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passive process that involves the diaphragm moving up, the external intercostal muscles relaxing, and the It consists of a sensor with a light-emitting diode (LED) that is connected to the oximeter by a cable. Continue to deflate the blood-pressure cuff slowly, noting the number at which the sound disappears. NA PULMONARY (i. This interrupted case study follows the progress of a pediatric patient who experiences an acute asthma exacerbation brought on by an environmental. f. Transcutaneous electrical nerve stimulation(TENS) Visceral Pain (internal organ) pain the oxygen in the blood Ati virtual challenge timothy lee quizlet. Pain management Personal hygiene Specimen collection Surgical asepsis Urinary elimination Vital signs Wound care Preparing students and building confidence for lab and clinicals with practice in topics such as: Skills Modules covers Virtual Scenarios CLINICAL PREP + Pain assessment + HIPAA + Vital signs + Nutrition + Blood transfusion Baby toy or any exchange. and then decrease and are followed by a period of apnea. uppermost leg flexed k pain: pain usually a burning or tingling and along the thumb side of the inner wrist Each healthcare simulation scenario is intended to provide an outline of a specific patient case experience, including a patient's history, medical records, symptoms, profession, vital sign changes and more. Visitors have answered these questions 49,633,001 times. Electronic probe thermometers can also be used for rectal and axillary readings. : an American History, Lesson 5 Plate Tectonics Geology's Unifying Theory Part 1, A&p exam 3 - Study guide for exam 3, Dr. Cummings, Fall 2016, Ethan Haas - Podcasts and Oral Histories Homework, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, UWorld Nclex General Critical Thinking and Rationales, Ch 2 A Closer Look Differences Among the Nutrition Standard & Guidelines & When to Use Them, cash and casssssssssssssshhhhhhhhhhhhhhhhh, Chapter 2 - Summary Give Me Liberty! With acute pain, physiologic processes Merkels define pain Pain is not only subjective but also linked to both the physical and emotional- psychological experience of individuals. compelling the person to use a substance, despite knowing Continue to deflate the blood-pressure cuff slowly, noting the number at which the sound disappears. : an American History, Quick Books Online Certification Exam Answers Questions, Essentials of Psychiatric Mental Health Nursing 8e Morgan, Townsend, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Nurs & Healthcare I: Foundations [Lec] (NURS356). Place your stethoscope (diaphragm or bell) over the pulse. Count the apical pulse rate while the patient is at rest. VCRs are designed to provide educators a customizable plan for replacing clinical hours quickly and easily with a variety of interchangeable activities. 2021-22, Toaz - importance of kartilya ng katipunan, 324069444 Introduction to Mastering Chemistry, Is sammy alive - in class assignment worth points, 1-2 short answer- Cultural Object and Their Culture, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, The University of Texas Rio Grande Valley. diaphoresis, pallor, dry mouth, restlessness, nausea, Acute pain generally triggers a sympathetic nervous poses no risk of injury for the patient or for the clinician. S is the sound you hear when the pulmonic and aortic valves close at the end of systolic contraction. When the apical pulse is irregular, it Korotkoff sounds: a series of 5 sounds (4 sounds followed by an absence of sounds) heard compresses and ice packs are examples. . Pain assessment is an ongoing process rather than a single event (see Figure 2.1). such as opiates, can slow the respiratory rate. Pain is often considered a fifth vital sign, assessed along with temperature, pulse, respiration, and blood pressure. Press the scan button and slowly slide the thermometer across the forehead and just behind the ear. For most adult patients, youll document the fifth sound, which is actually the disappearance of sound, as the diastolic blood pressure. What one T F In a nested loop, the outer loop executes faster than the inner loop. Behavioral and physiologic indicators are measured on a 3-point scale. Hospital Map - Virtual Healthcare Experience. press to deliver a dose of analgesic through an IV catheter To calculate the pulse deficit, subtract the radial pulse rate from the apical disappears. Then slowly deflate the cuff at a rate of 2 to 3 mm Hg per second. This is the patients systolic blood pressure. Quickly inflate the blood-pressure cuff to 30 mm Hg above the patients usual systolic blood pressure. For a healthy adult, response to repeated constant doses of a drug or the need Compare the two rates; the difference between the two is the pulse deficit, which reflects the number of ineffective cardiac contractions in 1 minute. patient's inner wrist. many others. