vSim for Nusing Medical Scenario 3 Vincent Brody pre-Quiz, post-Qiuz, 5단계 Assignments, 6단계 Guided reflection Questions

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vSim for Nusing Medical Scenario 3: Vincent Brody
pre-Quiz
post-Quiz
5단계: Assignments
6단계: Quided reflection Questions

목차

I. Pre-Simulation Quiz
1. The nurse understands that COPD is related to which of the following?
2. The nurse recognizes that risk factors for COPD include which of the following? (Select all that apply)
3. Arterial blood gas (ABG) levels may be obtained when the patient is experiencing exacerbations of chronic obstructive pulmonary disease (COPD). How would the nurse interpret the following ABG levels?
4. In a patient with chronic obstructive pulmonary disease (COPD), the nurse would expect to observe which of the following clinical manifestations based on the arterial blood gas (ABG) results below?
5. When assessing breath sounds in a patient experiencing chronic obstructive pulmonary disease (COPD), the nurse would expect to find which of the following signs and symptoms?
6. Is the following statement TRUE or FALSE? Oxygen concentrations must be carefully titrated in patients experiencing chronic obstructive pulmonary disease (COPD) because some COPD patients may be oxygen sensitive, which can cause an increase in carbon dioxide.
7. The nurse understands that the pathophysiology of chronic obstructive pulmonary disease (COPD) is related to which of the following?

II. Post-Simulation Quiz
1. The nurse knows that a patient with a pneumothorax would exhibit which of the following signs and symptoms?
2. A patient who currently has a chest tube in situ suddenly becomes short of breath with tracheal deviation. What does the nurse suspect has occurred?
3. Bronchodilators such as salbutamol(Ventolin) are a common pharmacological treatment for patients experiencing chronic obstructive pulmonary disease(COPD). About which common adverse effects would the nurse educate the patient?
4. Vincent Brody was given morphine 2mg IV prior to his chest tube insertion. The nurse must monitor for which of the following adverse effects with morphine administration?
5. The nurse understands that swinging tn the patient assessment chamber of a chest tube is which type of finding?
6. One hour after the chest tube is insertes, repeat arterial bloodd gases(ABGs) are done and the results are:
7. Which of the following is the correct analysis of the most recont arterial blood gas(ABG) result after insertion of a chest tube?
8. Which of the following does the nurse suspect as the most likely cause for a pneumothorax in a patient diagnosed with severe emphysema?
9. The nurse assesses the patient with sudden shortness of breath. Which finding would suggest a potential left pnenumothorax?
10. Which of the following are initial assessments the nurse understands as potential signs and symptoms of a pneumothoras? (Select all that apply)

III. Documentation Assignments
1. Document your focused respiratory assessment for Vincent Brody.
2. Identify and document key nursing priorities for Vincent Brody.
3. Document pain management interventions and Vincent Brody’s response to therapy.
4. Document key assessments you would undertake for a chest tube (insertion site, dressing, suction level, drainage, fluctuation, air leak).
5. Referring to your feedback log, document the nursing care you provided.

IV. Guided Reflection Questions
1. How did the scenario make you feel?
2. When a patient develops a rapid onset of shortness of breath, what are the nurse’s immediate priorities?
3. What assessment findings would indicate that the patient’s condition is worsening?
4. Review Vincent Brody’s laboratory results. Which results are abnormal? Discuss how these results relate to his clinical presentation and chronic disease process.
5. What are safety considerations when caring for a patient with a chest drain?
6. What key elements would you include in the handover report for this patient? Consider the ISBAR (introduction, situation, background, assessment, recommendation) format.
7. What patient teaching priorities would be important in the patient experiencing an acute exacerbation of COPD?
8. For a patient with COPD who is stable, what resources would you recommend?
9. What would you do differently if you were to repeat this scenario? How would your patient care change?

본문내용

1. The nurse understands that COPD is related to which of the following?
a) Chronic vasodilation and widening of airways
b) Chronic inflammation and narrowing of airways.
c) Chronic vasoconstriction of airways
d) Chronic decreased CO₂ levels
● 풀이: COPD는 만성 염증 및 이를 복구하려는 신체의 시도로 인한 기도의 변화 및 협착과 관련된 기도 폐쇄이며 천천히 진행되는 질병이다.

2. The nurse recognizes that risk factors for COPD include which of the following? (Select all that apply)
a) smoking tobacco
b) Exposure to dust
c) secondhand smoke
d) Alpha₁-antitrypsin excesse) air pollution
● 풀이: COPD의 위험요인으로는 흡연, 연령 증가, 직업적 노출(먼지 및 화학물질), 대기 오염, Alpha₁-antitrypsin 결핍, 유전적 이상 등이 있다.

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