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Vsim Skylar Hansen; Hyperglycemia
DESCRIBE DISEASE PROCESS AFFECTING PATIENT 
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) 
DIAGNOSTIC TESTS 
(REASON FOR TEST AND RESULTS) 
PATIENT INFORMATION ANTICIPATED PHYSICAL 
FINDINGS 
ANTICIPATED NURSING INTERVENTIONS 
Insulin is a hormone secreted by beta cells, which are one of four types of cells in the islets of Langerhans in 
the pancreas. Insulin is an anabolic, or storage, hormone. When a person eats a meal, insulin secretion 
increases and moves glucose from the blood into muscle,...
- Case
- • 13 pages •
DESCRIBE DISEASE PROCESS AFFECTING PATIENT 
(INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) 
DIAGNOSTIC TESTS 
(REASON FOR TEST AND RESULTS) 
PATIENT INFORMATION ANTICIPATED PHYSICAL 
FINDINGS 
ANTICIPATED NURSING INTERVENTIONS 
Insulin is a hormone secreted by beta cells, which are one of four types of cells in the islets of Langerhans in 
the pancreas. Insulin is an anabolic, or storage, hormone. When a person eats a meal, insulin secretion 
increases and moves glucose from the blood into muscle,...
Tony Wallace sickle cell Case
Tony Wallace is a 24-year old young man with known sickle cell anemia who was admitted 
yesterday experiencing an acute pain episode. He has been treated with morphine, Toradol, 
Benadryl, and Phenergan. He has a peripheral IV with normal saline infusing at 100 mL/hour and 
a PCA with morphine running at 2 mg/hour. Tony is not happy to receive morphine as this drug 
causes severe itching. Tony has been sleeping most of the night, but he has requested Phenergan 
and Benadryl about every 4 or 5 ho...
- Case
- • 5 pages •
Tony Wallace is a 24-year old young man with known sickle cell anemia who was admitted 
yesterday experiencing an acute pain episode. He has been treated with morphine, Toradol, 
Benadryl, and Phenergan. He has a peripheral IV with normal saline infusing at 100 mL/hour and 
a PCA with morphine running at 2 mg/hour. Tony is not happy to receive morphine as this drug 
causes severe itching. Tony has been sleeping most of the night, but he has requested Phenergan 
and Benadryl about every 4 or 5 ho...
Advanced Medical-Surgical/Critical Care Case 4: Charles JonesDocumentation Assignments
Advanced Medical-Surgical/Critical Care Case 4: Charles Jones 
Documentation Assignments 
1. Document your initial focused assessment and vital signs for Charles Jones. 
ECG: Atrial Fibrillation, HR 107, pulse present, B/P 152/92, RR20, SpO2 95%, temp 
98.6. Occultation of heart the post was irregular but there was no abnormal 
heart sounds the lungs had crackles at both bases there was a lot of audible 
wheezing. 
2. Document the changes in assessment findings that occurred after the 
nitroglyc...
- Case
- • 2 pages •
Advanced Medical-Surgical/Critical Care Case 4: Charles Jones 
Documentation Assignments 
1. Document your initial focused assessment and vital signs for Charles Jones. 
ECG: Atrial Fibrillation, HR 107, pulse present, B/P 152/92, RR20, SpO2 95%, temp 
98.6. Occultation of heart the post was irregular but there was no abnormal 
heart sounds the lungs had crackles at both bases there was a lot of audible 
wheezing. 
2. Document the changes in assessment findings that occurred after the 
nitroglyc...
Maria Gonzalez clinical replacement Packet Vsim
- Case
- • 26 pages •
Guided Reflection Questions for Advanced Medical-Surgical/Critical Care Case 3: Liling Zhao
Guided Reflection Questions for Advanced MedicalSurgical/Critical Care Case 3: Liling Zhao 
Opening Questions 
How did the scenario make you feel? 
Unprepared, you never know how to start with the patient and what to do next. 
What do you think went well during the simulation? 
Doing her vital signs, and assessments, and following the doctor’s orders. 
Is there anything you would do differently? 
I would continue to do all my vitals and assessments at the same time and not be 
anxious about th...
- Case
- • 2 pages •
Guided Reflection Questions for Advanced MedicalSurgical/Critical Care Case 3: Liling Zhao 
Opening Questions 
How did the scenario make you feel? 
Unprepared, you never know how to start with the patient and what to do next. 
What do you think went well during the simulation? 
Doing her vital signs, and assessments, and following the doctor’s orders. 
Is there anything you would do differently? 
I would continue to do all my vitals and assessments at the same time and not be 
anxious about th...
Advanced Medical-Surgical/Critical Care Case 3: Liling ZhaoDocumentation Assignments
Advanced Medical-Surgical/Critical Care Case 3: Liling Zhao 
Documentation Assignments 
1. Document your initial focused neurologic, cardiovascular, and pain 
assessments, along with vital signs, for Lling Zhao. 
VS HR 61, BP 152/91, RR 21, and O2 97%. “pain is like a 6 all the time then goes to 
10 when the ICD goes off” 
2. Document the changes in assessment findings that occurred after Liling Zhao 
received a shock. 
VS HR 37, BP 118/70, RR 23, and O2 98%. 
3. Document Liling Zhao’s exp...
- Case
- • 2 pages •
Advanced Medical-Surgical/Critical Care Case 3: Liling Zhao 
Documentation Assignments 
1. Document your initial focused neurologic, cardiovascular, and pain 
assessments, along with vital signs, for Lling Zhao. 