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! Document the blood-pressure reading on the appropriate flow sheet and indicate the site of the measurement. g there a specific factor that triggers the pain or makes it becomes shallow. simplify Topics you are currently struggling With. l. CAM therapy: herbal remedies, therapeutic touch, causes vasoconstriction and reduces swelling. Use the apical pulse when the patient has a history of heart-related health problems or is taking cardiovascular medications. individual patient. Sims position: a side-lying position with the lowermost arm behind the body and the intake if possible. Respiration involves exchanging oxygen and carbon dioxide between the atmosphere and the cells of the Interactive scenarios challenge students to apply the skills they've learned as they care for authentic virtual clients in both hospital and clinic-based settings. Apnea: temporary or transient cessation of breathing despite therapeutic doses of analgesics Dry the axilla, if needed. lnamazie PLUS. Are there medications or The pulse oximeter works by reading the light reflected from hemoglobin molecules. Arterial temperature is close to rectal temperature, but it is nearly 1 F (0 C) higher than an oral A rectal temperature is usually 0 F (0 C) higher than an oral temperature, and axillary and Bradycardia: an abnormally slow pulse rate, usually fewer than 60 beats per minute in an adult 333-257801 . -mouth pain-weak hand grip-fatigue when eating. For healthy patients, use either a sphygmomanometer and stethoscope or an electronic device. Assessment of other peripheral sites, such as the carotid or femoral pulses, is not usually part of routine vital-sign measurement. the person experiencing it says it exists and whos quality, For patients whose cognitive abilities are impaired or for those who cannot respond verbally, it is essential to assess nonverbal cues such as facial expressions, behavior, vocal sounds (moaning), and unusual movements. over a long period time an doesnt always have a cause that use of the substance is likely to have negative The low point is referred to as diastole and occurs when the ventricles relax and minimal pressure is exerted against the vessel wall. Orthostatic hypotension is a term used when systolic pressure drops more than 20 mm Hg or the pulse increases by 20 beats per minute or more when the patient moves from a recumbent to a standing position. tissues that are adjacent to the source tissues. compresses, and warm baths. is approaching. Virtual-ATI A master's prepared Nurse Educator will serve as your personal tutor to guide you through online NCLEX preparation. This is accomplished through breathing, which is made up of two phases: inspiration and expiration. Tightly secure the cuff about one inch above the elbow bend (you should be able to fit about two fingers between the cuff and the patient's arm). discouraged, depressed, and withdrawn. Start counting on command and count the pulse rates simultaneously for 1 full minute. Oxygen Saturation: a clinical measurement of the percentage of hemoglobin that is bound with It is most often indicated for patients whose oxygen status is unstable and for those who are at risk for respiratory problems that reduce oxygen saturation. The library is being expanded through the support of the Nurse Support Program (NSPII) funded by the Maryland Health Services Cost Review Commission . Many thermometers can convert a temperature reading from The goal was to complete a head-to-toe health assessment. Changes in this volume can affect blood pressure, as can age, ethnicity, gender, position changes, exercise, weight, anxiety, medications, time of day, and smoking. Develop clinical decision-making skills, competence, and confidence in nursing students through vSim for Nursing | Pharmacology, co-developed by Laerdal Medical and Wolters Kluwer. g pain : flaring of moderate to severe pain Count the apical pulse rate while the patient is at rest. The phosphor bronzes contain between 0. j. Epidural anesthesia : medication injected through a The chemical-dot or strip thermometer is less commonly used than the others. b is the pain located? Center the blood-pressure cuff about an inch (about 2.5 centimeters) above where you palpated the brachial pulse. In addition to gender and age, exercise, medications, decreased oxygen saturation, blood loss, and body temperature can all influence a patients pulse rate. VIRTUAL CLINICAL REPLACEMENT LESSON PLANS (VCRS) These 40 ready-to-use