Download vSim Medical Scenario 4 Carl Shapiro Exam Questions and Answers ACCURATELY curated and more Exams Nursing in PDF only on Docsity!
Vsim: Medical Scenario 4 Carl Shapiro
The nurse recognizes that ST elevation on the 12-lead ECG typically indicates which of the following?
Myocardial injury
When administering medication to the patient with suspected myocardial infarction, the nurse understands that morphine has which of the following beneficial effects? (Select all that apply.)
- Decreases pain
- Decreases afterload
- Decreases anxiety
- Decreases preload
Which of the following are cardiac markers assessed in the patient experiencing angina to determine potential myocardial injury? (Select all that apply.)
Based on the following ECG waveform, the nurse recognizes that the patient is experiencing which dysrhythmia?
Ventricular fibrillation
The nurse knows that which factors may increase the patient's risk of developing coronary artery disease? (Select all that apply.)
- Cigarette smoking
- Family history
- Metabolic syndrome
When a patient is experiencing angina, the nurse administers nitroglycerin sublingually at what frequency?
Every 5 minutes, maximum 3 doses
The nurse understands that aspirin is administered to a patient with a suspected myocardial infarction (MI) for which of the following reasons?
To prevent platelet aggregation
Which of the following does the nurse recognize as typical signs and symptoms exhibited by a patient experiencing angina? (Select all that apply.)
- Shortness of breath
- Diaphoresis
- Substernal chest pain
When the nurse discovers a patient is not visibly breathing, the nurse knows that which of the following is the immediate priority?
During ventricular fibrillation, pitressin (Vasopressin) may be used in place of epinephrine for the first or second dose. If administering Vasopressin, what dosage would the nurse expect to administer?
40 units IV/IO
Is the following statement TRUE or FALSE? According to American Heart Association guidelines, epinephrine 1 mg is administered for ventricular fibrillation after the second defibrillation.
TRUE
When the patient is to receive defibrillation, the nurse ensures that which of the following safety measures are implemented? (Select all that apply.)
- Clearing the bed at least twice prior to defibrillating
- Not touching the bed or allowing any objects to touch the bed
- Removing the oxygen from the bed during defibrillation
Is the following statement TRUE or FALSE? If Carl Shapiro had proceeded into asystole after the ventricular fibrillation, continuing to defibrillate would have been the appropriate intervention.
FALSE
If peripheral IV access cannot be established during cardiac arrest after several attempts by the nurse, the nurse would next consider which access for rapid delivery of medications?
Intraosseous (IO) access
