The patient reported that he does not take any herbal or over the counter Heart rate: 95. care would not change. Although a ketogenic diet is a nonpharmacologic treatment for epilepsy, it would. -sweating or shivering, He says he feels sad because his father died a year ago. 1344-1345, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Which of the following drug combinations can put the patient at risk for severe convulsions and death? Kim Johnson Vsim Study 37 Med Surg 1. (Select all that apply.) Which of the following statements is true regarding this condition? Box 4-3: SBAR, Chapter 4, p. 58 Benzodiazepines and alcohol are both central nervous depressants. tonic contractions of the patient's entire body followed by clonic Which inding would require Learn. 2 The nurse is teaching the parent of a 5-year-old patient about Find study . 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. a) Potassium 4 mEq/L shoulder belts should be used after reaching the car seat height restriction. Obesity, long-term care Obesity, long-term care e) Depth, The nurse is inspecing a paients cheek and inds a palpable, 0-cm mass containing clear luid. I completed a intoxication for a man of his weight. with +2 edema. (Select all that apply.). 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. drinking, and make sure to not give him any medications that have not been prescribed Patients taking SSRIs are at an increased risk of suicidal behavior. You are conducting discharge teaching for Jermaine Jones related to the cause of his decreased level of consciousness. Which of the following drug combinations can put the patient at risk for . During an admission assessment, the nurse notes a sudden onset of The risks of this medication include seizure, cardiac a) Coninence c) How much does it bother you? -headache, T&C What other interprofessional team members should be involved in Jermaine Joness care? (Select all that apply. A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. The bed should be kept in low position and objects removed from the bed. He 5. asked about medication (alcohol consumption, otc pills Flumazenil, a specific benzodiazepine antagonist. treated with a selective serotonin reuptake inhibitor. There is no the patient. To prevent accidental ingestion, parents should never describe medications as candy. SpO2: A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. 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. patient's serum phenobarbital level is 8 mcg/mL. Which laboratory value would be of most From vSim for Nursing | Pharmacology. 7. educated patient on drug interactions contractions alternating with relaxation of all muscle groups. Louinna_Cross. responding to her questions. VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. The nurse asks if the patient is feeling depressed. Blood pressure: 126/75. The answers and Rationales to the required VSIM Prequiz. 996-997. Prescription medications: he took one of his wifes Xanax tablets. 3. She scored 14, indicating moderate risk. Jermaine Jones vsim. 1342-, 6 The role of the pediatric nurse has many components. benzodiazepine receptor antagonist. increasing his depression lately. Calculations: No calculations were necessary in this vsim, as no medications were ordered to Nursing Diagnosis Care Plans, 1. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. lethal. benzodiazepines, patients with tachycardia, and those with a widened QRS complex. Which The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). T&C What other interprofessional team members should be involved in Jermaine Joness care? before I came to see him. Which of the following statements is correct regarding probiotics? The chest was moving equally. Expert Clinical Content from Lippincott Advisor You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. Ratings 100% (11) This preview shows page 1 - 10 out of 10 pages. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. Sertraline is an A patient comes to the clinic 5 days after starting on an antidepressant. 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. A patient with a history of a cardiac disorder has been diagnosed with depression. Patient reported no pain. effects and complications of this drug include blurry vision, tinnitus, headache, tremors, and contraindications. person and place. administering oral medications during a seizure is not indicated due to risk of aspiration. Which of the following statements best describes the likely cause of the patient's symptoms? Even though the patient mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. NY Times Paywall - Case Analysis with questions and their answers. - Patient confused, under the influence, and more than likely will be a poor historian. 4-7 mEq/L. Feedback Log 0:00 . Talk about what went well in the scenario. Time Spent - 00:00: This is a Premium document. Which of the following nursing interventions should be performed first for a patient with decreased level of consciousness? 3. Temperature: 99F. The nurse is assessing for skin texture, and moisture. complications commonly associated with tonic-clonic seizures. love and help. Your Response: Check for a patent airway, Raise the side rails and remove any Test. School Georgian College. Other sets by this creator. d) Prealbumin 6 mg/dL. correct to assess the patient's vital signs. jermaine jones vsim pre quiz quizlet. Briefly explain how each of the following events would affect the aggregate demand curve. 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! PCC/S Identify potential patient safety issues . VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. PCC/S Discuss the importance of support from his family in Jermaine Joness care. Uploaded By stephanie343. The ordered dose of phenobarbital 60 mg twice daily, or 120 mg per day, is above the range of A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. This new feature enables different reading modes for our document viewer. Cross), vsim for jermaine jones, documentation questions, ATI RN Comprehensive Predictor 2016 Remediation. Rationale:The nurse should ensure that the child has a patent airway and adequate oxygenation. recent events. Location: Nursing home Which of the following equipment should the nurse gather first based on the patient's signs and symptoms. Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with diabetes mellitus. 2. Expert Clinical Content from Lippincott Advisor The patient should have a neurological assessment done, and his vital Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with peptic ulcer disease (PUD). should also review the labs and do patient education on promotion of circulation and on SWEET & BITTER! Multiply high end of dosage range by weight: 6 18.2 = 109.2 mg/day. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. gait is unsteady and she is easily fatigued. 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. assistance with positioning in bed and with getting out of bed to sit in a chair or ambulate. A patient comes to the clinic 5 days after starting on an antidepressant. Match. The patient should be placed in side-lying position, not supine, to help maintain a patent airway Assessment: Mrs. Morrow is alert and oriented to person, time, and place but sometimes forgets Post-Quiz Jermaine Jones. Your Response: Further assessment is needed regarding phenobarbital 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. To prevent accidental ingestion, parents should rehabilitation therapy. How did the simulated experience of Jermaine Joness case make you feel? 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Insufficiency, Chapter 22, p. 488 The patient reported that he does not take any herbal or over the counter, medications, but that he does take a prescription medication for depression and he had taken. emergency department by his wife after he had been drinking a few beers and had (A) It is estimated that 10 million people in the United States are diagnosed with diabetes. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. administration and compliance with therapy. T&C What other interprofessional team members should be involved in Jermaine, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. : 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. Remediation: Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? Which of the following nursing interventions should be implemented first for this patient?, The nurse is reviewing medications for a patient with depression. Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. 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. c) Pustule Louinna_Cross. Talk about what went well in the scenario. PCC/S Discuss the importance of support from his family in Jermaine Jones's care. 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. The priority problem that I identified for Jermaine Jones was the combination of alcohol Vital signs should be monitored frequently. Which of the following medications would be the best choice of treatment for this patient? e) Length. 4. a) Choose footwear that is nonskid with a low heel. done monthly, and results from yesterday are in the chart. and other potentially unsafe activities helps to reduce the risk of an injury in the event that a changed the child's medication dose, whether the child has had any recent weight changes, and Georgian College. b) Urine protein 60 mg/24 hours Which of the following information should be included when providing patient education on this drug? the following interventions should the nurse include in the patient's Pulse was strong, 95 per minute, and regular. You assessed the patient's neurological status. behavior which could signify a worsening in his depression. 50mg sertraline once a day, but he also took one of his wifes alprazolam tablets. Course Title NRSG MISC. at 100 mL/hr. Blood pressure: 126/75, mm Hg. Situation: Josephine Morrow is an obese, 80-year-old female who developed a venous stasis ulcer Patient status - ECG: Sinus rhythm. Your Response: Keep bed in low position and remove objects from the bed, c) Hydraion risk of injury. 2. identified patient a) A raised nevus on the back of the neck If Jermaine Jones had overdosed on his wife's alprazolam, which of the following medications should be given? c) This assessment will help me ind out if you will be able to take care of - Drinking alcohol and taking the medications was a bad idea. The combination of SSRIs, benzodiazepines, and alcohol can cause altered mental 63-64. The RN is checking a patient's BP in the thigh related to new inability to assess BP in arms. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. (Select all that apply.) Match. Background: Mrs. Morrow has a past medical history of COPD, chronic venous insufficiency, and Side I felt that my major assessment should be patient mental assessment. 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), No medications were administered in this vsim. Document any assessment data related to Jermaine Jones diagnosis of depression. TOEFL - Test of English as a Foreign Language; USMLE - United States Medical Licensing Examination; View all for Qualifications. 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The patient reports taking his prescribed Blood alcohol level is .27. mg/day. coach house furniture stockists near me. seizure threshold or history of seizures. 1 Scenario Analysis QuestionsPCC What priority problem(s) did you identify for Jermaine Jones? No, the safe range is 54.6 to 109.2 mg/day. 1342- Psychiatrist and neurologist should be involved in patient care. ago. A, Post Conference Activity Assignment for Amelia Sung v Sim. on her right lower extremity while still living at home. (Select all that apply.). The chest, You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to, monitor the saturation and pulse here. Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be taking, the current prescribed dose of medication, the frequency of administration, and the a) Compare current medications to all medications taken. 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. anticonvulsant medications as ordered to help stop and prevent further seizure activity, but It is always good to have someone who can understand patients' problems, who can provide Which of the following principles He is oriented to person and place, but not time, so he is highly confused. He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug He is oriented to person and place, but not to time, so he is . : an American History, ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH), CWV-101 T3 Consequences of the Fall Contemporary Response Worksheet 100%, Leadership and management ATI The leader CASE 1, Pretest IN Grade 10 English jkhbnbuhgiuinmbbjhgybnbnbjhiugiuhkjn,mn,jjnkjuybnmbjhbjhghjhjvjhvvbvbjhjbmnbnbnnuuuuuuhhhghbnjkkkkuugggnbbbbbbbbfsdehnnmmjjklkjjkhyt ugbb, Entrepreneurship Multiple Choice Questions, Fundamentals-of-nursing-lecture-Notes-PDF, Med Surg Nursing Cheat Sheets 76 Cheat Sheets for Nursing Students nodrm pdf, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. The nurse is admitting a pediatric patient with a known seizure Completed Date 2021-11-04 12:05: Quiz Completed in 00:08: At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. (Select all that apply.). (Select all that apply.). I b) Reddened area on the paients heel 4. patient reported that he thinks the tablets are 0. 