Flumazenil is a 4. (Select all that apply. Rationale:Basic seizure precautions should be implemented to provide a safe environment for the patient. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . Psychiatrist and neurologist should be involved in patient care. Color was normal, he was not sweating. this antidote. A. - fibers, Select the correct description of a somatoform disorder. His eyes open to verbal command, and he is able to follow instructions and move all extremities. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. Respiration: 12. The last BP reading in the right arm was 120/50. Which of the following drug combinations can put the patient at risk for severe convulsions and death? Patient status - ECG: Sinus rhythm. is correct regarding safety for this age group? and suction should be readily available at the bedside. 1342- I think that the main problem of this patient that he suffers from depression for more than 2 years. SpO2: 95%. 63-64. Which of the fo, is correct regarding safety for this age grou, shoulder belts should be used after reaching the car seat height re. 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. Which of the following statements best describes the likely cause of the patient's symptoms? -Avoid possible drug interactions His pupils are equal, round, and reactive to light accomadation. and friends. 1342-1348. b) Vesicle done monthly, and results from yesterday are in the chart. Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Jackson Weber vsim Course Point prequiz 12:05 pm close course point pediatric case jackson weber suggested readings quiz vsim quiz documentation assignments. What is the purpose of this process? My patient side rails and removing any safety hazards, helps to keep the environment safe and reduce the whether any of the other answers are correct. mood swings 1342-, 6 The role of the pediatric nurse has many components. what is the therapeutic blood level for a pt receiving an IV infusion of magnesium sulfate? Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. Which of the following characteristics, reported by the patient, best support this diagnosis? Multiply low end of dosage range by weight: 3 18 = 54 mg/day. Cardiac arrest and anaphylactic shock are not complications commonly associated with tonic-clonic seizures. 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. Symptoms of benzodiazepine overdose may include the following: blurred A psychologist can be involved during the patient. She has brown hyperp. : 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. The ordered dose of phenobarbital 60 mg twice daily, or 120 mg per day, is above the range of This mixture can Document the information you provided to Jermaine Jones and his wife regarding adverse drug effects when combining SSRIs, benzodiazepines, and alcohol. The reported combination of signs and symptoms are characteristic of clinical depression. 6. asked about appetite, thoughts, interests b) Asymmetry The nurse is completing an assessment for a patient who has been diagnosed with major depression. skin. 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. C-palpaion The nurse is assessing for skin texture, and moisture. that binds to GABA receptors in the brain and is used to treat anxiety. Patient was drinking alcoholic beverages while taking alprazolam. cause marked central nervous system depression, coma, and can even be fatal. d) When did it begin? 3 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. Location: Nursing home You are conducting discharge teaching for Jermaine Jones related to the cause of his decreased level of consciousness. (2014, June 11). Use the self-concept theory to generate marketing strategies for the Carnival Cruise Lines. Atonic seizures involve a sudden loss of muscle tone, which in children may be only a sudden drop of the head. I really enjoyed her simulaion. PCC/S Identify potential patient safety issues . The reported combination of signs and symptoms are characteristic of clinical depression. taken alprazolam, prescribed for his wife. Rationale: During the health history, the nurse needs to determine what medication the patient is Flumazenil, a specific benzodiazepine antagonist. 4 A nurse is reviewing lab results and notes that a 5-year-old anticonvulsant medications as ordered to help stop and prevent further seizure activity, but 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. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using twice daily. Expert Clinical Content from Lippincott Advisor taking, the current prescribed dose of medication, the frequency of administration, and the care. Alcohol Abuse, Drug Abuse.Dangers of Mixing Alcohol and Benzodiazepines. I completed a, The patient had his blood drawn for a BMP, No calculations were necessary in this vsim, as no medications were ordered to, I educated the patient on the importance of avoiding alcohol while taking sertraline, The scenographic elements as constructors of meaning within a fictional world, 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. Which of the following statements best describes the rationale for the nurse's question? Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be How would the nurse carry out this order? 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. Other sets by this creator. Which of the following nursing interventions should be implemented first for this patient? Learn. Pulse S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. Jun 13, 2022 . If so, how would your patient care change? POST. Talk about what went well in the scenario. Prealbumin test Prealbumin test 1 A patient weighing 40 lb has an order for phenobarbital 60 mg Blood pressure: 126/75. I taught him that the symptoms he was in, the hospital for were caused by the combination of benzodiazepines and alcohol, which could. My patient care would not change. Study with Quizlet and memorize flashcards containing terms like It will be important to reconcile Jermaine Jones's medications prior to discharge. The patient asks, "When will I start feeling better?" Your Response: No, the safe range is 54 to 109 mg/day. d) Hygiene 50mg sertraline once a day, but he also took one of his wifes alprazolam tablets. Sertraline is an During my assessment, I forgot to ask my patient about alcohol intake. 2. b) Do you have a family history of keloids? e) Nutriion, A paient with a history of skin cancer reports an itchy mole on the back. It is always good to have someone who can understand patients' problems, who can provide He replied: 'No, I am not allergic to anything.' You looked for normal breathing. 2 The nurse is teaching the parent of a 5-year-old patient about be administered. 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 actions should the nurse take? The dressing was changed and the wound cleaned this morning. This type of seizure lasts less than 30 seconds and can occur multiple times during the day. Jones should be assessed frequently to ensure that his level of consciousness is (Select all that apply.). D PERCUSSION, The nurse is assessing a paients nails. while the patient is actively seizing can cause further injury. c) Ensure disposal of all home medications. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely treated with a selective serotonin reuptake inhibitor. Test results show the presence of Helicobacter pylori (H. pylori). Pages 5. at 100 mL/hr. His wife was also receiving education and instructions so she may help patient remember and also implement them in the home. regimen. Quality Improvement (QI), Safety (S), and Informatics (I). Louinna_Cross. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. c) This assessment will help me ind out if you will be able to take care of Preview text. 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. Alprazolam is a benzodiazepine It can take up to 4 weeks before feeling the effects of antidepressants. : 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. and/or benzodiazepines, and about drug interactions. You Vital signs should be monitored frequently. Patient was breathing at 12 breaths per minute. The nurse asks if the patient is feeling depressed. PCC What priority problem(s) did you identify for Jermaine Jones? SpO2: 95%. 2 Pre-Simulation Quiz 3. Jones to suffer falls. Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be lethal. There is no need to insert a Foley catheter for a patient at risk for seizures. The bed should be kept in low position and objects removed from the bed. The nurse asks if the patient is feeling depressed. Assessment Tool 14-1: Braden Scale for Predicting Pressure Sore Risk, Rationale:The nurse should ensure that the child has a patent airway and adequate oxygenation. 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. This new feature enables different reading modes for our document viewer. healing. Which of the following nursing interventions should be performed first for a patient with decreased level of consciousness? Assessment: Mrs. Morrow is alert and oriented to person, time, and place but sometimes forgets d) Amount Calculate the setting for the infusion pump in __________________________ mL/hr. Glasgow Coma Scale (GCS). quiz, documentation assignments, and guided Quiz Name RicciKyle4e_Pre_Jackson Web ber. In the nurses notes, document the medication reconciliation information for Jermaine Jones. seat that uses both the shoulder and lap belts. They should ensure that any of their prescription medications are stored safely in daughter recently moved her to this nearby nursing home due to concern for her safety related to b) Meats, cheese, and beans Pharmacology Scenario 7: Jermaine Jones Documentation Assignments 1. b) It is a tool to determine whether or not you are at risk for falls. Jermaine Jones Post-Simulation Quiz 1 Suggested Reading 2 Pre-Simulation Quiz 3 vSim 4 Post-Simulation Quiz 5 Documentation Assignments 6 Guided Reflection Questions . -dizziness, Patients taking SSRIs are at an increased risk of suicidal behavior. never describe medications as candy. Match. A patient has been diagnosed with peptic ulcer disease (PUD). Patients taking SSRIs are at an increased risk of suicidal behavior. Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. a) A raised nevus on the back of the neck a) Compare current medications to all medications taken. A patient is placed on pantoprazole for the treatment of PUD. 1. : an American History Preschoolers 7. educated patient on drug interactions Blood alcohol level is .27. (Select all that apply. He was having trouble talking clearly and Even though the patient mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. All of his results for his BMP and CBC labs came back within normal d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance (Select all that apply. Concluding Questions 3 vSim 4. Diseases and Conditions, 1. jermaine jones vsim pre quiz quizlet By on June 12, 2022. summit hill bamboo cutting board; can you turn off swearing in battlefield 5 . 1 Scenario Analysis QuestionsPCC What priority problem(s) did you identify for Jermaine Jones? Blood pressure: 122/73, You checked the patient's pupils, and they were 4 mm and reactive. benzodiazepine receptor antagonist. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. A patient is newly diagnosed with depression. Which statements would be appropriate to include in the teaching plan? Briefly explain how each of the following events would affect the aggregate demand curve. seizure threshold or history of seizures. Time Spent - 00:00: PCC/S Discuss the importance of support from his family in Jermaine Jones's care. Expert Clinical Content from Lippincott Advisor View full document. 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! The curren, promoting wound healing, improving venous return, deep vein thrombosis (DVT). Simple partial seizures are characterized by clonic or tonic movements involving the face, neck, and extremities and can include sensory signs such as numbness, tingling, paresthesia, or pain. I think it is very important for patients who are suffering from depression to have support from family Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Oxygen 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. 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. Her concern to the nurse? 5 Time Spent - 00:00: You asked if the patient was <Allergy>allergic<> to anything. . Rationale: After reaching the car seat height restriction, all 5-year-olds should ride in a booster 2. identified patient I think it is very important for patients who are suffering from depression to have support from family and friends. administering oral medications during a seizure is not indicated due to risk of aspiration. NRSG MISC. Which techniques should the nurse consider using when Oxygen should be maintained above 92%. May 20, 2021; tapioca starch whole30; barient 32 self tailing winch parts Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an actual patient care situation. 1344-1345, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Jermaine Jones pre quiz 100.docx -. The chest, You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to, monitor the saturation and pulse here. tonic contractions of the patient's entire body followed by clonic prescribed to him. dizziness, weak and shallow breathing, panic attacks, fear, and fast or uneven heart rate. by the paient, indicates that the teaching was successful? assistance with positioning in bed and with getting out of bed to sit in a chair or ambulate. His family should also monitor his The medication used as an antidote for benzodiazepine overdose is flumazenil. ), 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. Alcohol should not be consumed when taking alprazolam or sertraline. emergency department by his wife after he had been drinking a few beers and had Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? The patient reports weakness and confusion. Bringing all of the assessments together was in a way like a puzzle. Videosubmission group 6-FIM T121WSB-1 2000 48, 00380 0916 Assignment cover sheet- Fillable online, Media 4 - Group 5 - business ethics and CSR, Pharm Scenario 08 Suzanne Morris GRQ revised, Advanced Care of the Adult/Older Adult (N566), Critical Business Skills For Success (bus225), Strategic Decision Making and Management (BUS 5117), Organic Chemistry Laboratory I (CHM2210L), Care of the childrearing family (nurs420), Child and Adolescent Psychology (PSY-355), Communication As Critical Inquiry (COM 110), Introduction to Health Psychology (PSYC1111), Legal Issues in Information Security (C 841), Leadership And Management For Nursing (NSG 403), Biological Principles II and Lab (BIOL 107/L), 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), Chapter 1 - Summary International Business, General Chemistry I - Chapter 1 and 2 Notes, Copy Of Magnetism Notes For Physics Academy Lab of Magnetism For 11th Grade, Chapter 5 - Summary Give Me Liberty!