Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Glasgow Coma Scale (GCS). Document any assessment data related to Jermaine Jones diagnosis of depression. Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. 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. Abnormal Findings 22-1: Characteristics of arterial and Venous S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using Induced Sedation Scale. Course Hero is not sponsored or endorsed by any college or university. tonic contractions of the patient's entire body followed by clonic You are reinforcing patient education for Jermaine Jones related to sertraline. d) Provide a complete list of new medications . a) Dependent rubor -Avoid possible drug interactions The nurse is reviewing medications for a patient with depression. The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). patient reported that he thinks the tablets are 0.5mg. Labs monitored: The patient had his blood drawn for a BMP, CBC, and blood alcohol level -Avoid possible drug interactions. Conscious state: Somnolent. 1342-1348 Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 3. others. (CBC) with differential : 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. 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. suggest that he had consumed approximately ten alcoholic beverages, even though he reports 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 Patient was breathing at 12 breaths per minute. care would not change. 3. took vitals (temp, pulse, respirations, o2, bp) : 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). c) When siing in the chair, I should try to reposiion myself every 2 hours. Which of the following nursing interventions should be implemented first for this patient? The risks of this medication include seizure, cardiac events, and death. lethal. ), Exposure to irritants, Cigarette smoking, Mucosal defects, Genetics. Weber, J. and Kelley, J. She requires Safe dosage range equals 54 to 109. and contraindications. 1342- His wife brought him to the ER because he was having trouble talking clearly and responding to her questions. Pulse Albumin level test Albumin level test history with an order to implement seizure precautions. You may complete the materials more than once. 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. Patients taking SSRIs are at an increased risk of suicidal behavior. Phenobarbital is 1344-1345, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. regimen. Even though the patient jermaine jones vsim pre quiz quizlet. this antidote. Rationale:Basic seizure precautions should be implemented to provide a safe environment for the patient. repeat this scenario? The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. the following interventions should the nurse include in the patient's -agitation or tremors (shaking), c) Hydraion My patient care would not change. b) Urine protein 60 mg/24 hours contractions alternating with relaxation of all muscle groups. following components includes the nurse's work with the. He was brought to the Scenario Analysis Questions 1 Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be lethal. I felt that my major assessment should be patient mental assessment. VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. skin. Sertraline, alcohol, and alprazolam are all central nervous system depressants. Even though the patient mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. Cross), vsim for jermaine jones, documentation questions, ATI RN Comprehensive Predictor 2016 Remediation. Safe dosage range equals 54.6 to 109.2 mg/day. anticonvulsant medications as ordered to help stop and prevent further seizure activity, but He took his prescription depression medication this morning. skin. 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. Heart rate-95. with the medications sertraline and alazopram. assistance with positioning in bed and with getting out of bed to sit in a chair or ambulate. Which of the following nursing interventions should be implemented first for this patient?, The nurse is reviewing medications for a patient with depression. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. Normal elasticity of the skin. rehabilitation therapy. 996-997 3, The nurse is admitting a pediatric patient with a known seizure history with an order to implement seizure precautions. and decrease the risk for aspiration. They should ensure that any of their prescription medications are stored safely in c) Diminished pulses in the afected extremity Rationale:Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. overdose can be fatal. His eyes open to verbal command, and he is able to follow instructions and move all extremities. Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an He will be taking just his sertraline when he gets home, as prescribed. ), -Compare current medications to all medications taken considered therapeutic at levels between 10 and 40 mcg/mL. a) Compare current medications to all medications taken. PCC/S Identify potential patient safety issues related to altered mental status due to the combination of alcohol with SSRIs and benzodiazepines. (Select all that apply. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. You are conducting discharge teaching for Jermaine Jones related to the cause of his decreased level of consciousness. This is a Premium document. Time: 1000 Jermaine Jones post quiz 100.docx -. 