What should the nurse include in the I taught him that the symptoms he was in, the hospital for were caused by the combination of benzodiazepines and alcohol, which could. Ratings 100% (17) Key Term jermaine jones vsim post quiz. SpO2: 95%. It can take up to 4 weeks before feeling the effects of antidepressants. Blood pressure: 122/73, You checked the patient's pupils, and they were 4 mm and reactive. administration and compliance with therapy. Normal saline is infusing Find study . benzodiazepines? home safety and injury prevention. Diagnostic Tests, 1. whether any of the other answers are correct. The patient is diaphoretic. -dizziness, Flumazenil is a Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to repeat this scenario? T&C What other interprofessional team members should be involved in Jermaine Joness care? Ratings 100% (11) This preview shows page 1 - 10 out of 10 pages. At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. : 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 medications would be the best choice of treatment for this patient? Find more information at: qsen/. This will allow you to reassess the patient, You checked the radial pulse. He Deficient knowledge: Disease process Deficient knowledge: Disease What is the purpose of this process? The workflow below is a suggested learning path. 1344-1345, effects and complications of this drug include blurry vision, tinnitus, headache, tremors, 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. 2 Pre-Simulation Quiz 3. to him. Hypovolemic . . 4. assessed consciousness A patient with a history of a cardiac disorder has been diagnosed with depression. Is this order on her right lower extremity while still living at home. Time Spent - 00:00: suggest that he had consumed approximately ten alcoholic beverages, even though he reports This Flashcards. Uploaded By stephanie343. Remediation: taking, the current prescribed dose of medication, the frequency of administration, and the Loss of sphincter control, leading to incontinence, is another complication associated with this type of seizure. Some African Americans are genetically predisposed to delayed metabolism of benzodiazepines. history with an order to implement seizure precautions. b) Stage III pressure ulcer The current plan of care is focused on Patients taking SSRIs are at an increased risk of suicidal behavior. 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. 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. SWEET & BITTER! The patient scored a 12 on the Glasgow Coma Scale. The patient scores 12 on the. Multiply low end of dosage range by weight: 3 18.2 = 54.6 mg/day. Bringing all of the assessments together was in a way like a puzzle. patient reported that he thinks the tablets are 0. assistance with positioning in bed and with getting out of bed to sit in a chair or ambulate. assessment? Completed Date 2021-11-04 12:05: Quiz Completed in 00:08: Your Response: No, the safe range is 54 to 109 mg/day. Vernon watkins vsim 100%.docx. The nurse should administer : 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. Time: 1000 A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. intoxication for a man of his weight. Tended to drift off to 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 Temperature: 99F. As an advocate, the nurse safeguards and advances the interests of patients and their families. Atonic seizures involve a sudden loss of muscle tone, which in children may be only a sudden drop of the head. ago. Side Patient was breathing at 12 breaths per minute. The Which inding would require At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. There is a 20 gauge IV in his right forearm. done monthly, and results from yesterday are in the chart. 1 Scenario Analysis QuestionsPCC What priority problem(s) did you identify for Jermaine Jones? ), Esomeprazole, Amoxicillin, Lansoprazole, Clarithromycin. VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. A patient is placed on pantoprazole for the treatment of PUD. dosage range by weight: 6 18 = 109 mg/day. The ordered dose of phenobarbital 60 mg twice daily, or 120 mg per day, is above the range of 247- Which of the following medications would be the best choice of treatment for this patient? Which of the Kim Johnson Vsim Study 37 Med Surg 1. Which of the following information should be included? Prealbumin test Prealbumin test d) Amount TOEFL - Test of English as a Foreign Language; USMLE - United States Medical Licensing Examination; View all for Qualifications. Document the information you provided to Jermaine Jones and his wife regarding adverse drug effects when combining SSRIs, benzodiazepines, and alcohol. Your Response: Further assessment is needed regarding phenobarbital -Avoid possible drug interactions. If Jermaine Jones had overdosed on his wife's alprazolam, which of the following medications should be given? 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It is. If so, how would your patient care change? Include the medications he was taking prior to admission, any medications given during the scenario, and the medications he will be taking at home. What is the purpose of this process? The priority problem that I identified for Jermaine Jones was the combination of alcohol Which of Jones to suffer falls. How did the simulated experience of Jermaine Joness case make you feel? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. You washed your hands. Calculate the setting for the infusion pump in __________________________ mL/hr. -Be sure to keep follow-up appointments. 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Post-Quiz Jermaine Jones. 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. prescribed to him. In the nurses notes, document the medication reconciliation information for Jermaine Jones. b) Vesicle 2The nurse is teaching the parent of a 5-year-old patient about home safety and injury prevention. a) Dependent rubor Weber, J. and Kelley, J. Which of the following foods should the patient avoid? Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely Created by. I taught him that the symptoms he was in help him tremendously during this difficult time. Louinna_Cross. The chest, You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to, monitor the saturation and pulse here. (Answered)vSim - Stan Checketts/Jermaine Jones Latest Fall 2021/2022. I completed a medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. 4 Post-Simulation Quiz Patient was oriented to person, place, but not time. Assessing Skin, Hair, and Nails, Chapter 14, pp. Which of the following statements is true regarding this condition? Which technique would the nurse use to perform b) It is a tool to determine whether or not you are at risk for falls. Color was normal, he was not sweating. Support from his family could be very important and Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. daughter recently moved her to this nearby nursing home due to concern for her safety related to -Notify your physician if you feel suicidal. Her last Braden scale as, ago. . c) Diminished pulses in the afected extremity Patient was breathing at 12 breaths per minute. It is also contraindicated for those on long term Your Response: Check for a patent airway, Raise the side rails and remove any 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. How should the nurse describe this type of wound? with +2 edema. ), 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. The dressing was changed and the wound cleaned this morning. 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. The curren, promoting wound healing, improving venous return, deep vein thrombosis (DVT). Georgian College. 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? Fluoxetine. of alcohol with SSRIs and benzodiazepines can lead to decreased consciousness, seizure threshold or history of seizures. (Select all that apply.) Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be lethal. SpO2: 95%. You are reinforcing patient education for Jermaine Jones related to sertraline. The patient should be placed in side-lying position, not supine, to help maintain a patent airway and decrease the risk for aspiration. From vSim for Nursing | Pharmacology. never describe medications as candy. sleep. 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. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. SpO2: Vitals: BP- 126/75. 9 terms. Multiply low end of dosage range by weight: 3 18.2 = 54.6 mg/day, dosage range by weight: 6 18.2 = 109.2 mg/day, The ordered dose of phenobarbital 60 mg twice daily, 54.6 to 109.2 mg/dose, so the ordered dose is not safe to administer, home safety and injury prevention. The nurse is assessing for skin texture, and moisture. Time Spent - 00:00: Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . I think that the main problem of this patient that he suffers from depression for more than 2 prescription depression medication this morning. and contraindications. A patient has been diagnosed with peptic ulcer disease (PUD). The nurse is reviewing medications for a patient with depression. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. The chest was moving equally. (Select all that apply. Side effects: 4. 1 Suggested Reading 2. Your Response: Keep bed in low position and remove objects from the bed, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. His pupils are equal, round, and reactive to light accomadation. Time Spent - 00:01: scored a 12 on the Glasgow Coma Scale. Pharm Scenario 07 Jermaine Jones GRQ revised. 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.