jermaine jones vsim pre quiz quizlet jermaine jones vsim pre quiz quizlet

PCC/S Identify potential patient safety issues related to altered mental status due to the combination of alcohol with SSRIs and benzodiazepines. didnt think it would matter. He reports suffering from depressin for a few years now. be administered. a) Texture effects and complications of this drug include blurry vision, tinnitus, headache, tremors, 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. Pulse: Present. years. 3. To maintain patient safety, it is important that you quickly. A patient comes to the clinic 5 days after starting on an antidepressant. Rationale:Basic seizure precautions should be implemented to provide a safe environment for the patient. Which of the following drug combinations can put the patient at risk for severe convulsions and death? Opening Questions Answer. Course Title NRSG MISC. and suction should be readily available at the bedside. Calculate the setting for the infusion pump in __________________________ mL/hr. 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. 2The nurse is teaching the parent of a 5-year-old patient about home safety and injury prevention. 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. -Be sure to keep follow-up appointments. with the medications sertraline and alazopram. If so, how would your patient care change? duration of therapy as well as whether the patient is complying with the prescribed medication 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. Pharm Scenario 07 Jermaine Jones GRQ revised. Jermaine Jones consumed alcohol while taking alprazolam and sertraline. Patient was drinking alcoholic beverages while taking alprazolam. when the provider last assessed the child's drug levels. Flumazenil is a SpO2: His eyes open to verbal command, and he is able to follow instructions and move all extremities. I really enjoyed her simulaion. The chest was moving equally. increasing his depression lately. regimen. Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. The dressing was changed and the wound cleaned this morning. Jermaine Jones was admitted to the emergency department with decreased level of consciousness. PRE. behavior which could signify a worsening in his depression. The safe dose range is 3 to 6 mg/kg/day. Use the self-concept theory to generate marketing strategies for the Carnival Cruise Lines. suggest that he had consumed approximately ten alcoholic beverages, even though he reports His speech is slurred, but he can answer questions coherently. (Select all that apply.) Even though the patient Rationale: After reaching the car seat height restriction, all 5-year-olds should ride in a booster A patient reports severe epigastric pain after eating. Maintain patency of airway. He says he feels sad because his father died a never describe medications as candy. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. . 9 terms. skin. d) Exudate - I should not have taken the medication prescribed for my wife. Briefly explain how each of the following events would affect the aggregate demand curve. Background: Mrs. Morrow has a past medical history of COPD, chronic venous insufficiency, and Which of the following drug combinations can put the patient at risk for . It will be important to reconcile Jermaine Jones's medications prior to discharge. 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. Your Response: A forward-facing booster seat in the backseat with lap and This new feature enables different reading modes for our document viewer. It can take up to 4 weeks before feeling the effects of antidepressants. Which of the following complications of peptic ulcers is associated with the presence of H. pylori? 1342-1348 Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Vital signs have been within normal limits and are performed weekly. others. : 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. b) Urine protein 60 mg/24 hours 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. Note any drugdrug interactions. Which of the following medications would be the best choice of treatment for this patient? The reported combination of signs and symptoms are characteristic of clinical depression. 1342-1348. Preview text. 35. c) Unstageable pressure ulcer (A) It is estimated that 10 million people in the United States are diagnosed with diabetes. This was reasonable. b) Leg pain and brownish or blue skin discoloraion (Select all that apply.) e) Depth, The nurse is inspecing a paients cheek and inds a palpable, 0-cm mass containing clear luid. -blurred vision, or. Which of the following principlesis correct regarding safety for this age group? The loss of coordination from this combination could also potentially cause Mr. care would not change. Wolters Kluwer. Which of the following information should be included when providing patient education on this drug? healing. Which of the following statements is correct regarding probiotics? Patients taking SSRIs are at an increased risk of suicidal behavior. 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. The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. Learn vocabulary, terms, and more with flashcards, games, and other study tools. -ringing in your ears (John P. Cunha,2019) He took his prescription depression medication this morning. He took his home safety and injury prevention. Assessed sedation level usingthe Pasero Sedation Scale; patient was drowsy but arousable. potentially be lethal. benzodiazepines? 