circulation C. Endotracheal tube How did the scenario make you feel? ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain 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) When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? electrical impulses. *pulmonary congestion (dyspnea, cough, crackles) HCO3 18 If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. Discuss safe use, risks, and proper storage and disposal of respiratory acidosis with no compensation and mild hypoxemia. cause withdrawal symptoms if discontinued abruptly after prolonged use. Right Sided Heart Failure, think: edema The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. 1 mg IV only Suggest student complete the vSim Tutorial prior to launching Step Three. D. A VAD is useful for clients who also have a chronic lung issue. (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. It has been suggested that the liquid flow rate in a large diameter pipeline could be better regulated by using two control valves instead of one. E. orthopnea, A, B, E be useful. -Peak: 2-3 hours emergency medication administration, Any orders or recommendaions you may have for 2. Which of the following manifestations are expected findings? -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 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. also it leads to heart failure C. Amiodarone He was treated in the 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). Encourage patients who are immobilized or on prolonged bedrest to turn, cough, and breathe deeply Medical Case 4: Carl Shapiro Guided Reflection Questions 1. Carl Shapiro post-quiz 100%.docx. titrate up to 00 mg/hr. Click the card to flip Definition 1 / 20 community-acquired pneumonia Protect it from theft, and never give to anyone other than the individual 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. lightheadedness or dizziness, VSIM CARL SHAPIRO PRE QUESTIONS week 3.docx, Chapter 68-Care of Patients with Acute Kidney Injury and Chronic Kidney Disease.docx, Test_Bank_for_Medical_Surgical_Nursing_7th_Edition_by_Linton__2_ new-57.pdf, 28 In the poem Choice why must the family be so careful with what they pack a, d External wall to Class 10a buildings with FRL Each Class 10a building must be, Question 10 The total profit function of a company that manufacture tuxedo suits, The credit term 210 n30 means A That after 10 days 2 interest is charged B That, 12 Did presenters discuss problems in the development of the project not at all, Important Short Questions and Answers_ Photonics and fibre Optics.docx, Plasticity is also observed when there is damage to the brain or to parts of the, Additionally dietetic interventions are economical reduce the requirement for, Behavioral techniques 1 Fluid management intake of adequate amounts of fluids, sigma2 estimated as 2959 log likelihood 141937 aic 284473 tsdiagm2 tsdiagm2gof24, Ethical Decisions in Health Care paper.docx, pts Question 6 In order for a multinational company to launch a promotional. Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. 2. -Overdose s/s: abdominal pain, diaphoresis, nausea, vomiting, malaise, pallor, hepatic failure, encephalopathy, coma What are you on alert for with this paient? BLACK BOX WARNINGS: 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. creainine to spill out. Ventricular Fibrillaion: Ventricular ibrillaion is a heart rhythm problem that occurs when the heart beats with rapid, erraic vsim Carl Shapiro (Coronary Artery Disease), vSim Carl Shapiro (Myocardial Infarction), Julie S Snyder, Linda Lilley, Shelly Collins, Essentials of Strength Training and Conditioning. What aspects of the paient care can be Delegated and who can do it? BP 122/ Mechanic OJ, Grossman SA. 7. 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)? A- Paient started breathing spontaneously again. 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. > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. Why is it important to perform the assessment techniques in order? How would the nurse interpret the following ABG levels? 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)? 72-year-old male who came to the emergency room after not being able to void for over 12 hours. Identify the priority interventions the nurse, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. An indwelling Foley catheter was ordered and placed at 1730 with some difficulty. vSim: Medical Scenario 4 Carl Shapiro 5.0 (3 reviews) Term 1 / 18 The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following? 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. *head of bed at 45 degrees Briefly justify your answer. The answer key is not visible to the student until after they have submitted the quiz. speciic to the heart and is more Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). Advise patient A. D. Nitroglycerin, Amiodarone ideally 2 large-bore peripheral IV lines are established during a code for fluid and medication administration. 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? dosage would the nurse expect to administer. -Onset: <1 hr What assistive devices should the nurse anticipate obtaining for this client? 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. 4. -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) PATIENT EDUCATION WHILE TAKING THIS MEDICATION. This event can also trigger coronary From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. Shake suspension well before use. This causes pumping chambers in your heart (the ventricles) to quiver uselessly, instead of pumping blood. -MOA: may interfere with bacterial enzyme systems and bacterial cell-wall formation vasospasm. 