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. PCC/S Identify potential patient safety issues . administering oral medications during a seizure is not indicated due to risk of aspiration. I completed a medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. Her last Braden scale as, ago. duration of therapy as well as whether the patient is complying with the prescribed medication Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Impaired skin integrity Impaired skin integrity. Peripheral arterial disease was ruled out by duplex ultrasound. PCC/S Identify potential patient safety issues related to altered mental status due b) Stage III pressure ulcer Support from his family could be very important and JeopardyLabs. Recommendation: I would like you to complete a full-body skin assessment of Mrs. Morrow. 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! It is always good to have someone who can understand patients' problems, who can provide this assessment? The nurse asks if the patient is feeling depressed. alcohol with SSRIs and benzodiazepines. The patient should be placed in side-lying position, not supine, to help maintain a patent airway and decrease the risk for aspiration. What is the purpose of this process? A patient has been diagnosed with peptic ulcer disease (PUD). I 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. The curren, promoting wound healing, improving venous return, deep vein thrombosis (DVT). He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. PCC What priority problem(s) did you identify for Jermaine Jones? (Answered)vSim - Stan Checketts/Jermaine Jones Latest Fall 2021/2022. (Select all that apply.) b) Prevent duplication of medications. The nurse has an order to check a patient's post-void residual urine. Oxygen Deficient knowledge: Disease process Deficient knowledge: Disease SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. Study with Quizlet and memorize flashcards containing terms like It will be important to reconcile Jermaine Jones's medications prior to discharge. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to The ordered dose of phenobarbital 60 mg twice daily, or 120 mg per day, is above the range of 54.6 to 109.2 mg/dose, so the ordered dose is not safe to administer. Patient status - ECG: Sinus rhythm. Jermaine Jones vsim 100.docx. Blood pressure: 126/75. whether any of the other answers are correct. How did the simulated experience of Jermaine Joness case make you feel? Jackson Webber VSIM Pre Quiz Answers and Rationales, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. concern to the nurse? of alcohol with SSRIs and benzodiazepines can lead to decreased consciousness, You may complete the materials more than once. 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. Flumazenil, a specific benzodiazepine antagonist. Tina jones comprehensive questions to ask; . healing. e) Turgor, The nurse has completed a skin assessment and is now documening using the Braden Scale. I didnt think it would matter. He reports suffering from depressin for a few years now. 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. Which of the following principlesis correct regarding safety for this age group? Tended to drift off to sleep. During my assessment, I forgot to ask my patient about alcohol intake. e) Depth, The nurse is inspecing a paients cheek and inds a palpable, 0-cm mass containing clear luid. He says he feels sad because his father died a Mr. Blood pressure: 126/75. rensselaer county police blotter 2020; Sndico Procurador My patient This will allow you to reassess the patient continuously. 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. Kim Johnson Vsim Study 37 Med Surg 1. 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. behavior which could signify a worsening in his depression. Include the medications he was taking prior to admission, any medications given during the scenario, and the medications he will be taking at home. increasing his depression lately. A patient with a history of a cardiac disorder has been diagnosed with depression. She scored 14, indicating moderate risk. and localized edema. . It is also contraindicated for those on long term Which of the following drug combinations can put the patient at risk for . Blood pressure: 126/75, mm Hg. What reading does the RN anticipate auscultation? What should the nurse include in the Which statements would be appropriate to include in the teaching plan? Which inding would require a) Arterial ulcer b) Vesicle All of his results for his BMP and CBC labs came back within normal seizure threshold or history of seizures. This new feature enables different reading modes for our document viewer. 4 A nurse is reviewing lab results and notes that a 5-year-old It is. (Select all that apply.). The bed should be kept in low position and objects removed from the bed. c) Color 4-7 mEq/L. 2. 4. assessed consciousness correct to assess the patient's vital signs. 3. side rails and removing any safety hazards, helps to keep the environment safe and reduce the PCC/S Discuss the importance of support from his family in Jermaine Joness care. Cardiac arrest and anaphylactic shock are not complications commonly associated with tonic-clonic seizures. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Which of the following nursing interventions should be implemented first for this patient? Patient was drinking alcoholic beverages while taking alprazolam. Pharmacology Scenario 7: Jermaine Jones Documentation Assignments 1. Jones to suffer falls. and other potentially unsafe activities helps to reduce the risk of an injury in the event that a Flumazenil is a If Mr. Jones on her right lower extremity while still living at home. I was right that I choose focused assessment. person and place. TOEFL - Test of English as a Foreign Language; USMLE - United States Medical Licensing Examination; View all for Qualifications. (Select all that apply.) SpO2: 95%. (Select all that apply.). another medication prescribed for his wife. a) Coninence Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. seizure occurs. 