A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. The chest was moving equally. Your Response:No, the safe range is 54.6 to 109.2 mg/day. intoxication for a man of his weight. Flumazenil is a Temperature: 99F. 2. identified patient S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. of alcohol with SSRIs and benzodiazepines can lead to decreased consciousness, actions should the nurse take? Patient reported no pain. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. Which of the following characteristics, reported by the patient, best support this diagnosis? Ratings 100% (17) Key Term jermaine jones vsim post quiz. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. If so, how would your patient care change? Temperature: 99F. It is also contraindicated for those on long term Match. I think that the main problem of this patient that he suffers from depression for more than 2 years. Which of the following factors placed this patient at a higher risk for developing this disease? Rationale:During the health history, the nurse needs to determine what medication the patient is taking, the current prescribed dose of medication, the frequency of administration, and the duration of therapy as well as whether the patient is complying with the prescribed medication regimen. Mr. Jones could experience a lapse in judgement PCC What potential problems could arise due to combination of alcohol with SSRIs and 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 Heart rate: 95. Remediation: a) A raised nevus on the back of the neck b) Reddened area on the paients heel Oxygen and suction should be readily available at the bedside. Rationale: During the health history, the nurse needs to determine what medication the patient is Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Learn. 3. Normal saline is infusing 54 to 109 mg/dose, so the ordered dose is not safe to administer. 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. Diseases and Conditions, 1. School Georgian College. is the nurse's best interpretation of this data? Opening Questions c) Capillary reill person and place. Because of the subtle changes in patient behavior, absence seizure activity may not be recognized or may be perceived falsely as inattentiveness. patient reported that he thinks the tablets are 0.5mg. Sertraline, alcohol, and alprazolam are all central nervous system depressants. a) Potassium 4 mEq/L Obesity, long-term care Obesity, long-term care Patient was oriented to 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. It will be important to reconcile Jermaine Jones's medications prior to discharge. 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! 5. I think it is very important for patients who are suffering from depression to have support from family and friends. What should the nurse include in the I didnt think it would matter. He reports suffering from depressin for a few years now. The patient asks, "When will I start feeling better?" Respiration: 12. PRE. d) Amount quiz, documentation assignments, and guided Alprazolam is a benzodiazepine Jermaine Jones took his wife's alprazolam. Retrieved from https://www.foundationsrecoverynetwork.com/dangers-mixing-alcohol-benzodiazepines/. The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. Mr. 2019 (n.d.). 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! The curren, promoting wound healing, improving venous return, deep vein thrombosis (DVT). c) Color impaired mobility, an unhealthy diet, and inability to adequately care for herself at home. Jermaine Jones Post-Simulation Quiz 1 Suggested Reading 2 Pre-Simulation Quiz 3 vSim 4 Post-Simulation Quiz 5 Documentation Assignments 6 Guided Reflection Questions . The patient was graded a 3. Box 38. another medication prescribed for his wife. A patient diagnosed with PUD has been prescribed sucralfate and pantoprazole. 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. He reports no thoughts of self-harm, no lost interest in daily activities, no trouble sleeping, but he has lost his appetite. d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. The bed should be kept in low position and objects removed from the bed. Course Hero is not sponsored or endorsed by any college or university. Which of Pulse: Present. Induced Sedation Scale. . Calculations: No calculations were necessary in this vsim, as no medications were ordered to e) Depth, The nurse is inspecing a paients cheek and inds a palpable, 0-cm mass containing clear luid. Which techniques should the nurse consider using when The patient is diaphoretic. (Select all that apply.) A patient comes to the clinic 5 days after starting on an antidepressant. Which of the following antidepressant agents is contraindicated for this patient? 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. care. Vital signs have been within normal limits and are performed weekly. 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. love and help. e) Turgor, The nurse has completed a skin assessment and is now documening using the Braden Scale. Remediation: 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. plan of care? The patient scored a 12 on the Glasgow Coma Scale. -Provide a complete list of new medications My patient care would not change. a pt wit preeclampsia is admitted with vital signs as follows: temp 98.6, HR 110, RR 28, BP182/116, SpO2 92%. The nurse is assessing for skin texture, and moisture. : an American History Time: 1000 c) When siing in the chair, I should try to reposiion myself every 2 hours. Cardiac arrest and anaphylactic shock are not complications commonly associated with tonic-clonic seizures. You are conducting discharge teaching for Jermaine Jones related to the cause of his decreased level of consciousness. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. on her right lower extremity while still living at home. Color was normal, he was not sweating. Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? Test results show the presence of Helicobacter pylori (H. pylori). the uptake of serotonin by neurons in the brain. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. Which of the following nursing interventions should be performed first for a patient with decreased level of consciousness? Rationale:Absence seizures consist of sudden cessation of activity combined with a blank facial expression. 4 A nurse is reviewing lab results and notes that a 5-year-old drinking, and make sure to not give him any medications that have not been prescribed SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting. medication should be administered slowly, over 15 seconds. deep vein thrombosis (DVT). View Quiz for Jermaine Jones for Nursing | Pharmacology.pdf from NURSING 120.507 at Johns Hopkins University. T&C What other interprofessional team members should be involved in Jermaine Joness care? and suction should be readily available at the bedside. If Mr. Jones In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. actual patient care situation. a) Choose footwear that is nonskid with a low heel. Which of the following information should be included when providing patient education on this drug? Rationale:The nurse should ensure that the child has a patent airway and adequate oxygenation. 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 He had Hydrochlorothiazide prescribed by MD for his hypertension a couple of years. c) Diminished pulses in the afected extremity gait is unsteady and she is easily fatigued. The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. skin. Glasgow Coma Scale (GCS). Health Assessment Heart rate: 95. Which of the following drug combinations can put the patient at risk for severe convulsions and death? Cross), vsim for jermaine jones, documentation questions, ATI RN Comprehensive Predictor 2016 Remediation. Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. (2018) Health SpO2: Which of the following antidepressant agents is contraindicated for this patient? Chapter 14, pp. The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). He 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. prescription depression medication this morning. be administered. The patient is a 60-year-old male who has hypertension and heart failure. The nurse is providing education to a patient who takes an MAOI for depression. 1. Assessment reveals a sunken in look to the eyes and poor skin turgor. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. 4. the patient. Impaired physical mobility Impaired physical mobility patient reported that he thinks the tablets are 0. I taught him that the symptoms he was in, the hospital for were caused by the combination of benzodiazepines and alcohol, which could. Even though the patient mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. 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. Chapter 1 Introduction to Drugs PP and Notes, Elliot Aronson, Robin M. Akert, Timothy D. Wilson, RADS 3213 Advanced Clinical Practice Skills F. care would not change. Which of the following is a common side effect of this medication? Flumazenil, a specific benzodiazepine antagonist. Blood pressure: 122/73, You checked the patient's pupils, and they were 4 mm and reactive. 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. Multiply low end of dosage range by weight: 3 18.2 = 54.6 mg/day. Assessment Tool 14-1: Braden Scale for Predicting Pressure Sore Risk, Pulse was strong, 95 per minute, and regular. concern to the nurse? The workflow below is a suggested learning path. Find more information at: qsen/. another medication prescribed for his wife. dosage range by weight: 6 18 = 109 mg/day. b) It is a tool to determine whether or not you are at risk for falls. Document the information you provided to Jermaine Jones and his wife regarding adverse drug effects when combining SSRIs, benzodiazepines, and alcohol. areas are assessed using this tool? Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with diabetes mellitus. Vital signs have been within normal limits and are performed weekly. The chest was moving equally. Which of the following nursing interventions should be implemented first for this patient?, The nurse is reviewing medications for a patient with depression. home safety and injury prevention. It is always good to have someone who can understand patients' problems, who can provide love and help. (Select all that apply.). The nurse ensures that the needs of the patient and family are met as a consultant through activities that include support group facilitation and working with the school nurse to plan the patient's care. a) Dependent rubor 1342-, 6 The role of the pediatric nurse has many components. 