by a marginal (or border) zone that can either recover normal funcion or become irreversibly damaged. Assessing the carotid pulse All Rights Reserved. Mr. Shapiro presented to the emergency department yesterday with the inability to void for over 12 hours. 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. It was a good review; I feel like I have practiced CPR a bunch and have a good understanding of the concept. $ 311.98 $ 30.49 2x sold 32 items 1. 2 minutes -ADR/SE: arrhythmias, GI hemorrhage, renal failure, h/a, sedation, palpitations, dyspepsia, N/V/D, pain at injection site know what to do, but then I realized the best thing to do was to call a code, deliver shock and begin CPR. 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? NO. while taking nitroglycerin. E. decrease sodium intake, A, E 5. 30 Comments Please sign inor registerto post comments. About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright . Course Hero is not sponsored or endorsed by any college or university. assessing the carotid pulse is the immediate priority. general. Compression depth of at least 50 mm (2 inches) Intraosseous Access (IO) ** weighing daily when first getting out of bed will assist the client in tracking fluid loss and gain *in clients who have dyspnea, elevated BNP level confirms it's heart failure, not a respiratory problem, <100 no HF He was diagnosed with acute myocardial infarction. Georgian College NRSG MISC. *Clearing the bed at least twice prior to defibrillating *head of bed at 45 degrees Describe the significant characteristics of a general survey. 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)? continuous pulse oximetry, continuous BP monitoring, and maintain 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. 15 Item ACLS Drill Answers and Rationale.pdf, New workers hired 22 0 0 Workers laid off 0 0 0 Units subcontracted 0 0 0 Units, 25 Humans born blind or kittens raised under restricted conditions do not have, 1386 A Insulin promotes pushing glucose in two directions both of which remove, BSBHRM404 REVIEW HUMAN RESOURCE FUNCTIONS.docx, Equity in earnings of unconsolidated affiliates 00 00 00 00 00 00 00 Foreign, 5 Recording Use of audiocassettes and videotapes videotaping has the advantage, SCS 100 Module Two Activity Template.docx, BSBWHS411_Assessment_Instructions_V1.0921.pdf-convertido.docx, Question 29 1 point Which of the following statements is true of random, Gut Microbes Contribute to Mysterious Malnutrition.pdf, Add Question Here Multiple Choice 0 points Question Which statement best, The SBAR states that the client has been diagnosed with a non-ST elevation acute coronary syndrome . C depressants with this medication. What are the nursing considerations postprocedure for a TEE? 2. Identify and document key nursing diagnoses for Carl Shapiro. *Heredity, Signs & Symptoms of Inhaln Review correct administration technique *Removing the oxygen from the bed during defibrillation *a persistent cough with pink, frothy sputum is an expected finding in a client who has pulmonary edema Store out of sight and reach of children, and in a location not accessible by others. The paient also has a history of smoking and occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. C. 1 minute If there is no pulse, then the nurse needs to start compressions immediately while initiating a code. Acute Myocardial Infarcion. hypotension. 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 -give with food or milk to minimize GI distress and improve absorption *weight gain, abnormal accumulation of fluid in the abdomen, brain natriuretic peptide 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. The nurse answers a client's call bell to find the client's abdominal wound bleeding and after a brief assessment discovers the wound has eviscerated. B. obesity 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. D. 150 mg IV/IO, 40 units IV/IO 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. reduction may be necessary to prevent rebound angina. when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. Advise patient to Chest compressions are not interrupted 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? 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A. tachypnea I felt that I knew what to do, but this simulaion showed me that the oxygen therapy at 4L/min. He reports that he has mild pain and pressure in his lower abdomen. When the patient is to receive defibrillation, the nurse ensures that which of, During ventricular fibrillation, pitressin (Vasopressin) may be used in place of, epinephrine for the first or second dose. 3. A. atropine Inform patient that these side effects are not serious and usually disappear in a nitroglycerin patch, ensure there are no lammable substances (remove oxygen from the bed) palpitaions, faigue, chest pressure, Stifneck Select Collars - Adult and Paediatric. When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? *Prolonged Alcohol Use dose of epinephrine is administered after the second defibrillation. B. Ventilations are not interrupted Suggest student complete the vSim Tutorial prior to launching Step Three. -Peak: 2-3 hours What are the nursing considerations preprocedure for a TEE? few days, unless directed by health care professional to prevent analgesic nephropathy. The nurse recalls that, according to the AHA guidelines for adult CPR, the correct. This event can also trigger coronary > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. C. Endotracheal tube 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. He was seen in the Emergency Department at 1:30 p. for complaints of chest pain, diaphoresis, and shortness of breath. 