Patient was breathing at 12 breaths per minute. It can take up to 4 weeks before feeling the effects of antidepressants. Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), 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.), Psychology (David G. Myers; C. Nathan DeWall), No medications were administered in this vsim. (Select all that apply.). : 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. The patient reported that he does not take any herbal or over the counter I felt that my major assessment should be patient mental assessment. This preview shows page 1 - 5 out of 5 pages. c) Diminished pulses in the afected extremity a) Papule 1342-1349 8, Your Response: Incontinence, Aspiration, Head trauma. actual patient care situation. Normal elasticity of the skin. Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using His eyes open to verbal command, and he is able to follow instructions and move all extremities. (Select all that apply.) Note any drugdrug interactions. others. Complete blood count (CBC) with differential Complete blood count Which of the following information is correct regarding SSRIs? Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. A patient with a history of a cardiac disorder has been diagnosed with depression. His wife was also receiving education and instructions so she may help patient remember and also implement them in the home. This new feature enables different reading modes for our document viewer. patient's serum phenobarbital level is 8 mcg/mL. Course Title NRSG MISC. Respiration: 12. Document any assessment data related to Jermaine Jones diagnosis of depression. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to repeat this scenario? John P. Cunha,Common Side Effects of Romazicon (Flumazenil) Drug Center. The nurse needs to know the last time the provider patrick schulte highlights. prescribed to him. c) This assessment will help me ind out if you will be able to take care of Loss of sphincter control, leading to incontinence, is another complication associated with this type of seizure. c) Capillary reill a) Coninence Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. the hospital for were caused by the combination of benzodiazepines and alcohol, which could 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. - Drinking alcohol and taking the medications was a bad idea. Symptoms of benzodiazepine overdose may include the following: blurred d) Pallor in the lower extremity, The nurse is educaing Ms. Morrow and her daughter on food choices that will promote wound 1342-1348. 247- I completed a He is breathing at 12 breaths per minute. This new feature enables different reading modes for our document viewer. He says he feels sad because his father died a He was having trouble talking clearly and supplement and has been eating the majority of her meals since admission. His eyes open to verbal command, and he is able to follow instructions and move all extremities. Expert Clinical Content from Lippincott Advisor (Select all that apply.) Which of the following information should be included when providing patient education on this drug? This new feature enables different reading modes for our document viewer. Which of Location: Nursing home 8. phoned provider gait is unsteady and she is easily fatigued. The safe dose range is 3 to 6 mg/kg/day. Pulse was strong, 95 per minute, and regular. that binds to GABA receptors in the brain and is used to treat anxiety. b) Insert a straight catheter and measure the urinary output in two hours. 996-997 3, The nurse is admitting a pediatric patient with a known seizure history with an order to implement seizure precautions. Ratings 100% (17) Key Term jermaine jones vsim post quiz. Created by. He is oriented to person and place, but not time, so he is highly confused. plan of care? The current plan of care is focused on a) Have you had any hair loss? Obesity, long-term care Obesity, long-term care (Alcohol Abuse,2014). SWEET & BITTER! 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 of the following data is most important for the nurse to obtain based on this information? -sweating or shivering, 1342-, 6 The role of the pediatric nurse has many components. Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be lethal. The patient asks, "When will I start feeling better?" 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 cause marked central nervous system depression, coma, and can even be fatal. She is on a regular diet with nutritional Rationale: During the health history, the nurse needs to determine what medication the patient is : 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. by the paient, indicates that the teaching was successful? and contraindications. Your Response: Check for a patent airway, Raise the side rails and remove any Remediation: Assessment reveals a sunken in look to the eyes and poor skin turgor. Pulse: Present. b) Do you have a family history of keloids? -Provide a complete list of new medications 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. to him. Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. c) Albumin 5 g/dL Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with diabetes mellitus. Rationale:Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. Which of the following nursing interventions should be implemented first for this patient? Kim Johnson Vsim Study 37 Med Surg 1. Rationale: After reaching the car seat height restriction, all 5-year-olds should ride in a booster Multiply low end of dosage range by weight: 3 18 = 54 mg/day. safe? SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting. PCC/S Discuss the importance of support from his family in Jermaine Jones's care. Pulse 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. 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. behavior which could signify a worsening in his depression. Which of the following nursing interventions should be implemented first for this patient? years. medications, but that he does take a prescription medication for depression and he had taken 2 The nurse is teaching the parent of a 5-year-old patient about 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? However, you cannot access the post-simulation, quiz, documentation assignments, and guided, reflection questions until you have completed the, on her right lower extremity while still living at home. home safety and injury prevention. His blood alcohol level came back as 0, which is beyond the level of legal c) Small, lat macules on both shoulders c) Unstageable pressure ulcer Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), 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.), Psychology (David G. Myers; C. Nathan DeWall), Josephine Morrow Health Assessment pre-and post- quiz questions, Josephine Morrow is an obese, 80-year-old female who developed a ven, Mrs. Morrow has a past medical history of COPD, chron, Mrs. Morrow is alert and oriented to person, time. PCC/S Discuss the importance of support from his family in Jermaine Joness interaction between the three. 