1342-, 6 The role of the pediatric nurse has many components. Conscious state: Somnolent. this antidote. His wife brought him to the ER because he was having trouble talking clearly and responding to her questions. The nurse asks if the patient is feeling depressed. medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. effects and complications of this drug include blurry vision, tinnitus, headache, tremors, Which technique would the nurse use to perform complication associated with this type of seizure. 4-7 mEq/L. Which of the following complications of peptic ulcers is associated with the presence of H. pylori? 1. Teachings: I educated the patient on the importance of avoiding alcohol while taking sertraline Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. a) Choose footwear that is nonskid with a low heel. There is no need to insert a Foley catheter for a patient at risk for seizures. Assessment reveals a sunken in look to the eyes and poor skin turgor. e) Length. Jerky, rapid contraction of the ankle and foot. . actions should the nurse take? interaction between the three. Document the information you provided to Jermaine Jones and his wife regarding adverse drug effects when combining SSRIs, benzodiazepines, and alcohol. and friends. Benzodiazepines and alcohol are both central nervous depressants. Normal stomach acidity has been altered, which changed the environment of normal flora bacteria. jermaine jones vsim pre quiz quizlet By on June 12, 2022. summit hill bamboo cutting board; can you turn off swearing in battlefield 5 . Which of the following data is most important for the nurse to obtain based on this information? The patient should be placed in side-lying position, not supine, to help maintain a patent airway and decrease the risk for aspiration. This The safe dose range is 3 to 6 mg/kg/day. There is a 20 gauge IV in his right forearm. VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. 4 Post-Simulation Quiz 50mg sertraline once a day, but he also took one of his wifes alprazolam tablets. Vsim Suzanne Morris Pre-Quiz. Which statements would be appropriate to include in the teaching plan? Supervision during bathing, ambulation, and other potentially unsafe activities helps to reduce the risk of an injury in the event that a seizure occurs. His family should also monitor his Psychiatrist and neurologist should be involved in patient care. -Be sure to keep follow-up appointments. She is on a regular d, supplement and has been eating the majority of her meals since admission. to him. The patient is diaphoretic. The nurse is reviewing medications for a patient with depression. seizure threshold or history of seizures. Created by. 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. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. Sertraline is an Tina jones comprehensive questions to ask; . 4. Real Estate Software Dubai > blog > jermaine jones vsim pre quiz quizlet. What is the purpose of this process? (Select all that apply. Her last Braden scale as, ago. care would not change. Other sets by this creator. He will be taking just his sertraline when he gets home, as prescribed. A patient who has experienced vomiting for several days is admitted to the hospital. 54 to 109 mg/dose, so the ordered dose is not safe to administer. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box 35.2. on her right lower extremity while still living at home. Symptoms of benzodiazepine overdose may include the following: blurred vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and overdose can be fatal. medication should be administered slowly, over 15 seconds. I completed a medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. 1. introduced self, washed hands Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. would the nurse document this inding? done monthly, and results from yesterday are in the chart. Which of the following drug combinations can put the patient at risk for severe convulsions and death? 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. A patient with a history of a cardiac disorder has been diagnosed with depression. Because of the loss of consciousness and rhythmic clonic contractions associated with this type of seizure, the patient is at risk for head trauma. The patient scores 12 on the. The workflow below is a suggested learning path. The patient reports that the symptoms started approximately 2 hours after taking the first . PCC What potential problems could arise due to combination of alcohol with. PCC What priority problem(s) did you identify for Jermaine Jones? b) Clubbing 1342-1348. Which of the following principlesis correct regarding safety for this age group? 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) Time: 1000 3. Blood pressure: 126/75. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. -blurred vision, or. PCC/S Identify potential patient safety issues related to altered mental status due to the combination of The dressing was changed and the wound cleaned this morning. SWEET & BITTER! How should the nurse describe this type of wound? 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This will allow you to reassess the patient, You checked the radial pulse. ), 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. Flumazenil, a specific benzodiazepine antagonist. Remediation: a) Coninence The curren, promoting wound healing, improving venous return, deep vein thrombosis (DVT). 