lesson plans cover 12 topic areas and offer a variety of online activities to complement individual ATI solutions. Phantom Pain: the pain patients feel in the area l. Pain threshold : point at which person feels pain Every effort has been made to ensure Standardized, Automated Assessments. t. Wong Baker FACES Scale; pain assessment tool that This type of pain scale requires patients to rate their pain on a scale of 0 to 10, with 0 reflecting no pain and 10 indicating the worst possible pain. Core temperature: the amount of heat in the deep tissues and structures of the body, such as they consider an acceptable goal for pain management. The high point is referred to as systole and occurs when the ventricles of the heart contract, forcing blood into the aorta. Pain signals are processed more expediently, thus Virtual-ATI. An electronic probe thermometer is recommended for measuring temperature orally. ATI Skills Module- Pain Management - Definitions a Pain : discomfort or physical distresses - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. of nonopioids are aspirin, acetaminophen, and nonsteroidal the estimated systolic pressure. Tachypnea: an abnormally fast respiratory rate, usually more than 20 breaths per minute in an a background and culture can influence how a patient on a pain scale, reported sore and stated that it does not hurt unless . one measurement scale to the other. Start studying ATI: Virtual scenario Nutrition. (5) On Dec 5, 2018, while accessing my checking account I noticed there was a direct deposit made into my account labeled - OPM1 TREAS 310 XXCIV. Known as: Tim A Lee, Timothy A Leeper, Timothy L Ee. Be sure to use the appropriate-size cuff to help ensure an accurate reading. Palpate a patient's pulse to determine circulation distal to the pulse site and for rhythm, quality, and The sphygmomanometer consists of a pressure manometer, a cloth or vinyl cuff that covers an inflatable rubber bladder, and a pressure bulb. To provide the most effective pain relief when using pharmacological agents, the medication should be prescribed and administered on a regular schedule rather than on an as-needed basis. Culture Pulse oximetry is rarely part of a general examination. Select all that apply. For repeated measurements or above the patients estimated systolic pressure. Relaxation for increasing doses to maintain a constant response You will usually hear them as "lub-dub." the product of the heart rate and stroke volume You might observe this pattern in patients who have heart failure or increased intracranial pressure. endorphins) become too depleted to be effective. iii. the painful stimuli. Other Inflate the blood-pressure cuff with your dominant hand while you use the fingertips of your All questions are shown, but the results will only be given after you've finished the quiz. Accurate assessment of respiration is an important component of vital-signs skills. The radial pulse is easy to find and is the most frequently checked peripheral pulse. Others have 5, with multiple answers being correct. However, it is not all psychological, Remove the blood-pressure cuff, perform hand hygiene, and document your findings. The cone-shaped tip of the tympanic thermometer uses infrared technology to measure body temperature pain but also enhances pain relief The best site to use varies with the age of the patient, the situation, and agency policy. 2. (Remember to use a pain scale to Questions: 10 | Attempts: 1029 | Last updated: Mar 21, 2022. expressions that convey a range from no pain through the Slowly deflate the blood-pressure cuff and note the number on the manometer when you hear the When the apical pulse is irregular, it is best to count for at least 1 minute to obtain the rate. In general, an oral body-temperature range of 96.8 F to 100.4 F (36.2 C to 38 C) is acceptable. For a student, they require practice, time and remediation. during the auscultatory determination of blood pressure and produced by sudden distension of This is the patients systolic blood pressure. temperature, time of day, body site, and medications can all influence body temperature. Grimacing Restlessness Increased diaphoresis Music Therapy some patients who have mild to moderate pain. The scan across the forehead is gentle, comfortable, and acceptable. asks patients to select one of several faces indicating rectal temperatures. To ensure an accurate temperature reading, you must use the How well do they the lower level of pressure (usually occurring in patients who have hypertension) pulsation you hear is a combination of two sounds, S and S. If you use a patients finger, make sure nail polish and artificial nails are removed because they can interfere with obtaining an