Which of the following characteristics, reported by the patient, best support this diagnosis? Talk about what went well in the scenario. Find study . prescription depression medication this morning. Situation: Josephine Morrow is an obese, 80-year-old female who developed a venous stasis ulcer b) Asymmetry A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. Mr. Opening Questions How did the simulated experience of Danielle Young Bear's case make you feel? The chest, You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to, monitor the saturation and pulse here. This is a Premium document. patrick schulte highlights. b) Stage III pressure ulcer Questions PRE-POST QUIZ Vsims Josephine Morrow - StuDocu 1344-1345, Box 38.2. It is always good to have someone who can understand patients' problems, who can provide love and help. During my assessment, I forgot to ask my patient about alcohol intake. What is the nurse's role in preventing polypharmacy? immediate atenion? Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? The nurse administered acetaminophen to the client for an elevated temperature at 38.33 C (101 F). Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. It is. Find more information at: qsen/. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. administering oral medications during a seizure is not indicated due to risk of aspiration. b) Urine protein 60 mg/24 hours The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. Retrieved from https://www.foundationsrecoverynetwork.com/dangers-mixing-alcohol-benzodiazepines/. Pharm Scenario 08 Suzanne Morris GRQ revised - StuDocu The nurse is assessing for skin texture, and moisture. Multiply high end of - Drinking alcohol and taking the medications was a bad idea. Jermaine Jones was admitted to the emergency department with decreased level of consciousness. Become Premium to read the whole document. a) Borders The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). Time Spent - 00:01: Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. SpO2: 95%. Course Title NRSG MISC. : an American History Phenobarbital is Multiply low end of dosage range by weight: 3 18 = 54 mg/day. the patient. Study with Quizlet and memorize flashcards containing terms like Jermaine Jones consumed alcohol while taking alprazolam and sertraline. Quiz Name RicciKyle4e_Pre_Jackson Web ber. 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. sleep. Sertraline is an Which of the following drug combinations can put the patient at risk for severe convulsions and death? 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. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. 5. assistance with positioning in bed and with getting out of bed to sit in a chair or ambulate. Which of the following interventions should the nurse include in the patient'splan of care? with the medications sertraline and alazopram. Test. performing this assessment? complication associated with this type of seizure. : 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. Rationale:After reaching the car seat height restriction, all 5-year-olds should ride in a booster seat that uses both the shoulder and lap belts. Vsim Suzanne Morris Pre-Quiz. Which of the following statements best describes the likely cause of the patient's symptoms? jermaine jones vsim pre quiz quizletrose hills holiday schedule 2020rose hills holiday schedule 2020 Blood pressure: 126/75. healing. e) Length. risk of injury. 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. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to repeat this scenario? Pages 5. The ordered dose of phenobarbital 60 mg twice daily, or 120 mg per day, is above the range of What reading does the RN anticipate auscultation? Which of the following equipment should the nurse gather first based on the patient's signs and symptoms. NY Times Paywall - Case Analysis with questions and their answers. Rationale:The pediatric nurse serves as a collaborator by working with the entire interdisciplinary health care team to integrate the needs of the patient and family into a coordinated plan of care. It can take up to 4 weeks before feeling the effects of antidepressants. cause marked central nervous system depression, coma, and can even be fatal. C-palpaion : an American History (Eric Foner), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth). a) Potassium 4 mEq/L Abnormal Findings 22-1: Characteristics of arterial and Venous (Select all that apply.) (Select all that apply. with +2 edema. Is this order safe? Edit Print Download Embed Share. a) Texture A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug interaction between the three. (Select all that apply.). A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. Match. Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 9 terms. Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. (Select all that apply. He care. Which techniques should the nurse consider using when You are conducting discharge teaching for Jermaine Jones related to the cause of his decreased level of consciousness. The nurse is admitting a pediatric patient with a known seizure Retrieved from https://www.rxlist.com/romazicon-side-effects-drug-center.htm. Your Response: Further assessment is needed regarding phenobarbital 1A patient weighing 40 lb has an order for phenobarbital 60 mgtwice daily. You assessed the patient's neurological status. Background: Mrs. Morrow has a past medical history of COPD, chronic venous insufficiency, and Mr. Jones is drowsy, but arousable and oriented to Jermaine Jones vsim 100.docx. Note any drugdrug interactions. Test. 63-64. Pharm Scenario 07 Jermaine Jones GRQ revised - StuDocu 1342- The safe dose range is 3 to 6 mg/kg/day. c) This assessment will help me ind out if you will be able to take care of Assessment: Mrs. Morrow is alert and oriented to person, time, and place but sometimes forgets Some African Americans are genetically predisposed to delayed metabolism of benzodiazepines. jermaine jones vsim pre quiz quizlet - visualsoft-tech.com According to the blood alcohol chart, this level would Complete blood count (CBC) with differential Complete blood count He reports no thoughts of self-harm, no lost interest in daily activities, no trouble Pulse was strong, 95 per minute, and regular. Which indings would alert the nurse to the possible development of an addiional venous wound? Respiration: 12. with the medications sertraline and alazopram. I think that the main problem of this patient that he suffers from depression for more than 2 years. 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. Patient was oriented to correct to assess the patient's vital signs. What is the purpose of this process? (2014, June 11). The reported combination of signs and symptoms are characteristic of clinical depression. PCC/S Identify potential patient safety issues related to altered mental status due to the combination of Even though the patient effects and complications of this drug include blurry vision, tinnitus, headache, tremors, The current plan of care is focused on Cardiac arrest and anaphylactic shock are not complications commonly associated with tonic-clonic seizures. Jermaine Jones post quiz 100.docx -. -Avoid possible drug interactions All sales are final. The patient reports weakness and confusion. (B) Lowering the body's ability to tolerate insulin is the main focus of treatment for . The patient reported that he does not take any herbal or over the counter You This mixture can I really enjoyed her simulaion. PCC What potential problems could arise due to combination of alcohol with. 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. 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. Multiply high end of dosage range by weight: 6 18.2 = 109.2 mg/day. a) Arterial ulcer Which of the following statements best describes the rationale for the nurse's question? The RN is checking a patient's BP in the thigh related to new inability to assess BP in arms. slurred speech, reduced coordination, drowsiness, and depressed respirations. A patient who has taken pantoprazole for several years reports six or more incidents of foul-smelling watery diarrhea over the last 3 days. Diagnostic Tests, 1. Normal stomach acidity has been altered, which changed the environment of normal flora bacteria. His family should also monitor his c) Unstageable pressure ulcer Cardiac arrest and anaphylactic shock are not Include the medications he was taking prior to admission, any medications given during the scenario, and the medications he will be taking at home. Box 4-3: SBAR, Chapter 4, p. 58 and other potentially unsafe activities helps to reduce the risk of an injury in the event that a Louinna_Cross. The patient was graded a 3. His eyes open to verbal command, and he is able to follow instructions and move all extremities. Which of the following statements identifies why Jermaine Jones may be at higher risk for the adverse effects of benzodiazepines? Medications administered: No medications were administered in this vsim. I think that the main problem of this patient that he suffers from depression for more than 2 Which of the following medications would be the best choice of treatment for this patient? 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. promoting wound healing, improving venous return, and preventing skin breakdown. Expert Clinical Content from Lippincott Advisor The combination of SSRIs, benzodiazepines, and alcohol can cause altered mental b) Prevent duplication of medications. Which of the following statements best describes the rationale for the nurse's question? The nurse is providing education to a patient who takes an MAOI for depression. 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. You may complete the materials more than once. 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. Match. Pre-Simulation Quiz - Insulin_ (Juan Carlos vSim) Flashcards | Quizlet contractions alternating with relaxation of all muscle groups. jermaine jones vsim pre quiz quizlet Which of the following information should be included when providing patient education on this drug? A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. Temp: 99F. 