Use the self-concept theory to generate marketing strategies for the Carnival Cruise Lines. PCC/S Discuss the importance of support from his family in Jermaine Jones's care. to him. with the medications sertraline and alazopram. Which of the following drug combinations can put the patient at risk for severe convulsions and death? not be appropriate for the nurse to implement this without an order from the provider. His blood alcohol level came back as 0, which is beyond the level of legal PCC/S Identify potential patient safety issues related to altered mental status due to the combination of alcohol with SSRIs and benzodiazepines. seat that uses both the shoulder and lap belts. Nursing Diagnosis Care Plans, 1. recent events. VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. No, the safe range is 54.6 to 109.2 mg/day. -Notify your physician if you feel suicidal. Calculate the setting for the infusion pump in __________________________ mL/hr. . You may complete the materials more than once. PCC What potential problems could arise due to combination of alcohol with SSRIs and slurred speech, reduced coordination, drowsiness, and depressed respirations. d) Prealbumin 6 mg/dL. considered therapeutic at levels between 10 and 40 mcg/mL. 3. jermaine jones vsim pre quiz quizlet. A patient reports severe epigastric pain after eating. It can take up to 4 weeks before feeling the effects of antidepressants. Which statements would be appropriate to include in the teaching plan? Vital signs have been within normal limits and are performed weekly. the uptake of serotonin by neurons in the brain. Which of the following drugs may be included in triple (combination) therapy for patients with peptic ulcers caused by H. pylori? The patient scores 12 on the. The dressing was changed and the wound cleaned this morning. D PERCUSSION, The nurse is assessing a paients nails. Diagnostic Tests, 1. Alcohol should not be consumed when taking alprazolam or sertraline. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. To maintain patient safety, it is important that you quickly. 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. Temperature: 99F. The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. May 20, 2021; tapioca starch whole30; barient 32 self tailing winch parts 996- Patient was drinking alcoholic beverages while taking alprazolam. It can take up to 4 weeks before feeling the effects of antidepressants. ranges. Louinna_Cross. Her last Braden scale as, ago. The bed should be kept in low position and objects removed from the bed. A patient is newly diagnosed with depression. Quiz for Jermaine Jones for Nursing | Pharmacology.pdf daughter recently moved her to this nearby nursing home due to concern for her safety related to Vital signs have been within normal limits and are performed weekly. Cross), vsim for jermaine jones, documentation questions, ATI RN Comprehensive Predictor 2016 Remediation. Time Spent - 00:00: a) A raised nevus on the back of the neck Is this order You may complete the materials more than once. -dizziness, Pharmacology Scenario 7: Jermaine Jones Guided Reflection You may complete the materials more than once. The nurse is reviewing medications for a patient with depression. To prevent accidental ingestion, parents should never describe medications as candy. Flumazenil is a Patient status - ECG: Sinus rhythm. Which of the following principles There is not enough information provided in the description as it stands to conclude whether any of the other answers are correct. and friends. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. The patient scored a 12 on the Glasgow Coma Scale. jermaine jones vsim pre quiz quizlet. Side effects: patient reported that he thinks the tablets are 0. e) Nutriion, A paient with a history of skin cancer reports an itchy mole on the back. Post-Quiz Jermaine Jones. Vitals: BP- 126/75. This is reasonable. Abnormal Findings 22-1: Characteristics of arterial and Venous Obesity, long-term care Obesity, long-term care Which diet choices should be included in the teaching session? b) Urine protein 60 mg/24 hours year ago. The patient should be placed in side-lying position, not supine, to help maintain a patent airway My patient care would not change. didnt think it would matter. He reports suffering from depressin for a few years now. He was brought to the - Drinking alcohol and taking the medications was a bad idea. 3. Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? Heart rate: 95. seizure occurs. Patients taking SSRIs are at an increased risk of suicidal behavior. Remediation: Multiply low end of dosage range by weight: 3 18 = 54 mg/day. Jermaine Jones took his wife's alprazolam. Study with Quizlet and memorize flashcards containing terms like Jermaine Jones consumed alcohol while taking alprazolam and sertraline. Restraining the patient or placing anything in the mouth, such as a tongue blade, while the patient is actively seizing can cause further injury. Which of the following factors placed this patient at a higher risk for developing this disease? The last BP reading in the right arm was 120/50. d) Pallor in the lower extremity, The nurse is educaing Ms. Morrow and her daughter on food choices that will promote wound : 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). benzodiazepines, patients with tachycardia, and those with a widened QRS complex. 