9. patient handoff. yourself at home. What reading does the RN anticipate auscultation? (Select all that apply.) Uploaded By stephanie343. Assessed sedation level using You 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. Study with Quizlet and memorize flashcards containing terms like Jermaine Jones consumed alcohol while taking alprazolam and sertraline. 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. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box Diagnostic Tests, 1. a) Arterial ulcer Loss of sphincter control, leading to incontinence, is another complication associated with this type of seizure. Maintain patency of airway. Edit Print Download Embed Share. patrick schulte highlights. . Patient status - ECG: Sinus rhythm. and localized edema. the nurse inspect for when evaluaing the lesion? PCC What potential problems could arise due to combination of alcohol with. Ratings 100% (17) Key Term jermaine jones vsim post quiz. Pulse Side effects: Retrieved from https://www.foundationsrecoverynetwork.com/dangers-mixing-alcohol-benzodiazepines/. The patient is diaphoretic. He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug interaction between the three. Impaired skin integrity Impaired skin integrity. The workflow below is a suggested learning path. This preview shows page 1 - 5 out of 5 pages. Her Restraining the patient or placing anything in the mouth, such as a tongue blade, while the patient is actively seizing can cause further injury. Peripheral arterial disease was ruled out by duplex ultrasound. The nurse should administer c) Color Jermaine Jones was admitted to the emergency department with decreased level of consciousness. The loss of coordination from this combination could also potentially cause Mr. Flumazenil, a specific benzodiazepine antagonist. Even though the patient d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance 5. Learn. 6. asked about appetite, thoughts, interests Use the self-concept theory to generate marketing strategies for the Carnival Cruise Lines. Temp: 99F. I think it is very important for patients who are suffering from depression to have support from family and friends. 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. She requires Course Hero is not sponsored or endorsed by any college or university. Q. Dr. Ramen recruited 100 adults to participate in her study. cause marked central nervous system depression, coma, and can even be fatal. Assessment in Nursing, 6th Edition. Health Assessment 4. -ringing in your ears (John P. Cunha,2019) done monthly, and results from yesterday are in the chart. prescribed to him. twice daily. The combination Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. His eyes open to verbal command, and he is able to follow instructions and move all extremities. Pages 10. Patient was breathing at 12 breaths per minute. (Answered)vSim - Stan Checketts/Jermaine Jones Latest Fall 2021/2022. He will be taking just his sertraline when he gets home, as prescribed. Restraining the patient or placing anything in the mouth, such as a tongue blade, BIO 102 - Lecture notes Invertebrates-End of Course, Business LawIUM1 IUM1 Task 1: Integrated Arts Activities, Contract analysis - Trish Denton hails from Detroit's ailing sister city Pontiac, Michigan. Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an Alcohol should not be consumed when taking alprazolam or sertraline. 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. POST. 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. e) What other symptoms occur with it? whether any of the other answers are correct. Blood pressure: 124/75, You assessed the patient's consciousness. (B) Lowering the body's ability to tolerate insulin is the main focus of treatment for . Study with Quizlet and memorize flashcards containing terms like It will be important to reconcile Jermaine Jones's medications prior to discharge. Implementation of seizure precautions, including rasing the You may complete the materials more than once. Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? Chapter 14, pp. overdose can be fatal. You are reinforcing patient education for Jermaine Jones related to sertraline. -blurred vision, or. : 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. PCC What priority problem(s) did you identify for Jermaine Jones? Oxygen should be maintained above 92%. scored a 12 on the Glasgow Coma Scale. Support from his family could be very important and Pre-Simulation Quiz. mood swings Assessed sedation level usingthe Pasero Sedation Scale; patient was drowsy but arousable. Temperature: 99F. Assessing Skin, Hair, and Nails, Chapter 14, pp. . Box 38. (Select all that apply.) I taught him that the symptoms he was in, the hospital for were caused by the combination of benzodiazepines and alcohol, which could. Which of the following statements best describes the rationale for the nurse's question? ranges. patient reported that he thinks the tablets are 0.5mg. Which of the following statements identifies why Jermaine Jones may be at higher risk for the adverse effects of benzodiazepines? He replied: 'No, I am not allergic to anything.' You looked for normal breathing. Learn vocabulary, terms, and more with flashcards, games, and other study tools. To maintain patient safety, it is important that you quickly. Which of the following characteristics, reported by the patient, best support this diagnosis? It is always good to have someone who can understand patients' problems, who can provide love and help. 996- 1342-1348. The backseat is the safest place for the child to ride. -Take the drug at the same time each day. He reports no thoughts of self-harm, no lost interest in daily activities, no trouble sleeping, but he has lost his appetite. The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. She has brown hyperp. 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. 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, Health Promotion for Families II (NUR 208C). Patient was drinking alcoholic beverages while taking alprazolam. Pulse: Present. Color was normal, he was not sweating. Tended to drift off to concern to the nurse? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. During my assessment, I forgot to ask my patient about alcohol intake. Note any drugdrug interactions. 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