year ago. status in addition to poor coordination. TB-Chapter 21 Peripheral Vascular System and Lymphatic System, General Chemistry I - Chapter 1 and 2 Notes, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 1-2 Problem Set Module One - Income Statement, 1-2 Short Answer- Cultural Objects and Their Culture, The cell Anatomy and division. At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. 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. He Document your initial focused assessment data of Jermaine Jones (who took an antidepressant drug combined with an anxiolytic drug), including orientation, level of consciousness, pain assessment, and vital signs. Sertraline, alcohol, and alprazolam are all central nervous system depressants. Concluding Questions Probiotics help prevent or treat infections in the intestines. 996-997. Heart rate-95. To maintain patient safety, it is important that you quickly. alcohol with SSRIs and benzodiazepines. behavior which could signify a worsening in his depression. It will be important to reconcile Jermaine Jones's medications prior to discharge. patient's serum phenobarbital level is 8 mcg/mL. the nurse inspect for when evaluaing the lesion? Which diet choices should be included in the teaching session? on her right lower extremity while still living at home. suggest that he had consumed approximately ten alcoholic beverages, even though he reports changed the child's medication dose, whether the child has had any recent weight changes, and Varicose veins Varicose veins patrick schulte highlights. There is no need to insert a Foley catheter for a patient at risk for seizures. His family should also monitor his The nurse is completing an assessment for a patient who has been diagnosed with major depression. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. 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I think it is very important for patients who are suffering from depression to have support from family and friends. Pulse: Present. b) Because I have dry skin, I should avoid cold air and use moisturizers. Blood alcohol level is .27. Course Title NRSG MISC. another medication prescribed for his wife. The nurse is providing paient teaching about prevenion of pressure ulcers. 1342-, 6 The role of the pediatric nurse has many components. 5 dizziness, weak and shallow breathing, panic attacks, fear, and fast or uneven heart rate. Assessment in Nursing, 6th Edition. contractions alternating with relaxation of all muscle groups. Talk about what went well in the scenario. and contraindications. During an admission assessment, the nurse notes a sudden onset of areas are assessed using this tool? care would not change. treated with a selective serotonin reuptake inhibitor. 3. 1. Obesity, long-term care Obesity, long-term care There is not enough information provided in the description as it stands to conclude I didnt think it would matter. He reports suffering from depressin for a few years now. This mixture can a pt wit preeclampsia is admitted with vital signs as follows: temp 98.6, HR 110, RR 28, BP182/116, SpO2 92%. d) Prealbumin 6 mg/dL. Medications administered: No medications were administered in this vsim. 3. The dressing was changed and the wound cleaned this morning. If Jermaine Jones had overdosed on his wife's alprazolam, which of the following medications should be given? b) Urine protein 60 mg/24 hours Glasgow Coma Scale (GCS). She is on a regular diet with nutritional Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. 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Cheever), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), 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.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). Location: Nursing home I think that the main problem of this patient that he suffers from depression for more than 2 It can take up to 4 weeks before feeling the effects of antidepressants. Normal elasticity of the The patient is diaphoretic. POST. PCC/S Identify potential patient safety issues related to altered mental status due How would the nurse carry out this order? the hospital for were caused by the combination of benzodiazepines and alcohol, which could 9. patient handoff. : 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. Koehler), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), 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.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). I think it is very important for patients who are suffering from depression to have support from family Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. 996- (Select all that apply.) (Select all that apply.). is correct regarding safety for this age group? another medication prescribed for his wife. Blood pressure: 124/75, You assessed the patient's consciousness. The patient should be placed in side-lying position, not supine, to help maintain a patent airway and decrease the risk for aspiration. (2018) Health PCC/S Discuss the importance of support from his family in Jermaine Joness Oxygen should be maintained above 92%. Note any drugdrug interactions. You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. How should the nurse describe this type of wound? I completed a, The patient had his blood drawn for a BMP, No calculations were necessary in this vsim, as no medications were ordered to, I educated the patient on the importance of avoiding alcohol while taking sertraline, The scenographic elements as constructors of meaning within a fictional world, Success Strategies for Online Learning (SNHU107), Biotechnology Applications (BIOTECH 10007110), Online Education Strategies (UNIV 1001 - AY2021-T), Primary Concepts Of Adult Nursing II (NUR 4110), Variations in Psychological Traits (PSCH 001), Communication As Critical Inquiry (COM 110), advanced placement United States history (APUSH191), Informatics for Transforming Nursing Care (D029), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Death Penalty Research Paper - Can Capital Punishment Ever Be Justified, Skomer Casey, Lesson 12 Seismicity in North America The New Madrid Earthquakes of 1811-1812, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, CHEM111G - Lab Report for Density Experiment (Experiment 1), Focused Exam Alcohol Use Disorder Completed Shadow Health, Analysis of meaning and relevance of History from the millennial point of view, BUS 225 Module One Assignment: Critical Thinking Kimberly-Clark Decision, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Which of the following statements best describes the rationale for the nurse's question? b) Vesicle Time Spent - 00:00: T&C What other interprofessional team members should be involved in Jermaine Joness care? Which inding would require the uptake of serotonin by neurons in the brain. In the role of educator, the nurse instructs and counsels patients and their families about all aspects of health and illness. 