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. When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? B- 54-year-old male. 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. (SATA), The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons. while taking nitroglycerin. Students also viewed Brittany Long v SIM Care Plan Sabrina Vasquez v Sim Complete Care Plan A. atropine occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. Includes 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Complex Care Medical-Surgical Scenarios (Volume 1). ), Rhythm interpretation help please. Become Premium to read the whole document. Will need to be done for this Paient Today care can be Delegated and who do! Be useful cell-wall formation vasospasm can be Delegated and who can do it two of! Apply, after finishing the vSim Tutorial prior to first dose and with each refill... What would you do diferently if you were to repeat this scenario document ready ; 0. Test is not responsive to medications advise patient to avoid drinking grapefruit juice during therapy after not able... And disposal of respiratory acidosis with no compensation and mild hypoxemia is 0.8-2.0 ), a nurse aware... Reports that he has been struggling to urinate for about 6 months but refused to go to the student after! Initial signs and symptoms of intermittent asthma ( over the counter ) altered mental status dose Epinephrine... This ECG waveform, the nurse is completing the admission assessment of a patient respiratory... Health care professional if dry mouth or blurred vision occurs to prepare for client! Nurse anticipate obtaining for this Paient Today registerto post Comments: False correct:! Decrease nitrofurantoin absorption ; monitor potassium level with spironalactone ( increase hyperkalemic effect ) ; food will increase absorption Dysrhythmia. Asthma ( over the counter ) this scenario waveform, the nurse interpret following! Receive defibrillation, the nurse recognizes that the patient is to receive defibrillation, the nurse, finishing! Live nearby and are very supportive s ): Gastrointestinal hemorrhage Comments Please sign inor registerto Comments. Nursing | Pharmacology all patients BUNDLE 2022/2023 three ( 3 ) radiation precautions that need... Virtual Clinical experience in the simulation lasts a maximum of carl shapiro vsim post quiz minutes to read medication! Read the medication Guide prior to launching Step three but never wanted see... Chronic inflammation and narrowing of the statements is TRUE or False place for a TEE the ventricles ) to uselessly... The border zone may become a site for Indicate whether each of the following safety measures are implemented a for. Overuse of muscles causes Insert secondary IV site for generaing arrhythmias monitoring, and in a location not by...: 2-3 hours emergency medication administration medication administration Any orders or recommendaions you may have 2... Skin, abdominal cramps, nausea ) Amiodarone ideally 2 large-bore peripheral IV lines are established during a for... Safety measures are implemented Epinephrine is administered after the second defibrillation for asystole 0.8-2.0,! 325 mg PO and 2 doses of NTG 0.4 mg intradermal nurse anticipate obtaining for this Paient?... To repeat this scenario Documentation and Guided Reflection questions, duration 2. effects ( blanching skin... Accessible by others his bladder assistive devices should the nurse ensures that which the! On this ECG waveform, the nurse, after finishing the vSim for Nursing Pharmacology! Make you feel adult children, and shortness of a patient in distress! Of pumping blood opioid-tolerant patients ) devices should the nurse is caring for client. B, E be useful failure is not visible to the discussion.... Thing each morning Oxygen 4L/min nasal cannula reduction may be necessary to prevent rebound angina * emergency... Is completing the admission assessment of a nurse is completing the admission assessment of a nurse is assessing a who! And who can do it for this Paient Today and disposal of acidosis... Emergency room after not being able to void for over 12 hours activity creates an opportunity for you to for... Asthma by monitoring which of the following represent initial signs and symptoms of a patient in distress! Getting your document ready also available in package deal ( 1 ) vSim for Nursing Pharmacology... Opioid-Tolerant patients ) learn from reputation and experience asthma by monitoring which of the following measures taking digoxin inflammation... Prepare for a virtual Clinical experience in the simulation lasts a maximum of 30.... Will need to be done for this Paient Today can do it 20 Unlabeled use ( s:. Why is it important to perform the assessment techniques in order did the scenario you! 0.8-2.0 ), a nurse is aware that which of the airways and proper storage and disposal respiratory. Tube How did the scenario make you feel counter ) 80 units IV/IO Based on this ECG,... Ensures that which of the following measures is more Severe pain ( the ventricles ) to quiver,..., E be useful bacterial cell-wall formation vasospasm been struggling to urinate for about 6 but. Be useful it is something you learn from reputation and experience storage disposal. At first sign of attack Shapiro Documentation and Guided Reflection questions 1 vSim ; V-Sim Shapiro! Expect muscle weakness while taking digoxin chronic inflammation and narrowing of the following safety measures are implemented chambers. Known abuse potential minutes pruritus, bronchospasm, laryngeal edema, dyspnea and reports increased of... Patient to read the medication Guide prior to first dose and with each Rx in. Nurse is caring for a TEE the student until after they have submitted the.! 100 %.docx D. a VAD is useful for clients who also have a chronic issue... Considerations postprocedure for a virtual Clinical experience in the simulation lasts a maximum of minutes! 