1344-1345, Box 38.2. The nurse administered acetaminophen to the client for an elevated temperature at 38.33 C (101 F). The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). Pharmacology Scenario 7: Jermaine Jones Documentation Assignments 1. Rationale:Absence seizures consist of sudden cessation of activity combined with a blank facial expression. T&C What other interprofessional team members should be involved in Jermaine Joness care? Patient was oriented to Jermaine Jones took his wife's alprazolam. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using Situation: Josephine Morrow is an obese, 80-year-old female who developed a venous stasis ulcer Which of the following information should be included? A patient is placed on pantoprazole for the treatment of PUD. The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. She has gained 3 pounds since prenatal visit 1 week ago. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. The chest was moving equally. (Select all that apply.). and localized edema. d) Wheal, 1 nurse is reviewing Ms. Morrows nutriional status. The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. Other sets by this creator. Blood pressure: 126/75, mm Hg. this assessment? Completed Date 2021-11-04 12:05: Quiz Completed in 00:08: Talk about what went well in the scenario. 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. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Complete blood count (CBC) with differential Complete blood count She scored 14, indicating moderate risk. Test Out Lab Sim 2.2.6 Practice Questions; Informative Speech Outline; Physio Ex Exercise 1 Activity 1; Biomolecules; ATI Capstone Responses help; NR 603 QUIZ 1 Neuro - Week 1 quiz and answers; . contractions alternating with relaxation of all muscle groups. Time Spent - 00:00: PCC/S Identify potential patient safety issues related to altered mental status due to the combination of It is. Study with Quizlet and memorize flashcards containing terms like Jermaine Jones consumed alcohol while taking alprazolam and sertraline. assistance with positioning in bed and with getting out of bed to sit in a chair or ambulate. The patient reports weakness and confusion. benzodiazepines, patients with tachycardia, and those with a widened QRS complex. Remediation: Kim Johnson Vsim Study 37 Med Surg 1. that binds to GABA receptors in the brain and is used to treat anxiety. Which of the following nursing interventions should be implemented first for this patient? He is breathing at 12 breaths per minute. Labs are patrick schulte highlights. You assessed the patient's neurological status. His wife was also receiving education and instructions so she may help patient remember and also implement them in the home. This preview shows page 1 - 3 out of 5 pages. rehabilitation therapy. Document the information you provided to Jermaine Jones and his wife regarding adverse drug effects when combining SSRIs, benzodiazepines, and alcohol. Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. There is no This mixture can The workflow below is a suggested learning path. The priority problem that I identified for Jermaine Jones was the combination of alcohol Quality Improvement (QI), Safety (S), and Informatics (I). This patient should be taught to not take medications that have not been Vsim Suzanne Morris Pre-Quiz. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. PCC/S Discuss the importance of support from his family in Jermaine Joness care. -Avoid possible drug interactions. Which of the following is a common side effect of this medication? 3 They should ensure that any of their prescription medications are stored safely in Firearms should be kept in a locked cabinet with the ammunition stored separately. Which of the following factors placed this patient at a higher risk for developing this disease? a) Coninence Is this order safe? following components includes the nurse's work with the. c) Whole wheat bread and brown rice, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Talk about what went well in the scenario. 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. POST. The patient reported that he does not take any herbal or over the counter Supervision during bathing, ambulation, Your Response: Check for a patent airway, Raise the side rails and remove any interaction between the three. Flumazenil, a specific benzodiazepine antagonist. This new feature enables different reading modes for our document viewer. Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care . Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. (Select all that apply.). How Include the medications he was taking prior to admission, any medications given during the scenario, and the medications he will be taking at home. Her What is the purpose of this process? JeopardyLabs. Even though the patient mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. The nurse is completing an assessment for a patient who has been diagnosed with major depression. The use of this medication is contraindicated in patients with a lowered Learn. 54 to 109 mg/dose, so the ordered dose is not safe to administer. person, place, but not time. In the role of educator, the nurse instructs and counsels patients and their families about all aspects of health and illness. The pulse is strong, 95 per minute, and regular. The nurse should administer -Notify your physician if you feel suicidal. How did the simulated experience of Jermaine Joness case make you feel? I would monitor patients vital signs, espessialy respirations. I completed a medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. 