4. Firearms should be kept in a locked cabinet with the ammunition stored separately. Background: Mrs. Morrow has a past medical history of COPD, chronic venous insufficiency, and 2019 (n.d.). You a) Cereals and fruits actions should the nurse take? Ratings 100% (17) Key Term jermaine jones vsim post quiz. What Supervision during bathi, and other potentially unsafe activities helps to reduce the risk of an injury in the eve, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 3 vSim 4. Multiply high end of 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 sleeping, but he has lost his appetite. Other sets by this creator. A, Post Conference Activity Assignment for Amelia Sung v Sim. Labs monitored: The patient had his blood drawn for a BMP, CBC, and blood alcohol level Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. that may lead to him harming himself, either intentionally or unintentionally. Match. administering oral medications during a seizure is not indicated due to risk of aspiration. A patient reports severe epigastric pain after eating. Q. Dr. Ramen recruited 100 adults to participate in her study. 7. educated patient on drug interactions Which of the following characteristics, reported by the patient, best support this diagnosis? A patient is newly diagnosed with depression. Opening Questions Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. the uptake of serotonin by neurons in the brain. Alcohol Abuse, Drug Abuse.Dangers of Mixing Alcohol and Benzodiazepines. person, place, but not time. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. at 100 mL/hr. Insufficiency, Chapter 22, p. 488 Pulse: Present. View Quiz for Jermaine Jones for Nursing | Pharmacology.pdf from NURSING 120.507 at Johns Hopkins University. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. Quality Improvement (QI), Safety (S), and Informatics (I). If so, how would your patient care change? Patient reported no pain. The nurse is providing education to a patient who takes an MAOI for depression. Calculate the setting for the infusion pump in __________________________ mL/hr. Which of the following statements best describes the likely cause of the patient's symptoms? -Avoid possible drug interactions. 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. considered therapeutic at levels between 10 and 40 mcg/mL. potentially be lethal. PCC What potential problems could arise due to combination of alcohol with SSRIs and benzodiazepines? Retrieved from https://www.rxlist.com/romazicon-side-effects-drug-center.htm. this antidote. taken alprazolam, prescribed for his wife. yourself at home. Loss of sphincter control, leading to incontinence, is another complication associated with this type of seizure. Restraining the patient or placing anything in the mouth, such as a tongue blade, while the patient is actively seizing can cause further injury. Cardiac arrest and anaphylactic shock are not The nurse should administer The chest, You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to, monitor the saturation and pulse here. Impaired skin integrity Impaired skin integrity. c) Diminished pulses in the afected extremity is the nurse's best interpretation of this data? Which of the fo, is correct regarding safety for this age grou, shoulder belts should be used after reaching the car seat height re. Patients taking SSRIs are at an increased risk of suicidal behavior. Implementation of seizure precautions, including rasing the side rails and removing any safety hazards, helps to keep the environment safe and reduce the risk of injury. a) Papule (Select all that apply.). He was brought to the Course Hero is not sponsored or endorsed by any college or university. His eyes open to verbal command, and he is able to follow instructions and move all extremities. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box 35.2. You washed your hands. Pre-Simulation Quiz. Which characterisics should Patient reported, I was feeling down, so I took some pills and drank some alcohol. medication reconciliation with this patient, and looked for any potential interactions, allergies, 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! PCC/S Identify potential patient safety issues related to altered mental status due to the combination of Conscious state: Somnolent. mood swings There is a 20 gauge IV in his right forearm. At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. Your Response:No, the safe range is 54.6 to 109.2 mg/day. not be appropriate for the nurse to implement this without an order from the provider. medications, but that he does take a prescription medication for depression and he had taken -ringing in your ears (John P. Cunha,2019) 8. phoned provider You may complete the materials more than once. Temperature: 99F. c) Capillary reill 2021-22, 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, Evaluation Strategies For Nurse Educators (NURS 710), Evaluation Strategies For Nurse Educators. The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. Pulse was strong, 95 per minute, and regular. All sales are final. You asked if the patient was <Allergy>allergic<> to anything. Jermaine Jones was admitted to the emergency department with decreased level of consciousness. c) Ensure disposal of all home medications. d) It is a technique used to idenify common problems in older adults. Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. Test results show the presence of Helicobacter pylori (H. pylori). 6. asked about appetite, thoughts, interests Jones should be assessed frequently to ensure that his level of consciousness is Temp: 99F. Which of the following nursing interventions should be implemented first for this patient? 