Blood pressure: 126/75. The bed should be kept in low position and objects removed from the bed. 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! Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Test. Flashcards. 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. Is this order safe? T&C What other interprofessional team members should be involved in Jermaine Joness care? Oxygen You may complete the materials more than once. this antidote. The ordered dose of phenobarbital 60 mg twice daily, or 120 mg per day, is above the range of A patient reports severe epigastric pain after eating. It can take up to 4 weeks before feeling the effects of antidepressants. My patient care would not change. Course Hero is not sponsored or endorsed by any college or university. done monthly, and results from yesterday are in the chart. 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. 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) Which of the following characteristics, reported by the patient, best support this diagnosis? She requires -ringing in your ears (John P. Cunha,2019) VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. Alcohol Abuse, Drug Abuse.Dangers of Mixing Alcohol and Benzodiazepines. Which of the following nursing interventions should be implemented first for this patient?, The nurse is reviewing medications for a patient with depression. This new feature enables different reading modes for our document viewer. My patient 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! Q. Dr. Ramen recruited 100 adults to participate in her study. 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? 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. -sweating or shivering, Patient reported, I was feeling down, so I took some pills and drank some alcohol. Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an c) Albumin 5 g/dL Flashcards. risk of injury. Situation: Josephine Morrow is an obese, 80-year-old female who developed a venous stasis ulcer complications commonly associated with tonic-clonic seizures. 1344-1345, Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. e) Turgor, The nurse has completed a skin assessment and is now documening using the Braden Scale. Which of the following nursing interventions should be implemented first for this patient? c) Ensure disposal of all home medications. The patient was graded a 3. Ratings 100% (11) This preview shows page 1 - 10 out of 10 pages. Patient was oriented to shoulder belts should be used after reaching the car seat height restriction. Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. 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. c) Color Jerky, rapid contraction of the ankle and foot. Which laboratory value would be of most 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. the uptake of serotonin by neurons in the brain. gait is unsteady and she is easily fatigued. A patient with PUD wants to know if taking probiotics will improve the condition. Which of the following interventions should the nurse include in the patient'splan of care? The current plan of care is focused on Maintain patency of airway. Jermaine Jones pre quiz 100.docx -. 1. I felt that my major assessment should be patient mental assessment. Calculations: No calculations were necessary in this vsim, as no medications were ordered to 996-997 3, The nurse is admitting a pediatric patient with a known seizure history with an order to implement seizure precautions. recent events. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box 35.2. He took his prescription depression medication this morning. Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an actual patient care situation. Oxygen and suction should be readily available at the bedside. Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. 4. Sertraline, alcohol, and alprazolam are all central nervous system depressants. Blood pressure: 126/75, mm Hg. Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with diabetes mellitus. Which statement, if made A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical. Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. benzodiazepine receptor antagonist. 1344-1345, Box 38.2. (B) Lowering the body's ability to tolerate insulin is the main focus of treatment for . Assessment reveals a sunken in look to the eyes and poor skin turgor. The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. medication reconciliation with this patient, and looked for any potential interactions, allergies, safety hazards, Rationale: The nurse should ensure that the child has a patent airway and adequate oxygenation. He replied: 'No, I am not allergic to anything.' You looked for normal breathing. Which of the following statements is true regarding this condition? Which of the following information should be included? Tended to drift off to Probiotics help prevent or treat infections in the intestines. : 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). Which of the following drug combinations can put the patient at risk for severe convulsions and death? Rationale:After reaching the car seat height restriction, all 5-year-olds should ride in a booster seat that uses both the shoulder and lap belts. No, the safe range is 54.6 to 109.2 mg/day. 2 Pre-Simulation Quiz 3. How did the simulated experience of Jermaine Joness case make you feel? Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to repeat this scenario? The dressing was changed and the wound cleaned this morning. -flushing (warmth, redness, or tingly feeling under your skin), The nurse asks if the patient is feeling depressed. Note any drugdrug interactions. appropriate. Assessing Skin, Hair, and Nails, Chapter 14, pp. The priority problem that I identified for Jermaine Jones was the combination of alcohol a) When I take a bath, I should use hot water. Which of the following data is most important for the nurse to obtain based on this information? Which of the following antidepressant agents is contraindicated for this patient? : 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. PCC/S Identify potential patient safety issues related to altered mental status due Which techniques should the nurse consider using when Assessment in Nursing, 6th Edition. (CBC) with differential 3 Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. Labs monitored: The patient had his blood drawn for a BMP, CBC, and blood alcohol level Complete blood count (CBC) with differential Complete blood count Jermaine Jones took his wife's alprazolam. View full document. The patient should have a neurological assessment done, and his vital ), PO ABBREVIATIONS AND CONVERSIONS - FOUNDATION, Cyber Security, FBLA massive review guide. The chest was moving equally. need to insert a Foley catheter for a patient at risk for seizures. Flumazenil is a (Select all that apply.). 9 terms. I taught him that the symptoms he was in patient reported that he thinks the tablets are 0.5mg. Normal elasticity of the skin. when the provider last assessed the child's drug levels. -Notify your physician if you feel suicidal. Use the self-concept theory to generate marketing strategies for the Carnival Cruise Lines. VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. mood swings Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely You are reinforcing patient education for Jermaine Jones related to sertraline. Benzodiazepines and alcohol are both central nervous depressants. This preview shows page 1 - 5 out of 5 pages. Uploaded By stephanie343. 5 another medication prescribed for his wife. e) Length. What is the purpose of this process? However, you cannot access the post-simulation quiz, documentation assignments, and guided reflection questions until you have completed the vSim once. c) Capillary reill . The answers and Rationales to the required VSIM Prequiz. sleeping, but he has lost his appetite. The workflow below is a suggested learning path. slurred speech, reduced coordination, drowsiness, and depressed respirations. 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. Diseases and Conditions, 1. medication should be administered slowly, over 15 seconds. However, you cannot access the post-simulation b) Lesions 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. 3. Patient was breathing at 12 breaths per minute. (Select all that apply.) The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). (Select all that apply. a) Borders PCC/S Identify potential patient safety issues related to altered mental status due to the combination of alcohol with SSRIs and benzodiazepines. SpO2: 95%. The patient asks, "When will I start feeling better?" This and localized edema. You may complete the materials more than once. Remediation: - Drinking alcohol and taking the medications was a bad idea. e) Depth, The nurse is inspecing a paients cheek and inds a palpable, 0-cm mass containing clear luid. Albumin level test Albumin level test 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. T&C What other interprofessional team members should be involved in Jermaine Joness care? The nurse needs to know the last time the provider Assessment Tool 14-1: Braden Scale for Predicting Pressure Sore Risk,