It is always good to have someone who can understand patients' problems, who can provide 2 Pre-Simulation Quiz 3. Opening Questions He says he feels sad because his father died a Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. Jermaine Jones took his wife's alprazolam. e) Turgor, The nurse has completed a skin assessment and is now documening using the Braden Scale. Document the information you provided to Jermaine Jones and his wife regarding adverse drug effects when combining SSRIs, benzodiazepines, and alcohol. He took his Impaired physical mobility Impaired physical mobility Retrieved from https://www.foundationsrecoverynetwork.com/dangers-mixing-alcohol-benzodiazepines/. Real Estate Software Dubai > blog > jermaine jones vsim pre quiz quizlet. Palpate the bladder for distention and record findings in the chart. stipendio di un agente immobiliare remax; life expectancy definition ap human geography; uss wasp commanding officer; please keep her in the loop for further emails ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. 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 bed should be kept in low position and objects removed from the bed. All sales are final. ranges. alcohol with SSRIs and benzodiazepines. 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. need to insert a Foley catheter for a patient at risk for seizures. increasing his depression lately. The workflow below is a suggested learning path. . impaired memory VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. She scored 14, indicating moderate risk. b) Do you have a family history of keloids? Pulse: Present. The nurse asks if the patient is feeling depressed. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using Which of the following information should be included when providing patient education on this drug? The use of this medication is contraindicated in patients with a lowered Talk about what went well in the scenario. Phenobarbital is Which of the fo, is correct regarding safety for this age grou, shoulder belts should be used after reaching the car seat height re. 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. administering oral medications during a seizure is not indicated due to risk of aspiration. a pt wit preeclampsia is admitted with vital signs as follows: temp 98.6, HR 110, RR 28, BP182/116, SpO2 92%. 3 vSim 4. Labs monitored: The patient had his blood drawn for a BMP, CBC, and blood alcohol level a) Have you had any hair loss? PCC/S Identify potential patient safety issues related to altered mental status due : an American History Talk about what went well in the scenario. Although a ketogenic diet is a nonpharmacologic treatment for epilepsy, it would not be appropriate for the nurse to implement this without an order from the provider. (Select all that apply.) Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. - I should not have taken the medication prescribed for my wife. dizziness, weak and shallow breathing, panic attacks, fear, and fast or uneven heart rate. 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Vital signs have been within normal limits and are performed weekly. Questions PRE-POST QUIZ Vsims Josephine Morrow, Health Assessment Case 1: Josephine Morrow. performing this assessment? SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting a) Borders I was right that I choose focused assessment. Her Heart rate-95. Which of the following complications of peptic ulcers is associated with the presence of H. pylori? Patient reported, I was feeling down, so I took some pills and drank some alcohol. patient's serum phenobarbital level is 8 mcg/mL. Q. Dr. Ramen recruited 100 adults to participate in her study. In the nurses notes, document the medication reconciliation information for Jermaine Jones. Which of Diagnostic Tests, 1. The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? 4 Post-Simulation Quiz -flushing (warmth, redness, or tingly feeling under your skin), Which of the following statements best describes the rationale for the nurse's question? (Select all that apply.). Which of the following characteristics, reported by the patient, best support this diagnosis? The nurse is reviewing medications for a patient with depression. A patient is newly diagnosed with depression. You may complete the materials more than once. Jermaine Jones vsim. Uploaded By stephanie343. This is reasonable. -Take the drug at the same time each day. His pupils are equal, round, and reactive to light accomadation. Implementation of seizure precautions, including rasing the Patient was breathing at 12 breaths per minute. seizure occurs. Jermaine Jones consumed alcohol while taking alprazolam and sertraline. Side effects: -pain or irritation where the medicine was injected, -ringing in your ears (John P. Cunha,2019). The nurse needs to know the last time the provider According to the blood alcohol chart, this level would history with an order to implement seizure precautions. 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! (Select all that apply.) PCC What potential problems could arise due to combination of alcohol with SSRIs and benzodiazepines? Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with diabetes mellitus. How should the nurse describe this type of wound? 247- Rationale:Basic seizure precautions should be implemented to provide a safe environment for the patient. others. home safety and injury prevention. care would not change. Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with peptic ulcer disease (PUD). The patient asks, "When will I start feeling better?" Assessed sedation level usingthe Pasero Sedation Scale; patient was drowsy but arousable. I felt that my major assessment should be patient mental assessment. School Georgian College. What is the nurse's role in preventing polypharmacy? Match. Since both substances are depressants, they can greatly relax muscles and bring the central nervous Which of the following interventions should the nurse include in the patient'splan of care? a) Papule Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? PCC What priority problem(s) did you identify for Jermaine Jones? 1 Suggested Reading 2. SpO2: The combination A patient is newly diagnosed with depression. Chapter 1 Introduction to Drugs PP and Notes, Elliot Aronson, Robin M. Akert, Timothy D. Wilson, RADS 3213 Advanced Clinical Practice Skills F. -ringing in your ears (John P. Cunha,2019) The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box 35.2. . S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. Multiply low end of dosage range by weight: 3 18.2 = 54.6 mg/day. Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Which of the following antidepressant agents is contraindicated for this patient? Document any assessment data related to Jermaine Jones diagnosis of depression. (Select all that apply.) Atonic seizures involve a sudden loss of muscle tone, which in children may be only a sudden drop of the head. The nurse is completing an assessment for a patient who has been diagnosed with major depression. Which of the following nursing interventions should be implemented first for this patient?, The nurse is reviewing medications for a patient with depression. Patient education for this patient would include which of the following statements? Jermaine Jones was admitted to the emergency department with decreased level of consciousness. The patient reports that the symptoms started approximately 2 hours after taking the first . of alcohol with SSRIs and benzodiazepines can lead to decreased consciousness, benzodiazepines, patients with tachycardia, and those with a widened QRS complex. system to a crawl, which can result in unconsciousness or even a coma. drinking three beers. The patient reported that he does not take any herbal or over the counter She has brown hyperpigmentation on both lower legs Find study . Rationale:The nurse should ensure that the child has a patent airway and adequate oxygenation. The patient reports taking his prescribed His wife was also receiving education and instructions so she may help patient remember and also implement them in the home. Sertraline, alcohol, and alprazolam are all central nervous system depressants. Pulse: Present. The current plan of care is focused on c) When siing in the chair, I should try to reposiion myself every 2 hours. The curren, promoting wound healing, improving venous return, deep vein thrombosis (DVT). May 20, 2021; tapioca starch whole30; barient 32 self tailing winch parts b) Insert a straight catheter and measure the urinary output in two hours. Health Assessment Cardiac arrest and anaphylactic shock are not c) Pustule quiz, documentation assignments, and guided Jermaine Jones vsim 100.docx. Expert Clinical Content from Lippincott Advisor Ratings 100% (11) This preview shows page 1 - 10 out of 10 pages. Patient reported, I was feeling down, so I took some pills and drank some alcohol. b) Lesions . Georgian College. 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. Which techniques should the nurse consider using when To maintain patient safety, it is important that you quickly. He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug administration and compliance with therapy. status in addition to poor coordination. It is. 4. Side . repeat this scenario? 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 is placed on pantoprazole for the treatment of PUD. c) Distribuion didnt think it would matter. He reports suffering from depressin for a few years now. You assessed the patient's neurological status. (Select all that apply. a) Arterial ulcer Rationale: After reaching the car seat height restriction, all 5-year-olds should ride in a booster The patient was graded a 3. duration of therapy as well as whether the patient is complying with the prescribed medication I was to drive a vehicle with this combination in his system, he could harm himself and c) Unstageable pressure ulcer Jerky, rapid contraction of the ankle and foot. 63-64. Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care . Respiration: 12. was strong, 95 per minute, and regular. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. What Become Premium to read the whole document. Is this order safe? -Provide a complete list of new medications should be ridden in the same direction as traffic. e) Depth, The nurse is inspecing a paients cheek and inds a palpable, 0-cm mass containing clear luid. interaction between the three. To prevent accidental ingestion, parents should never describe medications as candy. 