repeat this scenario? Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. PCC What potential problems could arise due to combination of alcohol with. The nurse is providing education to a patient who takes an MAOI for depression. assistance with positioning in bed and with getting out of bed to sit in a chair or ambulate. 3. a) Texture medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. Health Assessment c) Hydraion Implementation of seizure precautions, including rasing the b) Prevent duplication of medications. 1. The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. Q. Dr. Ramen recruited 100 adults to participate in her study. 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Patient was oriented to Palpate the bladder for distention and record findings in the chart. Pharm Scenario 07 Jermaine Jones GRQ revised. Which of the following drug combinations can put the patient at risk for severe convulsions and death? The chest was moving equally. Which of the following information should be included when providing patient education on this drug? How did the simulated experience of Jermaine Joness case make you feel? potentially be lethal. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. She is on a regular d, supplement and has been eating the majority of her meals since admission. To prevent accidental ingestion, parents should never describe medications as candy. The nurse is completing an assessment for a patient who has been diagnosed with major depression. The backseat is the safest place for the child to ride. drinking three beers. The nurse asks if the patient is feeling depressed. following components includes the nurse's work with the. Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely the patient. Normal elasticity of the I He is oriented to person and place, but not to time, so he is slightly confused. with the medications sertraline and alazopram. Match. What Jermaine Jones vsim. is the nurse's best interpretation of this data? His eyes open to verbal command, and he is able to follow instructions and move all extremities. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. The patient reported that he does not take any herbal or over the counter You washed your hands. Side effects: -pain or irritation where the medicine was injected, -ringing in your ears (John P. Cunha,2019). risk of injury. A, Post Conference Activity Assignment for Amelia Sung v Sim. He reports no thoughts of self-harm, no lost interest in daily activities, no trouble sleeping, but he has lost his appetite. 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! Prescription medications: he took one of his wifes Xanax tablets. behavior which could signify a worsening in his depression. Temp: 99F. His wife was also receiving education and instructions so she may help patient remember and also implement them in the home. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting. medications, but that he does take a prescription medication for depression and he had taken Which of the following antidepressant agents is contraindicated for this patient? Psychiatrist and neurologist should be involved in patient care. the uptake of serotonin by neurons in the brain. Which of the following statements identifies why Jermaine Jones may be at higher risk for the adverse effects of benzodiazepines? 1344-1345, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 4. what is the therapeutic blood level for a pt receiving an IV infusion of magnesium sulfate? 5. d) To simulate circulaion, it is important for me to vigorously massage my In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. (Select all that apply.). The dressing was changed and the wound cleaned this morning. to him. a) Potassium 4 mEq/L cause marked central nervous system depression, coma, and can even be fatal. His blood alcohol level came back as 0, which is beyond the level of legal of alcohol with SSRIs and benzodiazepines can lead to decreased consciousness, Prealbumin test Prealbumin test Which of the following best explains the reason this combination decreased Jermaine Jones's level of consciousness? Jermaine Jones took his wife's alprazolam. Your Response:No, the safe range is 54.6 to 109.2 mg/day. events, and death. with +2 edema. C-palpaion another medication prescribed for his wife. Myoclonic seizures are characterized by sudden, brief, massive muscle jerks that may involve the whole body or one body part. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 2. and localized edema. Which of the following principles Alprazolam is a benzodiazepine Time: 1000 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. (Select all that apply.) . A patient is newly diagnosed with depression. the uptake of serotonin by neurons in the brain. Pre-Simulation Quiz. It can take up to 4 weeks before feeling the effects of antidepressants. a pt wit preeclampsia is admitted with vital signs as follows: temp 98.6, HR 110, RR 28, BP182/116, SpO2 92%. -flushing (warmth, redness, or tingly feeling under your skin), Which characterisics should 5. asked about medication (alcohol consumption, otc pills PRE. 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. . Remediation: 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 characteristics, reported by the patient, best support this diagnosis? Remediation: . Tina jones comprehensive questions to ask; . A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. What is the purpose of this process? c) Ensure disposal of all home medications. You are conducting discharge teaching for Jermaine Jones related to the cause of his decreased level of consciousness. The bed should be kept in low position and objects removed from the bed. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using The fetal heart rate is 150 bpm. Rationale: After reaching the car seat height restriction, all 5-year-olds should ride in a booster d) Venous stasis ulcer, The nurse is providing teaching to Ms. Morrow on how to prevent addiional venous stasis ulcers. Opening Questions Which of the following foods should the patient avoid? : 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. (Select all that apply.). 