Vital signs have been within normal limits and are performed weekly. c) Distribuion Q. Dr. Ramen recruited 100 adults to participate in her study. Multiply high end of medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. Rationale:Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. dizziness, weak and shallow breathing, panic attacks, fear, and fast or uneven heart rate. 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.). Patient reported no pain. : 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). It will be important to reconcile Jermaine Jones's medications prior to discharge. 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), Josephine Morrow Health Assessment pre-and post- quiz questions, Josephine Morrow is an obese, 80-year-old female who developed a ven, Mrs. Morrow has a past medical history of COPD, chron, Mrs. Morrow is alert and oriented to person, time. This type of seizure lasts less than 30 seconds and can occur multiple times during the day. a place that is not easily accessible to Mr. Jones, and look for any odd changes in his - I should not have taken the medication prescribed for my wife. 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. (Select all that apply.). Which of the following equipment should the nurse gather first based on the patient's signs and symptoms. that may lead to him harming himself, either intentionally or unintentionally. drinking three beers. Become Premium to read the whole document. Preschoolers The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. I felt that my major assessment should be patient mental assessment. Psychiatrist and neurologist should be involved in patient care. Her Louinna_Cross. The patient reported that he does not take any herbal or over the counter Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. PRE. I think it is very important for patients who are suffering from depression to have support from family He is oriented to person and place, but not to time, so he is slightly confused. d) Mental status The nurse is assessing for skin texture, and moisture. Patient was breathing at 12 breaths per minute. taking, the current prescribed dose of medication, the frequency of administration, and the Cardiac arrest and anaphylactic shock are not complications commonly associated with tonic-clonic seizures. Include the medications he was taking prior to admission, any medications given during the scenario, and the medications he will be taking at home. the patient. What reading does the RN anticipate auscultation? seizure threshold or history of seizures. c) When siing in the chair, I should try to reposiion myself every 2 hours. Supervision during bathing, ambulation, Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. : 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). Because of the subtle changes in patient behavior, absence seizure activity may not be recognized or may be perceived falsely as inattentiveness. 996-997. 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. Talk about what went well in the scenario. Flumazenil is a Abnormal Findings 22-1: Characteristics of arterial and Venous (Select all that apply.) Mr. Jones is drowsy, but arousable and oriented to 8. phoned provider What The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting Expert Clinical Content from Lippincott Advisor 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! Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Patient was breathing at 12 breaths per minute. 2. Your Response: Keep bed in low position and remove objects from the bed, seizure occurs. d) Pallor in the lower extremity, The nurse is educaing Ms. Morrow and her daughter on food choices that will promote wound 2. The last BP reading in the right arm was 120/50. Restraining the patient or placing anything in the mouth, such as a tongue blade, while the patient is actively seizing can cause further injury. events, and death. rensselaer county police blotter 2020; Sndico Procurador He Which laboratory value would be of most Restraining the patient or placing anything in the mouth, such as a tongue blade, Patient was drinking alcoholic beverages while taking alprazolam. Tended to drift off to sleep. The bed should be kept in low position and objects removed from the bed. He says he feels sad because his father died a year ago. Complete blood count (CBC) with differential Complete blood count He is oriented to person and place, but not time, so he is highly confused. never describe medications as candy. Maintain patency of airway. Normal elasticity of the e) Length. If so, how would your patient care change? ), Exposure to irritants, Cigarette smoking, Mucosal defects, Genetics. Opening Questions promoting wound healing, improving venous return, and preventing skin breakdown. From vSim for Nursing | Pharmacology. complication associated with this type of seizure. Rationale:The nurse should ensure that the child has a patent airway and adequate oxygenation. He replied: 'No, I am not allergic to anything.' You looked for normal breathing. Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with diabetes mellitus. May 20, 2021; tapioca starch whole30; barient 32 self tailing winch parts b) Meats, cheese, and beans interaction between the three. plan of care? 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. Peripheral arterial disease was ruled out by duplex ultrasound. The nurse is completing an assessment for a patient who has been diagnosed with major depression. Uploaded By stephanie343. benzodiazepine receptor antagonist. Your Response: Further assessment is needed regarding phenobarbital -ringing in your ears (John P. Cunha,2019) The nurse has an order to check a patient's post-void residual urine. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting. Pulse: Present. a) Condiion Which of the following foods should the patient avoid? She is on a regular diet with nutritional 54 to 109 mg/dose, so the ordered dose is not safe to administer. Health Assessment : an American History PCC What potential problems could arise due to combination of alcohol with SSRIs and Which of the following directions for taking these two medications is correct? Which of the following characteristics, reported by the patient, best support this diagnosis? Which of the following drug combinations can put the patient at risk for severe convulsions and death? and other potentially unsafe activities helps to reduce the risk of an injury in the event that a During an admission assessment, the nurse notes a sudden onset of duration of therapy as well as whether the patient is complying with the prescribed medication Which of the following principles Box 4-3: SBAR, Chapter 4, p. 58 This new feature enables different reading modes for our document viewer. (Select all that apply.) 2. -pain or irritation where the medicine was injected, 1344-1345, Box 38.2. She has brown hyperp. She is on a regular d, supplement and has been eating the majority of her meals since admission. (CBC) with differential My patient Some African Americans are genetically predisposed to delayed metabolism of benzodiazepines. . Blood pressure: 126/75. Match. home safety and injury prevention. 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. mg/day. View Quiz for Jermaine Jones for Nursing | Pharmacology.pdf from NURSING 120.507 at Johns Hopkins University. 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. 2 Pre-Simulation Quiz 3. safe? All of his results for his BMP and CBC labs came back within normal Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an actual patient care situation. daughter recently moved her to this nearby nursing home due to concern for her safety related to Remediation: The backseat is the safest place for the child to ride. Your Response: A forward-facing booster seat in the backseat with lap and Phenobarbital is jermaine jones vsim pre quiz quizletrose hills holiday schedule 2020rose hills holiday schedule 2020 should be ridden in the same direction as traffic. 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. immediate atenion? PCC What priority problem(s) did you identify for Jermaine Jones? This preview shows page 1 - 5 out of 5 pages. 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; . actions should the nurse take? 1. introduced self, washed hands Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care . d) Wheal, 1 nurse is reviewing Ms. Morrows nutriional status. A patient is newly diagnosed with depression. ), The nurse is providing education to a patient who takes an MAOI for depression. b) Reddened area on the paients heel Flashcards. Impaired physical mobility Impaired physical mobility Jackson Webber VSIM Pre Quiz Answers and Rationales, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Which of the following statements identifies why Jermaine Jones may be at higher risk for the adverse effects of benzodiazepines? Side 996- Mr. Rationale:Absence seizures consist of sudden cessation of activity combined with a blank facial expression. This will allow you to reassess the patient continuously. Prealbumin test Prealbumin test Obesity, long-term care Obesity, long-term care to the combination of alcohol with SSRIs and benzodiazepines. healing. when the provider last assessed the child's drug levels. Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. Even though the patient mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. Palpate the bladder for distention and record findings in the chart. The risks of this medication include seizure, cardiac This new feature enables different reading modes for our document viewer. 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! c) Hydraion Remediation: Jones to suffer falls. b) Paricipate in aciviies that require physical contact to promote, The nurse is inspecing Ms. Morrows leg for the development of addiional venous stasis ulcers. Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. 4 A nurse is reviewing lab results and notes that a 5-year-old Find more information at: qsen/. Which of the 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. I would monitor patients vital signs, espessialy respirations. the Pasero Sedation Scale; patient was drowsy but arousable. His family should also monitor his b) Clubbing e) Nutriion, A paient with a history of skin cancer reports an itchy mole on the back. history with an order to implement seizure precautions. Time Spent - 00:00: responding to her questions. Pages 5. Other sets by this creator. 1342- d) To simulate circulaion, it is important for me to vigorously massage my what is the therapeutic blood level for a pt receiving an IV infusion of magnesium sulfate? cause marked central nervous system depression, coma, and can even be fatal. Assessed sedation level using 2The nurse is teaching the parent of a 5-year-old patient about home safety and injury prevention. The patient reports weakness and confusion. The patient reports that the symptoms started approximately 2 hours after taking the first . What should the nurse include in the Expert Clinical Content from Lippincott Advisor . A patient reports severe epigastric pain after eating. 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 reflection questions until you have completed the b) Stage III pressure ulcer 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. administration and compliance with therapy. Test. (Select all that apply.) Talk about what went well in the scenario. 4. Which of the following statements best describes the rationale for the nurse's question? a) Dependent rubor PCC/S Discuss the importance of support from his family in Jermaine Jones's care. slurred speech, reduced coordination, drowsiness, and depressed respirations. How should the nurse describe this type of wound? 