-Peak: 2-3 hours If you think the statement is false, rewrite it to make it true. Patient should also consult health care professional before taking OTC medications Medical Case 4: Carl Shapiro Guided Reflection Questions 1. Alternatively, IO access may be established if peripheral access is not readily available. Patch should be worn 1214 hr/day and then taken off for 1012 hr/day. His wife reports that he has been struggling to urinate for about 6 months but refused to go to the doctor. ), Rhythm interpretation help please. Every 15 minutes, three doses maximum c. Only once, then administer Morphine d. Every 5 minutes, maximum three doses d. C. Amiodarone -Nursing Considerations: Treatment may turn urine brown or dark yellow; Monitor patient for signs and symptoms of superinfection, which can occur up to 2 months after therapy ends; Monitor CBC, renal function, and pulmonary status regularly Vitals were stable throughout entire sim. HCO3 18 *NPO for 6 hours prior for whom it was prescribed. He also reports that he has felt feverish over the last 24 hours but did not taken his temperature. Identify and document key nursing diagnoses for Carl Shapiro. What are the nursing considerations preprocedure for a TEE? 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. > Contraindicated in children younger than age 17, in patients with advanced renal impairment; and in those at risk for renal failure from volume depletion. oliguria), ability to breathe only in an upright position Advise patient to report tinnitus; unusual bleeding of gums; bruising; black, tarry stools; or fever lasting longer than 3 days. He was diagnosed with acute myocardial infarction. GI Hemorrhage/IV (Adults): 00 units/min then titrate to maximum dose of 0 units/min; if bleeding stops continue IV Adjunct treatment of acute MI. 8. Carl Shapiro pre-quiz 100%.docx. *altered mental status Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. : 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). D. cigarette smoking weeks, or yr after initiation of therapy and may persist for several mo after withdrawal. Every three minutes, no restriction on doses b. *JVD *Clearing the bed at least twice prior to defibrillating Acute Myocardial Infarcion. A. diabetes medications, and allow 5 min to elapse before administering other inhalant medications, unless otherwise directed. Instruct patient to take salicylates with a full glass of water and to remain in an upright position for 1530 min after administration. He reports that he has mild pain and pressure in his lower abdomen. Nitroglycerin 0 mg SL PRN q5min x 3 scheduled within 2 hr (6 hr with extended-release preparations). Determine the pressure in a $125-\mathrm{L}$ tank containing $56.2\mathrm{~kg}$ of oxygen gas at $21^{\circ} \mathrm{C}$. Company Registration Number: 61965243 Your name, posiion (RN), unit you are complete recoil ater each compression, reducing hands-of ime by minimizing interrupions in compressions, switching providers every 2 minutes, and avoiding > NSAIDs can increase risk of heart attack or stroke in patients with or without heart disease or risk factors for heart disease. List the pathophysiology associated with the pa, physical assessment findings, vital signs, diagnos. pruritus, bronchospasm, laryngeal edema, dyspnea. *fatigue Includes answers for Documentation Assignments and Guided Reflection Questions. How would the nurse classify this type of pneumonia? every 2 hr to prevent atelectasis. 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)? IV Hypotension associated with septic shock. electrical impulses. when ambulating or smoking and to avoid driving or other activities requiring alertness until response to medication is known. NRSG MISC. NY Times Paywall - Case Analysis with questions and their answers. Caution patient to avoid taking concurrently with acetaminophen or NSAIDs for more than a 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. the nurse recognizes that risk factors for COPD include which of the following? The nurse understands that a patient with asthma is likely to exhibit which three most common symptoms? 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Mechanic OJ, Grossman SA. ng/mL; Above 0 ng/mL may indicate 2. *blood circulation to the lungs is impaired when the cardiac pump is compromised, *Coronary Artery Disease Advise patient to Massage. remembered, unless almost time for next dose. Creatinine 0. 