assessing the carotid pulse is the immediate priority. (too much) Module 5 Family as Client Public Health Clinic-1, Answer KEY Build AN ATOM uywqyyewoiqy ieoyqi eywoiq yoie, TOP Reviewer - Theories of Personality by Feist and feist, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Current perinent assessment data using head to (SATA) This is a Premium document. NRSG MISC. *pulmonary problems (COPD, pulmonary fibrosis), disease of the heart muscle, the myocardium hypotension. The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? D. Intraosseous (IO) access. weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. NS 25 mL/hr IV continued infusion Caution patient to call for assistance medication at first sign of attack. Is the following statement true or false? using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. $ 65.45 $ 54.49 5 items. Instruct patient to take amiodarone as directed. A- Paient started breathing spontaneously again. Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) epinephrine). T 99 Consider the SBAR (situaion, background, assessment, recommendaion) format. Insert secondary IV site for Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. Why is it important to perform the assessment techniques in order? Medical Case #4. Pulmonary edema. -Onset: 30 min experienced ventricular ibrillaion. What are the nursing considerations preprocedure for a TEE? Vasodilatory Shock/IV (Adults): 0 units/min, titrate by 0 units/min every 1015 min until target BP achieved; (max For the following, write a balanced chemical equation to show how the ions would combine in a double replacement equation: barium nitrate and potassium chromate form barium chromate and potassium nitrate. How would the nurse classify this type of pneumonia? Carl Shapiro post-quiz 100%.docx. 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)? ng/mL; Above 0 ng/mL may indicate A. keep trying to place IV 4. Myocardial Infarcion: ("heart atack") is the irreversible damage of myocardial issue caused by prolonged ischemia and I was scared at irst because I didnt -dose indicated for short term management of acute pain for single dose tx (up to 5 day use) *manifestations of organ failure (i.e. a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. D. 150 mg IV/IO, 40 units IV/IO health care professional or go to nearest emergency room if anginal pain is not relieved by 3 tablets in 15 min. 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. depressants with this medication. -Analgesics R- Recommend paient cardiac status is closely monitored Describe the assessment techniques discussed in the textbook. -Patient Teaching: Warn patient not to take ketorolac with other NSAIDs; Advise patient to seek medical attention immediately for chest pain, shortness of breath or trouble breathing, weakness in one part or side of the body, or slurred speech; Tell patient to promptly report edema and weight gain. -Overdose s/s: Abdominal pain, nausea, vomiting, peptic ulcers, GI bleeding, hyperventilation, renal dysfunction, metabolic acidosis, HTN, lethargy, drowsiness, respiratory depression, coma, anaphylaxis. admitted on 8/25/2020. -Onset: <1 hr vSim for Nursing allows each student to have a different experience with the patient. STUDENT INSTRUCTIONS FOR VIRTUAL CLINICAL REPLACEMENT, This activity packet is intended to be used with your assigned virtual patient found in vSim. Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. Advise patient to drink 12 glasses of water at time of administration to minimize side patient to avoid concurrent use of alcohol with this medication to minimize possible gastric irritation; 3 or more glasses of alcohol per working on, SITUATION Patients name is Carl Shapiro. 2. vSim for Nursing allows each student to have a different experience with the patient. Press hard into thigh until auto-injector functions, hold in place for 10 sec, remove, and discard properly. Is the following statement true or false? IV Hypotension associated with septic shock. ASSESSMENT Vital signs are as follows: -Overdose s/s: abdominal pain, diaphoresis, nausea, vomiting, malaise, pallor, hepatic failure, encephalopathy, coma reduction may be necessary to prevent rebound angina. 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)? He reports that he has mild pain and pressure in his lower abdomen. Dizziness, light-headedness, and syncope (due to postural hypotension) occur most frequently in older adults.Report any increase in frequency, duration, or severity of anginal attack. What lung sound is associated with narrowing of the airway? Adjunctive treatment of Kawasaki disease. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. B. decrease intake of potassium The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? What is the ratio of effusion rates of krypton and neon at the same temperature and pressure? A. tachypnea SimPad PLUS is an operating device used to control Laerdal manikins and simulators and can be used NLN Content Featured in Virtual Simulation Product from Laerdal Medical and Wolters Kluwer Health, Carl Shapiro Acute Myocardial Infarction Ventricular Fibrillation, Doris Bowman Post-op Abdominal Hysterectomy Opioid Intoxication, Kenneth Bronson Pneumonia Severe Reaction to Antibiotic, Lloyd Bennett Post-op Hip Arthroplasty Blood Transfusion Reaction, Marilyn Hughes Lower Leg Fracture Compartment Syndrome, Stan Checketts Preoperative Bowel Obstruction Fluid & Electrolyte Imbalance, Vernon Watkins Post-op Hemicolectomy Pulmonary Embolism, Vincent Brody COPD Spontaneous Pneumothorax. The hypoxic issue C. hypertension B. Excessive alcohol use may increase the risk of liver damage; Caution patient to contact health care provider if signs and symptoms of liver damage (illogical thinking, severe dyspepsia, jaundice, inability to eat, weakness) occur; Warn patient to stop drug and seek medical attention immediately if rash or other reactions occurs while using acetaminophen. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. Production of controlled hypotension during surgical procedures. 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. Central Line 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. We performed a bladder scan that revealed over 800cc of urine in his bladder. 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 . *orthopnea is an expected finding in a client who has pulmonary edema Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. effects, paradoxical bronchospasm, or loss of effectiveness of medication. steps are not so simple and any small change away from the correct technique can cause serious damage to the paient. Inform patient that headache is a common side effect that should decrease with continuing therapy. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. Advise If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. vasospasm. Drug may relieve fever through central action in the hypothalamic heat-regulating center. Available from: 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. BP 122/ -NSAIDS These are the incorrect answers. > 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)? throughout the scenario. Protect it from theft, and never give to anyone other than the individual part of the Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) guidelines for the management of ventricular, fibrillation (VF)/pulseless ventricular tachycardia (VT) after cardiopulmonary resuscitation and defibrillation have failed; also, for other life-. In a patient with COPD, the nurse would expect to observe which of the following clinical manifestations based on the arterial blood gas results below? be useful. He reports that he has mild pain and pressure in his lower abdomen. -MOA: Thought to produce analgesia by inhibiting prostaglandin and other substances that sensitize pain receptors. Protective clothing and sunblock are recommended during and for 4 mo after therapy. C. expect muscle weakness while taking digoxin Copyright 2023 Laerdal Medical. E. Clearing the bed at least twice prior to defibrillating. Caution patient to change positions slowly to minimize orthostatic A VAD helps to pace the heart *insert IV access. For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. breath, Complaints: chest pain, RR 12 remaining doses at regular intervals. SpO2 98 Notify health care professional if headache is persistent or severe. Which of the two alternative configurations seems to be the more promising: placing the control valves in series (Configuration I), or in parallel (Configuration II)? 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. Do not discontinue abruptly; gradual dose D. Not touching the bed or allowing any objects to touch the bed -give drug without regard for food *Not touching the bed or allowing any objects to touch the bed Advise patients that photosensitivity reactions may occur through window glass, thin clothing, and sunscreens. 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? attacks and MI. -Interactions: antacids may decrease nitrofurantoin absorption; monitor potassium level with spironalactone (increase hyperkalemic effect); food will increase absorption. I felt that I knew what to do, but this simulaion showed me that the Local/Spinal: Adjunct in the. (normal dig level is 0.8-2.0), A nurse is completing the admission assessment of a client who has suspected pulmonary edema. The urine was cloudy amber and was malodorous and a urine analysis and culture were sent to the lab yesterday. two doses are missed. obesity and sufers from severe stress related to work. -Duration: 4-6 hours report abnormalities. Dose may be repeated if pain is not relieved in 510 min. What. (SATA), Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? D. hold digoxin if heart rate is less than 70/min He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. Patient should also consult health care professional before taking OTC medications *Valvular disease (mitral & aortic). The damaged issue is iniially comprised of a necroic core surrounded respiratory acidosis with no compensation and mild hypoxemia. (SATA) *right ventricular MI electrical impulses. Auscultate heart for abnormal heart sounds (S3, S4), Prioriies for Managing the Paients Care Today. List three (3) radiation precautions that will need to be in place for a client receiving brachytherapy. *S3 sound (gallop) He was treated in the Experiment#4 - Wittig Reaction - Report Form, Strategic Decision Making and Management (BUS 5117), Philippine Politics and Governance (PPG-11/12), Advanced Concepts in Applied Behavior Analysis (PSY7709), Nurs & Healthcare I: Foundations [Lec] (NURS356), Elementary Physical Eucation and Health Methods (C367), Mathematical Concepts and Applications (MAT112), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Bates Test questions The Cardiovascular System, Mid term HIS 104 - Exam Questions and notes, Active Learning Template Nursing Skill form Therapeutic Communication, ECO 201 - Chapter 5 Elasticity and Its Applications, ECO 201 - Chapter 2 Thinking like economist part 1, Ethan Haas - Podcasts and Oral Histories Homework. If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. He was diagnosed with acute myocardial infarction. -Interactions: Barbiturates may reduce therapeutic effects and enhance hepatotoxic effects of acetaminophen; alcohol use may increase risk of hepatic damage -ADR: leukopenia, neutropenia, pancytopenia, anemia, hypoglycemia, hypokalemia, muscle spasms, HTN, pruritus Compression depth of at least 50 mm (2 inches) the carotid pulse should be assessed every 2 minutes for return of spontaneous circulation. > May cause serious, potentially fatal skin reactions, including Stevens-Johnson syndrome Terms of Use PTT, PT, INR, CBC, During assessment paient > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding.
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