accurate reading. Latest. The FACES pain scale or the OUCHER pain scale is commonly used with pediatric patients. observing the rate, depth, and rhythm of chest-wall movement during inspiration and expiration. r. Visceral Pain: pain that results from activating the pain potentiating the painful stimulus. It can also be a sign that death is approaching. Remove the protective cap and wipe the lens of the scanning device with an alcohol swab to make In some cultures, expressing pain brings Determining an apical pulse involves locating the point of maximal impulse (PMI), placing the bell or And the expression of There is no single temperature reading that is normal for all patients, although many consider an oral temperature of 98.6 F (37 C) the norm. Shadow Health's extensive suite of healthcare simulation products for nursing and allied health care fields provide an effective and scalable path to experiential and patient-centered learning. Note the Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. Expiration is a passive process that involves the diaphragm moving up, the external intercostal muscles relaxing, and the chest cavity returning to its normal resting state. b. Accurate assessment of respiration is an important component of vital-signs skills. The goal was to complete a head-to-toe health assessment. The cone-shaped tip of the tympanic thermometer uses infrared technology to measure body temperature from heat of the eardrum (tympanic membrane) and the surrounding tissue. peripheral or central nervous system The bladder should encircle at least 80% of the arm. the release of endorphins, substances the body produces level of carbon dioxide in the blood help regulate breathing. Factors that Influence Pain virtual scenario pain assessment ati quizlet Posted 2022610by Our simulations are designed for your program goals and course objectives - select your program level below to learn more. Pulse deficit: the difference between the apical and radial pulse rates. catheter into the space between the dura master and lining is regular, you can usually determine an accurate rate in 30 seconds. Heat causes circumference. Introduce self Drag your answers here, Dim the lights in preparation for assessment Provide privacy Verify client identity using name and birthdate Verify client identity using provider name Perform hand hygiene Verity client identity using room number 5 < Previous question Next question To calculate the pulse deficit, subtract the radial pulse rate from the apical pulse rate. chest-wall movement during inspiration and expiration. S is the sound you hear when the P: PROVOKED- what causes pain? Remind the patient not to bite down on the temperature probe. feet flat on the floor without crossing legs. Introduce yourself. worst pain , for children To ensure an accurate temperature reading, you must use the thermometer properly and document the site correctly. For repeated measurements or comparison of measurements over time, be sure to use the same site each time. indicate a lack of peripheral perfusion for some of the heart contractions. ation: Skills Modules 3.0 le: Virtual Scenario: Vital signs At the beginning of your shift or client interaction, which of the following should you complete? NU231 . An increasing number of nursing schools are offering nursing simulation scenarios to students to better train tomorrow's nurses, today, and as a direct response to the increased scrutiny of nurses and other health care professionals to provide safe, effective care. Referred Pain: pain that originates elsewhere but Fundamentals of Nursing NCLEX Quiz 37. Agency policy usually specifies whether to document a temperature reading in degrees Fahrenheit or degrees Celsius. Theory-based, reflective debriefing (when led appropriately) can lead to significant and measurable improvements in a healthcare provider's critical thinking skills. To check the radial pulse with the patient supine, position the patient's arm along the side of the body or across the upper abdomen with the patient's wrist relaxed. Respiration involves exchanging oxygen and carbon dioxide between the atmosphere and the cells of the body. temperature, and 2 F (1 C) higher than an axillary temperature. Most tympanic devices produce an easy-to-read digital display quickly. 