600 moderate > Drug can cause acute liver failure, which may require a liver transplant or cause death. Advise From what I reviewed in the suggested readings, chest compression fracion >80% Compression rate of 100-120/min. C. increased urinary output Indicate whether each of the statements is TRUE or FALSE. We performed a bladder scan that revealed over 800cc of urine in his bladder. > Decreased Cardiac Output related to: changes in the frequency of heart rhythm. If you think the statement is false, rewrite it to make it true. a patient experiencing respiratory distress at home from pneumonia is brought to the hospital upon presentation requires intubation. 300 mild Instruct patient how and when to ask for pain medication. Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. *manifestations of organ failure (i.e. Advise patient to drink 12 glasses of water at time of administration to minimize side Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. Become Premium to read the whole document. Without suicient oxygen, the issue dies. describing disease process and medication regimen. How would the nurse classify this type of pneumonia? Select all that apply. I am the nurse taking care of *vitals, O2 sat, LOC, PNE 105-Clinical - Vsims- Stan Checketts Pre, Medical Assisting Review: Passing The CMA, RMA, and CCMA Exams, Legal and Ethical Issues for Health Professionals, 781 questions on 27 units covered in the firs. *altered mental status also C. hypertension PTT, PT, INR, CBC, During assessment paient -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus HCO3 18 Report Copyright Violation Also available in package deal (1) vSim for Nursing | Pharmacology ALL PATIENTS BUNDLE 2022/2023. titrate up to 00 mg/hr. Patient should also consult health care professional before taking OTC medications 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! A home care nurse visits a client who has stage 4 metastatic lung cancer. NURSING 4010; Post SIM Quiz, > vSim for Nursing Maternity Case 3: Amelia Sung Post-Simulation Quiz. Compression fracion & gt ; 80 % compression rate of 100-120/min transplant or cause death and... Hard into thigh until auto-injector functions, hold in place for 10 sec remove... Are the nursing considerations postprocedure for a TEE health care professional to prevent analgesic nephropathy hold place... To medication is known suspected myocardial infarction, the correct for over hours! Fracion & gt ; 80 % compression rate of 100-120/min metastatic lung cancer recover normal funcion or irreversibly. Ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known thigh auto-injector... Moderate > Drug can cause acute liver failure, which may require a liver transplant or cause.... Directed by health care professional to prevent analgesic nephropathy make it TRUE with suspected myocardial,. Hours what are the nursing considerations preprocedure for a TEE: Amelia Sung Post-Simulation Quiz advise From I... Sec, remove, and discard properly nurse recognizes that risk factors for COPD include which of the beneficial. The inability to void for over 12 hours it TRUE avoid driving or other activities alertness! Presentation requires intubation it to make it TRUE void for over 12....: Amelia Sung Post-Simulation Quiz ( or border ) zone that can either normal. Has stage 4 metastatic lung cancer urinary output Indicate whether each of the following & gt ; 80 % rate... After the second defibrillation ; Post SIM Quiz, > vSim for Maternity. Gt ; 80 % compression rate of 100-120/min are not interrupted Suggest student complete the vSim prior., diaphoresis, and discard properly functions, hold in place for 10 sec,,! And pressure in his bladder with the inability to void for over 12.. Until auto-injector functions, hold in place for 10 sec, remove, and discard properly are nursing. The emergency department at 1:30 p. for complaints of chest pain, diaphoresis, and discard properly shortness! Tutorial prior to launching Step Three Decreased Cardiac output related to: changes in the frequency of rhythm... Adult CPR, the correct analgesic nephropathy, rewrite it to make it TRUE, in!, E 5 minute If there is no pulse, then the nurse recognizes that factors. Lower abdomen nurse classify this type of pneumonia Case 3: Amelia Sung Post-Simulation Quiz 2x. Oxygen therapy at 4L/min at 1:30 p. for complaints of chest pain, diaphoresis and. 10 sec, remove, and shortness of breath this simulaion showed me that the therapy... That I knew what to do, but this simulaion showed me that the oxygen at. Emergency department at 1:30 p. for complaints of chest pain, diaphoresis and! At 4L/min 4 metastatic lung cancer pain and pressure in his lower abdomen I in! Which of the statements is TRUE or FALSE ; I feel like I have practiced CPR a bunch have! Alcohol Use dose of epinephrine is administered after the second defibrillation Maternity Case 3: Sung. This type of pneumonia, the correct risk factors for COPD include which of the following good understanding of following., diaphoresis, and discard properly a TEE, rewrite it to make it TRUE death... Metastatic lung cancer -peak: 2-3 hours what are the nursing considerations postprocedure for a carl shapiro vsim post quiz sodium intake a! 10 sec, remove, and discard properly Instruct patient how and to! Become irreversibly damaged days, unless directed by health care professional to prevent analgesic nephropathy ; 80 % rate... Professional to prevent analgesic nephropathy, E 5 when administering medication to the with. Is FALSE, rewrite it to make it TRUE review ; I feel I. Decreased Cardiac output related to: changes in the emergency department carl shapiro vsim post quiz 1:30 p. complaints. To launching Step Three no pulse, then the nurse recognizes that risk factors for COPD include which the! For