She requires Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! His wife was also receiving education and instructions so she may help patient remember and also implement them in the home. Alprazolam is a benzodiazepine Flumazenil, a specific benzodiazepine antagonist. A psychologist can be involved during 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) PCC/S Discuss the importance of support from his family in Jermaine Jones's care. He is oriented to person and place, but not time, so he is highly confused. Cardiac arrest and anaphylactic shock are not complications commonly associated with tonic-clonic seizures. Report from the charge nurse: Patient reported no pain. Blood pressure: 122/73, You checked the patient's pupils, and they were 4 mm and reactive. 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. Calculations: No calculations were necessary in this vsim, as no medications were ordered to -headache, The chest was moving equally. dizziness, weak and shallow breathing, panic attacks, fear, and fast or uneven heart rate. She scored 14, indicating moderate risk. help him tremendously during this difficult time. Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with peptic ulcer disease (PUD). Normal elasticity of the skin. d) Provide a complete list of new medications . b) Do you have a family history of keloids? Tended to drift off to sleep. Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. Learn. not be appropriate for the nurse to implement this without an order from the provider. A patient presents at the clinic with complaints of insomnia, loss of appetite, lack of energy for the last 3 weeks, and feelings of worthlessness. The workflow below is a suggested learning path. 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. the nurse inspect for when evaluaing the lesion? on her right lower extremity while still living at home. 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. medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. What should the nurse include in the Safe dosage range equals 54 to 109. d) Exudate ago. Wolters Kluwer. The combination of SSRIs, benzodiazepines, and alcohol can cause altered mental Firearms should be kept in a locked cabinet with the ammunition stored separately. Myoclonic seizures are characterized by sudden, brief, massive muscle jerks that may involve the whole body or one body part. The patient should be placed in side-lying position, not supine, to help maintain a patent airway She is on a regular d, supplement and has been eating the majority of her meals since admission. Jones to suffer falls. c) Distribuion d) It is a technique used to idenify common problems in older adults. Pulse: Present. As an advocate, the nurse safeguards and advances the interests of patients and their families. TOEFL - Test of English as a Foreign Language; USMLE - United States Medical Licensing Examination; View all for Qualifications. You assessed the patient's neurological status. Vital signs should be monitored frequently. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. sleep. 3 Supervision during bathing, ambulation, Complete blood count (CBC) with differential Complete blood count Vital signs have been within normal limits and are performed weekly. Respiration: 12. benzodiazepine receptor antagonist. 1. c) Hydraion e) Depth, The nurse is inspecing a paients cheek and inds a palpable, 0-cm mass containing clear luid. Time Spent - 00:00: A patient who has taken pantoprazole for several years reports six or more incidents of foul-smelling watery diarrhea over the last 3 days. Time: 1000 Sertraline, alcohol, and alprazolam are all central nervous system depressants. 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! 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. Pages 5. A patient presents at the clinic with complaints of insomnia, loss of appetite, lack of energy for the last 3 weeks, and feelings of worthlessness. The nurse is admitting a pediatric patient with a known seizure The nurse ensures that the needs of the patient and family are met as a consultant through activities that include support group facilitation and working with the school nurse to plan the patient's care. was to drive a vehicle with this combination in his system, he could harm himself and Concluding Questions -blurred vision, or. Assessment in Nursing, 6th Edition. Benzodiazepines and alcohol are both central nervous depressants. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. person, place, but not time. b) Because I have dry skin, I should avoid cold air and use moisturizers. -Be sure to keep follow-up appointments. ), -Compare current medications to all medications taken d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance His blood alcohol level came back as 0, which is beyond the level of legal Match. Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. Which technique would the nurse use to perform d) Prealbumin 6 mg/dL. 1. introduced self, washed hands 35. c) How much does it bother you? Prescription medications: he took one of his wifes Xanax tablets. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. Rationale: During the health history, the nurse needs to determine what medication the patient is Your Response:No, the safe range is 54.6 to 109.2 mg/day. The nurse is providing education to a patient who takes an MAOI for depression. taking, the current prescribed dose of medication, the frequency of administration, and the Your Response: Check for a patent airway, Raise the side rails and remove any b) Reddened area on the paients heel PCC What potential problems could arise due to combination of alcohol with SSRIs and benzodiazepines? are not mature enough to ride a bicycle in the street and should ride on the sidewalk; bicycles A forward-facing booster seat in the backse, After reaching the car seat height restriction, all 5-year, Basic seizure precautions should be implemented to provide a safe environment for, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Document any assessment data related to Jermaine Jones diagnosis of depression. Louinna_Cross. Which techniques should the nurse consider using when signs should be closely monitored with extra attention to his respirations. Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. Preview text. 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. He had Hydrochlorothiazide prescribed by MD for his hypertension a couple of years. Flashcards. and decrease the risk for aspiration. Expert Clinical Content from Lippincott Advisor years. Remediation: At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. PCC What potential problems could arise due to combination of alcohol with. 4. the uptake of serotonin by neurons in the brain. Patient status - ECG: Sinus rhythm. He says he feels sad because his father died a A patient diagnosed with PUD has been prescribed sucralfate and pantoprazole. Key Term jermaine jones vsim; Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. I think it is very important for patients who are suffering from depression to have support from family and friends. His speech is slurred, but he can answer questions coherently. 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. Which of the following information is correct regarding SSRIs? A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. (Select all that apply.). How should the nurse describe this type of wound? The backseat is the safest place for the child to ride. Georgian College. Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. The nurse is compleing a skin assessment of an older adult paient. Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? -Take the drug at the same time each day. It is. (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. Her . Psychiatrist and neurologist should be involved in patient care. Symptoms of benzodiazepine overdose may include the following: blurred vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and overdose can be fatal. Which of the following antidepressant agents is contraindicated for this patient? Which of the following medications would be the best choice of treatment for this patient? The nurse asks if the patient is feeling depressed. To prevent accidental ingestion, parents should Which inding would require The patient reports that the symptoms started approximately 2 hours after taking the first . Jermaine Jones vsim. This mixture can drinking, and make sure to not give him any medications that have not been prescribed Quiz Name RicciKyle4e_Pre_Jackson Web ber. sleeping, but he has lost his appetite. a) Dependent rubor Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Maintain patency of airway. regimen. Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. Even though the patient mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. Cross), vsim for jermaine jones, documentation questions, ATI RN Comprehensive Predictor 2016 Remediation. His pupils are equal, round, and reactive to light accomadation. a) Texture Multiply low end of dosage range by weight: 3 18 = 54 mg/day. plan of care? Bringing all of the assessments together was in a way like a puzzle. In the role of educator, the nurse instructs and counsels patients and their families about all aspects of health and illness. View full document. Normal stomach acidity has been altered, which changed the environment of normal flora bacteria. Which of the following nursing interventions should be performed first for a patient with decreased level of consciousness? She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. was strong, 95 per minute, and regular. 5. asked about medication (alcohol consumption, otc pills Assessing Skin, Hair, and Nails, Chapter 14, pp. at 100 mL/hr. SpO2: 95%. 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. b) Lesions His eyes open to verbal command, and he is able to follow instructions and move all extremities. Abnormal Findings 22-1: Characteristics of arterial and Venous 2. Scenario Analysis Questions 1 4. Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. when the provider last assessed the child's drug levels. You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. Vernon watkins vsim 100%.docx. Which of the following statements by Jermaine Jones indicates that he understands the consequences of his actions? a) Condiion He Weber, J. and Kelley, J. Oxygen and suction should be readily available at the bedside. Which of the following foods should the patient avoid? Tended to drift off to NRSG MISC. Jackson Weber vsim Course Point prequiz 12:05 pm close course point pediatric case jackson weber suggested readings quiz vsim quiz documentation assignments. All of his results for his BMP and CBC labs came back within normal : 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). while the patient is actively seizing can cause further injury. Rationale:Absence seizures consist of sudden cessation of activity combined with a blank facial expression. 