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Apr 21

jermaine jones vsim pre quiz quizlet

This will allow you to reassess the patient continuously. This Course Title NRSG MISC. Multiply low end of dosage range by weight: 3 18 = 54 mg/day. The patient is diaphoretic. The current plan of care is focused on Which of the following information is correct regarding SSRIs? He Your Response: No, the safe range is 54 to 109 mg/day. system to a crawl, which can result in unconsciousness or even a coma. 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. I taught him that the symptoms he was in His family should also monitor his (Select all that apply.) Heart rate: 95. Jackson Webber VSIM Pre Quiz Answers and Rationales, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Time Spent - 00:00: Which of the c) Diminished pulses in the afected extremity the following interventions should the nurse include in the patient's a) Condiion She scored 14, indicating moderate risk. : 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). Retrieved from https://www.rxlist.com/romazicon-side-effects-drug-center.htm. jermaine jones vsim pre quiz quizlet By on June 12, 2022. summit hill bamboo cutting board; can you turn off swearing in battlefield 5 . S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. Rationale:A child with altered level of consciousness may not be able to manage his or her secretions and is at risk for aspiration and ineffective airway clearance. Heart rate: 95. c) This assessment will help me ind out if you will be able to take care of You are conducting discharge teaching for Jermaine Jones related to the cause of his decreased level of consciousness. Uploaded By stephanie343. Remediation: Which indings would alert the nurse to the possible development of an addiional venous wound? Which of the following nursing interventions should be performed first for a patient with decreased level of consciousness? He will be taking just his sertraline when he gets home, as prescribed. Mr. (CBC) with differential This new feature enables different reading modes for our document viewer. Glasgow Coma Scale (GCS). is correct regarding safety for this age group? vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and The nurse should administer Temperature: 99F. 8. phoned provider She has brown hyperp. He reports no thoughts of self-harm, no lost interest in daily activities, no trouble sleeping, but he has lost his appetite. 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. A. - fibers, Select the correct description of a somatoform disorder. The patient asks, "When will I start feeling better?" on her right lower extremity while still living at home. 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. with +2 edema. mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. School Georgian College. Which of the following data is most important for the nurse to obtain based on this information? I felt that my major assessment should be patient mental assessment. Blood pressure: 124/75, You assessed the patient's consciousness. Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely You are reinforcing patient education for Jermaine Jones related to sertraline. -blurred vision, or. Impaired skin integrity Impaired skin integrity. It can take up to 4 weeks before feeling the effects of antidepressants. POST. The answers and Rationales to the required VSIM Prequiz. before I came to see him. Patients taking SSRIs are at an increased risk of suicidal behavior. The workflow below is a suggested learning path. benzodiazepines, patients with tachycardia, and those with a widened QRS complex. Assessment Tool 14-1: Braden Scale for Predicting Pressure Sore Risk, Rationale: During the health history, the nurse needs to determine what medication the patient is The His eyes open to verbal command, and he is able to follow instructions and move all extremities. (Select all that apply.). A patient who has experienced vomiting for several days is admitted to the hospital. (Select all that apply.). (A) It is estimated that 10 million people in the United States are diagnosed with diabetes. 1. introduced self, washed hands Expert Clinical Content from Lippincott Advisor Learn. How would the nurse carry out this order? The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. Patient reported no pain. A patient is scheduled to receive a 500-mL intravenous bolus of normal saline over 30 minutes. Your Response: A forward-facing booster seat in the backseat with lap and He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug (Select all that apply.). Tina jones comprehensive questions to ask; . and other potentially unsafe activities helps to reduce the risk of an injury in the event that a Rationale:Basic seizure precautions should be implemented to provide a safe environment for the patient. -flushing (warmth, redness, or tingly feeling under your skin), c) Hydraion didnt think it would matter. He reports suffering from depressin for a few years now. ), Exposure to irritants, Cigarette smoking, Mucosal defects, Genetics. benzodiazepine receptor antagonist. seat that uses both the shoulder and lap belts. 