Patient status - ECG: Sinus rhythm. sleeping, but he has lost his appetite. It will be important to reconcile Jermaine Jones's medications prior to discharge. All sales are final. 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. a) Arterial ulcer How did the simulated experience of Jermaine Joness case make you feel? skin. Which of the following principlesis correct regarding safety for this age group? 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Pulse was strong, 95 per minute, and regular. 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! He had Hydrochlorothiazide prescribed by MD for his hypertension a couple of years. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. Jermaine jones vsim - Pharmacology Scenario 7: Jermaine Jones - StuDocu Pages 5. 2. Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. complication associated with this type of seizure. Concluding Questions Post-Quiz Jermaine Jones Flashcards | Quizlet care would not change. This will allow you to reassess the patient, You checked the radial pulse. The dressing was changed and the wound cleaned this morning. Side effects: The chest was moving equally. (B) Lowering the body's ability to tolerate insulin is the main focus of treatment for . The nurse asks if the patient is feeling depressed. daughter recently moved her to this nearby nursing home due to concern for her safety related to to the combination of alcohol with SSRIs and benzodiazepines. appropriate. There is not enough information provided in the description as it stands to conclude (Select all that apply.). Which of the following is a common side effect of this medication? c) Color rensselaer county police blotter 2020; Sndico Procurador Medications administered: No medications were administered in this vsim. My patient care would not change. lethal. d) Amount The medication used as an antidote for benzodiazepine overdose is flumazenil. Atonic seizures involve a sudden loss of muscle tone, which in children may be only a sudden drop of the head. Assessment: Mrs. Morrow is alert and oriented to person, time, and place but sometimes forgets regimen. - Patient confused, under the influence, and more than likely will be a poor historian. Pharmacology Scenario 7: Jermaine Jones Documentation Assignments 1. At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. 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. Opening Questions How did the simulated experience of Danielle Young Bear's case make you feel? Vital signs should be monitored frequently. treated with a selective serotonin reuptake inhibitor. jermaine jones vsim pre quiz quizlet. 3 vSim 4. Created by. 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. Patient was breathing at 12 breaths per minute. promoting wound healing, improving venous return, and preventing skin breakdown. He is breathing at 12 breaths per minute. Patient was breathing at 12 breaths per minute. Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. tonic contractions of the patient's entire body followed by clonic Is this order The combination b) Prevent duplication of medications. side rails and removing any safety hazards, helps to keep the environment safe and reduce the ), -Compare current medications to all medications taken would the nurse document this inding? seizure threshold or history of seizures. a) Have you had any hair loss? Vital signs have been within normal limits and are performed weekly. vSim once. Multiply low end of dosage range by weight: 3 18 = 54 mg/day. Impaired physical mobility Impaired physical mobility Which of the following drug combinations can put the patient at risk for severe convulsions and death? 3. 3. took vitals (temp, pulse, respirations, o2, bp) Restraining the patient or placing anything in the mouth, such as a tongue blade, Which of the following principles Scenario Analysis Questions 1 : an American History taking, the current prescribed dose of medication, the frequency of administration, and the Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? A-auscultaion Which of the following nursing interventions should be implemented first for this patient? d) Mental status Pharm: Jermaine Jones Post-Sim VSIM Flashcards | Quizlet This preview shows page 1 - 5 out of 5 pages. 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. 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. Use the self-concept theory to generate marketing strategies for the Carnival Cruise Lines. Which of the following directions for taking these two medications is correct? T&C What other interprofessional team members should be involved in Jermaine Joness care? Jermaine Jones vsim 100.docx - Feedback Log 0:00 You a) When I take a bath, I should use hot water. Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 4. At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. the hospital for were caused by the combination of benzodiazepines and alcohol, which could Pharm Scenario 08 Suzanne Morris GRQ revised - StuDocu A patient is newly diagnosed with depression. Your Response: Keep bed in low position and remove objects from the bed, Blood alcohol level is .27. Rationale:Absence seizures consist of sudden cessation of activity combined with a blank facial expression. done monthly, and results from yesterday are in the chart. Deficient knowledge: Disease process Deficient knowledge: Disease The workflow below is a suggested learning path. Tended to drift off to (Select all that apply.) others. seat that uses both the shoulder and lap belts. The patient should be placed in side-lying position, not supine, to help maintain a patent airway and decrease the risk for aspiration. -Avoid possible drug interactions. b) Because I have dry skin, I should avoid cold air and use moisturizers. Varicose veins Varicose veins jermaine jones vsim pre quiz quizletrose hills holiday schedule 2020rose hills holiday schedule 2020 Prealbumin test Prealbumin test The pulse is strong, 95 per minute, and regular. PRE. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. The combination of SSRIs, benzodiazepines, and alcohol can cause altered mental a place that is not easily accessible to Mr. Jones, and look for any odd changes in his View full document. when the provider last assessed the child's drug levels. ranges. actual patient care situation. Louinna_Cross. It can take up to 4 weeks before feeling the effects of antidepressants. The bed should be kept in low position and objects removed from the bed. ranges. responding to her questions. The patient is diaphoretic. gait is unsteady and she is easily fatigued. The patient scores 12 on the. Patient reported, I was feeling down, so I took some pills and drank some alcohol. Tina jones comprehensive questions to ask; . actions should the nurse take? I would monitor patients vital signs, espessialy respirations. following components includes the nurse's work with the. Your Response: A forward-facing booster seat in the backseat with lap and 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. Learn. benzodiazepines? ), Esomeprazole, Amoxicillin, Lansoprazole, Clarithromycin. Medications administered: No medications were administered in this vsim. I Her last Braden scale as, ago. Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. According to the blood alcohol chart, this level would Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. 4. assessed consciousness Talk about what went well in the scenario. 