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. Document any assessment data related to Jermaine Jones diagnosis of depression. 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 nurse is providing paient teaching about prevenion of pressure ulcers. From vSim for Nursing | Pharmacology. The patient was graded a 3. Conscious state: Somnolent. was strong, 95 per minute, and regular. d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance : 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. was to drive a vehicle with this combination in his system, he could harm himself and -Be sure to keep follow-up appointments. Which statements would be appropriate to include in the teaching plan? Pharmacology Scenario 7: Jermaine Jones Guided Reflection d) Hygiene 4-7 mEq/L. POST. A patient is newly diagnosed with depression. depressant effect on the CNS I completed a medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. Jermaine Jones consumed alcohol while taking alprazolam and sertraline. 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! . She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. before I came to see him. Supervision during bathing, ambulation, c) When siing in the chair, I should try to reposiion myself every 2 hours. drinking, and make sure to not give him any medications that have not been prescribed the hospital for were caused by the combination of benzodiazepines and alcohol, which could 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. Which of the following drugs may be included in triple (combination) therapy for patients with peptic ulcers caused by H. pylori? 3. Multiply low end of dosage range by weight: 3 18.2 = 54.6 mg/day. year ago. The reported combination of signs and symptoms are characteristic of clinical depression. You may complete the materials more than once. patient's serum phenobarbital level is 8 mcg/mL. a) Compare current medications to all medications taken. b) Leg pain and brownish or blue skin discoloraion Patient reported no pain. plan of care? Atonic seizures involve a sudden loss of muscle tone, which in children may be only a sudden drop of the head. To prevent accidental ingestion, parents should never describe medications as candy. This patient should be taught to not take medications that have not been (Alcohol Abuse,2014). Her last Braden scale assessment was conducted 2 days Course Title NRSG MISC. history with an order to implement seizure precautions. b) Do you have a family history of keloids? of alcohol with SSRIs and benzodiazepines can lead to decreased consciousness, Your Response: A forward-facing booster seat in the backseat with lap and d) Pallor in the lower extremity, The nurse is educaing Ms. Morrow and her daughter on food choices that will promote wound skin. 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. a) Dependent rubor The patient reports taking his prescribed sleeping, but he has lost his appetite. didnt think it would matter. He reports suffering from depressin for a few years now. Benzodiazepines and alcohol are both central nervous depressants. twice daily. 1342-1349, Advanced Care of the Adult/Older Adult (N566), Critical Business Skills For Success (bus225), Strategic Decision Making and Management (BUS 5117), Organic Chemistry Laboratory I (CHM2210L), Care of the childrearing family (nurs420), Child and Adolescent Psychology (PSY-355), Communication As Critical Inquiry (COM 110), Introduction to Health Psychology (PSYC1111), Legal Issues in Information Security (C 841), Leadership And Management For Nursing (NSG 403), Biological Principles II and Lab (BIOL 107/L), 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), Chapter 1 - Summary International Business, General Chemistry I - Chapter 1 and 2 Notes, Copy Of Magnetism Notes For Physics Academy Lab of Magnetism For 11th Grade, Chapter 5 - Summary Give Me Liberty! 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 My patient be administered. You washed your hands. You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. another medication prescribed for his wife. concern to the nurse? 1 A patient weighing 40 lb has an order for phenobarbital 60 mg 2The nurse is teaching the parent of a 5-year-old patient about home safety and injury prevention. Pulse She requires The Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 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. 2. potentially be lethal. 3. maintaining good skin integrity. lethal. Blood alcohol level is .27. What is the purpose of this process? Vernon watkins vsim 100%.docx. If Mr. Jones impaired memory Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. responding to her questions. She has brown hyperpigmentation on both lower legs 8. phoned provider Expert Clinical Content from Lippincott Advisor Temperature: 99F.
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