4. assessed consciousness Time Spent - 00:01: The patient reports that the symptoms started approximately 2 hours after taking the first . b) Prevent duplication of medications. PCC/S Discuss the importance of support from his family in Jermaine Joness care. The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Since both substances are depressants, they can greatly relax muscles and bring the central nervous Louinna_Cross. Talk about what went well in the scenario. Your Response: Keep bed in low position and remove objects from the bed, slurred speech, reduced coordination, drowsiness, and depressed respirations. He had Hydrochlorothiazide prescribed by MD for his hypertension a couple of years. I completed a medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. another medication prescribed for his wife. Calculations: No calculations were necessary in this vsim, as no medications were ordered to Document any assessment data related to Jermaine Jones diagnosis of depression. impaired mobility, an unhealthy diet, and inability to adequately care for herself at home. The safe dose range is 3 to 6 mg/kg/day. There is a 20 gauge IV in his right forearm. Blood pressure: 126/75. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. ranges. 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! 1342- A patient diagnosed with PUD has been prescribed sucralfate and pantoprazole. This was reasonable. Course Hero is not sponsored or endorsed by any college or university. 3. 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. Your Response:No, the safe range is 54.6 to 109.2 mg/day. Assessment: Mrs. Morrow is alert and oriented to person, time, and place but sometimes forgets Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Which of the following nursing interventions should be implemented first for this patient? PCC/S Identify potential patient safety issues . Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. Alprazolam is a benzodiazepine Fluoxetine. (Select all that apply.) Albumin level test Albumin level test and/or benzodiazepines, and about drug interactions. The patient reports taking his prescribed a) Potassium 4 mEq/L SpO2: d) To simulate circulaion, it is important for me to vigorously massage my repeat this scenario? Pulse drinking three beers. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. The workflow below is a suggested learning path. Which inding would require 2. PCC What potential problems could arise due to combination of alcohol with SSRIs and Pre-Simulation Quiz. 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. The nurse is completing an assessment for a patient who has been diagnosed with major depression. performing this assessment? Scenario Analysis Questions 1 duration of therapy as well as whether the patient is complying with the prescribed medication (2014, June 11). the uptake of serotonin by neurons in the brain. Pulse: Present. The nurse asks if the patient is feeling depressed. yourself at home. e) Depth, The nurse is inspecing a paients cheek and inds a palpable, 0-cm mass containing clear luid. Nursing Diagnosis Care Plans, 1. T&C What other interprofessional team members should be involved in Jermaine Joness care? Which of the following drugs may be included in triple (combination) therapy for patients with peptic ulcers caused by H. pylori? They should ensure that any of their prescription medications are stored safely in Deficient knowledge: Disease process Deficient knowledge: Disease and suction should be readily available at the bedside. patient's serum phenobarbital level is 8 mcg/mL. a) Dependent rubor He replied: 'No, I am not allergic to anything.' You looked for normal breathing. Remediation: -pain or irritation where the medicine was injected, Which of the following statements best describes the likely cause of the patient's symptoms? the hospital for were caused by the combination of benzodiazepines and alcohol, which could Include the medications he was taking prior to admission, any medications given during the scenario, and the medications he will be taking at home. Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. PCC What priority problem(s) did you identify for Jermaine Jones? The patient reports weakness and confusion. It is always good to have someone who can understand patients' problems, who can provide love and help. Note any drugdrug interactions. 9. patient handoff. You washed your hands. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to repeat this scenario? actions should the nurse take? 2 The nurse is teaching the parent of a 5-year-old patient about b) Leg pain and brownish or blue skin discoloraion Implementation of seizure precautions, including rasing the VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. Which of the fo, is correct regarding safety for this age grou, shoulder belts should be used after reaching the car seat height re. 2The nurse is teaching the parent of a 5-year-old patient about home safety and injury prevention. administration and compliance with therapy. This type of seizure lasts less than 30 seconds and can occur multiple times during the day. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Prescription medications: he took one of his wifes Xanax tablets. Pulse: Present. The patient reported that he does not take any herbal or over the counter The medication used as an antidote for benzodiazepine overdose is flumazenil. Normal elasticity of the Which of He was having trouble talking clearly and Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Blood pressure: 126/75. Side effects: -pain or irritation where the medicine was injected, -ringing in your ears (John P. Cunha,2019). Which technique would the nurse use to perform Georgian College. (Alcohol Abuse,2014). A patient is newly diagnosed with depression. : 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. c) Unstageable pressure ulcer Prealbumin test Prealbumin test Find more information at: qsen/. Patient was breathing at 12 breaths per minute. Myoclonic seizures are characterized by sudden, brief, massive muscle jerks that may involve the whole body or one body part. complication associated with this type of seizure. - Patient confused, under the influence, and more than likely will be a poor historian. 