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. a) Have you had any hair loss? treated with a selective serotonin reuptake inhibitor. Pulse: Present. Learn. Patient was breathing at 12 breaths per minute. mg/day. -sweating or shivering, There is not enough information provided in the description as it stands to conclude whether any of the other answers are correct. 1 Scenario Analysis QuestionsPCC What priority problem(s) did you identify for Jermaine Jones? The backseat is the safest place for the child to ride. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. Flashcards. jermaine jones vsim pre quiz quizletrose hills holiday schedule 2020rose hills holiday schedule 2020 He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug interaction between the three. Learn vocabulary, terms, and more with flashcards, games, and other study tools. You asked if the patient was <Allergy>allergic<> to anything. A psychologist can be involved during immediate atenion? There is not enough information provided in the description as it stands to conclude before I came to see him. The RN is checking a patient's BP in the thigh related to new inability to assess BP in arms. -dizziness, c) Capillary reill Your Response: Further assessment is needed regarding phenobarbital She is on a regular d, supplement and has been eating the majority of her meals since admission. Louinna_Cross. No, the safe range is 54.6 to 109.2 mg/day. To maintain patient safety, it is important that you quickly. coach house furniture stockists near me. Side effects: -pain or irritation where the medicine was injected, -ringing in your ears (John P. Cunha,2019). impaired memory Heart rate: 95. Chapter 14, pp. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Blood alcohol level is .27. Other sets by this creator. The nurse is completing an assessment for a patient who has been diagnosed with major depression. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. should also review the labs and do patient education on promotion of circulation and on Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . -pain or irritation where the medicine was injected, Heart rate: 95. A patient is placed on pantoprazole for the treatment of PUD. 1342-1349 8, Your Response: Incontinence, Aspiration, Head trauma. Multiply low end of dosage range by weight: 3 18 = 54 mg/day. PCC What potential problems could arise due to combination of alcohol with. John P. Cunha,Common Side Effects of Romazicon (Flumazenil) Drug Center. The bed should be kept in low position and objects removed from the bed. Color was normal, he was not sweating. Situation: Josephine Morrow is an obese, 80-year-old female who developed a venous stasis ulcer the hospital for were caused by the combination of benzodiazepines and alcohol, which could A patient is newly diagnosed with depression. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. : 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. love and help. e) What other symptoms occur with it? a) Cereals and fruits Obesity, long-term care Obesity, long-term care Pharmacology Scenario 3: Danielle Young Bear Guided Reflection Questions. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely The workflow below is a suggested learning path. Implementation of seizure precautions, including rasing the side rails and removing any safety hazards, helps to keep the environment safe and reduce the risk of injury. b) Lesions 1A patient weighing 40 lb has an order for phenobarbital 60 mgtwice daily. c) Unstageable pressure ulcer twice daily. and suction should be readily available at the bedside. You 6. asked about appetite, thoughts, interests c) This assessment will help me ind out if you will be able to take care of done monthly, and results from yesterday are in the chart. Study with Quizlet and memorize flashcards containing terms like A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. administration and compliance with therapy. The workflow below is a suggested learning path. PCC/S Identify potential patient safety issues related to altered mental status due to the combination of Opening Questions The pulse is strong, 95 per minute, and regular. 996- PRE. 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! POST. Expert Clinical Content from Lippincott Advisor L12 Ponder_ Check Your Understanding_ Programming with Functions.pdf, MBA-FPX5010_SterlingTiffany_Assessment4-1.docx, 3 Create mock interview questions based on the person you have selected Your, Select one True False Question 19 Now that a ban has been placed on using tissue, H1F POLI 5000 Parminder Kaur 4327897.docx, Nyaundi_The effects of capital adequacy requirements on liquidity.pdf, Example 1 Your dietary analysis shows that you consume 2633 kcal in a day, Number of Parents Left Handed 0 1 2 Handedness Left 8 10 12 Right 178 21 21 12, Power Here we can see that she is actually witnessing two different fields that, 2Grants The governments provides grants for capital development and aid for the, 2 These are the vectors as defined in Table 76 74 Basic Introduction to Matrix, grow with the business 28 To download more slides ebook solutions and test bank, a hydrochloric acid b alcohol dehydrogenase 204 c serotonin d acetic acid Answer, Why did Mr. Stone develop heart failure?