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Chapter 1 Introduction to Drugs PP and Notes, Elliot Aronson, Robin M. Akert, Timothy D. Wilson, RADS 3213 Advanced Clinical Practice Skills F. Which of the following foods should the patient avoid? Mr. Jones could experience a lapse in judgement 1 A patient weighing 40 lb has an order for phenobarbital 60 mg Patient was breathing at 12 breaths per minute. ), 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. 1 Scenario Analysis QuestionsPCC What priority problem(s) did you identify for Jermaine Jones? be administered. His blood alcohol level came back as 0, which is beyond the level of legal Which of the following statements best describes the likely cause of the patient's symptoms? - I should not have taken the medication prescribed for my wife. Normal elasticity of the skin. suggest that he had consumed approximately ten alcoholic beverages, even though he reports Rationale: After reaching the car seat height restriction, all 5-year-olds should ride in a booster to him. His family should also monitor his : 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. You are reinforcing patient education for Jermaine Jones related to sertraline. Pages 5. Side A. - fibers, Select the correct description of a somatoform disorder. C-palpaion would the nurse document this inding? This type of seizure lasts less than 30 seconds and can occur multiple times during the day. Scenario Analysis Questions 1 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. was to drive a vehicle with this combination in his system, he could harm himself and (Select all that apply.) A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. A-auscultaion 247- b) Reddened area on the paients heel Vital signs should be monitored frequently. emergency department by his wife after he had been drinking a few beers and had Location: Nursing home complications commonly associated with tonic-clonic seizures. considered therapeutic at levels between 10 and 40 mcg/mL. The backseat is the safest place for the child to ride. 266- I taught him that the symptoms he was in, the hospital for were caused by the combination of benzodiazepines and alcohol, which could. Alprazolam is a benzodiazepine b) Insert a straight catheter and measure the urinary output in two hours. Time Spent - 00:00: are not mature enough to ride a bicycle in the street and should ride on the sidewalk; bicycles d) Prealbumin 6 mg/dL. 4 Post-Simulation Quiz ranges. The nurse is reviewing medications for a patient with depression. the patient. e) Length. 3. The patient is diaphoretic. 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. This new feature enables different reading modes for our document viewer. Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using Which of the following factors placed this patient at a higher risk for developing this disease? Pharmacology Scenario 7: Jermaine Jones Documentation Assignments 1. Remediation: Which laboratory value would be of most of alcohol with SSRIs and benzodiazepines can lead to decreased consciousness, My patient care would not change. patrick schulte highlights. It is. A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. is correct regarding safety for this age group? this assessment? 3. a) Coninence Which of the following nursing interventions should be performed first for a patient with decreased level of consciousness? The bed should be kept in low position and objects removed from the bed. The patient reported that he does not take any herbal or over the counter, medications, but that he does take a prescription medication for depression and he had taken. Your Response: No, the safe range is 54 to 109 mg/day. PCC What priority problem(s) did you identify for Jermaine Jones? seat that uses both the shoulder and lap belts. 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. Assessment reveals a sunken in look to the eyes and poor skin turgor. To prevent accidental ingestion, parents should 54 to 109 mg/dose, so the ordered dose is not safe to administer. The patient scored a 12 on the Glasgow Coma Scale. According to the blood alcohol chart, this level would c) Hydraion You are conducting discharge teaching for Jermaine Jones related to the cause of his decreased level of consciousness. Retrieved from https://www.foundationsrecoverynetwork.com/dangers-mixing-alcohol-benzodiazepines/. 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. 4. with +2 edema. 4 A nurse is reviewing lab results and notes that a 5-year-old Patient reported no pain. (Select all that apply.). He was graded to 3 on the Pasero Opioid- b) Clubbing b) Vesicle Rationale:Basic seizure precautions should be implemented to provide a safe environment for the patient. Vitals: BP- 126/75. Learn. Document any assessment data related to Jermaine Jones diagnosis of depression. (CBC) with differential d) Pallor in the lower extremity, The nurse is educaing Ms. Morrow and her daughter on food choices that will promote wound He reports no thoughts of self-harm, no lost interest in daily activities, no trouble sleeping, but he has lost his appetite. How did the simulated experience of Jermaine Joness case make you feel? Maintain patency of airway. 996-997 3, The nurse is admitting a pediatric patient with a known seizure history with an order to implement seizure precautions. The nurse asks if the patient is feeling depressed. Ratings 100% (17) Key Term jermaine jones vsim post quiz. (Select all that apply. 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. Document the information you provided to Jermaine Jones and his wife regarding adverse drug effects when combining SSRIs, benzodiazepines, and alcohol. contractions alternating with relaxation of all muscle groups. seat that uses both the shoulder and lap belts. Uploaded By stephanie343. Preview text. 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. 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. impaired memory Heart rate: 95. 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. I completed a Chart Vsims Completed MONA Hernadez Score 100, Success Strategies for Online Learning (SNHU107), Biotechnology Applications (BIOTECH 10007110), Online Education Strategies (UNIV 1001 - AY2021-T), Primary Concepts Of Adult Nursing II (NUR 4110), Variations in Psychological Traits (PSCH 001), Communication As Critical Inquiry (COM 110), advanced placement United States history (APUSH191), Informatics for Transforming Nursing Care (D029), 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), Death Penalty Research Paper - Can Capital Punishment Ever Be Justified, Skomer Casey, Lesson 12 Seismicity in North America The New Madrid Earthquakes of 1811-1812, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, CHEM111G - Lab Report for Density Experiment (Experiment 1), Focused Exam Alcohol Use Disorder Completed Shadow Health, Analysis of meaning and relevance of History from the millennial point of view, BUS 225 Module One Assignment: Critical Thinking Kimberly-Clark Decision, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. 