Olivia Jones vSim Case Study 2023
includes Pretest, vSim feedback, SBAR and posttest
1. To assess for clonus, the nurse briskly dorsiflexes the patient’s foot and then releases it. What would a positive response look l
...
Olivia Jones vSim Case Study 2023
includes Pretest, vSim feedback, SBAR and posttest
1. To assess for clonus, the nurse briskly dorsiflexes the patient’s foot and then releases it. What would a positive response look like?
Jerky, rapid contraction of the ankle and foot
2. Patients with sever preeclampsia are at risk for developing acute pulmonary edema. What can the nurse do to prevent development of this condition?
Monitor intake and output hourly
3. Which of the entries on a patient’s medical record are evidence of preeclampsia with severe features? (Select all that apply.)
Reports of epigastric pain, Blood pressure 182/116 mm Hg, Reports of vision loss
4. Which of the following are signs of magnesium toxicity in a patient? (Select all that apply.)
Central nervous system depression, Absent deep tendon reflexes, respiratory rate of 10 breaths/minute
5. What is the therapeutic blood level for a patient receiving an IV infusion of magnesium sulfate?
4-7 mEq/L
6. What is the primary indication for the administration of magnesium sulfate to the patient with severe preeclampsia?
Preventing eclamptic seizures
7. Which of the following intervention (s) should be implemented when a patient with preeclampsia with severe features is admitted to the hospital? (Select all that apply.)
Reduce environmental stimulation, lateral lying positions, low ambient lighting, seizure precautions
8. What are the priorities of care for a patient experiencing eclamptic seizure? (Select all that apply.)
Assess breathing, administer oxygen, protect patient for injury
9. Which of the following finding (s) from the nurse’s assessment of the patient with severe preeclampsia would indicate central nervous system involvement? (Select all that apply.)
4+ deep tendon reflexes, persistent headaches, visual changes
10. When reviewing a patient’s admission orders, the nurse notes that the following lab studies have been ordered: creatinine, blood urea nitrogen/creatinine ratio, and 24-hour quantitative urine protein. The results of these test will provide information about the function of which organ?
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