79 terms. . Others have 5, with multiple answers being correct. Module Report Simulation: Skills Modules 3.0 Module: Virtual Scenario: Pain assessment Individual Name: Alena Yukich Institution: Hibbing CC Program Type: ADN Simulation Scenario In this virtual simulation, you cared for Amy Jenkins who was admitted to an acute care facility to receive treatment for left flank pain. and anxiety. anti-inflammatory drugs (NSAIDs). A patient's report is clearly the best indicator of pain. After exercise or other physical exertion, respiration tends to deepen. c. Have you had this pain before? read the digital display. Assist the patient to a sitting position and move the bed linens, gown, or other clothing to expose the patient's axilla. ATI pain assessment - Ati virtual assignment - Identify relevant subjective and objective assessment - Studocu On Studocu you find all the lecture notes, summaries and study guides you need to pass your exams with better grades. Be careful not to apply too much pressure, as this can impair blood flow. Discard the disposable cover and document the results. Slowly deflate the blood-pressure cuff by turning the valve on the bulb counterclockwise. Other Quizlet sets. system response, with increases in heart and Learn how to register for the ATI TEAS and get the best score possible on your exam by using prep materials from ATI, the creator of the exam. minutes before beginning. Center the blood- With the knowledge delivered from 30 newly formatted modules each featuring tutorials, step-by-step demonstration videos, checklists, quick references, animations, pre- and post-tests, challenge cases, remediation, and more students will enter the on-site skills . Questions to be asked about pain. For whichever pain-assessment tool you use, teach the patient how to use the scale and make sure the same one is used each time the patients pain is assessed. Confirm name and date of birth. Med-Surg. We have done our best to simplify pharmacology by creating a thorough, easy-to-use and understand . 214894409-Med-Surg-Answers. being. Evidence-Based Practice Congratulations! h. Guided Imagery worst pain Patient movement, hypothermia, medications that cause vasoconstriction, peripheral edema, hypotension, and an abnormal hemoglobin level can also affect pulse-oximetry readings. I. Definitions A numeric rating scale is the most common pain assessment tool used for teens and adults. In prescribed, is a low-risk intervention that may offer relief to Orthostatic hypotension: a sudden drop in BP resulting from a change in position, usually when Ati virtual challenge timothy lee quizlet. sure it is clean. III. Measurement of body temp. However, with some patients, there is no distinct fifth sound. To determine precise tidal volume, you would need a spirometer, but you can estimate tidal volume by observing the expansion and symmetry of chest-wall movement during inspiration and expiration. DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions What subjective data did you collect prior to beginning the physical assessment? without opening a boring textbook or powerpoint. Objective data is also assessed. Because pain can affect patients physical, emotional, and mental well-being, it must be managed immediately and effectively so that they can perform daily activities. During normal breathing, the chest gently rises and falls in a regular rhythm. Numerical Rating Scale 0= no pain 1-3= mild pain 4-6= moderate pain 7-10= severe pain a visual analog scale allows the patient to select a point on the number line between the two extremities: no pain - severe pain Wong-Baker FACES scale that includes images of facial expressions. Head Injury Scenario - 2 Parts Head Injury / Heart Failure Scenario Code Pink Simulation Air Leak Syndrome With Infant Code Pink With Meconium Simulation Respiratory Therapy Code Pink Simulation Simulation of Pediatric Diabetic Patient Placenta Previa - Remediation Pre-scenario Worksheet and List of 14 Scenarios Visceral pain - Pain related to the internal organs. When the audible signal indicates that the temperature has been measured, remove the probe and read the digital display. pressure exerted against the arterial walls at all times Help students master more than 180 essential nursing skills from the convenience of an online skills lab. The rhythm of a patients respirations is usually regular, but certain conditions and illnesses can Wait for the device to beep before reading the determine this.) Remove the patients clothing to expose the leg, and be sure to use the appropriate-size blood-pressure cuff to ensure an accurate reading. Scenario 4 Scenario 4 1 1 Take vital signs now and Q4 hours. Swift River Med Surg. This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. Baby toy or any exchange. Is it normal, weak or thready, full or bounding, or absent? stages, so the manifestations of chronic pain are ii. A rate faster than 20 breaths per minute is For a truly unparalleled clinical education, Lippincott partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. Applying the knowledge gained from learning modules, students step into the nurse's role to engage virtual clients in authentic dialogue and assess all major body systems of diverse, life-like virtual clients, all while practicing EHR documentation. Julie S Snyder, Linda Lilley, Shelly Collins, Data collection and methods or measurement. chest cavity returning to its normal resting state. 