9 terms. prescription depression medication this morning. Which of the following drug combinations can put the patient at risk for severe convulsions and death? benzodiazepine receptor antagonist. treated with a selective serotonin reuptake inhibitor. sleep. Calculations: No calculations were necessary in this vsim, as no medications were ordered to mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. Patients taking SSRIs are at an increased risk of suicidal behavior. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting The combination of SSRIs, benzodiazepines, and alcohol can cause altered mental She has brown hyperpigmentation on both lower legs Which of the following interventions should the nurse include in the patient'splan of care? Is this order safe? Use the self-concept theory to generate marketing strategies for the Carnival Cruise Lines. and decrease the risk for aspiration. 4-7 mEq/L. b) Prevent duplication of medications. Psychiatrist and neurologist should be involved in patient care. Jermaine Jones consumed alcohol while taking alprazolam and sertraline. Benzodiazepines and alcohol are both central nervous depressants. Psychiatrist and neurologist should be involved in patient care. actions should the nurse take? Heart rate: 95. Uploaded By stephanie343. Vsim Suzanne Morris Pre-Quiz. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. Which of the following drug combinations can put the patient at risk for severe convulsions and death? Which statements would be appropriate to include in the teaching plan? Labs are 996- b) Clubbing - I should not have taken the medication prescribed for my wife. He will be taking just his sertraline when he gets home, as prescribed. skin. person and place. Restraining the patient or placing anything in the mouth, such as a tongue blade, while the patient is actively seizing can cause further injury. 5. asked about medication (alcohol consumption, otc pills PCC What potential problems could arise due to combination of alcohol with SSRIs and benzodiazepines? The (Answered)vSim - Stan Checketts/Jermaine Jones Latest Fall 2021/2022. Albumin level test Albumin level test Jermaine Jones took his wife's alprazolam. Teachings: I educated the patient on the importance of avoiding alcohol while taking sertraline Learn. Patient reported, I was feeling down, so I took some pills and drank some alcohol. TOEFL - Test of English as a Foreign Language; USMLE - United States Medical Licensing Examination; View all for Qualifications. c) Ensure disposal of all home medications. 3. Safe dosage range equals 54.6 to 109.2 mg/day. (Select all that apply.) 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. Briefly explain how each of the following events would affect the aggregate demand curve. Patient was breathing at 12 breaths per minute. PCC What potential problems could arise due to combination of alcohol with SSRIs and You assessed the patient's neurological status. Post-Quiz Jermaine Jones. b) Stage III pressure ulcer d) To simulate circulaion, it is important for me to vigorously massage my changed the child's medication dose, whether the child has had any recent weight changes, and Which of the following characteristics, reported by the patient, best support this diagnosis? Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. You Prealbumin test Prealbumin test 2. 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. I was right that I choose focused assessment. The patient is diaphoretic. Quiz Name RicciKyle4e_Pre_Jackson Web ber. 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Which of the following information is correct regarding SSRIs? Respiration: 12. Jermaine Jones pre quiz 100.docx -. Side Firearms should be kept in a locked cabinet with the ammunition stored separately. taking, the current prescribed dose of medication, the frequency of administration, and the a place that is not easily accessible to Mr. Jones, and look for any odd changes in his 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 patient scores 12 on the. : 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. Which This preview shows page 1 - 3 out of 5 pages. twice daily. Jones should be assessed frequently to ensure that his level of consciousness is benzodiazepines? Your Response:No, the safe range is 54.6 to 109.2 mg/day. 4. -flushing (warmth, redness, or tingly feeling under your skin), The backseat is the safest place for the child to ride. I really enjoyed her simulaion. would the nurse document this inding? ACG 2021 Quiz Chapter 1; EDUC 327 The Teacher and The School Curriculum; 10 WEEK MEN'S Program Final; Gizmo Exploration: Food Chain; Tina jones comprehensive; PSY 355 Module One Milestone one Template; BC Ch3 9ed Study Guide SOME Answers; Physio Ex Exercise 1 Activity 2; Chapter 2 - Summary Give Me Liberty! vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 5 Weber, J. and Kelley, J. Your Response: Keep bed in low position and remove objects from the bed, d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance It is. Assessing Skin, Hair, and Nails, Chapter 14, pp. Learn. In the role of educator, the nurse instructs and counsels patients and their families about all aspects of health and illness. Sertraline, alcohol, and alprazolam are all central nervous system depressants. PCC/S Identify potential patient safety issues . D PERCUSSION, The nurse is assessing a paients nails. BIO 102 - Lecture notes Invertebrates-End of Course, Business LawIUM1 IUM1 Task 1: Integrated Arts Activities, Contract analysis - Trish Denton hails from Detroit's ailing sister city Pontiac, Michigan. history with an order to implement seizure precautions. performing this assessment? To maintain patient safety, it is important that you quickly. ), Exposure to irritants, Cigarette smoking, Mucosal defects, Genetics. Prescription medications: he took one of his wifes Xanax tablets. How did the simulated experience of Jermaine Joness case make you feel? administration and compliance with therapy. They should ensure that any of their prescription medications are stored safely in During my assessment, I forgot to ask my patient about alcohol intake. be administered. 2 Pre-Simulation Quiz 3. Maintain patency of airway. process Which of the What should the nurse include in the ranges. 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