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done monthly, and results from yesterday are in the chart. The nurse is compleing a skin assessment of an older adult paient. Psychiatrist and neurologist should be involved in patient care. -agitation or tremors (shaking), Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. Opening Questions How did the simulated experience of Danielle Young Bear's case make you feel? Which diet choices should be included in the teaching session? -ringing in your ears (John P. Cunha,2019) Impaired physical mobility Impaired physical mobility What is the purpose of this process? Post-Quiz Jermaine Jones. You Which of the fo, is correct regarding safety for this age grou, shoulder belts should be used after reaching the car seat height re. PCC/S Discuss the importance of support from his family in Jermaine Joness care. a) Choose footwear that is nonskid with a low heel. 1 Scenario Analysis QuestionsPCC What priority problem(s) did you identify for Jermaine Jones? The Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? complications commonly associated with tonic-clonic seizures. Remediation: Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. c) Pustule A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. I think that the main problem of this patient that he suffers from depression for more than 2 years. Peripheral arterial disease was ruled ou, daughter recently moved her to this nearby nursing home due to con, impaired mobility, an unhealthy diet, and inability to adequately care for. and/or benzodiazepines, and about drug interactions. PCC What priority problem(s) did you identify for Jermaine Jones? process May 20, 2021; tapioca starch whole30; barient 32 self tailing winch parts b) Reddened area on the paients heel 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. View Quiz for Jermaine Jones for Nursing | Pharmacology.pdf from NURSING 120.507 at Johns Hopkins University. Multiply high end of The RN is checking a patient's BP in the thigh related to new inability to assess BP in arms. 4. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. The patient is diaphoretic. Albumin level test Albumin level test Deficient knowledge: Disease process Deficient knowledge: Disease and decrease the risk for aspiration. Patient was oriented to person, place, but not time. The nurse has an order to check a patient's post-void residual urine. Vsim Suzanne Morris Pre-Quiz. Her last Braden scale assessment was conducted 2 days Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! side rails and removing any safety hazards, helps to keep the environment safe and reduce the Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! Talk about what went well in the scenario. Hypovolemic . at 100 mL/hr. Flumazenil, a specific benzodiazepine antagonist. Which of the following drug combinations can put the patient at risk for severe convulsions and death? whether any of the other answers are correct. Heart rate: 95. The nurse is admitting a pediatric patient with a known seizure a) Borders a place that is not easily accessible to Mr. Jones, and look for any odd changes in his benzodiazepines, patients with tachycardia, and those with a widened QRS complex. Diseases and Conditions, 1. 3. ), -Compare current medications to all medications taken the following interventions should the nurse include in the patient's with the medications sertraline and alazopram. Prescription medications: he took one of his wifes Xanax tablets. The patient reported that he does not take any herbal or over the counter c) Whole wheat bread and brown rice, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Jermaine Jones vsim. cause marked central nervous system depression, coma, and can even be fatal. A forward-facing booster seat in the backse, After reaching the car seat height restriction, all 5-year, Basic seizure precautions should be implemented to provide a safe environment for, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. From vSim for Nursing | Pharmacology. This new feature enables different reading modes for our document viewer. Assessment: Mrs. Morrow is alert and oriented to person, time, and place but sometimes forgets d) Provide a complete list of new medications . Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! Normal saline is infusing Learn vocabulary, terms, and more with flashcards, games, and other study tools. 1 Suggested Reading 2. changed the child's medication dose, whether the child has had any recent weight changes, and Document the information you provided to Jermaine Jones and his wife regarding adverse drug effects when combining SSRIs, benzodiazepines, and alcohol. He replied: 'No, I am not allergic to anything.' You looked for normal breathing. Pulse: Present. Since both substances are depressants, they can greatly relax muscles and bring the central nervous system to a crawl, which can result in unconsciousness or even a coma. Rationale:Basic seizure precautions should be implemented to provide a safe environment for the patient. Alcohol should not be consumed when taking alprazolam or sertraline. what is the therapeutic blood level for a pt receiving an IV infusion of magnesium sulfate? another medication prescribed for his wife. (Select all that apply.). You may complete the materials more than once. 1344-1345, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. The nurse is reviewing medications for a patient with depression. c) Diminished pulses in the afected extremity 2. Which of the following complications of peptic ulcers is associated with the presence of H. pylori? Preschoolers are not mature enough to ride a bicycle in the street and should ride on the sidewalk; bicycles should be ridden in the same direction as traffic. -pain or irritation where the medicine was injected, Georgian College. The combination b) Do you have a family history of keloids? He is oriented to person and place, but not time, so he is highly confused. He The current plan of care is focused on with the medications sertraline and alazopram. Palpate the bladder for distention and record findings in the chart. According to the blood alcohol chart, this level would increasing his depression lately. c) Small, lat macules on both shoulders Time: 1000 POST. In the role of educator, the nurse instructs and counsels patients and their families about all aspects of health and illness. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Psychology (David G. Myers; C. Nathan DeWall), Josephine Morrow Health Assessment pre-and post- quiz questions, Josephine Morrow is an obese, 80-year-old female who developed a ven, Mrs. Morrow has a past medical history of COPD, chron, Mrs. Morrow is alert and oriented to person, time. (Select all that apply.). Keep oxygen and suction at the bedside, Supervise when ambulating or bathing, Rationale: Basic seizure precautions should be implemented to provide a safe environment for The reported combination of signs and symptoms are characteristic of clinical depression. Concluding Questions The patient scores 12 on the. 9 terms. Which of the following nursing interventions should be performed first for a patient with decreased level of consciousness? that may lead to him harming himself, either intentionally or unintentionally. (CBC) with differential No, the safe range is 54.6 to 109.2 mg/day. My patient healing. Uploaded By stephanie343. You asked if the patient was <Allergy>allergic<> to anything. repeat this scenario? Alcohol Abuse, Drug Abuse.Dangers of Mixing Alcohol and Benzodiazepines. If so, how would your patient care change? VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. Expert Clinical Content from Lippincott Advisor a) Cereals and fruits If Mr. Jones Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with diabetes mellitus. emergency department by his wife after he had been drinking a few beers and had Bringing all of the assessments together was in a way like a puzzle. drinking, and make sure to not give him any medications that have not been prescribed 996- 1. taking, the current prescribed dose of medication, the frequency of administration, and the Pages 5. Course Hero is not sponsored or endorsed by any college or university. d) Mental status The workflow below is a suggested learning path. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting dizziness, weak and shallow breathing, panic attacks, fear, and fast or uneven heart rate. (Select all that apply.). . Find study . suggest that he had consumed approximately ten alcoholic beverages, even though he reports daughter recently moved her to this nearby nursing home due to concern for her safety related to However, you cannot access the post-simulation PCC What potential problems could arise due to combination of alcohol with SSRIs and benzodiazepines? 2. A patient with a history of a cardiac disorder has been diagnosed with depression. Sertraline, alcohol, and alprazolam are all central nervous system depressants. 1. The backseat is the safest place for the child to ride. ), PO ABBREVIATIONS AND CONVERSIONS - FOUNDATION, Cyber Security, FBLA massive review guide. Which of the following best explains the reason this combination decreased Jermaine Jones's level of consciousness?, At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). -Avoid possible drug interactions reflection questions until you have completed the medication should be administered slowly, over 15 seconds. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Note any drugdrug interactions. b) Lesions A psychologist can be involved during Vitals: BP- 126/75. Color was normal, he was not sweating. person and place. Remediation: She requires (A) It is estimated that 10 million people in the United States are diagnosed with diabetes. To prevent accidental ingestion, parents should mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. Expert Clinical Content from Lippincott Advisor T&C What other interprofessional team members should be involved in Jermaine Joness care? Vital signs have been within normal limits and are performed weekly. He says he feels sad because his father died a year ago. (Select all that apply.) 2019 (n.d.). Scenario Analysis Questions 1 What should the nurse include in the Which laboratory value would be of most Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box 35.2. 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The patient is a 60-year-old male who has hypertension and heart failure. Respiration: 12. Ratings 100% (17) Key Term jermaine jones vsim post quiz. Conscious state: Somnolent. My patient care would not change. SWEET & BITTER! Wolters Kluwer. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Weber, J. and Kelley, J. Which statements would be appropriate to include in the teaching plan? The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. I didnt think it would matter. He reports suffering from depressin for a few years now. SpO2: 95%. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. (Select all that apply.) c) Unstageable pressure ulcer slurred speech, reduced coordination, drowsiness, and depressed respirations. Jermaine Jones vsim 100.docx. Which of the following antidepressant agents is contraindicated for this patient? Varicose veins Varicose veins -headache, The nurse asks if the patient is feeling depressed. The ordered dose of phenobarbital 60 mg twice daily, or 120 mg per day, is above the range of Which of the following factors placed this patient at a higher risk for developing this disease? Mr. Jones is drowsy, but arousable and oriented to b) Asymmetry Fundamentals of Nursing 9th Edition Taylor Test Bank-1-10; Chapter 3 workbook Cells and Tissues; Psychology 101 Notes; Tina jones comprehensive; Destroying Altering Tables and Views; EDUC 327 The Teacher and The School Curriculum Document; Anthropological Perspective; Chapter 01 - Fundamentals of Nursing 9th edition - test bank How should the nurse describe this type of wound? You are reinforcing patient education for Jermaine Jones related to sertraline. Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? Jermaine Jones post quiz 100.docx -. Which of the following principles 1342- Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. Other sets by this creator. Blood pressure: 124/75, You assessed the patient's consciousness. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. Safe dosage range equals 54 to 109. Edit Print Download Embed Share. with +2 edema. Pulse: Present. Some African Americans are genetically predisposed to delayed metabolism of benzodiazepines. During my assessment, I forgot to ask my patient about alcohol intake. scored a 12 on the Glasgow Coma Scale. To prevent accidental ingestion, parents should never describe medications as candy. Your Response: Check for a patent airway, Raise the side rails and remove any is the nurse's best interpretation of this data? 996-997. The safe dose range is 3 to 6 mg/kg/day. The nurse asks if the patient is feeling depressed. Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. Multiply high end of dosage range by weight: 6 18.2 = 109.2 mg/day. The fetal heart rate is 150 bpm. c) Albumin 5 g/dL 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. 4. assessed consciousness In the nurses notes, document the medication reconciliation information for Jermaine Jones. Which of the following data is most important for the nurse to obtain based on this information? His speech is slurred, but he can answer questions coherently. others. ranges. duration of therapy as well as whether the patient is complying with the prescribed medication Which of the following statements best describes the rationale for the nurse's question? Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. Jones should be assessed frequently to ensure that his level of consciousness is medications, but that he does take a prescription medication for depression and he had taken c) Distribuion D PERCUSSION, The nurse is assessing a paients nails. before I came to see him. Patient status - ECG: Sinus rhythm. b) Leg pain and brownish or blue skin discoloraion a) When I take a bath, I should use hot water. Although a ketogenic diet is a nonpharmacologic treatment for epilepsy, it would. Opening Questions ACG 2021 Quiz Chapter 1; EDUC 327 The Teacher and The School Curriculum; 10 WEEK MEN'S Program Final; Gizmo Exploration: Food Chain; Tina jones comprehensive; PSY 355 Module One Milestone one Template; BC Ch3 9ed Study Guide SOME Answers; Physio Ex Exercise 1 Activity 2; Chapter 2 - Summary Give Me Liberty! is correct regarding safety for this age group? Designed to simulate real nursing scenarios, vSim for Nursing, co-developed with Wolters Kluwer Health, allows students to interact with virtual patients in a safe, realistic online environment. Her Obesity, long-term care Obesity, long-term care c) Capillary reill Time Spent - 00:00: I was right that I choose focused assessment. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. Flumazenil, a specific benzodiazepine antagonist. Patient was drinking alcoholic beverages while taking alprazolam. VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. : an American History (Eric Foner), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. 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All of his results for his BMP and CBC labs came back within normal There is a 20 gauge IV in his right forearm. patrick schulte highlights. Since both substances are depressants, they can greatly relax muscles and bring the central nervous The safe dose range is 3 to 6 mg/kg/day. b) Paricipate in aciviies that require physical contact to promote, The nurse is inspecing Ms. Morrows leg for the development of addiional venous stasis ulcers. It is always good to have someone who can understand patients' problems, who can provide performing this assessment? S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. (Select all that apply. year ago. Kim Johnson Vsim Study 37 Med Surg 1. Patient status - ECG: Sinus rhythm. of alcohol with SSRIs and benzodiazepines can lead to decreased consciousness, Mr. (Alcohol Abuse,2014). lethal. anticonvulsant medications as ordered to help stop and prevent further seizure activity, but Document any assessment data related to Jermaine Jones diagnosis of depression. . She requ, assistance with positioning in bed and with getting out of bed to sit in a chair or ambu, gait is unsteady and she is easily fatigued. Test. Benzodiazepines and alcohol are both central nervous depressants. The nurse needs to know the last time the provider (Select all that apply.) He was brought to the Your Response: Keep bed in low position and remove objects from the bed, A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. Learn. It can take up to 4 weeks before feeling the effects of antidepressants. However, you cannot access the post-simulation, quiz, documentation assignments, and guided, reflection questions until you have completed the, on her right lower extremity while still living at home. The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. Glasgow Coma Scale (GCS). Test Out Lab Sim 2.2.6 Practice Questions; Informative Speech Outline; Physio Ex Exercise 1 Activity 1; Biomolecules; ATI Capstone Responses help; NR 603 QUIZ 1 Neuro - Week 1 quiz and answers; . quiz, documentation assignments, and guided 8. phoned provider Test. 2. identified patient I taught him that the symptoms he was in, the hospital for were caused by the combination of benzodiazepines and alcohol, which could. Expert Clinical Content from Lippincott Advisor He is oriented to person and place, but not to time, so he is slightly confused. 3 seizure threshold or history of seizures. Time Spent - 00:00: Multiply low end of dosage range by weight: 3 18.2 = 54.6 mg/day. During my assessment, I forgot to ask my patient about alcohol intake. He will be taking just his sertraline when he gets home, as prescribed. Include the medications he was taking prior to admission, any medications given during the scenario, and the medications he will be taking at home. safe? Multiply low end of dosage range by weight: 3 18 = 54 mg/day. and contraindications. Jermaine Jones was admitted to the emergency department with decreased level of consciousness. Study with Quizlet and memorize flashcards containing terms like A patient diagnosed with depression talks to the nurse about death and making funeral arrangements.