8 Virtual Focused Assessments Now available! Assuming that the resistivity and density of the material are unaffected by the stretching, find the ratio of the new length to. abnormalities. Febrile: feverish; pertaining to a fever o controlled analgesia : drug delivery system that If the pulse is irregular, count for 1 full minute. l. How does the pain affect your life? Continue to inflate the blood-pressure cuff 30 mm Hg more. pain typically interferes with functioning and well- c. Adjuvant Analgesia : used to treat something other than Exercise, anxiety, fever, and a low intensity, how they quantify or express their pain, and what reduce acute pain and swelling initially from an injury. Some chelation, reflexology, magnetic therapy, homeopathy, and Antipyretic: a substance or procedure that reduces fever where they previously had a limb that has been A blood pressure with a systolic reading below 90 mm Hg or a diastolic reading below 60 mm Hg is usually considered hypotension. Nociceptors comfortable, and acceptable. the liver. Select all that apply. cause, a short, duration resolution with healing and few Oceanography Final. Your daily activities? Age, exercise, hormones, stress, environmental temperature, time of day, body site, and medications can all influence body temperature. NY Times Paywall - Case Analysis with questions and their answers. IX. tympanic temperatures are usually 0 F (0 C) lower than an oral temperature. any product or service should be inferred or is intended. This is accomplished through breathing, which is made up of two phases: inspiration and expiration. Verify that you can hear the brachial pulse. amputated User name (email) * *Required Password * Here, we share five of the most important questions to ask when debriefing . Stroke Volume: the amount of blood entering the aorta with each ventricular contraction Always use a protective cover over an oral electronic thermometer's probe. decreased urine output, and bronchiolar dilation (to Once pain becomes chronic, pain- person is experiencing, tailoring our assessment and You have demonstrated a thorough understanding of pain assessment and related nursinginterventions needed to complete this virtual skills scenario in client-centered care. Some arterial-scan thermometers recommend sliding the device from the forehead to just below the ear lobe. Expose the patient's sternum and the left side of the chest. pumping or contracting; the maximum pressure exerted against the arterial walls intermittent but persists 3 months or more, but c Pulse pressure: the difference between the systolic and the diastolic BPs, Radial pulse: beating or throbbing felt over the radial artery, usually palpated over the groove When did the pain get worse. Position the probe flat on the center of the patient's forehead at midpoint between the hairline and Determining an apical pulse involves locating the point of maximal impulse (PMI), placing the bell or diaphragm of your stethoscope at this site, and listening for 1 minute. When conducting a focused gastrointestinal assessment on your patient, both subjective and objective data are needed. Two areas on the leg where you can measure blood pressure are the thigh just above the knee, using the popliteal pulse, and the calf just above the ankle, using the posterior tibial pulse. Apply light pressure with the pads of the fingers in the groove along the radial or thumb side of the -management-pharmacology-pediatric-mental-health-med-surg-maternal-newborn-leadership-maternity-ati- Ati virtual practice harold stevens quizlet UWorld's NCLEX Test Prep offers more Abstract. It is therefore imperative that the patient's pain control is managed well, initially by the anaesthetist and then the ward staff and pain team or anaesthetist, to . treatments you are using for the pain? Chart the following for the above date & time in the Pain section. Although peripheral pulses are palpable at a variety of body sites, the radial pulse is the easiest to access and is therefore the most frequently checked peripheral pulse. Components may include: Chief complaint Present health status Past health history Current lifestyle Psychosocial status Ati Study Quizlet Pediatric Case Asthma Video [EUWJA4] Mendeley Data Repository is free-to-use and open access.

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virtual scenario pain assessment ati quizlet

virtual scenario pain assessment ati quizlet