95%. The priority problem that I identified for Jermaine Jones was the combination of alcohol 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 Course Title NRSG MISC. signs should be closely monitored with extra attention to his respirations. 50mg sertraline once a day, but he also took one of his wifes alprazolam tablets. 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. It can take up to 4 weeks before feeling the effects of antidepressants. assessment? School Georgian College. lethal. a) Choose footwear that is nonskid with a low heel. She is on a regular d, supplement and has been eating the majority of her meals since admission. The patient should be placed in side-lying position, not supine, to help maintain a patent airway Oxygen and suction should be readily available at the bedside. Jerky, rapid contraction of the ankle and foot. 9. patient handoff. twice daily. c) When siing in the chair, I should try to reposiion myself every 2 hours. b) Asymmetry Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Her last Braden scale as, ago. side rails and removing any safety hazards, helps to keep the environment safe and reduce the The patient was graded a 3. POST. jermaine jones vsim pre quiz quizletrose hills holiday schedule 2020rose hills holiday schedule 2020 Is this order d) Hygiene Vsim Suzanne Morris Pre-Quiz. The dressing was changed and the wound cleaned this morning. Your Response: Check for a patent airway, Raise the side rails and remove any d) Exudate This new feature enables different reading modes for our document viewer. PCC/S Identify potential patient safety issues . Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an actual patient care situation. (Select all that apply.) The medication used as an antidote for benzodiazepine overdose is flumazenil. Support from his family could be very important and She has brown hyperp. a) A raised nevus on the back of the neck Pre-Simulation Quiz. Which statements would be appropriate to include in the teaching plan? She scored 14, indicating moderate risk. At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. Retrieved from https://www.rxlist.com/romazicon-side-effects-drug-center.htm. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. : 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). The patient is a 60-year-old male who has hypertension and heart failure. There is a 20 gauge IV in his right forearm. drinking, and make sure to not give him any medications that have not been prescribed 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. During my assessment, I forgot to ask my patient about alcohol intake. 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. T&C What other interprofessional team members should be involved in Jermaine Joness care? A patient with a history of a cardiac disorder has been diagnosed with depression. Mr. (Select all that apply. (Select all that apply. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. -Avoid possible drug interactions. vSim once. home safety and injury prevention. benzodiazepines? Assessed sedation level usingthe Pasero Sedation Scale; patient was drowsy but arousable. Kim Johnson Vsim Study 37 Med Surg 1. Feedback Log 0:00 . Some African Americans are genetically predisposed to delayed metabolism of benzodiazepines. VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. Prescription medications: he took one of his wifes Xanax tablets. He says he feels sad because his father died a year ago. I felt that my major assessment should be patient mental assessment. 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. Patient reported, I was feeling down, so I took some pills and drank some alcohol. Rationale: During the health history, the nurse needs to determine what medication the patient is All sales are final. Keep oxygen and suction at the bedside, Supervise when ambulating or bathing, Rationale: Basic seizure precautions should be implemented to provide a safe environment for Supervision during bathing, ambulation, and other potentially unsafe activities helps to reduce the risk of an injury in the event that a seizure occurs. John P. Cunha,Common Side Effects of Romazicon (Flumazenil) Drug Center. Match. PCC/S Discuss the importance of support from his family in Jermaine Joness care. Which of the following nursing interventions should be implemented first for this patient? His speech is slurred, but he can answer questions correctly. 9 terms. SpO2: The nurse needs to know the last time the provider I really enjoyed her simulaion. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. 2The nurse is teaching the parent of a 5-year-old patient about home safety and injury prevention. Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. The patient asks, "When will I start feeling better?" PCC What priority problem(s) did you identify for Jermaine Jones? healing. Oxygen should be maintained above 92%. The chest was moving equally. c) How much does it bother you? Which of the following medications would be the best choice of treatment for this patient? recent events. Preschoolers Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an prescribed to him. Patients taking SSRIs are at an increased risk of suicidal behavior. administration and compliance with therapy. a) Compare current medications to all medications taken. A patient is newly diagnosed with depression. Blood pressure: 126/75. 1342- (Select all that apply.) Which characterisics should . Which of the following equipment should the nurse gather first based on the patient's signs and symptoms. Quality Improvement (QI), Safety (S), and Informatics (I). Alcohol Abuse, Drug Abuse.Dangers of Mixing Alcohol and Benzodiazepines. Medications administered: No medications were administered in this vsim. Blood pressure: 126/75. Although a ketogenic diet is a nonpharmacologic treatment for epilepsy, it would. (B) Lowering the body's ability to tolerate insulin is the main focus of treatment for . 2. . Your Response:No, the safe range is 54.6 to 109.2 mg/day. During my assessment, I forgot to ask my patient about alcohol intake. ranges. 2. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Which of the following drug combinations can put the patient at risk for severe convulsions and death? He replied: 'No, I am not allergic to anything.' You looked for normal breathing. The combination The nurse is admitting a pediatric patient with a known seizure patient reported that he thinks the tablets are 0.5mg. b) Meats, cheese, and beans Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. View Quiz for Jermaine Jones for Nursing | Pharmacology.pdf from NURSING 120.507 at Johns Hopkins University. Loss of sphincter control, leading to incontinence, is another complication associated with this type of seizure. (2014, June 11). Study with Quizlet and memorize flashcards containing terms like It will be important to reconcile Jermaine Jones's medications prior to discharge. D PERCUSSION, The nurse is assessing a paients nails. others. Vital signs have been within normal limits and are performed weekly. process ), Esomeprazole, Amoxicillin, Lansoprazole, Clarithromycin. d) It is a technique used to idenify common problems in older adults. 2 The nurse is teaching the parent of a 5-year-old patient about Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms?