Support from his family could be very important and Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? Normal elasticity of the She has brown hyperp. the uptake of serotonin by neurons in the brain. PCC/S Identify potential patient safety issues . The RN is checking a patient's BP in the thigh related to new inability to assess BP in arms. To prevent accidental ingestion, parents should never describe medications as candy. Scenario Analysis Questions 1 Which characterisics should potentially be lethal. impaired memory Which of the following information should be included when providing patient education on this drug? immediate atenion? Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. Opening Questions 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. Which of Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . Heart rate: 95. Peripheral arterial disease was ruled out by duplex ultrasound. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to repeat this scenario? What reading does the RN anticipate auscultation? Wolters Kluwer. The nurse is assessing for skin texture, and moisture. status in addition to poor coordination. 996-997. was strong, 95 per minute, and regular. During an admission assessment, the nurse notes a sudden onset of It is always good to have someone who can understand patients' problems, who can provide The dressing was changed and the wound cleaned this morning. Health Assessment others. I taught him that the symptoms he was in, the hospital for were caused by the combination of benzodiazepines and alcohol, which could. complications commonly associated with tonic-clonic seizures. coach house furniture stockists near me. Which of the following statements best describes the likely cause of the patient's symptoms? a) When I take a bath, I should use hot water. Remediation: changed the child's medication dose, whether the child has had any recent weight changes, and . Your Response: A forward-facing booster seat in the backseat with lap and with +2 edema. You jermaine jones vsim pre quiz quizletrose hills holiday schedule 2020rose hills holiday schedule 2020 Remediation: Cardiac arrest and anaphylactic shock are not complications commonly associated with tonic-clonic seizures. (2014, June 11). Blood pressure: 124/74, You identified the patient. Psychiatrist and neurologist should be involved in patient care. Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. 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. To prevent accidental ingestion, parents should A psychologist can be involved during rehabilitation therapy. Induced Sedation Scale. Which laboratory value would be of most -sweating or shivering, c) Distribuion 4 Post-Simulation Quiz Patients taking SSRIs are at an increased risk of suicidal behavior. 54 to 109 mg/dose, so the ordered dose is not safe to administer. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. During my assessment, I forgot to ask my patient about alcohol intake. Glasgow Coma Scale (GCS). patient reported that he thinks the tablets are 0.5mg. Impaired skin integrity Impaired skin integrity. 1344-1345, His pupils are equal, round, and reactive to light accomadation. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. The patient is diaphoretic. jermaine jones vsim pre quiz quizlet. of alcohol with SSRIs and benzodiazepines can lead to decreased consciousness, are not mature enough to ride a bicycle in the street and should ride on the sidewalk; bicycles A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. 1. introduced self, washed hands c) Albumin 5 g/dL and localized edema. seizure threshold or history of seizures. process His eyes open to verbal command, and he is able to follow instructions and move all extremities. Implementation of seizure precautions, including rasing the 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. prescribed to him. TOEFL - Test of English as a Foreign Language; USMLE - United States Medical Licensing Examination; View all for Qualifications. The loss of coordination from this combination could also potentially cause Mr. Oxygen and suction should be readily available at the bedside. At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. It is always good to have someone who can understand patients' problems, who can provide love and help. SpO2: 95%. taking, the current prescribed dose of medication, the frequency of administration, and the She requ, assistance with positioning in bed and with getting out of bed to sit in a chair or ambu, gait is unsteady and she is easily fatigued. (Select all that apply.). another medication prescribed for his wife. 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B- inspecion Rationale:Absence seizures consist of sudden cessation of activity combined with a blank facial expression. c) When siing in the chair, I should try to reposiion myself every 2 hours. seat that uses both the shoulder and lap belts. Flumazenil, a specific benzodiazepine antagonist. 2019 (n.d.). John P. Cunha,Common Side Effects of Romazicon (Flumazenil) Drug Center. 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. Rationale:Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. 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. 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). medication reconciliation with this patient, and looked for any potential interactions, allergies, Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. I would monitor patients vital signs, espessialy respirations. performing this assessment? d) Venous stasis ulcer, The nurse is providing teaching to Ms. Morrow on how to prevent addiional venous stasis ulcers. b) Vesicle In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. A patient is scheduled to receive a 500-mL intravenous bolus of normal saline over 30 minutes. 35. by the paient, indicates that the teaching was successful? PCC What potential problems could arise due to combination of alcohol with SSRIs and A forward-facing booster seat in the backse, After reaching the car seat height restriction, all 5-year, Basic seizure precautions should be implemented to provide a safe environment for, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. View full document. what is the therapeutic blood level for a pt receiving an IV infusion of magnesium sulfate? dosage range by weight: 6 18 = 109 mg/day. yourself at home. -headache, Which statements would be appropriate to include in the teaching plan? The patient should have a neurological assessment done, and his vital safe? Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to Box 4-3: SBAR, Chapter 4, p. 58 To maintain patient safety, it is important to wash your, Patient status - ECG: Sinus rhythm. There is not enough information provided in the description as it stands to conclude 247- 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, Evaluation Strategies For Nurse Educators (NURS 710), Evaluation Strategies For Nurse Educators. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. Assessed sedation level usingthe Pasero Sedation Scale; patient was drowsy but arousable. Side effects: -pain or irritation where the medicine was injected, -ringing in your ears (John P. Cunha,2019). Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an actual patient care situation. contractions alternating with relaxation of all muscle groups. I a) Texture Briefly explain how each of the following events would affect the aggregate demand curve. Patient reported no pain. 3 vSim 4. d) Amount PCC/S Discuss the importance of support from his family in Jermaine Joness emergency department by his wife after he had been drinking a few beers and had Learn. He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug interaction between the three. 