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Chad Cronin Medical Surgery II Vincent Brody Virtual Simulation
Vincent Brody Virtual Simulation. Pre-Quiz. Virtual Simulation. Post – Quiz. Documentation Assignment 1. Document your focused respiratory assessment for …
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Vincent Brody Post Simulation Quiz – Browsegrades
VSIM Josephine Morrow Pre-Sim & Post-Sim Questions and Answers 2021/2022 … The nurse is reviewing the patient’s laboratory results. Which lab test most …
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vSim for Nusing Medical Scenario 3 Vincent Brody pre-Quiz …
7. The nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following? II. Post …
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Vincent Brody Vsim Feedback Log & Score 100% … Vincent Brody Post Simulation Quiz/Vincent Brody Post Simulation Quiz/Vincent Brody Post Simulation Quiz.
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Virtual Simulation Vincent Brody by Shari Holland – Prezi
Post-work … Describe the situation that you encountered in the simulation. … Describe your role in the situation. Conser experiences that you have had that …
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Vincent Brody Post Simulation Quiz – Docmerit
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Vincent Brody Virtual Simulation
Chad Cronin Medical Surgery II
Vincent Brody Virtual Simulation
Pre-Quiz
Virtual Simulation
Post – Quiz
Documentation Assignment 1. Document your focused respiratory assessment for Vincent Brody. a. My focused respiratory assessment for Mr. Vincent Brody found on inspection and auscultation that the chest was moving normally on both sides and there were a few audible wheezes. Additional focused assessment found he has a respiration rate of 19 and SpO2 of 94%. Upon Mr. Brody, developing a left-sided pneumothorax, auscultation showed that he was experiencing reduced breath sounds on the left side by maintaining breath sounds on the right side. His SpO began to drop and his respiration rate began to increase. Administration of morphine and use of the non-rebreather brought his oxygen saturation back up into the high 90%’s and lowered his respiratory rate to the low 20’s.
Identify and document key nursing diagnoses for Vincent Brody. a. Impaired gas exchange related to COPD b. Ineffective breathing pattern related to Tachypnea c. Risk of infection related to chest tube insertion Document pain management interventions and Vincent Brody’s response to therapy. a. Mr. Brody did not report any pain upon assessment throughout the simulation. He was not responsive to initial orders and administration of 2 Albuterol nebulizer as evidenced by his coughing attack, chest pain, and left pneumothorax. New orders were given and Mr. Brody was administered 2mg of Morphine IVP prior to placement of chest tube. Mr. Brody was responsive to the placement of the chest tube as evidenced by improvement in breath sounds, increase in SpO2, and decrease in respiration rate. Document your phone call to the provider, including the significant changes exhibited by Vincent Brody that triggered the need to notify the provider. a. I would utilize the SBAR model in all my communication with providers in order to streamline communication: i. Situation: Mr. Brody is a 67-year-old male that has COPD and was admitted for exacerbated COPD symptoms. ii. Background: Mr. Brody has a 50-year history of smoking 2 packs a day. Over the last year he has had two incidents of COPD symptom exacerbations. iii. Assessment: Mr. Brody did not report any pain upon assessment throughout the simulation. On inspection and auscultation the chest was moving normally on both sides and there were a few audible wheezes. Additional focused assessment found he has a respiration rate of 19 and SpO2 of 94%. He was not responsive to initial orders and administration of 2 Albuterol nebulizer as evidenced by his coughing attack, chest pain, decrease in SpO2, increase in respiration rate, and left pneumothorax. iv. Recommendation: It is my recommendation that we insert a chest tube to help alleviate the left pneumothorax and decrease his respiration rate. In What assessment findings would indicate that the patient’s condition is worsening? a. In Mr. Brody’s situations the indicators that his condition was worsening were first and foremost his complaining of chest tightness and shortness of breath. Additionally diminished breath sounds, wheezing, and low oxygen saturation were indicators of a worsening condition. His ABG lab results also indicated some abnormal findings. Other signs that can indicate a worsening respiratory condition in patients may be a fever, confusion, increase in mucus, and cyanosis. Review Vincent Brody’s laboratory results. Which results are abnormal? Discuss how these results relate to his clinical presentation and chronic disease process.
a.
HCO3-, PCO2, and Base Excess: Suggest Respiratory Alkalosis
SaO2:indicative a low arterial blood oxygen saturation
PO2 & HCT:common in pt w/ COPD
What are safety considerations when caring for a patient with a chest tube? a. When monitoring a chest tube there are a few key elements you want to assess to ensure patient safety, in addition to regularly monitoring the patients respiration rate, breath sounds, and oxygen saturation. At the insertion site you want to ensure that a sterile dressing is dry and intact w/o any drainage holes visible of fluid leaking. It is important to check for subcutaneous emphysema. The chest tube should be changed 24 hours after initial insertion then every 48 hours. As a nurse we want to provide suction every 1-4 hours and notify the provider if drainage exceeds more than 70 mL/hr, increases suddenly, or becomes bright red. Additional monitoring to ensure patency of the tube as well as any air leaks are important and should be reported to the provider. What key elements would you include in the handoff report for this patient? Consider the SBAR (situation, background, assessment, recommendation) format. a. Situation: Mr. Brody is a 67-year-old male that has COPD and was admitted for exacerbated COPD symptoms. He developed a left-sided pneumothorax. The provider was contacted and new orders were given. 2mg of morphine IVP was administered, 10L oxygen via non-rebreather, a chest x-ray taken, and chest tube
placed. Mr. Brody was responsive to these interventions and his oxygen saturation and respiratory rate improved. b. Background: Mr. Brody has a 50-year history of smoking 2 packs a day. Over the last year he has had two incidents of COPD symptom exacerbations. c. Assessment: Mr. Brody did not report any pain upon assessment throughout the simulation. On inspection and auscultation the chest was moving normally on both sides and there were a few audible wheezes. Additional focused assessment found he has a respiration rate of 19 and SpO2 of 94%. He was not responsive to initial orders and administration of 2 Albuterol nebulizer as evidenced by his coughing attack, chest pain, decrease in SpO2, increase in respiration rate, and left pneumothorax. d. Recommendation: Continued monitoring of Mr. Brody’s respiration rate, oxygen saturation, and chest tube are recommended until symptoms subside and labs are within normal range.
Vincent Brody Post Simulation Quiz
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Vincent Brody Post Simulation Quiz
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