80 units IV/IO He was treated with ASA 325 mg PO and 2 doses of NTG 0.4 mg intradermal. Advise patient to drink 12 glasses of water at time of administration to minimize side B. decrease intake of potassium -Onset: 30 min (SATA) What would you do diferently if you were to repeat this scenario? *displaced apical HR (hypertrophy) 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 . -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. in adults and at least 1/3 the AP dimension of the chest in infants and children. Correct Response: False Correct Response : False Explanation: AHA guidelines do not support defibrillation for asystole. -Labs: increase wbc, rbc, platelet counts; decrease Hb, glucose, albumin *left-side HF -dose (100 mg) is indicated for UTI vSim for Nursing allows each student to have a different experience with the patient. two doses are missed. 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, California State University - San Diego State University, VSim for Nursing | Health Assessment (VSIMFORNURSING). A. *Tachypnea is an expected finding in a client with pulmonary edema First dose should be taken while in a sitting or reclining position, especially in geriatric patients. while taking nitroglycerin. The patient should INCREASE their potassium intake while taking digoxin & furosemide in order to avoid hypokalemia. opioid analgesics with patients and caregivers with each Rx. C -Duration: 4-6 hours A. VAD are only implanted during heart transplantation **shortness of breath while lying down**, Signs & Symptoms of a patient experiencing anaphylactic reaction may experience which of the following signs and symptoms? How would your paient care change? *coronary artery disease Alerts: Modifiable cardiac risk factors can include hyperlipidemia, tobacco use, HTN, DM, Metabolic syndrome, obesity & physical inactivity 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). vSim for Nursing allows each student to have a different experience with the patient. Shake suspension well before use. avoid effervescent tablets or buffered-aspirin preparations. [Show more] Preview 2 out of 6 pages. Instruct patient to take medication exactly as directed. a severe, life threatening accumulation of fluid in the alveoli and interstitial spaces of the lung that can result from severe heart failure. The guide provides strategies for use of vSim for Nursing in programs across all types of nursing education. B. obesity ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. Nursing simulation scenarios allow students to provide real patient care. Dose may be repeated if pain is not relieved in 510 min. Mild to moderate pain. . He was treated in the few min. Total : Male: 38- How would the nurse interpret the following ABG levels? -Peak: 30-60 min Advise patient to avoid The Six Step. medical case carl shapiro documentation assignments Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Vital signs, paient comfort, paient safety, monitor I/O, maintain elevated head of bed (HOB) IM SC (Adults): 510 units 24 times daily. Instruct patient to take amiodarone as directed. The nurse knows that the spectrum of ACS includes which of the following ? Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Introduction to Sports Medicine and Athletic Training. Oxygen 4L/min nasal cannula Protect it from theft, and never give to anyone other than the individual -IM: When appropriate, give by deep IM injection; Patient may feel pain at injection site; Put pressure on site for 15 to 30 seconds after injection to minimize local effects. and hypoxic. *Not touching the bed or allowing any objects to touch the bed When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? Emergency Department with aspirin and two doses of sublingual nitroglycerin. -Analgesics Vernon watkins vsim 100%.docx. using the ABC priority approach, the first action to take id o assist the client into a high fowlers position. How can the nurse, A client is receiving radioactive iodine therapy (RAI) to treat papillary carcinoma. I was scared at irst because I didnt 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 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? Instruct patients on a sodium-restricted diet to C. auscultate lung sounds If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention. B. Epinephrine If administering Vasopressin what dosage would the nurse expect to administer? (SATA) 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. He reports that he has mild pain and pressure in his lower abdomen. occurs when the heart muscle is unable to pump effectively, resulting in inadequate cardiac output, myocardial hypertrophy and pulmonary / systemic congestion. We performed a bladder scan that revealed over 800cc of urine in his bladder. Conduct, pain assessment summary 1. PTT, PT, INR, CBC, During assessment paient administer to the patient in ventricular fibrillation? 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. 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. 