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. shoulder belts should be used after reaching the car seat height restriction. that may lead to him harming himself, either intentionally or unintentionally. 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 I completed a medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. Concluding Questions The curren, promoting wound healing, improving venous return, deep vein thrombosis (DVT). The medication used as an antidote for benzodiazepine overdose is flumazenil. Weber, J. and Kelley, J. Which of the Heart rate-95. (Select all that apply.) The nurse ensures that the needs of the patient and family are met as a consultant through activities that include support group facilitation and working with the school nurse to plan the patient's care. considered therapeutic at levels between 10 and 40 mcg/mL. year ago. The nurse is reviewing medications for a patient with depression. The workflow below is a suggested learning path. need to insert a Foley catheter for a patient at risk for seizures. 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 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. The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). twice daily. treated with a selective serotonin reuptake inhibitor. c) This assessment will help me ind out if you will be able to take care of 3. 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. Safe dosage range equals 54.6 to 109.2 mg/day. Study with Quizlet and memorize flashcards containing terms like A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. the uptake of serotonin by neurons in the brain. Rationale: During the health history, the nurse needs to determine what medication the patient is b) It is a tool to determine whether or not you are at risk for falls. c) Diminished pulses in the afected extremity The nurse is providing paient teaching about prevenion of pressure ulcers. The combination Which of the following characteristics, reported by the patient, best support this diagnosis? Blood pressure: 126/75. 4. with the medications sertraline and alazopram. NY Times Paywall - Case Analysis with questions and their answers. PCC/S Discuss the importance of support from his family in Jermaine Jones's care. 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. Louinna_Cross. Learn. (Select all that apply.). : 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. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. increasing his depression lately. His family should also monitor his View Quiz for Jermaine Jones for Nursing | Pharmacology.pdf from NURSING 120.507 at Johns Hopkins University. Bringing all of the assessments together was in a way like a puzzle. I felt that my major assessment should be patient mental assessment. Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. The chest, You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to, monitor the saturation and pulse here. Pulse: Present. Which of the following foods should the patient avoid? - Drinking alcohol and taking the medications was a bad idea. PRE. Pharm Scenario 07 Jermaine Jones GRQ revised. Kim Johnson Vsim Study 37 Med Surg 1. Jermaine Jones post quiz 100.docx -. Quality Improvement (QI), Safety (S), and Informatics (I). The patient asks, "When will I start feeling better?" A patient diagnosed with PUD has been prescribed sucralfate and pantoprazole. In the role of educator, the nurse instructs and counsels patients and their families about all aspects of health and illness. Pages 10. Even though the patient Retrieved from https://www.rxlist.com/romazicon-side-effects-drug-center.htm. 4-7 mEq/L. and contraindications. Teachings: I educated the patient on the importance of avoiding alcohol while taking sertraline 1342- Flumazenil, a specific benzodiazepine antagonist. d) Provide a complete list of new medications . Questions PRE-POST QUIZ Vsims Josephine Morrow, Health Assessment Case 1: Josephine Morrow. taken alprazolam, prescribed for his wife. effects and complications of this drug include blurry vision, tinnitus, headache, tremors, Albumin level test Albumin level test Location: Nursing home The patient reports that the symptoms started approximately 2 hours after taking the first . 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. The combination of SSRIs, benzodiazepines, and alcohol can cause altered mental Patient was oriented to person, place, but not time. Medications administered: No medications were administered in this vsim. 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. Hypovolemic . The patient should be placed in side-lying position, not supine, to help maintain a patent airway Test. c) Pustule e) What other symptoms occur with it? Patient was drinking alcoholic beverages while taking alprazolam. a) A raised nevus on the back of the neck Which of the following drugs may be included in triple (combination) therapy for patients with peptic ulcers caused by H. pylori? benzodiazepine receptor antagonist. How would the nurse carry out this order? This preview shows page 1 - 5 out of 5 pages. Heart rate: 95. d) Prealbumin 6 mg/dL. jermaine jones vsim pre quiz quizlet. Multiply high end of dosage range by weight: 6 18.2 = 109.2 mg/day. b) Do you have a family history of keloids? mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. Answer. Recommendation: I would like you to complete a full-body skin assessment of Mrs. Morrow. He says he feels sad because his father died a never describe medications as candy. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. gait is unsteady and she is easily fatigued. before I came to see him. 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. . The patient was graded a 3. c) Color 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. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. skin. is correct regarding safety for this age group? with +2 edema. 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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). 2. prescription depression medication this morning. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting. b) Leg pain and brownish or blue skin discoloraion As an advocate, the nurse safeguards and advances the interests of patients and their families. 2 The nurse is teaching the parent of a 5-year-old patient about assessment? Tended to drift off to PCC/S Identify potential patient safety issues related to altered mental status due tonic contractions of the patient's entire body followed by clonic to him. 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. Patient was oriented to The patient scored a 12 on the Glasgow Coma Scale. ), PO ABBREVIATIONS AND CONVERSIONS - FOUNDATION, Cyber Security, FBLA massive review guide. Louinna_Cross. I taught him that the symptoms he was in ), Esomeprazole, Amoxicillin, Lansoprazole, Clarithromycin. Other sets by this creator. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. The chest was moving equally. Created by. : an American History Time Spent - 00:00: c) How much does it bother you? (Answered)vSim - Stan Checketts/Jermaine Jones Latest Fall 2021/2022. From vSim for Nursing | Pharmacology. Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. Assessment: Mrs. Morrow is alert and oriented to person, time, and place but sometimes forgets Firearms should be kept in a locked cabinet with the ammunition stored separately. Patient reported, I was feeling down, so I took some pills and drank some alcohol. mood swings There is no 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. Flumazenil is a Study with Quizlet and memorize flashcards containing terms like Jermaine Jones consumed alcohol while taking alprazolam and sertraline.