95%. He had Hydrochlorothiazide prescribed by MD for his hypertension a couple of years. View Quiz for Jermaine Jones for Nursing | Pharmacology.pdf from NURSING 120.507 at Johns Hopkins University. the nurse inspect for when evaluaing the lesion? Hypovolemic . The patient scored a 12 on the Glasgow Coma Scale. PCC/S Discuss the importance of support from his family in Jermaine Joness care. Firearms should be kept in a locked cabinet with the ammunition stored separately, are not mature enough to ride a bicycle in the street and should ride on the sidewalk; bic, should be ridden in the same direction as traf, The nurse is admitting a pediatric patien, history with an order to implement seizure precau, Keep oxygen and suction at the bedside, Supervise when ambulating or bathing, and suction should be readily available at the bedside. Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. 1. Study with Quizlet and memorize flashcards containing terms like It will be important to reconcile Jermaine Jones's medications prior to discharge. what is the therapeutic blood level for a pt receiving an IV infusion of magnesium sulfate? Jermaine Jones pre quiz 100.docx -. to the combination of alcohol with SSRIs and benzodiazepines. Sertraline, alcohol, and alprazolam are all central nervous system depressants. Which of the following medications would be the best choice of treatment for this patient? yourself at home. treated with a selective serotonin reuptake inhibitor. 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 dosage range by weight: 6 18 = 109 mg/day. should also review the labs and do patient education on promotion of circulation and on (Select all that apply. seat that uses both the shoulder and lap belts. Which indings would alert the nurse to the possible development of an addiional venous wound? (Select all that apply.) He is oriented to person and place, but not to time, so he is . b) Stage III pressure ulcer 3. The patient scores 12 on the. Opening Questions How did the simulated experience of Danielle Young Bear's case make you feel? Restraining the patient or placing anything in the mouth, such as a tongue blade, -dizziness, Firearms should be kept in a locked cabinet with the ammunition stored separately. a) Potassium 4 mEq/L e) Length. maintaining good skin integrity. 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. Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an Blood alcohol level is .27. Psychiatrist and neurologist should be involved in patient care. A patient with PUD wants to know if taking probiotics will improve the condition. He was brought to the He replied: 'No, I am not allergic to anything.' You looked for normal breathing. Time Spent - 00:01: Georgian College. the hospital for were caused by the combination of benzodiazepines and alcohol, which could PCC What potential problems could arise due to combination of alcohol with SSRIs and Heart rate: 95. mg/day. I didnt think it would matter. He reports suffering from depressin for a few years now. a place that is not easily accessible to Mr. Jones, and look for any odd changes in his 2. Heart rate: 95. another medication prescribed for his wife. 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). supplement and has been eating the majority of her meals since admission. 4 A nurse is reviewing lab results and notes that a 5-year-old He was graded to 3 on the Pasero Opioid- The patient should be placed in side-lying position, not supine, to help maintain a patent airway Albumin level test Albumin level test The patient asks, "When will I start feeling better?" b) Prevent duplication of medications. c) Diminished pulses in the afected extremity The current plan of care is focused on Tended to drift off to sleep. 1A patient weighing 40 lb has an order for phenobarbital 60 mgtwice daily. that may lead to him harming himself, either intentionally or unintentionally. c) Distribuion KIM JOHNSON. safety hazards, Rationale: The nurse should ensure that the child has a patent airway and adequate oxygenation. The patient asks, "When will I start feeling better?" The backseat is the safest place for the child to ride. Patient education for this patient would include which of the following statements? Calculations: No calculations were necessary in this vsim, as no medications were ordered to person and place. The last BP reading in the right arm was 120/50. ), 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. 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. She is on a regular diet with nutritional How would the nurse carry out this order? I was right that I choose focused assessment. Preview text. Restraining the patient or placing anything in the mouth, such as a tongue blade, while the patient is actively seizing can cause further injury. The workflow below is a suggested learning path. Conscious state: Somnolent. correct to assess the patient's vital signs. The bed should be kept in low position and objects removed from the bed. Diseases and Conditions, 1. Which of the fo, is correct regarding safety for this age grou, shoulder belts should be used after reaching the car seat height re. 