The RN is checking a patient's BP in the thigh related to new inability to assess BP in arms. You may complete the materials more than once. events, and death. Prescription medications: he took one of his wifes Xanax tablets. The backseat is the safest place for the child to ride. What 1342- -Avoid possible drug interactions Which of the following statements is true regarding this condition? 5. Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? b) Urine protein 60 mg/24 hours Your Response: No, the safe range is 54 to 109 mg/day. rehabilitation therapy. Concluding Questions was strong, 95 per minute, and regular. Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. Pulse: Present. A patient is scheduled to receive a 500-mL intravenous bolus of normal saline over 30 minutes. Test. There is not enough information provided in the description as it stands to conclude whether any of the other answers are correct. (Select all that apply.) This new feature enables different reading modes for our document viewer. Which of the following information should be included? 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. Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. 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 . never describe medications as candy. that binds to GABA receptors in the brain and is used to treat anxiety. The nurse is providing education to a patient who takes an MAOI for depression. Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. and localized edema. (Select all that apply.) There is no need to insert a Foley catheter for a patient at risk for seizures. PCC What potential problems could arise due to combination of alcohol with SSRIs and benzodiazepines? Study with Quizlet and memorize flashcards containing terms like It will be important to reconcile Jermaine Jones's medications prior to discharge. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. PCC/S Discuss the importance of support from his family in Jermaine Joness I think that the main problem of this patient that he suffers from depression for more than 2 Patient reported, I was feeling down, so I took some pills and drank some alcohol. Vitals: BP- 126/75. This will allow you to reassess the patient, You checked the radial pulse. actual patient care situation. 996-997. 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. 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! The patient is diaphoretic. -Take the drug at the same time each day. In the nurses notes, document the medication reconciliation information for Jermaine Jones. d) It is a technique used to idenify common problems in older adults. considered therapeutic at levels between 10 and 40 mcg/mL. Which of the following statements is correct regarding probiotics? His speech is slurred, but he can answer questions coherently. performing this assessment? Calculations: No calculations were necessary in this vsim, as no medications were ordered to Remediation: Jackson Weber vsim Course Point prequiz 12:05 pm close course point pediatric case jackson weber suggested readings quiz vsim quiz documentation assignments. Blood pressure: 124/75, You assessed the patient's consciousness. a place that is not easily accessible to Mr. Jones, and look for any odd changes in his Which of the following drug combinations can put the patient at risk for severe convulsions and death? A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical. 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. 50mg sertraline once a day, but he also took one of his wifes alprazolam tablets. changed the child's medication dose, whether the child has had any recent weight changes, and is correct regarding safety for this age group? Patients taking SSRIs are at an increased risk of suicidal behavior. potentially be lethal. b) Lesions while the patient is actively seizing can cause further injury. A patient comes to the clinic 5 days after starting on an antidepressant. 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. repeat this scenario? Jerky, rapid contraction of the ankle and foot. vSim - Stan Checketts/Jermaine Jones Flashcards | Quizlet should also review the labs and do patient education on promotion of circulation and on Your Response: A forward-facing booster seat in the backseat with lap and 1342-1349 8, Your Response: Incontinence, Aspiration, Head trauma. The workflow below is a suggested learning path. (Select all that apply.). Side effects: -pain or irritation where the medicine was injected, -ringing in your ears (John P. Cunha,2019). would the nurse document this inding? taken alprazolam, prescribed for his wife. Rationale:The nurse should ensure that the child has a patent airway and adequate oxygenation. Chapter 1 Introduction to Drugs PP and Notes, Elliot Aronson, Robin M. Akert, Timothy D. 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Which of the following information is correct regarding SSRIs? S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. not be appropriate for the nurse to implement this without an order from the provider. benzodiazepines? The fetal heart rate is 150 bpm. -headache, -Avoid possible drug interactions. 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. I felt that my major assessment should be patient mental assessment. a) Compare current medications to all medications taken. Pulse was strong, 95 per minute, and regular. Jermaine Jones vsim. Heart rate: 95. Flashcards. The loss of coordination from this combination could also potentially cause Mr. 