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. d) Provide a complete list of new medications . gait is unsteady and she is easily fatigued. 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. Firearms should be kept in a locked cabinet with the ammunition stored separately, are not mature enough to ride a bicycle in the street and should ride on the sidewalk; bic, should be ridden in the same direction as traf, The nurse is admitting a pediatric patien, history with an order to implement seizure precau, Keep oxygen and suction at the bedside, Supervise when ambulating or bathing, and suction should be readily available at the bedside. a) Compare current medications to all medications taken. Blood pressure: 126/75. A patient with a history of a cardiac disorder has been diagnosed with depression. 4. SpO2: 95%. Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be Test. Location: Nursing home Jermaine Jones Post-Simulation Quiz 1 Suggested Reading 2 Pre-Simulation Quiz 3 vSim 4 Post-Simulation Quiz 5 Documentation Assignments 6 Guided Reflection Questions . The nurse has an order to check a patient's post-void residual urine. Supervision during bathi, and other potentially unsafe activities helps to reduce the risk of an injury in the eve, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. This (Select all that apply.) The patient should be placed in side-lying position, not supine, to help maintain a patent airway and decrease the risk for aspiration. Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. Jermaine Jones pre quiz 100.docx -. The nurse is assessing for skin texture, and moisture. 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. Which of the following information is correct regarding SSRIs? Diagnostic Tests, 1. Quality Improvement (QI), Safety (S), and Informatics (I). The RN is checking a patient's BP in the thigh related to new inability to assess BP in arms. Which of the following nursing interventions should be implemented first for this patient?, The nurse is reviewing medications for a patient with depression. Safe dosage range equals 54.6 to 109.2 mg/day. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. Side The loss of coordination from this combination could also potentially cause Mr. During my assessment, I forgot to ask my patient about alcohol intake. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to repeat this scenario? Bringing all of the assessments together was in a way like a puzzle. To maintain patient safety, it is important to wash your, Patient status - ECG: Sinus rhythm. (Select all that apply. to the combination of alcohol with SSRIs and benzodiazepines. Which statements would be appropriate to include in the teaching plan? A patient has been diagnosed with peptic ulcer disease (PUD). The nurse should administer ranges. that binds to GABA receptors in the brain and is used to treat anxiety. In the nurses notes, document the medication reconciliation information for Jermaine Jones. Medications administered: No medications were administered in this vsim. Pharmacology Scenario 3: Danielle Young Bear Guided Reflection Questions. Match. 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? 3 The patient scores 12 on the. Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Recommendation: I would like you to complete a full-body skin assessment of Mrs. Morrow. dosage range by weight: 6 18 = 109 mg/day. Temperature: 99F. Vsim Suzanne Morris Pre-Quiz. PCC What priority problem(s) did you identify for Jermaine Jones? Her 1A patient weighing 40 lb has an order for phenobarbital 60 mgtwice daily. by the paient, indicates that the teaching was successful? Questions PRE-POST QUIZ Vsims Josephine Morrow, Health Assessment Case 1: Josephine Morrow. 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. a) Choose footwear that is nonskid with a low heel. 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. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. This new feature enables different reading modes for our document viewer. d) When did it begin? Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. mood swings appropriate. depressant effect on the CNS -agitation or tremors (shaking), (2014, June 11). You are reinforcing patient education for Jermaine Jones related to sertraline. 996-997. He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug Patients taking SSRIs are at an increased risk of suicidal behavior. prescribed to him. 63-64. What is the purpose of this process? increasing his depression lately. 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. Box 4-3: SBAR, Chapter 4, p. 58 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. performing this assessment? was strong, 95 per minute, and regular. 1. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. actual patient care situation. lethal. b) Vesicle Complete blood count (CBC) with differential Complete blood count The patient scored a 12 on the Glasgow Coma Scale. : 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. He took his help him tremendously during this difficult time. The patient reports that the symptoms started approximately 2 hours after taking the first . seat that uses both the shoulder and lap belts. You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. b) Reddened area on the paients heel Even though the patient PCC/S Discuss the importance of support from his family in Jermaine Joness care. 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 d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance Jones to suffer falls. c) Diminished pulses in the afected extremity There is not enough information provided in the description as it stands to conclude whether any of the other answers are correct. The nurse is admitting a pediatric patient with a known seizure This new feature enables different reading modes for our document viewer. Because of the loss of consciousness and rhythmic clonic contractions associated with this type of seizure, the patient is at risk for head trauma. care would not change. This was reasonable. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. Scenario Analysis Questions 1 impaired mobility, an unhealthy diet, and inability to adequately care for herself at home. Even though the patient mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. Patient education for this patient would include which of the following statements? correct to assess the patient's vital signs. Her b) Stage III pressure ulcer Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. What 266- c) Whole wheat bread and brown rice, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. This will allow you to reassess the patient continuously. sleep. SpO2: 95%. (Alcohol Abuse,2014). Completed Date 2021-11-04 12:05: Quiz Completed in 00:08: b) Lesions jermaine jones vsim pre quiz quizletrose hills holiday schedule 2020rose hills holiday schedule 2020 The safe dose range is 3 to 6 mg/kg/day. Which of the following nursing interventions should be implemented first for this patient? Prescription medications: he took one of his wifes Xanax tablets. c) Small, lat macules on both shoulders Respiration: 12. 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. -Provide a complete list of new medications Supervision during bathing, ambulation, and other potentially unsafe activities helps to reduce the risk of an injury in the event that a seizure occurs. All sales are final. -Take the drug at the same time each day. Louinna_Cross. Which of the following statements best describes the rationale for the nurse's question? (Answered)vSim - Stan Checketts/Jermaine Jones Latest Fall 2021/2022. Peripheral arterial disease was ruled out by duplex ultrasound. The pulse is strong, 95 per minute, and regular. : 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). Patient was breathing at 12 breaths per minute. seat that uses both the shoulder and lap belts. Retrieved from https://www.foundationsrecoverynetwork.com/dangers-mixing-alcohol-benzodiazepines/. Blood alcohol level is .27. Cardiac arrest and anaphylactic shock are not Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. Since both substances are depressants, they can greatly relax muscles and bring the central nervous -pain or irritation where the medicine was injected, Mr. Jones is drowsy, but arousable and oriented to -dizziness, All of his results for his BMP and CBC labs came back within normal Blood pressure: 126/75, mm Hg. Which of the following principlesis correct regarding safety for this age group? Symptoms of benzodiazepine overdose may include the following: blurred vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and overdose can be fatal. 4 A nurse is reviewing lab results and notes that a 5-year-old quiz, documentation assignments, and guided Pulse: Present. D PERCUSSION, The nurse is assessing a paients nails. PCC/S Identify potential patient safety issues related to altered mental status due to the combination of alcohol with SSRIs and benzodiazepines. 4. 2 Pre-Simulation Quiz 3. Which of the following information is correct regarding SSRIs? Probiotics help prevent or treat infections in the intestines. Chapter 1 Introduction to Drugs PP and Notes, Elliot Aronson, Robin M. Akert, Timothy D. Wilson, RADS 3213 Advanced Clinical Practice Skills F. on her right lower extremity while still living at home. c) Pustule 9 terms. mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. should be ridden in the same direction as traffic. Conscious state: Somnolent. 4. overdose can be fatal. 1342-1349 8, Your Response: Incontinence, Aspiration, Head trauma. I think it is very important for patients who are suffering from depression to have support from family (Select all that apply. During an admission assessment, the nurse notes a sudden onset of 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. ago. and friends. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. School Georgian College. Uploaded By stephanie343. Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. Pulse: Present. seizure occurs. Ratings 100% (17) Key Term jermaine jones vsim post quiz. A patient is placed on pantoprazole for the treatment of PUD. Phenobarbital is Chapter 14, pp. b) Insert a straight catheter and measure the urinary output in two hours. Patient was drinking alcoholic beverages while taking alprazolam. Cardiac arrest and anaphylactic shock are not complications commonly associated with tonic-clonic seizures. 247- Which of the following directions for taking these two medications is correct? jermaine jones vsim pre quiz quizlet. Talk about what went well in the scenario. . d) Pallor in the lower extremity, The nurse is educaing Ms. Morrow and her daughter on food choices that will promote wound It is. 2 The nurse is teaching the parent of a 5-year-old patient about e) Depth, The nurse is inspecing a paients cheek and inds a palpable, 0-cm mass containing clear luid. How would the nurse carry out this order? e) Length. assessment? The bed should be kept in low position and objects removed from the bed. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. A patient comes to the clinic 5 days after starting on an antidepressant. The curren, promoting wound healing, improving venous return, deep vein thrombosis (DVT). 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 He was graded to 3 on the Pasero Opioid- ACG 2021 Quiz Chapter 1; EDUC 327 The Teacher and The School Curriculum; 10 WEEK MEN'S Program Final; Gizmo Exploration: Food Chain; Tina jones comprehensive; PSY 355 Module One Milestone one Template; BC Ch3 9ed Study Guide SOME Answers; Physio Ex Exercise 1 Activity 2; Chapter 2 - Summary Give Me Liberty! Rationale:Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. They should ensure that any of their prescription medications are stored safely in ), PO ABBREVIATIONS AND CONVERSIONS - FOUNDATION, Cyber Security, FBLA massive review guide. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. It is always good to have someone who can understand patients' problems, who can provide The nurse is completing an assessment for a patient who has been diagnosed with major depression. TB-Chapter 21 Peripheral Vascular System and Lymphatic System, General Chemistry I - Chapter 1 and 2 Notes, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 1-2 Problem Set Module One - Income Statement, 1-2 Short Answer- Cultural Objects and Their Culture, The cell Anatomy and division.