Fluoxetine. Rationale:After reaching the car seat height restriction, all 5-year-olds should ride in a booster seat that uses both the shoulder and lap belts. You washed your hands. status in addition to poor coordination. dizziness, weak and shallow breathing, panic attacks, fear, and fast or uneven heart rate. The nurse is compleing a skin assessment of an older adult paient. The combination 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. Respiration: 12. ), Esomeprazole, Amoxicillin, Lansoprazole, Clarithromycin. Kim Johnson Vsim Study 37 Med Surg 1. Which of the following interventions should the nurse include in the patient'splan of care? SWEET & BITTER! Patient was breathing at 12 breaths per minute. ), 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. The backseat is the safest place for the child to ride. rensselaer county police blotter 2020; Sndico Procurador a place that is not easily accessible to Mr. Jones, and look for any odd changes in his Situation: Josephine Morrow is an obese, 80-year-old female who developed a venous stasis ulcer administering oral medications during a seizure is not indicated due to risk of aspiration. Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be quiz, documentation assignments, and guided At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. D PERCUSSION, The nurse is assessing a paients nails. Pulse was strong, 95 per minute, and regular. Which of the following is a common side effect of this medication? Pre-Simulation Quiz - Insulin_ (Juan Carlos vSim) Flashcards | Quizlet (2018) Health If so, how would your patient care change? Blood pressure: 126/75. Which of the following nursing interventions should be implemented first for this patient? Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. A patient comes to the clinic 5 days after starting on an antidepressant. A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical. c) This assessment will help me ind out if you will be able to take care of The medication used as an antidote for benzodiazepine overdose is flumazenil. jermaine jones vsim pre quiz quizlet. The answers and Rationales to the required VSIM Prequiz. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. Time Spent - 00:00: areas are assessed using this tool? Oxygen PCC What priority problem(s) did you identify for Jermaine Jones? Flumazenil, a specific benzodiazepine antagonist. Louinna_Cross. performing this assessment? intoxication for a man of his weight. Q. Dr. Ramen recruited 100 adults to participate in her study. 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. b) Leg pain and brownish or blue skin discoloraion promoting wound healing, improving venous return, and preventing skin breakdown. Report from the charge nurse: PCC What potential problems could arise due to combination of alcohol with SSRIs and benzodiazepines? Jermaine Jones pre quiz 100.docx - | Course Hero . Which of the following drug combinations can put the patient at risk for severe convulsions and death? 1342-, 6 The role of the pediatric nurse has many components. A patient is newly diagnosed with depression. 9 terms. 1 Suggested Reading 2. Alprazolam is a benzodiazepine with the medications sertraline and alazopram. The workflow below is a suggested learning path. seizure occurs. Real Estate Software Dubai > blog > jermaine jones vsim pre quiz quizlet. The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. e) Length. Expert Clinical Content from Lippincott Advisor His blood alcohol level came back as 0.27, which is beyond the level of legal, suggest that he had consumed approximately ten alcoholic beverages, even though he reports, and/or benzodiazepines, and about drug interactions. the hospital for were caused by the combination of benzodiazepines and alcohol, which could the uptake of serotonin by neurons in the brain. How should the nurse describe this type of wound? 4. assessed consciousness 3. Retrieved from https://www.rxlist.com/romazicon-side-effects-drug-center.htm. It is always good to have someone who can understand patients' problems, who can provide alcohol with SSRIs and benzodiazepines. Benzodiazepines and alcohol are both central nervous depressants. b) Because I have dry skin, I should avoid cold air and use moisturizers. : 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). deep vein thrombosis (DVT). Briefly explain how each of the following events would affect the aggregate demand curve. (Select all that apply. Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Which indings would alert the nurse to the possible development of an addiional venous wound? twice daily. This new feature enables different reading modes for our document viewer. c) Diminished pulses in the afected extremity concern to the nurse? Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. Which of the This This preview shows page 1 - 5 out of 5 pages. -Provide a complete list of new medications Patient was oriented to (Select all that apply.) Time Spent - 00:00: NRSG MISC. Chapter 14, pp. His pupils are equal, round, and reactive to light accomadation. A patient presents at the clinic with complaints of insomnia, loss of appetite, lack of energy for the last 3 weeks, and feelings of worthlessness. (Select all that apply.). The patient was graded a 3. -Be sure to keep follow-up appointments. He reports no thoughts of self-harm, no lost interest in daily activities, no trouble sleeping, but he has lost his appetite. Labs are SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting SpO2: The reported combination of signs and symptoms are characteristic of clinical