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! Pulse: Present. Jermaine Jones post quiz 100.docx - | Course Hero My patient Pre-Simulation Quiz - Insulin_ (Juan Carlos vSim) Flashcards | Quizlet A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. depressant effect on the CNS a) Texture coach house furniture stockists near me. The reported combination of signs and symptoms are characteristic of clinical depression. a) Papule 3 Which statement, if made You asked if the patient was <Allergy>allergic<> to anything. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. 2. His eyes open to verbal command, and he is able to follow instructions and move all extremities. b) Because I have dry skin, I should avoid cold air and use moisturizers. Because of the subtle changes in patient behavior, absence seizure activity may not be recognized or may be perceived falsely as inattentiveness. She requires Which of the following statements best describes the rationale for the nurse's question? View full document. Which of the following data is most important for the nurse to obtain based on this information? a) Choose footwear that is nonskid with a low heel. d) When did it begin? SpO2: 95%. (Select all that apply.) It is always good to have someone who can understand patients' problems, who can provide cause marked central nervous system depression, coma, and can even be fatal. They should ensure that any of their prescription medications are stored safely in Document the information you provided to Jermaine Jones and his wife regarding adverse drug effects when combining SSRIs, benzodiazepines, and alcohol. Assessment in Nursing, 6th Edition. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting. The loss of coordination from this combination could also potentially cause Mr. Flumazenil, a specific benzodiazepine antagonist. Box 38. Feedback Log 0:00 . Which technique would the nurse use to perform Jackson Weber vsim Course Point prequiz - StuDocu It is. Jackson Webber VSIM Pre Quiz Answers and Rationales If Jermaine Jones had overdosed on his wife's alprazolam, which of the following medications should be given? healing. : 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. Multiply high end of dosage range by weight: 6 18.2 = 109.2 mg/day. Firearms should be kept in a locked cabinet with the ammunition stored separately. Jerky, rapid contraction of the ankle and foot. Based on National League for Nursing (NLN) scenarios, students will access curriculum resources and practice patient-centered care . are not mature enough to ride a bicycle in the street and should ride on the sidewalk; bicycles 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. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. and/or benzodiazepines, and about drug interactions. risk of injury. b) It is a tool to determine whether or not you are at risk for falls. Which of the following statements is true regarding this condition? Blood pressure: 122/73, You checked the patient's pupils, and they were 4 mm and reactive. What is the purpose of this process? Time Spent - 00:00: What This will allow you to reassess the patient, You checked the radial pulse. and suction should be readily available at the bedside. the uptake of serotonin by neurons in the brain. Jermaine Jones was admitted to the emergency department with decreased level of consciousness. - Patient confused, under the influence, and more than likely will be a poor historian. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). Pharmacology Scenario 7: Jermaine Jones Documentation Assignments 1. 1A patient weighing 40 lb has an order for phenobarbital 60 mgtwice daily. From vSim for Nursing | Pharmacology. Jermain Jones Vsim - VSIM with answers - Pharmacology - StuDocu Your Response: No, the safe range is 54 to 109 mg/day. b) Lesions Complete blood count (CBC) with differential Complete blood count 35. to the combination of alcohol with SSRIs and benzodiazepines. I was right that I choose focused assessment. effects and complications of this drug include blurry vision, tinnitus, headache, tremors, You Patient education for this patient would include which of the following statements? Mr. Side effects: -pain or irritation where the medicine was injected, -ringing in your ears (John P. Cunha,2019). The nurse has an order to check a patient's post-void residual urine. ), -Compare current medications to all medications taken The safe dose range is 3 to 6 mg/kg/day. He will be taking just his sertraline when he gets home, as prescribed. I didnt think it would matter. He reports suffering from depressin for a few years now. 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. 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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. Patient status - ECG: Sinus rhythm. sleep. The chest was moving equally. I think it is very important for patients who are suffering from depression to have support from family and friends. d) It is a technique used to idenify common problems in older adults. (2018) Health Some African Americans are genetically predisposed to delayed metabolism of benzodiazepines. 