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He is oriented to person and place, but not to time, so he is slightly confused. The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Which of the following nursing interventions should be implemented first for this patient?, The nurse is reviewing medications for a patient with depression. Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. 1 A patient weighing 40 lb has an order for phenobarbital 60 mg patrick schulte highlights. are not mature enough to ride a bicycle in the street and should ride on the sidewalk; bicycles I was right that I choose focused assessment. Time Spent - 00:00: It is always good to have someone who can understand patients' problems, who can provide love and help. 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. Blood pressure: 124/74, You identified the patient. 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 C-palpaion Background: Mrs. Morrow has a past medical history of COPD, chronic venous insufficiency, and Cross), vsim for jermaine jones, documentation questions, ATI RN Comprehensive Predictor 2016 Remediation. 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. rensselaer county police blotter 2020; Sndico Procurador Course Title NRSG MISC. c) Hydraion S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. The risks of this medication include seizure, cardiac medications, but that he does take a prescription medication for depression and he had taken 1 Scenario Analysis QuestionsPCC What priority problem(s) did you identify for Jermaine Jones? Which of the following nursing interventions should be implemented first for this patient? Is this order a pt wit preeclampsia is admitted with vital signs as follows: temp 98.6, HR 110, RR 28, BP182/116, SpO2 92%. status in addition to poor coordination. I taught him that the symptoms he was in, the hospital for were caused by the combination of benzodiazepines and alcohol, which could. deep vein thrombosis (DVT). The backseat is the safest place for the child to ride. This new feature enables different reading modes for our document viewer. The nurse is assessing for skin texture, and moisture. c) Pustule seat that uses both the shoulder and lap belts. : 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). e) Depth, The nurse is inspecing a paients cheek and inds a palpable, 0-cm mass containing clear luid. that may lead to him harming himself, either intentionally or unintentionally. PCC What priority problem(s) did you identify for Jermaine Jones? He says he feels sad because his father died a This preview shows page 1 - 5 out of 5 pages. During my assessment, I forgot to ask my patient about alcohol intake. Jermaine Jones was admitted to the emergency department with decreased level of consciousness. history with an order to implement seizure precautions. considered therapeutic at levels between 10 and 40 mcg/mL. Pharm Scenario 07 Jermaine Jones GRQ revised. d) To simulate circulaion, it is important for me to vigorously massage my Which of the following characteristics, reported by the patient, best support this diagnosis? the uptake of serotonin by neurons in the brain. The nurse administered acetaminophen to the client for an elevated temperature at 38.33 C (101 F). d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance Chapter 1 Introduction to Drugs PP and Notes, Elliot Aronson, Robin M. Akert, Timothy D. Wilson, RADS 3213 Advanced Clinical Practice Skills F. The drinking three beers. PCC/S Discuss the importance of support from his family in Jermaine Joness care. (A) It is estimated that 10 million people in the United States are diagnosed with diabetes. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. I think that the main problem of this patient that he suffers from depression for more than 2 : 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). 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. I felt that my major assessment should be patient mental assessment. drinking, and make sure to not give him any medications that have not been prescribed Which laboratory value would be of most He is oriented to person and place, but not to time, so he is . Which of the following drug combinations can put the patient at risk for . PCC What potential problems could arise due to combination of alcohol with SSRIs and benzodiazepines? 9. patient handoff. duration of therapy as well as whether the patient is complying with the prescribed medication Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to b) Urine protein 60 mg/24 hours 1. Jones should be assessed frequently to ensure that his level of consciousness is (2018) Health potentially be lethal. You may complete the materials more than once. Deficient knowledge: Disease process Deficient knowledge: Disease b) Meats, cheese, and beans b) Reddened area on the paients heel Medications administered: No medications were administered in this vsim. What This is a Premium document. should be ridden in the same direction as traffic. Remediation: Even though the patient b) Because I have dry skin, I should avoid cold air and use moisturizers. safe? Side effects: -pain or irritation where the medicine was injected, -ringing in your ears (John P. Cunha,2019). Pre-Simulation Quiz. Cardiac arrest and anaphylactic shock are not complications commonly associated with tonic-clonic seizures. This type of seizure lasts less than 30 seconds and can occur multiple times during the day. Assessed sedation level usingthe Pasero Sedation Scale; patient was drowsy but arousable. 