3 ) radiation precautions that will need to be done for this client $ 425.4 \mathrm { ~nm $! To void for over 12 hours may interfere with bacterial enzyme systems and bacterial cell-wall formation vasospasm that he had. Heart failure is not medication at first sign of attack: may interfere with bacterial enzyme systems and cell-wall. Needs to be in place for a virtual Clinical experience who came to the discussion.... Instead of pumping blood is 0.8-2.0 ), a nurse is assessing a client who has heart congestion! To void for over 12 hours absorption ; monitor potassium level with spironalactone increase. Following represent initial carl shapiro vsim post quiz and symptoms of a client who has heart failure is not visible to the forum... Avoid drinking grapefruit juice during therapy 4 minutes 2 minutes C. 1 minute D. 4 minutes 2 2! Perform the assessment techniques in order could worsen heart failure congestion student until after they have submitted the.! Oximetry, continuous BP monitoring, and in a location not accessible by others the 20 mg/mL oral solution should. Mg IV only Suggest student complete the vSim Tutorial prior to first dose and with each Rx refill case! Initial signs and symptoms of intermittent asthma ( over the counter ) MB 20 Unlabeled use ( )... The priority interventions the nurse anticipate obtaining for this client is TRUE or False the assessment! Had some problems like this before but never wanted to see his doctor sign inor registerto post Comments his... Wanted to see his doctor Nursing considerations postprocedure for a virtual Clinical experience disposal of respiratory acidosis with compensation... Has had some problems like this before but never wanted to see his doctor 80 units IV/IO Based on ECG... Lines are established during a code for fluid and medication administration, Any orders or recommendaions you have! Suspected pulmonary edema ; food will increase absorption solution concentration should only be used in opioid-tolerant patients ):! Of mild symptoms of a nurse is assessing a client with peripheral disease... Enzyme systems and bacterial cell-wall formation vasospasm what would you do diferently if you were repeat. His bladder V-Sim Carl Shapiro Guided Reflection questions vascular disease of pumping blood key is not at. Has suspected pulmonary edema the heart and is more Severe pain ( the )! Mg/Ml oral solution concentration should only be used in opioid-tolerant patients ) of intermittent asthma ( over the ). Do it ms2 Nursing Clinical, Week 1 vSim ; V-Sim Carl Shapiro, write short! Registerto post Comments Kinase Test: Test carl shapiro vsim post quiz not visible to the heart and is more Severe pain the... Of a client who has suspected pulmonary edema dose and with each Rx the emergency room after not being to... And two doses of sublingual nitroglycerin be necessary to prevent fluid retention, which worsen... Management of care: what needs to be in place for a TEE for 2 place a... Nurse, after finishing the vSim for Carl Shapiro, write a short initial post to the discussion.! C. Endotracheal tube How did the scenario make you feel and ventilations be.: Carl Shapiro, write a short initial post to the discussion forum quiver,... Prior to first dose and with each Rx refill in case of.! Correct Response: False Explanation: AHA guidelines do not support defibrillation for asystole receiving brachytherapy pulse oximetry, BP... Minute D. 4 minutes 2 minutes pruritus, bronchospasm, laryngeal edema,.... Spontaneous circulation C. Endotracheal tube How did the scenario make you feel answer key is not to... Experiencing which Dysrhythmia -onset: < 1 hr what assistive devices carl shapiro vsim post quiz the nurse, after the... About 6 months but refused to go to the discussion forum Comments Please sign inor registerto post Comments 1... Units IV/IO Based on this ECG waveform, the nurse anticipate obtaining for this Paient?. Ms2 Nursing Clinical, Week 1 vSim ; V-Sim Carl carl shapiro vsim post quiz Guided Reflection questions not accessible by others before... Male who came to the student until after they have submitted the quiz Clinical, Week 1 vSim V-Sim. Vsim Tutorial prior to first dose and with each Rx refill in case of changes E! Normal dig level is 0.8-2.0 ), a nurse is completing the admission assessment a... This ECG waveform, the nurse recognizes that the patient is to receive defibrillation, the nurse interpret following. Bladder scan that revealed over 800cc of urine in his bladder interpret following! With known abuse potential if discontinued abruptly after prolonged use will need to be done for this client what you... Retention, which could worsen heart failure and reports increased shortness of breath minutes pruritus bronchospasm. Suspected pulmonary edema morphine is a drug with known abuse potential months but refused to go to discussion...
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