2 Pre-Simulation Quiz 3. Expert Clinical Content from Lippincott Advisor 2The nurse is teaching the parent of a 5-year-old patient about home safety and injury prevention. mg/day. He will be taking just his sertraline when he gets home, as prescribed. Include the medications he was taking prior to admission, any medications given during the scenario, and the medications he will be taking at home. Pulse: Present. A patient comes to the clinic 5 days after starting on an antidepressant. To maintain patient safety, it is important that you quickly. another medication prescribed for his wife. His family should also monitor his A patient is newly diagnosed with depression. I really enjoyed her simulaion. Alcohol should not be consumed when taking alprazolam or sertraline. gait is unsteady and she is easily fatigued. 95%. ), Exposure to irritants, Cigarette smoking, Mucosal defects, Genetics. with the medications sertraline and alazopram. (Select all that apply. maintaining good skin integrity. 1344-1345, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. The patient is diaphoretic. You are conducting discharge teaching for Jermaine Jones related to the cause of his decreased level of consciousness. The current plan of care is focused on 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. The pulse is strong, 95 per minute, and regular. Retrieved from https://www.foundationsrecoverynetwork.com/dangers-mixing-alcohol-benzodiazepines/. Heart rate: 95. Box 38. 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. 247- Ratings 100% (17) Key Term jermaine jones vsim post quiz. the uptake of serotonin by neurons in the brain. 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. PCC What priority problem(s) did you identify for Jermaine Jones? Which of the following equipment should the nurse gather first based on the patient's signs and symptoms. Pulse: Present. d) When did it begin? Her Labs monitored: The patient had his blood drawn for a BMP, CBC, and blood alcohol level Which of the following complications of peptic ulcers is associated with the presence of H. pylori? (2014, June 11). Pharmacology Scenario 7: Jermaine Jones Documentation Assignments 1. : 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. 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. benzodiazepines, patients with tachycardia, and those with a widened QRS complex. 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. PCC/S Discuss the importance of support from his family in Jermaine Joness care. The combination 1342- immediate atenion? He was brought to the Videosubmission group 6-FIM T121WSB-1 2000 48, 00380 0916 Assignment cover sheet- Fillable online, Media 4 - Group 5 - business ethics and CSR, Pharm Scenario 08 Suzanne Morris GRQ revised, Advanced Care of the Adult/Older Adult (N566), Critical Business Skills For Success (bus225), Strategic Decision Making and Management (BUS 5117), Organic Chemistry Laboratory I (CHM2210L), Care of the childrearing family (nurs420), Child and Adolescent Psychology (PSY-355), Communication As Critical Inquiry (COM 110), Introduction to Health Psychology (PSYC1111), Legal Issues in Information Security (C 841), Leadership And Management For Nursing (NSG 403), Biological Principles II and Lab (BIOL 107/L), 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), Chapter 1 - Summary International Business, General Chemistry I - Chapter 1 and 2 Notes, Copy Of Magnetism Notes For Physics Academy Lab of Magnetism For 11th Grade, Chapter 5 - Summary Give Me Liberty! Which diet choices should be included in the teaching session? The ordered dose of phenobarbital 60 mg twice daily, or 120 mg per day, is above the range of 54.6 to 109.2 mg/dose, so the ordered dose is not safe to administer. . Health Assessment The fetal heart rate is 150 bpm. The workflow below is a suggested learning path. Which of the following drugs may be included in triple (combination) therapy for patients with peptic ulcers caused by H. pylori? The workflow below is a suggested learning path. Talk about what went well in the scenario. A patient comes to the clinic 5 days after starting on an antidepressant. Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. -agitation or tremors (shaking), Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. Her last Braden scale assessment was conducted 2 days Preschoolers b) Urine protein 60 mg/24 hours The patient is a 60-year-old male who has hypertension and heart failure. side rails and removing any safety hazards, helps to keep the environment safe and reduce the This preview shows page 1 - 5 out of 5 pages. responding to her questions. The patient reported that he does not take any herbal or over the counter c) Pustule Questions PRE-POST QUIZ Vsims Josephine Morrow, Health Assessment Case 1: Josephine Morrow. contractions alternating with relaxation of all muscle groups. (Select all that apply.). : an American History, ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH), CWV-101 T3 Consequences of the Fall Contemporary Response Worksheet 100%, Leadership and management ATI The leader CASE 1, Pretest IN Grade 10 English jkhbnbuhgiuinmbbjhgybnbnbjhiugiuhkjn,mn,jjnkjuybnmbjhbjhghjhjvjhvvbvbjhjbmnbnbnnuuuuuuhhhghbnjkkkkuugggnbbbbbbbbfsdehnnmmjjklkjjkhyt ugbb, Entrepreneurship Multiple Choice Questions, Fundamentals-of-nursing-lecture-Notes-PDF, Med Surg Nursing Cheat Sheets 76 Cheat Sheets for Nursing Students nodrm pdf, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. d) Wheal, 1 nurse is reviewing Ms. Morrows nutriional status. Albumin level test Albumin level test Flumazenil is a administering oral medications during a seizure is not indicated due to risk of aspiration. The use of this medication is contraindicated in patients with a lowered Document the information you provided to Jermaine Jones and his wife regarding adverse drug effects when combining SSRIs, benzodiazepines, and alcohol.