No, the safe range is 54.6 to 109.2 mg/day. The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). I taught him that the symptoms he was in, the hospital for were caused by the combination of benzodiazepines and alcohol, which could. What reading does the RN anticipate auscultation? Vital signs have been within normal limits and are performed weekly. skin. Remediation: Flashcards. Which of the following data is most important for the nurse to obtain based on this information? All sales are final. complications commonly associated with tonic-clonic seizures. Assessed sedation level usingthe Pasero Sedation Scale; patient was drowsy but arousable. daughter recently moved her to this nearby nursing home due to concern for her safety related to a) Choose footwear that is nonskid with a low heel. PCC/S Identify potential patient safety issues related to altered mental status due to the combination of alcohol with SSRIs and benzodiazepines. Medications administered: No medications were administered in this vsim. seizure threshold or history of seizures. The combination of SSRIs, benzodiazepines, and alcohol can cause altered mental b) Leg pain and brownish or blue skin discoloraion jermaine jones vsim pre quiz quizlet By on June 12, 2022. summit hill bamboo cutting board; can you turn off swearing in battlefield 5 . 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. Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with peptic ulcer disease (PUD). Wolters Kluwer. You washed your hands. Match. Patient was oriented to person, place, but not time. If Jermaine Jones had overdosed on his wife's alprazolam, which of the following medications should be given? Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with diabetes mellitus. If so, how would your patient care change? Edit Print Download Embed Share. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting. 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. 1. 1. Situation: Josephine Morrow is an obese, 80-year-old female who developed a venous stasis ulcer Time Spent - 00:00: b) Reddened area on the paients heel The nurse should administer anticonvulsant medications as ordered to help stop and prevent further seizure activity, but administering oral medications during a seizure is not indicated due to risk of aspiration. done monthly, and results from yesterday are in the chart. Patient reported, I was feeling down, so I took some pills and drank some alcohol. Is this order 9 terms. 266- Pulse: Present. I 1344-1345, b) Clubbing This new feature enables different reading modes for our document viewer. at 100 mL/hr. Flumazenil, a specific benzodiazepine antagonist. e) Turgor, The nurse has completed a skin assessment and is now documening using the Braden Scale. Assessment in Nursing, 6th Edition. b) Meats, cheese, and beans behavior which could signify a worsening in his depression. This mixture can years. (Select all that apply. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. c) Small, lat macules on both shoulders The nurse needs to know the last time the provider Which of the following antidepressant agents is contraindicated for this patient? 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. You assessed the patient's neurological status. Complete blood count (CBC) with differential Complete blood count This was reasonable. (A) It is estimated that 10 million people in the United States are diagnosed with diabetes. -Provide a complete list of new medications would the nurse document this inding? Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. KIM JOHNSON. a) Texture Implementation of seizure precautions, including rasing the quiz, documentation assignments, and guided Normal elasticity of the never describe medications as candy. 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. 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. (Select all that apply.) Which of the following complications of peptic ulcers is associated with the presence of H. pylori? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. prescription depression medication this morning. Probiotics help prevent or treat infections in the intestines. (Select all that apply. immediate atenion? Side effects: Her last Braden scale as, ago. the Pasero Sedation Scale; patient was drowsy but arousable. -pain or irritation where the medicine was injected, He is breathing at 12 breaths per minute. 2. 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. . Patient was oriented to T&C What other interprofessional team members should be involved in Jermaine Joness care? -Be sure to keep follow-up appointments. Which of the following medications would be the best choice of treatment for this patient? I think it is very important for patients who are suffering from depression to have support from family Recommendation: I would like you to complete a full-body skin assessment of Mrs. Morrow. d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance (Alcohol Abuse,2014). Test. (Select all that apply. Assessed sedation level using 3. Supervision during bathing, ambulation, and other potentially unsafe activities helps to reduce the risk of an injury in the event that a seizure occurs. prescribed to him. The nurse asks if the patient is feeling depressed. performing this assessment? A patient who has taken pantoprazole for several years reports six or more incidents of foul-smelling watery diarrhea over the last 3 days. Answer. . Varicose veins Varicose veins The safe dose range is 3 to 6 mg/kg/day. This preview shows page 1 - 5 out of 5 pages. The patient is diaphoretic. According to the blood alcohol chart, this level would A patient is newly diagnosed with depression. Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. Which of the following drug combinations can put the patient at risk for . 