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Rationale:Basic seizure precautions should be implemented to provide a safe environment for the patient. Alcohol Abuse, Drug Abuse.Dangers of Mixing Alcohol and Benzodiazepines. What should the nurse include in the : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Assessment Tool 14-1: Braden Scale for Predicting Pressure Sore Risk, Flashcards. She has brown hyperp. 1. 63-64. 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. c) Diminished pulses in the afected extremity - Drinking alcohol and taking the medications was a bad idea. 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. 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. The backseat is the safest place for the child to ride. The nurse asks if the patient is feeling depressed. The nurse has an order to check a patient's post-void residual urine. Georgian College. Which of the following factors placed this patient at a higher risk for developing this disease? You This patient should be taught to not take medications that have not been Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. He says he feels sad because his father died a year ago. Which characterisics should (2018) Health 5. asked about medication (alcohol consumption, otc pills benzodiazepines, patients with tachycardia, and those with a widened QRS complex. Is this order safe? 996- love and help. be administered. This the Pasero Sedation Scale; patient was drowsy but arousable. 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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 of the following statements by Jermaine Jones indicates that he understands the consequences of his actions? Which of the following foods should the patient avoid? before I came to see him. 1342- 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. The reported combination of signs and symptoms are characteristic of clinical depression. -Be sure to keep follow-up appointments. while the patient is actively seizing can cause further injury. The last BP reading in the right arm was 120/50. 1A patient weighing 40 lb has an order for phenobarbital 60 mgtwice daily. system to a crawl, which can result in unconsciousness or even a coma. Find study . Since both substances are depressants, they can greatly relax muscles and bring the central nervous PCC/S Discuss the importance of support from his family in Jermaine Joness care. Diagnostic Tests, 1. b) Vesicle complications commonly associated with tonic-clonic seizures. -agitation or tremors (shaking), events, and death. Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an Which of the following information is correct regarding SSRIs? Time: 1000 PCC/S Identify potential patient safety issues related to altered mental status due to the combination of alcohol with SSRIs and benzodiazepines. Jermaine Jones Clinical Packet.docx - vSim ISBAR Activity Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to repeat this scenario? He took his The patient asks, "When will I start feeling better?" This was reasonable. He was graded to 3 on the Pasero Opioid- 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. 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? 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. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. Blood pressure: 126/75, mm Hg. d) Wheal, 1 nurse is reviewing Ms. Morrows nutriional status. slurred speech, reduced coordination, drowsiness, and depressed respirations. 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. Which 35. The bed should be kept in low position and objects removed from the bed. Chapter 14, pp. Time Spent - 00:01: Which of the following data is most important for the nurse to obtain based on this information? Time Spent - 00:00: on her right lower extremity while still living at home. During my assessment, I forgot to ask my patient about alcohol intake. Labs are 2. a) Dependent rubor Which diet choices should be included in the teaching session? Study with Quizlet and memorize flashcards containing terms like A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. Patient education for this patient would include which of the following statements? All of his results for his BMP and CBC labs came back within normal trumansburg board of education drinking, and make sure to not give him any medications that have not been prescribed Pulse: Present. 3 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. 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. Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. You asked if the patient was <Allergy>allergic<> to anything. 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 . There is no need to insert a Foley catheter for a patient at risk for seizures. The priority problem that I identified for Jermaine Jones was the combination of alcohol the patient. b) Leg pain and brownish or blue skin discoloraion Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. If Jermaine Jones had overdosed on his wife's alprazolam, which of the following medications should be given? Multiply high end of dosage range by weight: 6 18.2 = 109.2 mg/day. I taught him that the symptoms he was in You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. Which of the fo, is correct regarding safety for this age grou, shoulder belts should be used after reaching the car seat height re. home safety and injury prevention. jermaine jones vsim pre quiz quizlet Note any drugdrug interactions. Jones to suffer falls. a) Texture Conscious state: Somnolent. c) This assessment will help me ind out if you will be able to take care of Fluoxetine. (Select all that apply. c) Distribuion 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. . Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. I didnt think it would matter. He reports suffering from depressin for a few years now. (Answered)vSim - Stan Checketts/Jermaine Jones Latest Fall 2021/2022. (Select all that apply. (Select all that apply. with +2 edema. Firearms should be kept in a locked cabinet with the ammunition stored separately. I felt that my major assessment should be patient mental assessment. Time Spent - 00:00: Course Hero is not sponsored or endorsed by any college or university. Expert Clinical Content from Lippincott Advisor Course Title NRSG MISC. 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. 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. Jackson Webber VSIM Pre Quiz Answers and Rationales A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical. Impaired skin integrity Impaired skin integrity. history with an order to implement seizure precautions. another medication prescribed for his wife. What is the purpose of this process? He was brought to the Alprazolam is a benzodiazepine Recommendation: I would like you to complete a full-body skin assessment of Mrs. Morrow. immediate atenion? medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. 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. She has brown hyperpigmentation on both lower legs It can take up to 4 weeks before feeling the effects of antidepressants. PCC What potential problems could arise due to combination of alcohol with. status in addition to poor coordination. 50mg sertraline once a day, but he also took one of his wifes alprazolam tablets. He took his prescription depression medication this morning. 1344-1345, Box 38.2. was to drive a vehicle with this combination in his system, he could harm himself and If so, how would your patient care change? Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. Insufficiency, Chapter 22, p. 488 c) Unstageable pressure ulcer 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
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