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vSIM - Medical Scenario 1: Kenneth Bronson With Questions And 100% SURE ANSWERS
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JACKLINEvSIM - Medical Scenario 1: Kenneth Bronson With Questions And 100%
SURE ANSWERS
Terms in this set (12)
Dyspnea
PRE Laryngeal edema
The patient experiencing an anaphylactic reaction Pruritus
may experience which of the following signs and Bronchospasm
symptoms? (Select all that apply.)
Pallor Rationale:Mild systemic reactions consist of peripheral tingling, warmth, a sensation of fullness in the
Dyspnea mouth and throat, nasal congestion, periorbital swelling, pruritus, sneezing, and tearing of the eyes.
Laryngeal edema Moderate systemic reactions may include flushing and anxiety in addition to any of the milder
Pruritus symptoms. More serious reactions include bronchospasm, laryngeal edema, severe dyspnea,
Bronchospasm cyanosis, and hypotension. Dysphagia (difficulty swallowing), abdominal cramping, vomiting,
diarrhea, and seizures can also occur. Cardiac arrest and coma may follow.
, 8/7/24, 4:43 PM
PRE Fever
When a patient presents to the emergency Dyspnea
department with pneumonia, which signs and Fatigue
symptoms would the nurse expect the patient to Orthopnea
exhibit? (Select all that apply.)
Night sweats Rationale:Fever is present with the infection. Patients will exhibit dyspnea, preferring to be propped
Fever up or sitting up due to orthopnea (shortness of breath when reclining or supine). The patient is
Dyspnea fatigued from the work of breathing.
Fatigue
Orthopnea
PRE Tachypnea
Which of the following represent initial signs and Hypoxemia
symptoms of a patient in respiratory distress? Dyspnea
(Select all that apply.)
Tachypnea Rationale:Dyspnea and tachypnea accompanied by low oxygen in the blood are associated with
Hypoxemia respiratory distress. Cyanosis is a very late indicator of hypoxia to the tissues. Fever is an indication of
Dyspnea infection.
Cyanosis
Fever
PRE Assess the airway
What is the priority action by the nurse when a
patient experiences sudden respiratory distress? Rationale:The priority action is to assess the airway. Raising the head of bed will improve lung
Lower the head of bed expansion. The provider should be notified and IV line may be needed, but assessing the patient is
Place an intravenous line the priority.
Assess the airway
Call the provider
PRE Community-acquired pneumonia
A patient experiencing respiratory distress at home
from pneumonia is brought to the hospital and upon Rationale:Community-acquired pneumonia (CAP) is pneumonia occurring in the community or within
presentation requires intubation. How would the less than 48 hours of hospital admission. Health care-associated pneumonia (HCAP) occurs in a
nurse classify this type of pneumonia? nonhospitalized patient with extensive health care contact. Hospital-acquired pneumonia (HAP)
Health care–associated pneumonia occurs 48 hours or more after hospital admission. Ventilator-associated pneumonia (VAP) is a type of
Community-acquired pneumonia HAP that develops 48 hours or more after intubation.
Ventilator-associated pneumonia
Hospital-acquired pneumonia
vSIM - Medical Scenario 1: Kenneth Bronson
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