NY Times Paywall - Case Analysis with questions and their answers. reflection questions until you have completed the regimen. The workflow below is a suggested learning path. During my assessment, I forgot to ask my patient about alcohol intake. You may complete the materials more than once. The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. this antidote. 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. Her last Braden scale as, ago. Ratings 100% (11) This preview shows page 1 - 10 out of 10 pages. This patient should be taught to not take medications that have not been duration of therapy as well as whether the patient is complying with the prescribed medication You assessed the patient's neurological status. Vital signs have been within normal limits and are performed weekly. Bringing all of the assessments together was in a way like a puzzle. Recommendation: I would like you to complete a full-body skin assessment of Mrs. Morrow. 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. Which of the following nursing interventions should be implemented first for this patient? The chest, You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to, monitor the saturation and pulse here. Wolters Kluwer. and contraindications. Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. was strong, 95 per minute, and regular. a) Have you had any hair loss? I was right that I choose focused assessment. I think that the main problem of this patient that he suffers from depression for more than 2 years. Other sets by this creator. Because of the subtle changes in patient behavior, absence seizure activity may not be recognized or may be perceived falsely as inattentiveness. 3. 1344-1345, A-auscultaion Diseases and Conditions, 1. The safe dose range is 3 to 6 mg/kg/day. Mr. The ordered dose of phenobarbital 60 mg twice daily, or 120 mg per day, is above the range of increasing his depression lately. Which of the following statements best describes the likely cause of the patient's symptoms? 2. Prealbumin test Prealbumin test 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. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. (Select all that apply. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. Rationale:The pediatric nurse serves as a collaborator by working with the entire interdisciplinary health care team to integrate the needs of the patient and family into a coordinated plan of care. 4. (Select all that apply.) Jackson Weber vsim Course Point prequiz 12:05 pm close course point pediatric case jackson weber suggested readings quiz vsim quiz documentation assignments. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. JeopardyLabs. Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an 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. 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. drinking, and make sure to not give him any medications that have not been prescribed Induced Sedation Scale. Patients taking SSRIs are at an increased risk of suicidal behavior. Temp: 99F. The patient asks, "When will I start feeling better?" (B) Lowering the body's ability to tolerate insulin is the main focus of treatment for . Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely It is always good to have someone who can understand patients' problems, who can provide love and help. that binds to GABA receptors in the brain and is used to treat anxiety. Study with Quizlet and memorize flashcards containing terms like A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. The priority problem that I identified for Jermaine Jones was the combination of alcohol A psychologist can be involved during Which of the following directions for taking these two medications is correct? benzodiazepines, patients with tachycardia, and those with a widened QRS complex. Which of the following statements best describes the rationale for the nurse's question? a) A raised nevus on the back of the neck plan of care? 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. (Select all that apply.) Scenario Analysis Questions 1 I think it is very important for patients who are suffering from depression to have support from family and friends. help him tremendously during this difficult time. 35. PCC What potential problems could arise due to combination of alcohol with SSRIs and benzodiazepines? ), 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 nurse asks if the patient is feeling depressed. Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be d) To simulate circulaion, it is important for me to vigorously massage my A patient who has taken pantoprazole for several years reports six or more incidents of foul-smelling watery diarrhea over the last 3 days. Test results show the presence of Helicobacter pylori (H. pylori). 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. . Jermaine Jones took his wife's alprazolam. d) Hygiene In the role of educator, the nurse instructs and counsels patients and their families about all aspects of health and illness. His eyes open to verbal command, and he is able to follow instructions and move all extremities. 4 A nurse is reviewing lab results and notes that a 5-year-old and localized edema. Temperature: 99F. a) Compare current medications to all medications taken. Patient education for this patient would include which of the following statements? The patient reports taking his prescribed If so, how would your patient care change? Which of the following data is most important for the nurse to obtain based on this information? Vitals: BP- 126/75. (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. 4. The workflow below is a suggested learning path. Assessed sedation level usingthe Pasero Sedation Scale; patient was drowsy but arousable. drinking three beers. system to a crawl, which can result in unconsciousness or even a coma. b) Vesicle areas are assessed using this tool? The bed should be kept in low position and objects removed from the bed. Pulse was strong, 95 per minute, and regular. No, the safe range is 54.6 to 109.2 mg/day. Course Hero is not sponsored or endorsed by any college or university. Pulse c) When siing in the chair, I should try to reposiion myself every 2 hours. benzodiazepine receptor antagonist. Time Spent - 00:00: How did the simulated experience of Jermaine Joness case make you feel? Created by. There is a 20 gauge IV in his right forearm. SpO2: -pain or irritation where the medicine was injected, Opening Questions How did the simulated experience of Danielle Young Bear's case make you feel? interaction between the three. -sweating or shivering, never describe medications as candy. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. I think it is very important for patients who are suffering from depression to have support from family a) Cereals and fruits safe? b) Meats, cheese, and beans history with an order to implement seizure precautions. Your Response: No, the safe range is 54 to 109 mg/day. Is this order Benzodiazepines and alcohol are both central nervous depressants. 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 Study with Quizlet and memorize flashcards containing terms like Jermaine Jones consumed alcohol while taking alprazolam and sertraline. anticonvulsant medications as ordered to help stop and prevent further seizure activity, but 1342-, 6 The role of the pediatric nurse has many components. If so, how would your patient care change? What 2. Which technique would the nurse use to perform Sertraline is an PCC/S Identify potential patient safety issues related to altered mental status due to the combination of SWEET & BITTER! : 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. Patient was breathing at 12 breaths per minute. Which of the following statements is correct regarding probiotics? Supervision during bathing, ambulation, and other potentially unsafe activities helps to reduce the risk of an injury in the event that a seizure occurs. Document the information you provided to Jermaine Jones and his wife regarding adverse drug effects when combining SSRIs, benzodiazepines, and alcohol. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Prescription medications: he took one of his wifes Xanax tablets. signs should be closely monitored with extra attention to his respirations. (Select all that apply.) Normal saline is infusing The nurse is reviewing medications for a patient with depression. 2019 (n.d.). Varicose veins Varicose veins d) Provide a complete list of new medications . The nurse is providing paient teaching about prevenion of pressure ulcers. benzodiazepines? Talk about what went well in the scenario. 63-64. Flashcards. A, Post Conference Activity Assignment for Amelia Sung v Sim. What Assessment in Nursing, 6th Edition. If Mr. Jones Rationale:Absence seizures consist of sudden cessation of activity combined with a blank facial expression. a) Choose footwear that is nonskid with a low heel. -dizziness, His speech is slurred, but he can answer questions coherently. Atonic seizures involve a sudden loss of muscle tone, which in children may be only a sudden drop of the head. 50mg sertraline once a day, but he also took one of his wifes alprazolam tablets. Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. Remediation: . 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. another medication prescribed for his wife. d) Exudate The backseat is the safest place for the child to ride. Which of the following antidepressant agents is contraindicated for this patient? c) Capillary reill years. recent events. The safe dose range is 3 to 6 mg/kg/day. How should the nurse describe this type of wound? How did the simulated experience of Jermaine Joness case make you feel? All of his results for his BMP and CBC labs came back within normal He replied: 'No, I am not allergic to anything.' You looked for normal breathing. 1. b) Urine protein 60 mg/24 hours and decrease the risk for aspiration. Concluding Questions d) When did it begin? I think that the main problem of this patient that he suffers from depression for more than 2 The patient should be placed in side-lying position, not supine, to help maintain a patent airway and decrease the risk for aspiration. His pupils are equal, round, and reactive to light accomadation. and suction should be readily available at the bedside. Glasgow Coma Scale (GCS). ranges. Teachings: I educated the patient on the importance of avoiding alcohol while taking sertraline 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. The nurse is compleing a skin assessment of an older adult paient. Vital signs should be monitored frequently. He reports no thoughts of self-harm, no lost interest in daily activities, no trouble d) Mental status A forward-facing booster seat in the backse, After reaching the car seat height restriction, all 5-year, Basic seizure precautions should be implemented to provide a safe environment for, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. whether any of the other answers are correct. Jermaine Jones was admitted to the emergency department with decreased level of consciousness. Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with peptic ulcer disease (PUD). 5. The bed should be kept in low position and objects removed from the bed. Which of 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. Which of the following statements identifies why Jermaine Jones may be at higher risk for the adverse effects of benzodiazepines? I completed a performing this assessment? -Avoid possible drug interactions c) Unstageable pressure ulcer It is. He is oriented to person and place, but not to time, so he is slightly confused. should also review the labs and do patient education on promotion of circulation and on She has brown hyperp. Which indings would alert the nurse to the possible development of an addiional venous wound? She is on a regular diet with nutritional that may lead to him harming himself, either intentionally or unintentionally. be administered. Cardiac arrest and anaphylactic shock are not complications commonly associated with tonic-clonic seizures. medication reconciliation with this patient, and looked for any potential interactions, allergies, 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. Side by the paient, indicates that the teaching was successful? Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be lethal. Patient was oriented to Oxygen and suction should be readily available at the bedside. The nurse is providing education to a patient who takes an MAOI for depression. Vsim Suzanne Morris Pre-Quiz. with +2 edema. PCC What priority problem(s) did you identify for Jermaine Jones? with the medications sertraline and alazopram. A patient with a history of a cardiac disorder has been diagnosed with depression. emergency department by his wife after he had been drinking a few beers and had 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! A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. As an advocate, the nurse safeguards and advances the interests of patients and their families. Patient was drinking alcoholic beverages while taking alprazolam. To maintain patient safety, it is important to wash your, Patient status - ECG: Sinus rhythm. Fluoxetine. Flumazenil, a specific benzodiazepine antagonist. VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. Time Spent - 00:00: I completed a medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. skin. a pt wit preeclampsia is admitted with vital signs as follows: temp 98.6, HR 110, RR 28, BP182/116, SpO2 92%. Include the medications he was taking prior to admission, any medications given during the scenario, and the medications he will be taking at home. 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, Health Promotion for Families II (NUR 208C). 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 Blood alcohol level is .27. 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. Location: Nursing home 4. assessed consciousness Which characterisics should 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. 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! Which of the following best explains the reason this combination decreased Jermaine Jones's level of consciousness? patient reported that he thinks the tablets are 0. I really enjoyed her simulaion. contractions alternating with relaxation of all muscle groups. Note any drugdrug interactions. PCC/S Discuss the importance of support from his family in Jermaine Joness A patient is newly diagnosed with depression. 5. asked about medication (alcohol consumption, otc pills He is breathing at 12 breaths per minute. Find more information at: qsen/. Learn. He took his assessment? My patient care would not change. Edit Print Download Embed Share. His speech is slurred, but he can answer questions correctly. administering oral medications during a seizure is not indicated due to risk of aspiration. Which diet choices should be included in the teaching session? Jones to suffer falls. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Retrieved from https://www.foundationsrecoverynetwork.com/dangers-mixing-alcohol-benzodiazepines/. I felt that my major assessment should be patient mental assessment. (Select all that apply.) : 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. 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. daughter recently moved her to this nearby nursing home due to concern for her safety related to : 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).

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