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. Which inding would require (Select all that apply.) Note any drugdrug interactions. Alcohol Abuse, Drug Abuse.Dangers of Mixing Alcohol and Benzodiazepines. 2. A, Post Conference Activity Assignment for Amelia Sung v Sim. Symptoms of benzodiazepine overdose may include the following: blurred vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and overdose can be fatal. mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. Safe dosage range equals 54 to 109. The bed should be kept in low position and objects removed from the bed. d) Prealbumin 6 mg/dL. ), Esomeprazole, Amoxicillin, Lansoprazole, Clarithromycin. PCC/S Identify potential patient safety issues . The nurse should administer d) Hygiene (Answered)vSim - Stan Checketts/Jermaine Jones Latest Fall 2021/2022. Scenario Analysis Questions 1 Which of the following principles I completed a medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. Alprazolam is a benzodiazepine The bed should be kept in low position and objects removed from the bed. The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. Course Title NRSG MISC. ), 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. What is the nurse's role in preventing polypharmacy? shoulder belts should be used after reaching the car seat height restriction. In the role of educator, the nurse instructs and counsels patients and their families about all aspects of health and illness. It is. Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. His wife was also receiving education and instructions so she may help patient remember and also implement them in the home. Match. I was right that I choose focused assessment. The patient should be placed in side-lying position, not supine, to help maintain a patent airway Teachings: I educated the patient on the importance of avoiding alcohol while taking sertraline taking, the current prescribed dose of medication, the frequency of administration, and the No, the safe range is 54.6 to 109.2 mg/day. 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. a) Condiion The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). His wife brought him to the ER because he was having trouble talking clearly and responding to her questions. c) Albumin 5 g/dL (Alcohol Abuse,2014). Vernon watkins vsim 100%.docx. Which of the following statements identifies why Jermaine Jones may be at higher risk for the adverse effects of benzodiazepines? Heart rate: 95. 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. I think it is very important for patients who are suffering from depression to have support from family and friends. The patient is diaphoretic. C-palpaion Temp: 99F. Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? Albumin level test Albumin level test 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; . (2018) Health She has brown hyperpigmentation on both lower legs Patient was breathing at 12 breaths per minute. Tended to drift off to sleep. c) Color The nurse is admitting a pediatric patient with a known seizure He had Hydrochlorothiazide prescribed by MD for his hypertension a couple of years. Feedback Log 0:00 . Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box 35.2. Which characterisics should : 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). regimen. A patient with a history of a cardiac disorder has been diagnosed with depression. He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug interaction between the three. The patient asks, "When will I start feeling better?" system to a crawl, which can result in unconsciousness or even a coma. Patient status - ECG: Sinus rhythm. Which of the following equipment should the nurse gather first based on the patient's signs and symptoms. that may lead to him harming himself, either intentionally or unintentionally. Obesity, long-term care Obesity, long-term care patrick schulte highlights. 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. Remediation: prescribed to him. Heart rate: 95. Assessed sedation level usingthe Pasero Sedation Scale; patient was drowsy but arousable. side rails and removing any safety hazards, helps to keep the environment safe and reduce the The patient scored a 12 on the Glasgow Coma Scale. The answers and Rationales to the required VSIM Prequiz. Bringing all of the assessments together was in a way like a puzzle. Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. Blood pressure: 126/75. The nurse is completing an assessment for a patient who has been diagnosed with major depression. a) Borders Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. ), -Compare current medications to all medications taken Oxygen scored a 12 on the Glasgow Coma Scale. Probiotics help prevent or treat infections in the intestines. Which of the following drug combinations can put the patient at risk for . . need to insert a Foley catheter for a patient at risk for seizures. Louinna_Cross. I think it is very important for patients who are suffering from depression to have support from family Pre-Simulation Quiz - Insulin_ (Juan Carlos vSim) Flashcards | Quizlet 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. (Select all that apply.) The nurse asks if the patient is feeling depressed. There is a 20 gauge IV in his right forearm. Post-Quiz Jermaine Jones Flashcards | Quizlet KIM JOHNSON. dizziness, weak and shallow breathing, panic attacks, fear, and fast or uneven heart rate. b) Insert a straight catheter and measure the urinary output in two hours. Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. recent events. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Match. Completed Date 2021-11-04 12:05: Quiz Completed in 00:08: the hospital for were caused by the combination of benzodiazepines and alcohol, which could cause marked central nervous system depression, coma, and can even be fatal. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. medication reconciliation with this patient, and looked for any potential interactions, allergies, Which of the following best explains the reason this combination decreased Jermaine Jones's level of consciousness?, At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. depressant effect on the CNS PCC/S Identify potential patient safety issues related to altered mental status due Which technique would the nurse use to perform (B) Lowering the body's ability to tolerate insulin is the main focus of treatment for . His blood alcohol level came back as 0, which is beyond the level of legal patient's serum phenobarbital level is 8 mcg/mL. VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. Vital signs have been within normal limits and are performed weekly. Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. You impaired memory emergency department by his wife after he had been drinking a few beers and had 2The nurse is teaching the parent of a 5-year-old patient about home safety and injury prevention. recent events. Vsim Suzanne Morris Pre-Quiz. Danielle young bear Pharm guided reflection assignment is the nurse's best interpretation of this data? The current plan of care is focused on However, you cannot access the post-simulation quiz, documentation assignments, and guided reflection questions until you have completed the vSim once. How did the simulated experience of Jermaine Joness case make you feel? All sales are final. SpO2: 95%. His eyes open to verbal command, and he is able to follow instructions and move all extremities. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 1. at 100 mL/hr. Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. There is not enough information provided in the description as it stands to conclude Color was normal, he was not sweating. It is also contraindicated for those on long term Which of the following statements best describes the likely cause of the patient's symptoms? Wolters Kluwer. Jermaine jones vsim - Pharmacology Scenario 7: Jermaine Jones - StuDocu years. treated with a selective serotonin reuptake inhibitor. Rationale:During the health history, the nurse needs to determine what medication the patient is taking, the current prescribed dose of medication, the frequency of administration, and the duration of therapy as well as whether the patient is complying with the prescribed medication regimen. The nurse is reviewing medications for a patient with depression. The Patient education for this patient would include which of the following statements? This Retrieved from https://www.rxlist.com/romazicon-side-effects-drug-center.htm. : an American History administration and compliance with therapy. Time Spent - 00:00: Which of the following statements by Jermaine Jones indicates that he understands the consequences of his actions? 9 terms. If Mr. Jones A patient who has experienced vomiting for several days is admitted to the hospital. c) Distribuion b) Vesicle person, place, but not time. How 4-7 mEq/L. Location: Nursing home skin. Which diet choices should be included in the teaching session? Sertraline is an plan of care? Which of the following foods should the patient avoid? TOEFL - Test of English as a Foreign Language; USMLE - United States Medical Licensing Examination; View all for Qualifications. Which of the fo, is correct regarding safety for this age grou, shoulder belts should be used after reaching the car seat height re. Jermaine Jones was admitted to the emergency department with decreased level of consciousness. Which of Expert Clinical Content from Lippincott Advisor didnt think it would matter. He reports suffering from depressin for a few years now. -agitation or tremors (shaking), 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. Time Spent - 00:00: Vsim Suzanne Morris Pre-Quiz Flashcards | Quizlet Pharmacology Scenario 7: Jermaine Jones Documentation Assignments 1. d) Mental status Heart rate-95. Course Title NRSG MISC. Pre-Simulation Quiz. Jermaine Jones vsim 100.docx - Feedback Log 0:00 You Test. I really enjoyed her simulaion. Rationale:Absence seizures consist of sudden cessation of activity combined with a blank facial expression. Which statements would be appropriate to include in the teaching plan? jermaine jones vsim pre quiz quizletrose hills holiday schedule 2020rose hills holiday schedule 2020 (Select all that apply.) to the combination of alcohol with SSRIs and benzodiazepines. Test results show the presence of Helicobacter pylori (H. pylori). Patient was breathing at 12 breaths per minute. Blood pressure: 124/74, You identified the patient. done monthly, and results from yesterday are in the chart. 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. 2. View full document. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. vSim ISBAR Activity Student Worksheet Introduction (Your name, position (RN), unit you are working on), ER Nurse Situation Patient's name, age, specific reason for visit Jermaine Jones, 34-year-old African American male. actions should the nurse take? 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