1 Scenario Analysis QuestionsPCC What priority problem(s) did you identify for Jermaine Jones? Peripheral arterial disease was ruled out by duplex ultrasound. c) Small, lat macules on both shoulders Your Response: Further assessment is needed regarding phenobarbital Which of the following information is correct regarding SSRIs? Your Response:No, the safe range is 54.6 to 109.2 mg/day. prescribed to him. (Select all that apply. Pulse was strong, 95 per minute, and regular. Which of the Which diet choices should be included in the teaching session? another medication prescribed for his wife. taken alprazolam, prescribed for his wife. His eyes open to verbal command, and he is able to follow instructions and move all extremities. b) Asymmetry During an admission assessment, the nurse notes a sudden onset of 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 Tina jones comprehensive questions to ask; . b) Reddened area on the paients heel 7. educated patient on drug interactions Which of the following drug combinations can put the patient at risk for . Jones to suffer falls. Which Box 4-3: SBAR, Chapter 4, p. 58 jermaine jones vsim pre quiz quizlet By on June 12, 2022. summit hill bamboo cutting board; can you turn off swearing in battlefield 5 . Wolters Kluwer. Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. Which of the following medications would be the best choice of treatment for this patient? Because of the loss of consciousness and rhythmic clonic contractions associated with this type of seizure, the patient is at risk for head trauma. The chest was moving equally. (Select all that apply.). The nurse should administer Complete blood count (CBC) with differential Complete blood count rensselaer county police blotter 2020; Sndico Procurador Medications administered: No medications were administered in this vsim. Edit Print Download Embed Share. I felt that my major assessment should be patient mental assessment. 95%. Heart rate: 95. Sertraline is an 5 (Select all that apply.) PCC/S Discuss the importance of support from his family in Jermaine Joness (Select all that apply.) Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to repeat this scenario? 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. 1. Which of the following characteristics, reported by the patient, best support this diagnosis? seat that uses both the shoulder and lap belts. -Avoid possible drug interactions. behavior which could signify a worsening in his depression. : 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. reflection questions until you have completed the Multiply low end of dosage range by weight: 3 18 = 54 mg/day. a) Coninence (Alcohol Abuse,2014). Alprazolam is a benzodiazepine JeopardyLabs. promoting wound healing, improving venous return, and preventing skin breakdown. drinking, and make sure to not give him any medications that have not been prescribed rehabilitation therapy. 3. side rails and removing any safety hazards, helps to keep the environment safe and reduce the Which of the following nursing interventions should be implemented first for this patient? (Answered)vSim - Stan Checketts/Jermaine Jones Latest Fall 2021/2022. love and help. responding to her questions. 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. A psychologist can be involved during rehabilitation therapy. Symptoms of benzodiazepine overdose may include the following: blurred vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and overdose can be fatal. The dressing was changed and the wound cleaned this morning. d) It is a technique used to idenify common problems in older adults. Tended to drift off to sleep. They should ensure that any of their prescription medications are stored safely in Which indings would alert the nurse to the possible development of an addiional venous wound? If Mr. Jones Normal stomach acidity has been altered, which changed the environment of normal flora bacteria. regimen. coach house furniture stockists near me. and friends. Jackson Weber vsim Course Point prequiz 12:05 pm close course point pediatric case jackson weber suggested readings quiz vsim quiz documentation assignments. done monthly, and results from yesterday are in the chart. e) Length. Note any drugdrug interactions. I would monitor patients vital signs, espessialy respirations. He Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be Alcohol Abuse, Drug Abuse.Dangers of Mixing Alcohol and Benzodiazepines. scored a 12 on the Glasgow Coma Scale. Patient was breathing at 12 breaths per minute. Pulse was strong, 95 per minute, and regular. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. 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, The nurse is preparing to inspect Ms. Morrows hair and scalp. There is not enough information provided in the description as it stands to conclude whether any of the other answers are correct. She is on a regular diet with nutritional 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.
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