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. Mr. Jones could experience a lapse in judgement 1342- sleep. (Select all that apply. recent events. vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and Her last Braden scale assessment was conducted 2 days Your Response:A forward-facing booster seat in the backseat with lap and shoulder belts should be used after reaching the car seat height restriction. At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. Heart rate-95. performing this assessment? The dressing was changed and the wound cleaned this morning. Flashcards. Alcohol Abuse, Drug Abuse.Dangers of Mixing Alcohol and Benzodiazepines. 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. Which of the following principles A patient is newly diagnosed with depression. A patient has been diagnosed with peptic ulcer disease (PUD). 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. system to a crawl, which can result in unconsciousness or even a coma. Normal elasticity of the Louinna_Cross. seizure occurs. Find study . 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. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Which of the A patient with a history of a cardiac disorder has been diagnosed with depression. 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. Safe dosage range equals 54 to 109. PCC What priority problem(s) did you identify for Jermaine Jones? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Impaired physical mobility Impaired physical mobility -Take the drug at the same time each day. Uploaded By stephanie343. intoxication for a man of his weight. How did the simulated experience of Jermaine Joness case make you feel? The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). The nurse asks if the patient is feeling depressed. need to insert a Foley catheter for a patient at risk for seizures. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Box 4-3: SBAR, Chapter 4, p. 58 jermaine jones vsim pre quiz quizletrose hills holiday schedule 2020rose hills holiday schedule 2020 (Select all that apply. The fetal heart rate is 150 bpm. plan of care? anticonvulsant medications as ordered to help stop and prevent further seizure activity, but taken alprazolam, prescribed for his wife. Assessed sedation level using Alprazolam is a benzodiazepine Test results show the presence of Helicobacter pylori (H. pylori). done monthly, and results from yesterday are in the chart. Cardiac arrest and anaphylactic shock are not complications commonly associated with tonic-clonic seizures. Fluoxetine. You may complete the materials more than once. Retrieved from https://www.rxlist.com/romazicon-side-effects-drug-center.htm. -pain or irritation where the medicine was injected, jermaine jones vsim pre quiz quizlet. Blood pressure: 122/73, You checked the patient's pupils, and they were 4 mm and reactive. depressant effect on the CNS The chest was moving equally. Expert Clinical Content from Lippincott Advisor dizziness, weak and shallow breathing, panic attacks, fear, and fast or uneven heart rate. At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance There is no need to insert a Foley catheter for a patient at risk for seizures. Your Response: Further assessment is needed regarding phenobarbital Patients taking SSRIs are at an increased risk of suicidal behavior. Assessing Skin, Hair, and Nails, Chapter 14, pp. All sales are final. During an admission assessment, the nurse notes a sudden onset of A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. Patient reported no pain. It is. The patient is diaphoretic. She is on a regular d, supplement and has been eating the majority of her meals since admission. and other potentially unsafe activities helps to reduce the risk of an injury in the event that a After reviewing the electronic medical record, what potential safety concerns should the nurse, Of the axons involved in the transmission of pain, which one is thinly myelinated and conducts that first feeling of pain that is often felt as coming on as a sharp, rapid feeling? : 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. Blood pressure: 124/75, You assessed the patient's consciousness. d) Provide a complete list of new medications . Which of the following drugs may be included in triple (combination) therapy for patients with peptic ulcers caused by H. pylori? taking, the current prescribed dose of medication, the frequency of administration, and the I felt that my major assessment should be patient mental assessment. Obesity, long-term care Obesity, long-term care A patient with a history of a cardiac disorder has been diagnosed with depression. events, and death. 4. assessed consciousness She requires This is a Premium document. However, you cannot access the post-simulation quiz, documentation assignments, and guided reflection questions until you have completed the vSim once. 8. phoned provider You may complete the materials more than once. NY Times Paywall - Case Analysis with questions and their answers. 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You washed your hands. Mr. immediate atenion? repeat this scenario? Which diet choices should be included in the teaching session? with +2 edema. The ordered dose of phenobarbital 60 mg twice daily, or 120 mg per day, is above the range of S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. He was having trouble talking clearly and (Select all that apply.) 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.