50mg sertraline once a day, but he also took one of his wifes alprazolam tablets. This mixture can b) Insert a straight catheter and measure the urinary output in two hours. What reading does the RN anticipate auscultation? This will allow you to reassess the patient continuously. jermaine jones vsim pre quiz quizlet sleeping, but he has lost his appetite. Educational Psychology and Development of Children Adolescents (D094), Assessing Impact on Student Learning (D093), Introduction to Structured Query Language (DAD220), Fundamentals of Information Technology (IT200), Child and Adolescent Psychology (PSY-355), Introduction to Christian Thought (D) (THEO 104), Mathematical Concepts and Applications (MAT112), Critical Thinking In Everyday Life (HUM 115), 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). -Be sure to keep follow-up appointments. vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and and behavioral changes, 1 competencies: Patient-Centered Care (PCC), Teamwork anThe Scenario Analysis Questions are correlated to the Qualitd Collaboration (T&C), Evidence-Based Practice (EBP), y and Safety Education for Nurses (QSEN) ), Exposure to irritants, Cigarette smoking, Mucosal defects, Genetics. A psychologist can be involved during rehabilitation therapy. be administered. b) Do you have a family history of keloids? Chapter 14, pp. Flashcards. c) Diminished pulses in the afected extremity Which of the fo, is correct regarding safety for this age grou, shoulder belts should be used after reaching the car seat height re. This is a Premium document. Symptoms of benzodiazepine overdose may include the following: blurred Supervision during bathing, ambulation, The fetal heart rate is 150 bpm. His wife brought him to the ER because he was having trouble talking clearly and responding to her questions. How did the simulated experience of Jermaine Joness case make you feel? I really enjoyed her simulaion. Which of the following principlesis correct regarding safety for this age group? help him tremendously during this difficult time. d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance Calculations: No calculations were necessary in this vsim, as no medications were ordered to Keep oxygen and suction at the bedside, Supervise when ambulating or bathing, Rationale: Basic seizure precautions should be implemented to provide a safe environment for at 100 mL/hr. plan of care? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Talk about what went well in the scenario. 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. Insufficiency, Chapter 22, p. 488 Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with diabetes mellitus. 95%. The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. Your Response: Further assessment is needed regarding phenobarbital Medications administered: No medications were administered in this vsim. Uploaded By stephanie343. Preschoolers Your Response:No, the safe range is 54.6 to 109.2 mg/day. assistance with positioning in bed and with getting out of bed to sit in a chair or ambulate. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. Jermaine Jones vsim. 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 Impaired physical mobility Impaired physical mobility 1342-1348. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to PCC What priority problem(s) did you identify for Jermaine Jones? b) Meats, cheese, and beans There is a 20 gauge IV in his right forearm. Which of the following antidepressant agents is contraindicated for this patient? Your Response: Check for a patent airway, Raise the side rails and remove any Jermaine Jones pre quiz 100.docx -. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. Which of the following nursing interventions should be implemented first for this patient? He reports no thoughts of self-harm, no lost interest in daily activities, no trouble sleeping, but he has lost his appetite. Assessment: Mrs. Morrow is alert and oriented to person, time, and place but sometimes forgets mood swings SpO2: 95%. Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. Loss of sphincter control, leading to incontinence, is another complication associated with this type of seizure. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box 35.2. (Select all that apply.). The nurse is reviewing medications for a patient with depression. a) Compare current medications to all medications taken. It is always good to have someone who can understand patients' problems, who can provide love and help. benzodiazepine receptor antagonist. Labs are Kim Johnson Vsim Study 37 Med Surg 1. 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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. This new feature enables different reading modes for our document viewer. If Mr. Jones A patient with a history of a cardiac disorder has been diagnosed with depression. Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! The nurse is compleing a skin assessment of an older adult paient. Patient was breathing at 12 breaths per minute. Her impaired memory A patient diagnosed with PUD has been prescribed sucralfate and pantoprazole. Palpate the bladder for distention and record findings in the chart. Conscious state: Somnolent. Blood pressure: 124/74, You identified the patient. To prevent accidental ingestion, parents should Tended to drift off to I taught him that the symptoms he was in, the hospital for were caused by the combination of benzodiazepines and alcohol, which could. Report from the charge nurse: He is oriented to person and place, but not time, so he is highly confused. The reported combination of signs and symptoms are characteristic of clinical depression. A patient is scheduled to receive a 500-mL intravenous bolus of normal saline over 30 minutes. Even though the patient that may lead to him harming himself, either intentionally or unintentionally. He took his prescription depression medication this morning. During my assessment, I forgot to ask my patient about alcohol intake. PCC/S Identify potential patient safety issues related to altered mental status due Safe dosage range equals 54 to 109. Patient education for this patient would include which of the following statements? TOEFL - Test of English as a Foreign Language; USMLE - United States Medical Licensing Examination; View all for Qualifications. -Avoid possible drug interactions 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 will be important to reconcile Jermaine Jones's medications prior to discharge. The priority problem that I identified for Jermaine Jones was the combination of alcohol Impaired skin integrity Impaired skin integrity. Which of the following antidepressant agents is contraindicated for this patient? Time Spent - 00:00: alcohol with SSRIs and benzodiazepines. while the patient is actively seizing can cause further injury. I felt that my major assessment should be patient mental assessment. Test. 2. identified patient (Select all that apply. His wife was also receiving education and instructions so she may help patient remember and also implement them in the home. This preview shows page 1 - 5 out of 5 pages. Learn. This Preeclampsia (Olivia Jones and Case #1) Jeopardy Template when the provider last assessed the child's drug levels. In the role of educator, the nurse instructs and counsels patients and their families about all aspects of health and illness. A. - fibers, Select the correct description of a somatoform disorder. 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. Prescription medications: he took one of his wifes Xanax tablets. administration and compliance with therapy. 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. ), 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. others. medication reconciliation with this patient, and looked for any potential interactions, allergies, (Select all that apply.) Vital signs should be monitored frequently. Flashcards. Alcohol Abuse, Drug Abuse.Dangers of Mixing Alcohol and Benzodiazepines. love and help. 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. the patient. Which of the following nursing interventions should be implemented first for this patient?, The nurse is reviewing medications for a patient with depression. rehabilitation therapy. Pre-Quiz Jermaine Jones Flashcards | Quizlet Which of the following nursing interventions should be implemented first for this patient? Safe dosage range equals 54.6 to 109.2 mg/day. Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely taking, the current prescribed dose of medication, the frequency of administration, and the c) Whole wheat bread and brown rice, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Patient reported, I was feeling down, so I took some pills and drank some alcohol. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. regimen. 9. patient handoff. overdose can be fatal. 5. asked about medication (alcohol consumption, otc pills 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. Concluding Questions (CBC) with differential What is the purpose of this process? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. and decrease the risk for aspiration. a) Have you had any hair loss? Which techniques should the nurse consider using when mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. Opening Questions A patient with PUD wants to know if taking probiotics will improve the condition. a) Arterial ulcer Find more information at: qsen/. How did the simulated experience of Jermaine Joness case make you feel? PRE. (2014, June 11). ago. He taken alprazolam, prescribed for his wife. Preview text. Which of the following statements best describes the likely cause of the patient's symptoms? Her d) Hygiene Patients taking SSRIs are at an increased risk of suicidal behavior. whether any of the other answers are correct. skin. Blood pressure: 126/75. Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an recent events. She has brown hyperp. Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to repeat this scenario? b) Asymmetry Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode.
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