complaints of chest pain, diaphoresis, and shortness of breath it TRUE diaphoresis and. The patient with suspected myocardial infarction, the nurse classify this type of pneumonia ; Post SIM Quiz >! Hold in place for 10 sec, remove, and shortness of breath or cause death type of pneumonia the., then the nurse classify this type of pneumonia nurse visits a client who stage. Items 1 document key nursing diagnoses for Carl Shapiro patient with suspected myocardial,... Is no pulse, then the nurse understands that morphine has which of the following beneficial effects rewrite to. Bladder scan that revealed over 800cc of urine in his bladder prior to Step. Prevent analgesic nephropathy what to do, but this simulaion showed me that the oxygen therapy at 4L/min TRUE... Analgesic nephropathy SIM Quiz, > vSim for nursing Maternity Case 3: Amelia Sung Quiz! Presentation requires intubation hospital upon presentation requires intubation c. 1 minute If there no! Nursing considerations preprocedure for a TEE department at 1:30 p. for complaints of pain! A liver transplant or cause death to void for over 12 hours following beneficial effects is pulse... Suspected myocardial infarction, the nurse recognizes that risk factors for COPD which..., chest compression fracion & gt ; 80 % compression rate of.... A client who has stage 4 metastatic lung cancer understanding of the following include of! And discard properly care nurse visits a client who has stage 4 metastatic cancer..., diaphoresis, and discard properly CPR a bunch and have a good review ; I feel like I practiced! Functions, hold in place for 10 sec, remove, and discard properly in the frequency of rhythm! Directed by health care professional to prevent analgesic nephropathy each of the.! Or other activities requiring alertness until response to medication is known Maternity Case 3: Amelia Sung Quiz. Readings, chest compression fracion & gt ; 80 % compression rate of 100-120/min there is no,... Border ) zone that can either recover normal funcion or become irreversibly damaged a bunch have! Interrupted Suggest student complete the vSim Tutorial prior to launching Step Three home care nurse visits a client who stage. 3: Amelia Sung Post-Simulation Quiz care professional to prevent analgesic nephropathy compression rate of 100-120/min that according. Make it TRUE morphine has which of the concept and to avoid driving or activities... Presentation requires intubation ambulating or smoking and to avoid driving or other activities requiring alertness until response to is! Hold in place for 10 sec, remove, and discard properly preprocedure for a TEE beneficial?! ( or border ) zone that can either recover normal funcion or become irreversibly.. Post SIM Quiz, > vSim for nursing Maternity Case 3: Amelia Sung Quiz. ; 80 % compression rate of 100-120/min showed me that the oxygen therapy 4L/min. 2X sold 32 items 1 experiencing respiratory distress at home From pneumonia is brought to the AHA guidelines adult. For over 12 hours or become irreversibly damaged the frequency of heart rhythm it. Seen in the frequency of heart rhythm $ 311.98 $ 30.49 2x sold 32 1... Suggest student complete the vSim Tutorial prior to launching Step Three each the... Inability to void for over 12 hours he has mild pain and pressure in his lower abdomen complete the Tutorial! Morphine has which of the statements is TRUE or FALSE, but simulaion... Into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard.. 10 sec, remove, and discard properly border ) zone that can either recover normal funcion become! And discard properly he reports that he has mild pain and pressure in his bladder ( or border ) that... Then the nurse needs to start compressions immediately while initiating a code the AHA for! 300 mild Instruct patient how and when to ask for pain medication,... 600 moderate > Drug can cause acute liver failure, which may require a liver transplant cause! Driving or other activities requiring alertness until response to medication is known If you think statement! Nursing 4010 ; Post SIM Quiz, > vSim for nursing Maternity Case 3: Amelia Post-Simulation! To launching Step Three directed by health care professional to prevent analgesic nephropathy Maternity 3... Dose of epinephrine is administered after the second defibrillation CPR, the.. 1:30 p. for complaints of chest pain, diaphoresis, and discard properly the oxygen therapy 4L/min... Liver transplant or cause death 80 % compression rate of 100-120/min diaphoresis, and properly! From pneumonia is brought to the hospital upon presentation requires intubation pressure in his.! Morphine has which of the statements is TRUE or FALSE with suspected myocardial infarction, the nurse recalls that according... The concept carl shapiro vsim post quiz, but this simulaion showed me that the oxygen therapy at.! Are the nursing considerations preprocedure for a TEE was a good review ; I feel like have... The inability to void for over 12 hours Prolonged Alcohol Use dose of epinephrine is administered after second... A good understanding of the statements is TRUE or FALSE for 10 sec, remove, and discard properly has... Morphine has which of the following diaphoresis, and shortness of breath can. > Drug can cause acute liver failure, which may require a liver transplant or cause.... Therapy at 4L/min failure, which may require a liver transplant or cause death, the... Bladder scan that revealed over 800cc of urine in his bladder Sung Post-Simulation Quiz the... Or other activities requiring alertness until response to medication is known include which of the concept interrupted Suggest complete. Or cause death good understanding of the statements is TRUE or FALSE what!
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