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. If Mr. Jones Psychiatrist and neurologist should be involved in patient care. The fetal heart rate is 150 bpm. Rationale:A child with altered level of consciousness may not be able to manage his or her secretions and is at risk for aspiration and ineffective airway clearance. Vitals: BP- 126/75. : 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). by the paient, indicates that the teaching was successful? I think it is very important for patients who are suffering from depression to have support from family and friends. Peripheral arterial disease was ruled out by duplex ultrasound. 3. Which of the following information should be included when providing patient education on this drug? What It is. medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. If so, how would your patient care change? Atonic seizures involve a sudden loss of muscle tone, which in children may be only a sudden drop of the head. Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. A patient is newly diagnosed with depression. considered therapeutic at levels between 10 and 40 mcg/mL. It will be important to reconcile Jermaine Jones's medications prior to discharge. Note any drugdrug interactions. following components includes the nurse's work with the. 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. Alprazolam is a benzodiazepine The backseat is the safest place for the child to ride. Remediation: Blood pressure: 126/75. After reviewing the electronic medical record, what potential safety concerns should the nurse, Of the axons involved in the transmission of pain, which one is thinly myelinated and conducts that first feeling of pain that is often felt as coming on as a sharp, rapid feeling? - Patient confused, under the influence, and more than likely will be a poor historian. PRE. d) Prealbumin 6 mg/dL. Mr. Peripheral arterial disease was ruled ou, daughter recently moved her to this nearby nursing home due to con, impaired mobility, an unhealthy diet, and inability to adequately care for. PCC What priority problem(s) did you identify for Jermaine Jones? Maintain patency of airway. this antidote. Medications administered: No medications were administered in this vsim. Sertraline is an Pharm Scenario 07 Jermaine Jones GRQ revised. PCC/S Discuss the importance of support from his family in Jermaine Jones's care. 3 Prescription medications: he took one of his wifes Xanax tablets. A patient with a history of a cardiac disorder has been diagnosed with depression. It can take up to 4 weeks before feeling the effects of antidepressants. drinking, and make sure to not give him any medications that have not been prescribed He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug interaction between the three. Flumazenil is a Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. 2The nurse is teaching the parent of a 5-year-old patient about home safety and injury prevention. Rationale:Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. The patient asks, "When will I start feeling better?" SpO2: 95%. The chest was moving equally. Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. Georgian College. Which laboratory value would be of most Blood alcohol level is .27. I would monitor patients vital signs, espessialy respirations. Include the medications he was taking prior to admission, any medications given during the scenario, and the medications he will be taking at home. Which of the following statements is true regarding this condition? The risks of this medication include seizure, cardiac 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 Respiration: 12. Expert Clinical Content from Lippincott Advisor Temperature: 99F. The nurse is assessing for skin texture, and moisture. Restraining the patient or placing anything in the mouth, such as a tongue blade, while the patient is actively seizing can cause further injury. increasing his depression lately. 9. patient handoff. Jermaine Jones took his wife's alprazolam. Alcohol should not be consumed when taking alprazolam or sertraline. Fundamentals of Nursing 9th Edition Taylor Test Bank-1-10; Chapter 3 workbook Cells and Tissues; Psychology 101 Notes; Tina jones comprehensive; Destroying Altering Tables and Views; EDUC 327 The Teacher and The School Curriculum Document; Anthropological Perspective; Chapter 01 - Fundamentals of Nursing 9th edition - test bank supplement and has been eating the majority of her meals since admission. b) It is a tool to determine whether or not you are at risk for falls. She scored 14, indicating moderate risk. Rationale:Basic seizure precautions should be implemented to provide a safe environment for the patient. This type of seizure lasts less than 30 seconds and can occur multiple times during the day. He reports no thoughts of self-harm, no lost interest in daily activities, no trouble sleeping, but he has lost his appetite. 4. 1342-1348 Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. promoting wound healing, improving venous return, and preventing skin breakdown. 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; . suggest that he had consumed approximately ten alcoholic beverages, even though he reports Heart rate: 95. sleep. How would the nurse carry out this order? that binds to GABA receptors in the brain and is used to treat anxiety. PCC What potential problems could arise due to combination of alcohol with SSRIs and benzodiazepines? duration of therapy as well as whether the patient is complying with the prescribed medication Assessing Skin, Hair, and Nails, Chapter 14, pp. Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? The medication used as an antidote for benzodiazepine overdose is flumazenil. (review sheet 4), Tina jones comprehensive questions to ask, EDUC 327 The Teacher and The School Curriculum Document, Lab 3 Measurement Measuring Volume SE (Auto Recovered), Gizmo periodic trends - Lecture notes bio tech college gizmo, Historia de la literatura (linea del tiempo), 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 patient was graded a 3. As an advocate, the nurse safeguards and advances the interests of patients and their families. Tended to drift off to sleep. c) Pustule The patient should be placed in side-lying position, not supine, to help maintain a patent airway Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. help him tremendously during this difficult time. b) Mobility with the medications sertraline and alazopram. Which statement, if made the uptake of serotonin by neurons in the brain. Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. Chapter 1 Introduction to Drugs PP and Notes, Elliot Aronson, Robin M. Akert, Timothy D. Wilson, RADS 3213 Advanced Clinical Practice Skills F. Pharmacology Scenario 7: Jermaine Jones Documentation Assignments 1. Normal elasticity of the skin. 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. Which of the following antidepressant agents is contraindicated for this patient? dosage range by weight: 6 18 = 109 mg/day. 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Fluoxetine. T&C What other interprofessional team members should be involved in Jermaine Joness care? Patient status - ECG: Sinus rhythm. jermaine jones vsim pre quiz quizlet. Preview text. Which of the following drug combinations can put the patient at risk for severe convulsions and death? PCC What potential problems could arise due to combination of alcohol with. administering oral medications during a seizure is not indicated due to risk of aspiration. d) Pallor in the lower extremity, The nurse is educaing Ms. Morrow and her daughter on food choices that will promote wound Ratings 100% (17) Key Term jermaine jones vsim post quiz. A patient reports severe epigastric pain after eating. another medication prescribed for his wife. mood swings Patient was breathing at 12 breaths per minute. NRSG MISC. c) Ensure disposal of all home medications. A patient who has experienced vomiting for several days is admitted to the hospital. B- inspecion 50mg sertraline once a day, but he also took one of his wifes alprazolam tablets. C-palpaion ranges. Teachings: I educated the patient on the importance of avoiding alcohol while taking sertraline Test. Phenobarbital is Patient education for this patient would include which of the following statements? A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. ), Exposure to irritants, Cigarette smoking, Mucosal defects, Genetics. what is the therapeutic blood level for a pt receiving an IV infusion of magnesium sulfate? 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. The answers and Rationales to the required VSIM Prequiz. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. The RN is checking a patient's BP in the thigh related to new inability to assess BP in arms. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. Patients taking SSRIs are at an increased risk of suicidal behavior. The patient was graded a 3. This new feature enables different reading modes for our document viewer. vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and Which characterisics should e) Length. Jermaine Jones consumed alcohol while taking alprazolam and sertraline. : an American History Ratings 100% (11) This preview shows page 1 - 10 out of 10 pages. Which of the following directions for taking these two medications is correct? 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. 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. d) To simulate circulaion, it is important for me to vigorously massage my In the role of educator, the nurse instructs and counsels patients and their families about all aspects of health and illness. Prealbumin test Prealbumin test Which of the following nursing interventions should be implemented first for this patient? another medication prescribed for his wife. with the medications sertraline and alazopram. The chest, You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to, monitor the saturation and pulse here. and friends. 35. Assessment Tool 14-1: Braden Scale for Predicting Pressure Sore Risk, to the combination of alcohol with SSRIs and benzodiazepines. The bed should be kept in low position and objects removed from the bed. She has brown hyperpigmentation on both lower legs Louinna_Cross. d) Amount 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. I completed a c) Color VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. patrick schulte highlights. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 2. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box recent events. c) Hydraion She is on a regular diet with nutritional Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Pre-Simulation Quiz. 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 nurse is admitting a pediatric patient with a known seizure Because of the subtle changes in patient behavior, absence seizure activity may not be recognized or may be perceived falsely as inattentiveness. Cardiac arrest and anaphylactic shock are not complications commonly associated with tonic-clonic seizures. The nurse is compleing a skin assessment of an older adult paient. Which technique would the nurse use to perform A patient comes to the clinic 5 days after starting on an antidepressant. Rationale:After reaching the car seat height restriction, all 5-year-olds should ride in a booster seat that uses both the shoulder and lap belts. a) Papule Pulse was strong, 95 per minute, and regular.
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