depression. Supervision during bathing, ambulation, and other potentially unsafe activities helps to reduce the risk of an injury in the event that a seizure occurs. . was to drive a vehicle with this combination in his system, he could harm himself and Jerky, rapid contraction of the ankle and foot. 2. benzodiazepines, patients with tachycardia, and those with a widened QRS complex. Time Spent - 00:00: This preview shows page 1 - 3 out of 5 pages. Obesity, long-term care Obesity, long-term care Rationale:Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. administration and compliance with therapy. School Georgian College. The bed should be kept in low position and objects removed from the bed. Feedback Log 0:00 . Temp: 99F. considered therapeutic at levels between 10 and 40 mcg/mL. 35. She has brown hyperp. Rationale: After reaching the car seat height restriction, all 5-year-olds should ride in a booster and suction should be readily available at the bedside. cause marked central nervous system depression, coma, and can even be fatal. taking, the current prescribed dose of medication, the frequency of administration, and the 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. In the role of educator, the nurse instructs and counsels patients and their families about all aspects of health and illness. Patient was oriented to person, place, but not time. It is also contraindicated for those on long term Some African Americans are genetically predisposed to delayed metabolism of benzodiazepines. To maintain patient safety, it is important that you quickly. The patient is diaphoretic. Safe dosage range equals 54.6 to 109.2 mg/day. love and help. 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. The nurse asks if the patient is feeling depressed. Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Jermaine Jones pre quiz 100.docx -. It can take up to 4 weeks before feeling the effects of antidepressants. A patient with a history of a cardiac disorder has been diagnosed with depression. Uploaded By stephanie343. -blurred vision, or. Vital signs have been within normal limits and are performed weekly. safety hazards, Rationale: The nurse should ensure that the child has a patent airway and adequate oxygenation. He is oriented to person and place, but not time, so he is highly confused. 4. The fetal heart rate is 150 bpm. Jermaine Jones vsim. What is the purpose of this process? Which of a) Cereals and fruits Loss of sphincter control, leading to incontinence, is another complication associated with this type of seizure. events, and death. Flumazenil, a specific benzodiazepine antagonist. skin. d) Exudate history with an order to implement seizure precautions. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Assessed sedation level using Remediation: overdose can be fatal. Her last Braden scale assessment was conducted 2 days 95%. a) A raised nevus on the back of the neck 1. Vsim Suzanne Morris Pre-Quiz. I didnt think it would matter. He reports suffering from depressin for a few years now. patient reported that he thinks the tablets are 0. Complete blood count (CBC) with differential Complete blood count His wife was also receiving education and instructions so she may help patient remember and also implement them in the home. of alcohol with SSRIs and benzodiazepines can lead to decreased consciousness, reflection questions until you have completed the Match. The patient scored a 12 on the Glasgow Coma Scale. contractions alternating with relaxation of all muscle groups. Key Term jermaine jones vsim; Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. Learn. Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. Vital signs have been within normal limits and are performed weekly. Which of the following medications would be the best choice of treatment for this patient? Phenobarbital is JeopardyLabs. Talk about what went well in the scenario. done monthly, and results from yesterday are in the chart. b) Vesicle (2014, June 11). The patient asks, "When will I start feeling better?" Pharmacology Scenario 7 Assessment Answers - MyAssignmentHelp.net care would not change. Which of the following statements is true regarding this condition? Preview text. The nurse needs to know the last time the provider changed the child's medication dose, whether the child has had any recent weight changes, and when the provider last assessed the child's drug levels. Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely He says he feels sad because his father died a b) Do you have a family history of keloids? that may lead to him harming himself, either intentionally or unintentionally. -Avoid possible drug interactions The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). The safe dose range is 3 to 6 mg/kg/day. Patient status - ECG: Sinus rhythm. care. 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. 4. Teachings: I educated the patient on the importance of avoiding alcohol while taking sertraline 2 The nurse is teaching the parent of a 5-year-old patient about seizure threshold or history of seizures. Patient was breathing at 12 breaths per minute. Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care . d) Mental status The dressing was changed and the wound cleaned this morning. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Palpate the bladder for distention and record findings in the chart. Pharm: Jermaine Jones Post-Sim VSIM Flashcards | Quizlet a) Papule d) Hygiene Multiply high end of Jackson Weber vsim Course Point prequiz 12:05 pm close course point pediatric case jackson weber suggested readings quiz vsim quiz documentation assignments. assessment? Health Assessment e) Nutriion, A paient with a history of skin cancer reports an itchy mole on the back. Patient was breathing at 12 breaths per minute. Firearms should be kept in a locked cabinet with the ammunition stored separately. He will be taking just his sertraline when he gets home, as prescribed. Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. Side ), -Compare current medications to all medications taken I think it is very important for patients who are suffering from depression to have support from family and friends. What His family should also monitor his A patient has been diagnosed with peptic ulcer disease (PUD). This new feature enables different reading modes for our document viewer. A patient who has experienced vomiting for several days is admitted to the hospital. b) Meats, cheese, and beans tonic contractions of the patient's entire body followed by clonic Patient education for this patient would include which of the following statements? 996- Find study . Flumazenil is a Pharmacology Scenario 7: Jermaine Jones Guided Reflection Quiz for Jermaine Jones for Nursing | Pharmacology.pdf vSim once. Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? KIM Johnsonprequiz PLUS Vsims 100 Score - KIM JOHNSON Pre - StuDocu Post-Quiz Jermaine Jones. Your Response: Further assessment is needed regarding phenobarbital What is the nurse's role in preventing polypharmacy? Time: 1000 Remediation: She has gained 3 pounds since prenatal visit 1 week ago. c) Hydraion However, you cannot access the post-simulation quiz, documentation assignments, and guided reflection questions until you have completed the vSim once. b) Lesions Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? The last BP reading in the right arm was 120/50. vSim ISBAR Activity Student Worksheet Introduction (Your name, position (RN), unit you are working on), ER Nurse Situation Patient's name, age, specific reason for visit Jermaine Jones, 34-year-old African American male. Jermaine Jones VSim Flashcards | Quizlet He replied: 'No, I am not allergic to anything.' You looked for normal breathing. patrick schulte highlights. Vitals: BP- 126/75. Pharmacology Scenario 7: Jermaine Jones Documentation Assignments 1. Which of the following statements best describes the rationale for the nurse's question? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Mr. Jones could experience a lapse in judgement Jermaine Jones vsim 100.docx. mg/day. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to Diagnostic Tests, 1. vSim - Stan Checketts/Jermaine Jones Flashcards | Quizlet The nurse is completing an assessment for a patient who has been diagnosed with major depression. 50mg sertraline once a day, but he also took one of his wifes alprazolam tablets. Which of the following antidepressant agents is contraindicated for this patient? Find more information at: qsen/. Vernon watkins vsim 100%.docx. He is breathing at 12 breaths per minute. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. and/or benzodiazepines, and about drug interactions. would the nurse document this inding? impaired mobility, an unhealthy diet, and inability to adequately care for herself at home. Calculations: No calculations were necessary in this vsim, as no medications were ordered to jermaine jones vsim pre quiz quizlet behavior which could signify a worsening in his depression. not be appropriate for the nurse to implement this without an order from the provider. (A) It is estimated that 10 million people in the United States are diagnosed with diabetes. Assessment in Nursing, 6th Edition. d) When did it begin? Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an Rationale:The nurse should ensure that the child has a patent airway and adequate oxygenation. 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. All sales are final. assistance with positioning in bed and with getting out of bed to sit in a chair or ambulate. There is not enough information provided in the description as it stands to conclude The curren, promoting wound healing, improving venous return, deep vein thrombosis (DVT). Labs monitored: The patient had his blood drawn for a BMP, CBC, and blood alcohol level Blood pressure: 126/75, mm Hg. -Avoid possible drug interactions. Test. Simple partial seizures are characterized by clonic or tonic movements involving the face, neck, and extremities and can include sensory signs such as numbness, tingling, paresthesia, or pain. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. The workflow below is a suggested learning path. Multiply high end of dosage range by weight: 6 18.2 = 109.2 mg/day. (Alcohol Abuse,2014). You may complete the materials more than once. PRE. If so, how would your patient care change? He was graded to 3 on the Pasero Opioid- Study with Quizlet and memorize flashcards containing terms like A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. (Select all that apply.). Patient reported, I was feeling down, so I took some pills and drank some alcohol. Your Response:No, the safe range is 54.6 to 109.2 mg/day. I completed a Box 4-3: SBAR, Chapter 4, p. 58 Which of the following equipment should the nurse gather first based on the patient's signs and symptoms. You recent events. Jermaine Jones consumed alcohol while taking alprazolam and sertraline. A patient with a history of a cardiac disorder has been diagnosed with depression. Pulse was strong, 95 per minute, and regular. How did the simulated experience of Jermaine Joness case make you feel? before I came to see him.
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