jermaine jones vsim pre quiz quizlet
The reported combination of signs and symptoms are characteristic of clinical depression. A, Post Conference Activity Assignment for Amelia Sung v Sim. Assessed sedation level using jermaine jones vsim pre quiz quizlet By on June 12, 2022. summit hill bamboo cutting board; can you turn off swearing in battlefield 5 . recent events. SpO2: 95%. e) Length. ), Esomeprazole, Amoxicillin, Lansoprazole, Clarithromycin. done monthly, and results from yesterday are in the chart. ), 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. Tended to drift off to sleep. All of his results for his BMP and CBC labs came back within normal 247- A patient diagnosed with PUD has been prescribed sucralfate and pantoprazole. Albumin level test Albumin level test Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Background: Mrs. Morrow has a past medical history of COPD, chronic venous insufficiency, and Because of the loss of consciousness and rhythmic clonic contractions associated with this type of seizure, the patient is at risk for head trauma. lethal. Myoclonic seizures are characterized by sudden, brief, massive muscle jerks that may involve the whole body or one body part. PCC/S Identify potential patient safety issues related to altered mental status due to the combination of 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. 1342-1349 8, Your Response: Incontinence, Aspiration, Head trauma. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 2. He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug Atonic seizures involve a sudden loss of muscle tone, which in children may be only a sudden drop of the head. overdose can be fatal. Pulse: Present. The reported combination of signs and symptoms are characteristic of clinical depression. Sertraline, alcohol, and alprazolam are all central nervous system depressants. at 100 mL/hr. 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. Course Title NRSG MISC. Is this order safe? A-auscultaion vSim once. Labs monitored: The patient had his blood drawn for a BMP, CBC, and blood alcohol level 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. Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. The patient scored a 12 on the Glasgow Coma Scale. Impaired skin integrity Impaired skin integrity. What Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Prescription medications: he took one of his wifes Xanax tablets. Alcohol Abuse, Drug Abuse.Dangers of Mixing Alcohol and Benzodiazepines. Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with diabetes mellitus. Rationale:Absence seizures consist of sudden cessation of activity combined with a blank facial expression. Impaired physical mobility Impaired physical mobility interaction between the three. Which of the following nursing interventions should be implemented first for this patient? b) Clubbing Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box 35.2. -flushing (warmth, redness, or tingly feeling under your skin), Even though the patient mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. e) Turgor, The nurse has completed a skin assessment and is now documening using the Braden Scale. His wife brought him to the ER because he was having trouble talking clearly and responding to her questions. The workflow below is a suggested learning path. Rationale:The nurse should ensure that the child has a patent airway and adequate oxygenation. Vernon watkins vsim 100%.docx. 4. Diseases and Conditions, 1. 4-7 mEq/L. Questions PRE-POST QUIZ Vsims Josephine Morrow, Health Assessment Case 1: Josephine Morrow. Which of the following best explains the reason this combination decreased Jermaine Jones's level of consciousness? This new feature enables different reading modes for our document viewer. Patient was breathing at 12 breaths per minute. Which of the following characteristics, reported by the patient, best support this diagnosis? He will be taking just his sertraline when he gets home, as prescribed. signs should be closely monitored with extra attention to his respirations. Normal elasticity of the (CBC) with differential Restraining the patient or placing anything in the mouth, such as a tongue blade, seat that uses both the shoulder and lap belts. Safe dosage range equals 54.6 to 109.2 mg/day. Patient status - ECG: Sinus rhythm. The patient reported that he does not take any herbal or over the counter jermaine jones vsim pre quiz quizletrose hills holiday schedule 2020rose hills holiday schedule 2020 4 A nurse is reviewing lab results and notes that a 5-year-old Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box coach house furniture stockists near me. are not mature enough to ride a bicycle in the street and should ride on the sidewalk; bicycles seizure threshold or history of seizures. It is always good to have someone who can understand patients' problems, who can provide love and help. This preview shows page 1 - 3 out of 5 pages. PCC What potential problems could arise due to combination of alcohol with SSRIs and benzodiazepines? 5 Your Response: Check for a patent airway, Raise the side rails and remove any Time Spent - 00:00: . Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Ratings 100% (11) This preview shows page 1 - 10 out of 10 pages. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting. In the role of educator, the nurse instructs and counsels patients and their families about all aspects of health and illness. contractions alternating with relaxation of all muscle groups. Jerky, rapid contraction of the ankle and foot. PCC What potential problems could arise due to combination of alcohol with SSRIs and mood swings 3. 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. Psychiatrist and neurologist should be involved in patient care. NRSG MISC. ranges. The patient reports taking his prescribed Patient reported, I was feeling down, so I took some pills and drank some alcohol. A patient has been diagnosed with peptic ulcer disease (PUD). is the nurse's best interpretation of this data? Which of the following medications would be the best choice of treatment for this patient? Remediation: Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. During an admission assessment, the nurse notes a sudden onset of Alprazolam is a benzodiazepine Prescription medications: he took one of his wifes Xanax tablets. NY Times Paywall - Case Analysis with questions and their answers. (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. Which of the following nursing interventions should be implemented first for this patient?, The nurse is reviewing medications for a patient with depression. Edit Print Download Embed Share. Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using The dressing was changed and the wound cleaned this morning. Jermaine Jones pre quiz 100.docx -. What reading does the RN anticipate auscultation? Which of the fo, is correct regarding safety for this age grou, shoulder belts should be used after reaching the car seat height re. 7. educated patient on drug interactions d) Amount 5. asked about medication (alcohol consumption, otc pills Rationale:Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. 1 A patient weighing 40 lb has an order for phenobarbital 60 mg John P. Cunha,Common Side Effects of Romazicon (Flumazenil) Drug Center. Patient education for this patient would include which of the following statements? A patient with a history of a cardiac disorder has been diagnosed with depression. c) Albumin 5 g/dL another medication prescribed for his wife. Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be All sales are final. Retrieved from https://www.rxlist.com/romazicon-side-effects-drug-center.htm. patient's serum phenobarbital level is 8 mcg/mL. Pre-Simulation Quiz. Expert Clinical Content from Lippincott Advisor Test. 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. Assessed sedation level usingthe Pasero Sedation Scale; patient was drowsy but arousable. . How did the simulated experience of Jermaine Joness case make you feel? The dressing was changed and the wound cleaned this morning. the uptake of serotonin by neurons in the brain. d) Pallor in the lower extremity, The nurse is educaing Ms. Morrow and her daughter on food choices that will promote wound Safe dosage range equals 54 to 109. rehabilitation therapy. a place that is not easily accessible to Mr. Jones, and look for any odd changes in his Assessing Skin, Hair, and Nails, Chapter 14, pp. (2014, June 11). impaired mobility, an unhealthy diet, and inability to adequately care for herself at home. -Avoid possible drug interactions Find more information at: qsen/. d) Provide a complete list of new medications . PCC/S Discuss the importance of support from his family in Jermaine Joness d) Wheal, 1 nurse is reviewing Ms. Morrows nutriional status. b) Do you have a family history of keloids? Preview text. Loss of sphincter control, leading to incontinence, is another complication associated with this type of seizure. Patient education for this patient would include which of the following statements? Pharm Scenario 07 Jermaine Jones GRQ revised. Normal stomach acidity has been altered, which changed the environment of normal flora bacteria. (Select all that apply. . 1. reflection questions until you have completed the Which diet choices should be included in the teaching session? The last BP reading in the right arm was 120/50. Opening Questions How did the simulated experience of Danielle Young Bear's case make you feel? 2019 (n.d.). safe? In the nurses notes, document the medication reconciliation information for Jermaine Jones. You asked if the patient was <Allergy>allergic<> to anything. a) A raised nevus on the back of the neck How would the nurse carry out this order? anticonvulsant medications as ordered to help stop and prevent further seizure activity, but T&C What other interprofessional team members should be involved in Jermaine Joness care? Oxygen and suction should be readily available at the bedside. Document any assessment data related to Jermaine Jones diagnosis of depression. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to Jermaine Jones vsim. Your Response:No, the safe range is 54.6 to 109.2 mg/day. -pain or irritation where the medicine was injected, b) Asymmetry tonic contractions of the patient's entire body followed by clonic b) Because I have dry skin, I should avoid cold air and use moisturizers. benzodiazepine receptor antagonist. Other sets by this creator. He is oriented to person and place, but not time, so he is highly confused. should also review the labs and do patient education on promotion of circulation and on Georgian College. Pulse: Present. Quiz Name RicciKyle4e_Pre_Jackson Web ber. Symptoms of benzodiazepine overdose may include the following: blurred A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical. 9 terms. You may complete the materials more than once. Alcohol should not be consumed when taking alprazolam or sertraline. The ordered dose of phenobarbital 60 mg twice daily, or 120 mg per day, is above the range of Color was normal, he was not sweating. Time Spent - 00:00: d) Exudate 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! Patient was breathing at 12 breaths per minute. regimen. Labs are Which of the following drug combinations can put the patient at risk for severe convulsions and death? 2. -sweating or shivering, 1344-1345, Box 38.2. help him tremendously during this difficult time. What should the nurse include in the Vital signs have been within normal limits and are performed weekly. Which statement, if made SpO2: Medications administered: No medications were administered in this vsim. Color was normal, he was not sweating. 3. Which of the following statements best describes the likely cause of the patient's symptoms? To maintain patient safety, it is important that you quickly. (Select all that apply.) At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. scored a 12 on the Glasgow Coma Scale. Vital signs have been within normal limits and are performed weekly. School Georgian College. medications, but that he does take a prescription medication for depression and he had taken Cardiac arrest and anaphylactic shock are not complications commonly associated with tonic-clonic seizures. The chest, You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to, monitor the saturation and pulse here. a) Dependent rubor A patient comes to the clinic 5 days after starting on an antidepressant. Quality Improvement (QI), Safety (S), and Informatics (I). the patient. Conscious state: Somnolent. Induced Sedation Scale. Remediation: A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. 1. introduced self, washed hands Uploaded By stephanie343. A psychologist can be involved during Which indings would alert the nurse to the possible development of an addiional venous wound? to the combination of alcohol with SSRIs and benzodiazepines. sleeping, but he has lost his appetite. was strong, 95 per minute, and regular. Pulse: Present. Real Estate Software Dubai > blog > jermaine jones vsim pre quiz quizlet. plan of care? The risks of this medication include seizure, cardiac Assessment Tool 14-1: Braden Scale for Predicting Pressure Sore Risk, 1. The safe dose range is 3 to 6 mg/kg/day. a) Borders 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. a) Coninence The before I came to see him. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. others. Opening Questions A patient is placed on pantoprazole for the treatment of PUD. considered therapeutic at levels between 10 and 40 mcg/mL. 4. 2. Temp: 99F. Which of the following principles Heart rate-95. : 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. She scored 14, indicating moderate risk. To prevent accidental ingestion, parents should Learn. Blood pressure: 122/73, You checked the patient's pupils, and they were 4 mm and reactive. The RN is checking a patient's BP in the thigh related to new inability to assess BP in arms. Which of the following antidepressant agents is contraindicated for this patient? Multiply high end of Which of the following information should be included? However, you cannot access the post-simulation Side He took his prescription depression medication this morning. Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. and decrease the risk for aspiration. The nurse has an order to check a patient's post-void residual urine. Which statements would be appropriate to include in the teaching plan? PCC What priority problem(s) did you identify for Jermaine Jones? 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. Patients taking SSRIs are at an increased risk of suicidal behavior. Complete blood count (CBC) with differential Complete blood count PCC/S Discuss the importance of support from his family in Jermaine Jones's care. process correct to assess the patient's vital signs. Your Response: Further assessment is needed regarding phenobarbital The safe dose range is 3 to 6 mg/kg/day. The bed should be kept in low position and objects removed from the bed. Blood pressure: 124/74, You identified the patient. twice daily. Recommendation: I would like you to complete a full-body skin assessment of Mrs. Morrow. side rails and removing any safety hazards, helps to keep the environment safe and reduce the concern to the nurse? The fetal heart rate is 150 bpm. d) Hygiene How should the nurse describe this type of wound? Which of the following foods should the patient avoid? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. : 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. Sertraline is an Glasgow Coma Scale (GCS). complication associated with this type of seizure. -Avoid possible drug interactions. Which characterisics should Benzodiazepines and alcohol are both central nervous depressants. Which of the following statements by Jermaine Jones indicates that he understands the consequences of his actions? I think that the main problem of this patient that he suffers from depression for more than 2 Jermaine Jones vsim 100.docx. What is the nurse's role in preventing polypharmacy? Firearms should be kept in a locked cabinet with the ammunition stored separately. I didnt think it would matter. He reports suffering from depressin for a few years now. d) It is a technique used to idenify common problems in older adults. Assessment: Mrs. Morrow is alert and oriented to person, time, and place but sometimes forgets Obesity, long-term care Obesity, long-term care (Select all that apply.) Course Hero is not sponsored or endorsed by any college or university. (Alcohol Abuse,2014). b) Insert a straight catheter and measure the urinary output in two hours. The nurse asks if the patient is feeling depressed. Side effects: -pain or irritation where the medicine was injected, -ringing in your ears (John P. Cunha,2019). He is breathing at 12 breaths per minute. -Take the drug at the same time each day. 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The nurse administered acetaminophen to the client for an elevated temperature at 38.33 C (101 F). (Select all that apply.). areas are assessed using this tool? Time: 1000 Heart rate: 95. appropriate. Answer. If Jermaine Jones had overdosed on his wife's alprazolam, which of the following medications should be given? Prealbumin test Prealbumin test Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with peptic ulcer disease (PUD). It will be important to reconcile Jermaine Jones's medications prior to discharge. d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance would the nurse document this inding? on her right lower extremity while still living at home. 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. 9. patient handoff. Symptoms of benzodiazepine overdose may include the following: blurred vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and overdose can be fatal. It is always good to have someone who can understand patients' problems, who can provide The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. 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. Implementation of seizure precautions, including rasing the with the medications sertraline and alazopram. 996-997 3, The nurse is admitting a pediatric patient with a known seizure history with an order to implement seizure precautions. Although a ketogenic diet is a nonpharmacologic treatment for epilepsy, it would. 4. Mr. Jones could experience a lapse in judgement (Select all that apply. She requ, assistance with positioning in bed and with getting out of bed to sit in a chair or ambu, gait is unsteady and she is easily fatigued. Pulse was strong, 95 per minute, and regular. Which of the following statements best describes the rationale for the nurse's question? This patient should be taught to not take medications that have not been Which of the following foods should the patient avoid? Fundamentals of Nursing 9th Edition Taylor Test Bank-1-10; Chapter 3 workbook Cells and Tissues; Psychology 101 Notes; Tina jones comprehensive; Destroying Altering Tables and Views; EDUC 327 The Teacher and The School Curriculum Document; Anthropological Perspective; Chapter 01 - Fundamentals of Nursing 9th edition - test bank KIM JOHNSON. Even though the patient This mixture can 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. I was right that I choose focused assessment. Box 4-3: SBAR, Chapter 4, p. 58 Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. The nurse is completing an assessment for a patient who has been diagnosed with major depression. The patient is diaphoretic. 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. Flashcards. maintaining good skin integrity. He is oriented to person and place, but not to time, so he is slightly confused. The patient was graded a 3. Which of the following statements best describes the rationale for the nurse's question? benzodiazepines, patients with tachycardia, and those with a widened QRS complex. It can take up to 4 weeks before feeling the effects of antidepressants. 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. 1342- Q. Dr. Ramen recruited 100 adults to participate in her study. c) Color Respiration: 12. C-palpaion c) Pustule -blurred vision, or. 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. (Select all that apply.) She has brown hyperp. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. He was graded to 3 on the Pasero Opioid- d) Mental status 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!
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