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. (Select all that apply.). Calculate the setting for the infusion pump in __________________________ mL/hr. PCC/S Discuss the importance of support from his family in Jermaine Joness care. Symptoms of benzodiazepine overdose may include the following: blurred vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and overdose can be fatal. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. patient's serum phenobarbital level is 8 mcg/mL. Abnormal Findings 22-1: Characteristics of arterial and Venous Even though the patient Side effects: -pain or irritation where the medicine was injected, -ringing in your ears (John P. Cunha,2019). others. 2The nurse is teaching the parent of a 5-year-old patient about home safety and injury prevention. d) Prealbumin 6 mg/dL. He was brought to the status in addition to poor coordination. This is a Premium document. She is on a regular diet with nutritional Tended to drift off to sleep. (A) It is estimated that 10 million people in the United States are diagnosed with diabetes. twice daily. 2. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. following components includes the nurse's work with the. was to drive a vehicle with this combination in his system, he could harm himself and 1344-1345, Document any assessment data related to Jermaine Jones diagnosis of depression. Peripheral arterial disease was ruled out by duplex ultrasound. 5. asked about medication (alcohol consumption, otc pills PCC What priority problem(s) did you identify for Jermaine Jones? The nurse is admitting a pediatric patient with a known seizure His eyes open to verbal command, and he is able to follow instructions and move all extremities. maintaining good skin integrity. 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. It can take up to 4 weeks before feeling the effects of antidepressants. with the medications sertraline and alazopram. Which of the following medications would be the best choice of treatment for this patient? -Avoid possible drug interactions. Questions PRE-POST QUIZ Vsims Josephine Morrow, Health Assessment Case 1: Josephine Morrow. safe? I was right that I choose focused assessment. Fluoxetine. Remediation: Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. A patient is scheduled to receive a 500-mL intravenous bolus of normal saline over 30 minutes. Flashcards. Educational Psychology and Development of Children Adolescents (D094), Assessing Impact on Student Learning (D093), Introduction to Structured Query Language (DAD220), Fundamentals of Information Technology (IT200), Child and Adolescent Psychology (PSY-355), Introduction to Christian Thought (D) (THEO 104), Mathematical Concepts and Applications (MAT112), Critical Thinking In Everyday Life (HUM 115), 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). I You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. A, Post Conference Activity Assignment for Amelia Sung v Sim. Include the medications he was taking prior to admission, any medications given during the scenario, and the medications he will be taking at home. Time Spent - 00:00: never describe medications as candy. help him tremendously during this difficult time. emergency department by his wife after he had been drinking a few beers and had d) It is a technique used to idenify common problems in older adults. Assessment in Nursing, 6th Edition. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The nurse has an order to check a patient's post-void residual urine. To prevent accidental ingestion, parents should (Select all that apply. 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. Which of the following directions for taking these two medications is correct? Briefly explain how each of the following events would affect the aggregate demand curve. by the paient, indicates that the teaching was successful? Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with peptic ulcer disease (PUD). SpO2: 95%. to the combination of alcohol with SSRIs and benzodiazepines. Her last Braden scale as, ago. Which of the following best explains the reason this combination decreased Jermaine Jones's level of consciousness? Preview text. should also review the labs and do patient education on promotion of circulation and on (Select all that apply.). Deficient knowledge: Disease process Deficient knowledge: Disease yourself at home. Probiotics help prevent or treat infections in the intestines. PCC/S Identify potential patient safety issues . dizziness, weak and shallow breathing, panic attacks, fear, and fast or uneven heart rate. A-auscultaion Medications administered: No medications were administered in this vsim. From vSim for Nursing | Pharmacology. Patient status - ECG: Sinus rhythm. 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 RN is checking a patient's BP in the thigh related to new inability to assess BP in arms. sleep. In the nurses notes, document the medication reconciliation information for Jermaine Jones. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 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. However, you cannot access the post-simulation Created by. The backseat is the safest place for the child to ride. 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. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. It can take up to 4 weeks before feeling the effects of antidepressants. Palpate the bladder for distention and record findings in the chart.
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