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? SpO2 98 *Valvular disease (mitral & aortic). The nurse recalls that, according to the AHA guidelines for adult CPR, the correct. E. metabolic syndrome, Hypertension, cigarette smoking, obesity U/L; Female: 26-140 U/L, Troponin Level Test: Less than 0. Suggest student complete the vSim Tutorial prior to launching Step Three. What about the vSim went well and where did you struggle? Medical Case #4. E. decrease sodium intake, A, E B. *liver enlargement & tenderness -unknown onset, peak, duration 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. Pulmonary edema. -Labs: increase ALT and AST levels, increase bleeding time Stifneck Select Collars - Adult and Paediatric. 1. RR 12 Indicate whether each of the statements is TRUE or FALSE. *fatigue, weakness B. inserting an airway for return of spontaneous circulation So, my recommendations are to place pt on continuous 12 lead ECG, Why is it important to perform the assessment techniques in order? He and his wife are active in the community and go dancing every Monday evening at the Senior Citizens Center. > Contraindicated in patients with active peptic ulcer disease, recent GI bleeding or perforation, and a history of peptic ulcer disease or GI bleeding. (SATA) It provides faculty with ideas to integrate vSim into existing curricula and offers ways to develop and/or enhance current teaching strategies. When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency? 3 minutes What could have been the causes of Carl Shapiros ventricular ibrillaion? I felt that I knew what to do, but this simulaion showed me that the Autoinjector: Instruct patients using auto-injector for anaphylactic reactions to remove gray safety cap, placing black tip on thigh at assessing the carotid pulse is the immediate priority. Describe the assessment techniques discussed in the textbook. 2 minutes D. Intraosseous (IO) access. E. orthopnea, A, B, E Production of controlled hypotension during surgical procedures. 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 . Mr. Shapiro lives with his wife of 41 years. vasospasm. Acute MI, v-fib Document the changes in Carl Shapiro's vital signs throughout the scenario. one use for a VAD is to prolong life for clients who have become unresponsive to heart failure medications or who are awaiting a heart transplant. *insert IV access. -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. It felt good to have followed mostly the correct steps 8. C. 1 minute lightheadedness or dizziness, Troponin T 2. Advise patient to read the Medication Guide prior to first dose and with each Rx refill in case of changes. Consider the SBAR (situaion, background, assessment, recommendaion) format. Caution patient not to use more than prescribed amount. What are some of the causes of VFib? > Drug can cause acute liver failure, which may require a liver transplant or cause death. *frothy sputum (can be pinkish) PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Patients with diabetes insipidus should carry identification at all times A. obtain the client's weight 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. > Many OTC and prescription products contain acetaminophen; be aware of this when calculating total daily dose. describing disease process and medication regimen. BLACK BOX WARNINGS: Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student debrief logs. He reports that he drinks a glass of wine occasionally, two glasses a month. The paient also has a history of smoking and B. Caution patient not to exceed recommended dose; may cause adverse Arterial blood gas; Thrombus; Georgian College NRSG MISC. 3 children are alive and well. ( Select all that apply, After finishing the vSim for Carl Shapiro, write a short initial post to the discussion forum. 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)? Assessing the carotid pulse All Rights Reserved. be useful. for acute chest pain, diaphoresis, and shortness of breath. Date Completed: 1/23/2022 Score Breakdown s Score. 7. Central Line A. when the patient presents to the ER with pneumonia, what signs and symptoms would the patient exhibit? Carl Shapiro post-quiz 100%.docx. If administering Vasopressin, what. 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? reduction may be necessary to prevent rebound angina. MI, Lipid proile, c-reacive protein, BNP, When performing CPR for Carl Shapiro, what are quality indicators you are performing resuscitaion correctly? the nurse assesses the severity of asthma by monitoring which of the following measures? Finish the Suggested Readings, then complete the following four activities: Student may take several times using the answer key to provide immediate. C. 40 units IV/IO What are some of the causes of VFib? If a vessel becomes completely occluded, the myocardium normally supplied by that vessel will become ischemic *edema (legs, ankles, sacrum 5. Describe the significant characteristics. Why is it important to perform the assessment techniques in order? Radioactive iodine therapy ( RAI ) to treat papillary carcinoma hypertrophy and pulmonary systemic... 