VS HR 61, BP 152/91, RR 21, and O2 97%. “pain is like a 6 all the time then goes to 
10 when the ICD goes off” 
2. Document the changes in assessment findings that occurred after Liling Zhao 
received a shock. 
VS HR 37, BP 118/70, RR 23, and O2 98%. 
3. Document Liling Zhao’s exp...
Med-Surg: NLN II, Case5, Complex: Cerebral Vascular Accident/Ischemic Stroke:William Edwards
William Edwards is a 65-year old patient on a medical unit who recently experienced a 
cerebral vascular accident (CVA) within the past 90 days and is now showing signs of 
an acute ischemic stroke. 
Clinical judgment activity: You are the receiving nurse for Mr. Edwards in the 
emergency department (ED). You receive handoff report from the paramedic. In the 
report, the paramedic states Mr. Edwards had a stroke three months ago and that he is 
now showing signs of an ischemic stroke. What types...
- Case
- • 5 pages •
William Edwards is a 65-year old patient on a medical unit who recently experienced a 
cerebral vascular accident (CVA) within the past 90 days and is now showing signs of 
an acute ischemic stroke. 
Clinical judgment activity: You are the receiving nurse for Mr. Edwards in the 
emergency department (ED). You receive handoff report from the paramedic. In the 
report, the paramedic states Mr. Edwards had a stroke three months ago and that he is 
now showing signs of an ischemic stroke. What types...
Brandon Sharp Spinal Cord Injury; The patient is a 21 year old male
Brandon Sharp, NKA, Full code, 176lb 
The patient is a 21 year old male transferred from the Neuro Care unit 8 days ago to the Neuro 
Rehabilitation facility. He suffered a C5 spinal cord injury in a motor vehicle collision 4 weeks ago. 
He underwent a spinal fusion for the C5 burst fracture 4 days post injury. He is admitted for 
comprehensive inpatient rehabilitation to achieve optimal function. He is a first year medical student 
and he used to work part time at the college in a medical compu...
- Case
- • 3 pages •
Brandon Sharp, NKA, Full code, 176lb 
The patient is a 21 year old male transferred from the Neuro Care unit 8 days ago to the Neuro 
Rehabilitation facility. He suffered a C5 spinal cord injury in a motor vehicle collision 4 weeks ago. 
He underwent a spinal fusion for the C5 burst fracture 4 days post injury. He is admitted for 
comprehensive inpatient rehabilitation to achieve optimal function. He is a first year medical student 
and he used to work part time at the college in a medical compu...
NR293 Pharmacology for Nursing Practice Week 5 Concepts NutritionAcid-Controlling Drugs
Week 5 Concepts: Nutrition 
Acid-Controlling Drugs 
Prepare: Acid-Controlling Drugs 
Stomach Areas 
Identify the areas of the stomach. 
Gastric Glands 
Match the gastric gland cell with its function. 
Produce and secrete hydrochloric acid Parietal cells 
Secrete pepsinogen which is a precursor to pepsin Chief cells 
Provide a protective coating for the stomach Mucosa cells 
Parietal Cells 
Which receptors in the stomach are responsible for stimulating the secretion of acid from the parietal cell...
- Exam (elaborations)
- • 40 pages •
Week 5 Concepts: Nutrition 
Acid-Controlling Drugs 
Prepare: Acid-Controlling Drugs 
Stomach Areas 
Identify the areas of the stomach. 
Gastric Glands 
Match the gastric gland cell with its function. 
Produce and secrete hydrochloric acid Parietal cells 
Secrete pepsinogen which is a precursor to pepsin Chief cells 
Provide a protective coating for the stomach Mucosa cells 
Parietal Cells 
Which receptors in the stomach are responsible for stimulating the secretion of acid from the parietal cell...
NR 509 emily green ihuman answers
History Feedback 
Below you will see the strategy for selecting the "required” qu 
mnemonic for the HPI. 
Reason for Encounter 
Start with open-ended patient-centric questions. 
@ Asked X Not asked 
Graded Approach Question 
[ J Orientation What is your name? 
[ ] Orientation Where are you? 
[ ] Orientation What time is it? 
X Orientation What happened? 
[ ] CC sx How can | help you today? 
X Assoc Sx | Is there any stiffness in your neck? 
X Assoc Sx Have you had any seizures? 
[ J Assoc Sx ...
- Case
- • 6 pages •
History Feedback 
Below you will see the strategy for selecting the "required” qu 
mnemonic for the HPI. 
Reason for Encounter 
Start with open-ended patient-centric questions. 
@ Asked X Not asked 
Graded Approach Question 
[ J Orientation What is your name? 
[ ] Orientation Where are you? 
[ ] Orientation What time is it? 
X Orientation What happened? 
[ ] CC sx How can | help you today? 
X Assoc Sx | Is there any stiffness in your neck? 
X Assoc Sx Have you had any seizures? 
[ J Assoc Sx ...
PHY250L Lab 10 Thermodynamics Straighterline FALL 2023
PHY250L Lab 7 Conservation of Momentum Straighterline FALL 2023
Case 01_ Focused Exam_ Pain Management _ Completed _ Shadow Health
PHY250L Lab 6 Work & Conservation of Energy Straighterline FALL 2023
PHY250L Lab 5 Circular Motion & Gravity Straighterline fall 2023