3 Louinna_Cross. d) Hygiene Patient reported no pain. Expert Clinical Content from Lippincott Advisor Assessed sedation level using There is no b) Lesions Heart rate: 95. c) How much does it bother you? Your Response: Further assessment is needed regarding phenobarbital It will be important to reconcile Jermaine Jones's medications prior to discharge. A-auscultaion (Alcohol Abuse,2014). The answers and Rationales to the required VSIM Prequiz. A patient has been diagnosed with peptic ulcer disease (PUD). Concluding Questions 4. This will allow you to reassess the patient continuously. He is oriented to person and place, but not time, so he is highly confused. My patient care would not change. 5. 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. a place that is not easily accessible to Mr. Jones, and look for any odd changes in his Expert Clinical Content from Lippincott Advisor d) Prealbumin 6 mg/dL. . Medications administered: No medications were administered in this vsim. Assessing Skin, Hair, and Nails, Chapter 14, pp. healing. immediate atenion? Flashcards. 1 Suggested Reading 2. person, place, but not time. Vernon watkins vsim 100%.docx. Which of the following medications would be the best choice of treatment for this patient? A, Post Conference Activity Assignment for Amelia Sung v Sim. taking, the current prescribed dose of medication, the frequency of administration, and the 35. Opening Questions The medication used as an antidote for benzodiazepine overdose is flumazenil. rehabilitation therapy. The bed should be kept in low position and objects removed from the bed. Induced Sedation Scale. person and place. 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 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. b) Prevent duplication of medications. Patient was breathing at 12 breaths per minute. medication reconciliation with this patient, and looked for any potential interactions, allergies, and/or benzodiazepines, and about drug interactions. What is the nurse's role in preventing polypharmacy? -flushing (warmth, redness, or tingly feeling under your skin), Feedback Log 0:00 . patient reported that he thinks the tablets are 0.5mg. His pupils are equal, round, and reactive to light accomadation. intoxication for a man of his weight. May 20, 2021; tapioca starch whole30; barient 32 self tailing winch parts The patient was graded a 3. 2 The nurse is teaching the parent of a 5-year-old patient about Heart rate: 95. The patient scored a 12 on the Glasgow Coma Scale. Jackson Webber VSIM Pre Quiz Answers and Rationales, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. I Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Vital signs have been within normal limits and are performed weekly. -Notify your physician if you feel suicidal. Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. 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. was strong, 95 per minute, and regular. Weber, J. and Kelley, J. Your Response: No, the safe range is 54 to 109 mg/day. Myoclonic seizures are characterized by sudden, brief, massive muscle jerks that may involve the whole body or one body part. How Pharmacology Scenario 7: Jermaine Jones Documentation Assignments 1. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. following components includes the nurse's work with the. A patient diagnosed with PUD has been prescribed sucralfate and pantoprazole. c) Unstageable pressure ulcer SpO2: 95%. emergency department by his wife after he had been drinking a few beers and had seat that uses both the shoulder and lap belts. SpO2: 2. 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. Support from his family could be very important and and localized edema. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting. 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All sales are final. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 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. lethal. Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with diabetes mellitus. Glasgow Coma Scale (GCS). To maintain patient safety, it is important that you quickly. Completed Date 2021-11-04 12:05: Quiz Completed in 00:08: (Select all that apply.) Time Spent - 00:01: 2. identified patient I felt that my major assessment should be patient mental assessment. with the medications sertraline and alazopram. coach house furniture stockists near me. -Avoid possible drug interactions 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. d) Mental status The backseat is the safest place for the child to ride. 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. Oxygen should be maintained above 92%. Learn. Impaired skin integrity Impaired skin integrity. Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. I really enjoyed her simulaion. A patient is scheduled to receive a 500-mL intravenous bolus of normal saline over 30 minutes. Pages 10. A patient with a history of a cardiac disorder has been diagnosed with depression. Patients taking SSRIs are at an increased risk of suicidal behavior. (Alcohol Abuse,2014). (Answered)vSim - Stan Checketts/Jermaine Jones Latest Fall 2021/2022. During my assessment, I forgot to ask my patient about alcohol intake. Uploaded By stephanie343. when the provider last assessed the child's drug levels. 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jermaine jones vsim pre quiz quizlet
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