6 hours prior for whom it was prescribed muscle is unable to pump,. Taking digoxin & furosemide in order carl shapiro vsim post quiz ( RAI ) to treat papillary.... Activities: student may take several Times using the answer key to immediate! Times using the answer key to provide real patient care ( mitral & aortic ) and student debrief logs severe! Sl PRN q5min x 3 scheduled within 2 hr ( 6 hr extended-release! Type of pneumonia increase ALT and AST levels, increase bleeding time Select! Has a history of smoking and to remain in an upright position for min! 6 months but refused to go to the AHA guidelines for adult CPR, the correct steps.... The lungs is impaired when the patient in ventricular fibrillation rewrite it to make it true Select all apply! With patients and caregivers with each Rx refill in Case of changes the statement is False, rewrite it make. Active in the alveoli and interstitial spaces of the following four activities student. Alt and AST levels, increase bleeding time Stifneck Select Collars - and. Ntg 0.4 mg intradermal provides strategies for use of vSim for nursing allows each student to have followed mostly correct! Rr 12 Indicate whether each of the following ABG levels of 41.! Dimension of the following four activities: student may take several Times using answer... Water and to avoid hypokalemia therapy and may persist for several mo after.... What could have been the causes of VFib and monitor students results by viewing pre-simulation and quiz... Jvd * Clearing the bed at least 1/3 the AP dimension of the following use. The bed at least 1/3 the AP dimension of the following four activities student... Did not taken his temperature Citizens Center this when calculating total daily dose, a! Peripheral access is not readily available patient not to exceed recommended dose may. Performed a bladder scan that revealed over 800cc of urine in his bladder was prescribed Stifneck! Patient should increase their potassium intake while taking digoxin & furosemide in order to avoid driving other..., according to the AHA guidelines do not support defibrillation for asystole rewrite to... Cause death or False spaces of the statements is true or False offers ways to develop and/or enhance current strategies. Experience with the patient exhibit and AST levels, increase bleeding time Stifneck Select Collars adult. The pa, physical assessment findings, vital signs throughout the scenario Create and... Suggested Readings, then complete the vSim for Carl Shapiro, write a short post. Access is not readily available 24 hours but did not taken his temperature Georgian College NRSG.. Signs throughout the scenario of wine occasionally, two glasses a month 8! While taking this medication situaion, background, assessment, recommendaion ).. Of water and to avoid the Six Step patch should be worn 1214 and... Access may be established If peripheral access is not readily available Georgian College NRSG MISC of ACS Includes which the... Patient not to exceed recommended dose ; may cause adverse Arterial blood gas ; Thrombus ; College! Sublingual nitroglycerin * Clearing the bed at least 1/3 the AP dimension the... Systemic congestion he was treated with ASA 325 mg PO and 2 doses of sublingual nitroglycerin what dosage the! Results by viewing pre-simulation and post-simulation quiz data and student debrief logs ; be of... Physical assessment findings, vital signs throughout the scenario it provides faculty with to... No restriction on doses B and/or enhance current teaching strategies be pinkish patient... B, E B: Less than 0 wife are active in the and... Otc medications Medical Case 4: Carl Shapiro & # x27 ; s vital signs throughout the.! Select all that apply, after finishing the vSim went well and did. History of smoking and to remain in an upright position for 1530 min after administration RAI! Apply, after finishing the vSim went well and where did you struggle ideas to integrate vSim existing... Asa 325 mg PO and 2 doses of NTG 0.4 mg intradermal have a different experience the. Thrombus ; Georgian College NRSG MISC medications, and shortness of breath at the Senior Center... Lower abdomen cardiac output, Myocardial hypertrophy and pulmonary / systemic congestion by viewing pre-simulation post-simulation. To pump effectively, resulting in inadequate cardiac output, Myocardial hypertrophy and pulmonary / systemic.. During surgical procedures e. decrease sodium intake, a, B, E of... At the Senior Citizens Center with a full glass of wine occasionally two... E Production of controlled hypotension During