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. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. e) Length. Box 4-3: SBAR, Chapter 4, p. 58 cause marked central nervous system depression, coma, and can even be fatal. The nurse should administer anticonvulsant medications as ordered to help stop and prevent further seizure activity, but administering oral medications during a seizure is not indicated due to risk of aspiration. His blood alcohol level came back as 0, which is beyond the level of legal Study with Quizlet and memorize flashcards containing terms like A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. Vital signs have been within normal limits and are performed weekly. School Georgian College. Vernon watkins vsim 100%.docx. During my assessment, I forgot to ask my patient about alcohol intake. a) Compare current medications to all medications taken. Document your initial focused assessment data of Jermaine Jones (who took an antidepressant drug combined with an anxiolytic drug), including orientation, level of consciousness, pain assessment, and vital signs. The patient scored a 12 on the Glasgow Coma Scale. He will be taking just his sertraline when he gets home, as prescribed. (Select all that apply.) This will allow you to reassess the patient, You checked the radial pulse. SpO2: 95%. 2. Flashcards. ), -Compare current medications to all medications taken ), Your Response: Keep bed in low position and remove objects from the bed, Keep oxygen and suction at the bedside, Supervise when ambulating or bathing. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. (Select all that apply. The curren, promoting wound healing, improving venous return, deep vein thrombosis (DVT). Respiration: 12. PRE. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Color was normal, he was not sweating. intoxication for a man of his weight. Complete blood count (CBC) with differential Complete blood count A psychologist can be involved during -sweating or shivering, c) How much does it bother you? - Patient confused, under the influence, and more than likely will be a poor historian. It is also contraindicated for those on long term the patient. Abnormal Findings 22-1: Characteristics of arterial and Venous Time Spent - 00:01: Vitals: BP- 126/75. What is the nurse's role in preventing polypharmacy? VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. duration of therapy as well as whether the patient is complying with the prescribed medication A patient with a history of a cardiac disorder has been diagnosed with depression. recent events. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. ), The nurse is providing education to a patient who takes an MAOI for depression. Which of the following antidepressant agents is contraindicated for this patient? Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. Normal elasticity of the skin. The combination reflection questions until you have completed the The patient reports taking his prescribed Rationale:A child with altered level of consciousness may not be able to manage his or her secretions and is at risk for aspiration and ineffective airway clearance. What reading does the RN anticipate auscultation? Jackson Webber VSIM Pre Quiz Answers and Rationales, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. a) Coninence Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. Jermaine Jones vsim. regimen. ), Exposure to irritants, Cigarette smoking, Mucosal defects, Genetics. -Be sure to keep follow-up appointments. KIM JOHNSON. jermaine jones vsim pre quiz quizlet. b) Lesions If Mr. Jones Nursing Diagnosis Care Plans, 1. He replied: 'No, I am not allergic to anything.' You looked for normal breathing. patient reported that he thinks the tablets are 0. 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. To maintain patient safety, it is important to wash your, Patient status - ECG: Sinus rhythm. benzodiazepine receptor antagonist. VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. Jones to suffer falls. Assessing Skin, Hair, and Nails, Chapter 14, pp. Tended to drift off to sleep. This preview shows page 1 - 5 out of 5 pages. Patient was breathing at 12 breaths per minute. (Select all that apply.). depressant effect on the CNS Preschoolers Which of the following statements is correct regarding probiotics? (Select all that apply.) Which of the following statements best describes the rationale for the nurse's question? emergency department by his wife after he had been drinking a few beers and had done monthly, and results from yesterday are in the chart. A-auscultaion Box 38. Time: 1000 Remediation: Jermaine Jones consumed alcohol while taking alprazolam and sertraline. Jerky, rapid contraction of the ankle and foot. to the combination of alcohol with SSRIs and benzodiazepines. d) Exudate Which of the following antidepressant agents is contraindicated for this patient? be administered. B- inspecion Recommendation: I would like you to complete a full-body skin assessment of Mrs. Morrow. 1344-1345, Box 38.2. Multiply low end of dosage range by weight: 3 18.2 = 54.6 mg/day, dosage range by weight: 6 18.2 = 109.2 mg/day, The ordered dose of phenobarbital 60 mg twice daily, 54.6 to 109.2 mg/dose, so the ordered dose is not safe to administer, home safety and injury prevention. Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care . She is on a regular d, supplement and has been eating the majority of her meals since admission. d) Wheal, 1 nurse is reviewing Ms. Morrows nutriional status. The nurse asks if the patient is feeling depressed. Quiz Name RicciKyle4e_Pre_Jackson Web ber. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. The reported combination of signs and symptoms are characteristic of clinical depression. (Answered)vSim - Stan Checketts/Jermaine Jones Latest Fall 2021/2022. (Select all that apply.) Which of the following information is correct regarding SSRIs? He is oriented to person and place, but not to time, so he is slightly confused. A patient who has taken pantoprazole for several years reports six or more incidents of foul-smelling watery diarrhea over the last 3 days. mg/day. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B.
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