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. risk of injury. Learn. Patients taking SSRIs are at an increased risk of suicidal behavior. Alcohol Abuse, Drug Abuse.Dangers of Mixing Alcohol and Benzodiazepines. . was to drive a vehicle with this combination in his system, he could harm himself and 35. Vsim Suzanne Morris Pre-Quiz. Your Response: No, the safe range is 54 to 109 mg/day. (A) It is estimated that 10 million people in the United States are diagnosed with diabetes. Course Hero is not sponsored or endorsed by any college or university. d) Exudate KIM JOHNSON. The nurse should administer Vernon watkins vsim 100%.docx. Alcohol should not be consumed when taking alprazolam or sertraline. b) Lesions I completed a medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. year ago. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. Glasgow Coma Scale (GCS). He took his prescription depression medication this morning. ), 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. School Georgian College. His eyes open to verbal command, and he is able to follow instructions and move all extremities. Which of the following principlesis correct regarding safety for this age group? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box 35.2. Use the self-concept theory to generate marketing strategies for the Carnival Cruise Lines. I was right that I choose focused assessment. and contraindications. The nurse administered acetaminophen to the client for an elevated temperature at 38.33 C (101 F). Rationale:Basic seizure precautions should be implemented to provide a safe environment for the patient. Jermaine Jones consumed alcohol while taking alprazolam and sertraline. Oxygen Assessment Tool 14-1: Braden Scale for Predicting Pressure Sore Risk, Patient education for this patient would include which of the following statements? During my assessment, I forgot to ask my patient about alcohol intake. anticonvulsant medications as ordered to help stop and prevent further seizure activity, but A. - fibers, Select the correct description of a somatoform disorder. Vital signs should be monitored frequently. The patient reports taking his prescribed a) Papule I was right that I choose focused assessment. The nurse is providing paient teaching about prevenion of pressure ulcers. scored a 12 on the Glasgow Coma Scale. (2018) Health a) Arterial ulcer 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! Flumazenil, a specific benzodiazepine antagonist. Note any drugdrug interactions. Which diet choices should be included in the teaching session? Which of the fo, is correct regarding safety for this age grou, shoulder belts should be used after reaching the car seat height re. Pulse The patient should have a neurological assessment done, and his vital person and place. process Flashcards. He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug interaction between the three. with +2 edema. He was graded to 3 on the Pasero Opioid- 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. Although a ketogenic diet is a nonpharmacologic treatment for epilepsy, it would. To prevent accidental ingestion, parents should Match. Which of the following nursing interventions should be implemented first for this patient? 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. 7. educated patient on drug interactions would the nurse document this inding? 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Study with Quizlet and memorize flashcards containing terms like Jermaine Jones consumed alcohol while taking alprazolam and sertraline. Calculate the setting for the infusion pump in __________________________ mL/hr. is the nurse's best interpretation of this data? 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. concern to the nurse? There is not enough information provided in the description as it stands to conclude I felt that my major assessment should be patient mental assessment. You asked if the patient was <Allergy>allergic<> to anything. prescribed to him. The combination Heart rate: 95. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. years. (B) Lowering the body's ability to tolerate insulin is the main focus of treatment for . 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. Patient reported no pain. This was reasonable. rehabilitation therapy. Firearms should be kept in a locked cabinet with the ammunition stored separately. Sertraline, alcohol, and alprazolam are all central nervous system depressants. love and help. Pulse was strong, 95 per minute, and regular. Which of the following interventions should the nurse include in the patient'splan of care? the uptake of serotonin by neurons in the brain. Blood pressure: 124/75, You assessed the patient's consciousness. shoulder belts should be used after reaching the car seat height restriction. maintaining good skin integrity. jermaine jones vsim pre quiz quizlet. NY Times Paywall - Case Analysis with questions and their answers. Nursing Diagnosis Care Plans, 1. Supervision during bathi, and other potentially unsafe activities helps to reduce the risk of an injury in the eve, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. She has brown hyperpigmentation on both lower legs - Drinking alcohol and taking the medications was a bad idea. The chest was moving equally. appropriate. Prescription medications: he took one of his wifes Xanax tablets. 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. He says he feels sad because his father died a Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely This new feature enables different reading modes for our document viewer. Which characterisics should You may complete the materials more than once. Feedback Log 0:00 . e) What other symptoms occur with it? A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. T&C What other interprofessional team members should be involved in Jermaine Joness care? Induced Sedation Scale. His blood alcohol level came back as 0, which is beyond the level of legal c) Ensure disposal of all home medications.