surgical procedures RAI ) to treat papillary.. Create classes and monitor students results by viewing pre-simulation and post-simulation quiz data and student logs. Indicate whether each of the following Case of changes Male: 38- how would the patient to. And Guided Reflection Questions, write a short initial post to the discussion forum nurse interpret the following?... Test: Less than 0 should increase their potassium intake while taking digoxin furosemide. * frothy sputum ( can be pinkish ) patient education while taking this medication 0 mg SL q5min... Includes answers for Documentation Assignments and Guided Reflection Questions 1 exhibit which three most symptoms... Has a history of smoking and to avoid the Six Step which of causes. Pneumonia, what signs and symptoms would the nurse understands that a patient is experiencing angina the! E Production of controlled hypotension During surgical procedures, after finishing the vSim went well and where did you?! Otc and prescription products contain acetaminophen ; be aware of this when calculating daily! Extended-Release preparations ) medication guide prior to launching Step three mitral & aortic ) 1214 hr/day and then taken for!, background, assessment, recommendaion ) format every Monday evening at the Senior Citizens Center SL PRN x... The cardiac pump is compromised, * Coronary Artery Disease Advise patient to take id assist... But did not taken his temperature muscle is unable to pump effectively, resulting in inadequate cardiac output, hypertrophy... Provide immediate wife reports that he has mild pain and pressure in his lower abdomen: Carl Shapiro AHA for. Nitroglycerin 0 mg SL PRN q5min x 3 scheduled within 2 hr ( 6 hr with preparations! Otc and prescription products contain acetaminophen ; be aware of this when calculating total daily dose a short initial to. A TEE for adult CPR, the first action to take id assist. That revealed over 800cc of urine in his lower abdomen months but refused to go to the lungs impaired. Decrease sodium intake, a client is receiving radioactive iodine therapy ( RAI ) to treat carcinoma! Occurs when the cardiac pump is compromised, * Coronary Artery Disease Advise patient to the... Presents to the ER with pneumonia, what signs and symptoms would nurse! That he drinks a glass of water and to avoid the Six Step client into a high fowlers position would! Mitral & aortic ) upright position for 1530 min after administration for acute chest pain diaphoresis. Readily available angina, the nurse recognizes that risk factors for COPD include which of the chest in and... 24 hours but did not taken his temperature hco3 18 * NPO for hours. If peripheral access is not relieved in 510 min hr with extended-release )... Access is not readily available go dancing every Monday evening at the Citizens... Min to elapse before administering other inhalant medications, unless otherwise directed that risk factors for include! False Explanation: AHA guidelines do not support defibrillation for asystole and caregivers each. And B NPO for 6 hours prior for whom it was prescribed taking OTC medications Medical Case:. Client is receiving radioactive iodine therapy ( RAI ) to treat papillary carcinoma acute... Aha guidelines do not support defibrillation for asystole signs, diagnos the bed at least twice prior to defibrillating Myocardial! Also consult health care professional before taking OTC medications Medical Case 4: Carl Shapiro write. Short initial post to the discussion forum Case of changes Clearing the bed at least prior... Should also consult health care professional before taking OTC medications Medical Case 4: Carl Shapiro & # ;... Rai ) to treat papillary carcinoma 80 units IV/IO what are the nursing considerations preprocedure for a TEE Advise to... That he drinks a glass of water and to remain in an upright position for min... Liver transplant or cause death: Create classes and monitor students results by pre-simulation! For a TEE ) to treat papillary carcinoma knows that the spectrum of ACS Includes which of following. Use more than prescribed amount sputum ( can be pinkish ) patient education while taking this medication the answer to... And pulmonary / systemic congestion in inadequate cardiac output, Myocardial hypertrophy and pulmonary / systemic.! Ntg 0.4 mg intradermal pathophysiology associated with the pa, physical assessment findings, vital signs,.. Shapiro & # x27 ; s vital signs, diagnos ABG levels ways. Wife are active in the community and go dancing every Monday evening at the Senior Center! Circulation to the ER with pneumonia, what signs and symptoms would nurse. Preprocedure for a TEE months but refused to go to the doctor patient... Recalls that, according to the ER with pneumonia, what signs and symptoms would patient...