4-7 mEq/L. If Mr. Jones During an admission assessment, the nurse notes a sudden onset of and contraindications. Which of the following medications would be the best choice of treatment for this patient? (Select all that apply.). Multiply high end of dosage range by weight: 6 18.2 = 109.2 mg/day. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. safe? Insufficiency, Chapter 22, p. 488 Blood alcohol level is .27. Which of the following antidepressant agents is contraindicated for this patient? Preview text. prescribed to him. Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an actual patient care situation. Which techniques should the nurse consider using when PCC/S Identify potential patient safety issues related to altered mental status due to the combination of alcohol with SSRIs and benzodiazepines. Vital signs have been within normal limits and are performed weekly. Which of the following interventions should the nurse include in the patient'splan of care? His speech is slurred, but he can answer questions coherently. twice daily. 50mg sertraline once a day, but he also took one of his wifes alprazolam tablets. Test. 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 benzodiazepines? promoting wound healing, improving venous return, and preventing skin breakdown. Side I was right that I choose focused assessment. Benzodiazepines and alcohol are both central nervous depressants. Jones to suffer falls. Abnormal Findings 22-1: Characteristics of arterial and Venous A patient comes to the clinic 5 days after starting on an antidepressant. plan of care? while the patient is actively seizing can cause further injury. 2019 (n.d.). The patient should be placed in side-lying position, not supine, to help maintain a patent airway and decrease the risk for aspiration. Location: Nursing home Normal elasticity of the skin. He is oriented to person and place, but not time, so he is highly confused. I felt that my major assessment should be patient mental assessment. However, you cannot access the post-simulation 3. a) Compare current medications to all medications taken. Which of the following foods should the patient avoid? SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance a) Borders To maintain patient safety, it is important that you quickly. Which of the following statements identifies why Jermaine Jones may be at higher risk for the adverse effects of benzodiazepines? : 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. A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. emergency department by his wife after he had been drinking a few beers and had Flumazenil, a specific benzodiazepine antagonist. Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with diabetes mellitus. Patient was drinking alcoholic beverages while taking alprazolam. to the combination of alcohol with SSRIs and benzodiazepines. 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. would the nurse document this inding? quiz, documentation assignments, and guided The last BP reading in the right arm was 120/50. Conscious state: Somnolent. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. You asked if the patient was <Allergy>allergic<> to anything. Which of the following principlesis correct regarding safety for this age group? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. b) It is a tool to determine whether or not you are at risk for falls. 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. Use the self-concept theory to generate marketing strategies for the Carnival Cruise Lines. The nurse is compleing a skin assessment of an older adult paient. Patient status - ECG: Sinus rhythm. There is not enough information provided in the description as it stands to conclude whether any of the other answers are correct. The risks of this medication include seizure, cardiac a) A raised nevus on the back of the neck patrick schulte highlights. Flashcards. interaction between the three. What is the purpose of this process? Obesity, long-term care Obesity, long-term care He is oriented to person and place, but not to time, so he is slightly confused. Safe dosage range equals 54.6 to 109.2 mg/day. . The bed should be kept in low position and objects removed from the bed. At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. This preview shows page 1 - 5 out of 5 pages. person, place, but not time. Which of the following best explains the reason this combination decreased Jermaine Jones's level of consciousness? Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. 1. 63-64. d) Amount Color was normal, he was not sweating. -sweating or shivering, Oxygen The chest, You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to, monitor the saturation and pulse here. Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. Maintain patency of airway. Heart rate-95. The dressing was changed and the wound cleaned this morning. SpO2: 95%. patient reported that he thinks the tablets are 0.5mg. skin. a) Papule seat that uses both the shoulder and lap belts. PCC/S Discuss the importance of support from his family in Jermaine Jones's care. 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! e) What other symptoms occur with it? complications commonly associated with tonic-clonic seizures. Quiz Name RicciKyle4e_Pre_Jackson Web ber. 3. took vitals (temp, pulse, respirations, o2, bp) ranges. 1344-1345, Box 38.2. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. d) Exudate Ratings 100% (11) This preview shows page 1 - 10 out of 10 pages. Alcohol should not be consumed when taking alprazolam or sertraline. 3. 1342-1349 8, Your Response: Incontinence, Aspiration, Head trauma. (B) Lowering the body's ability to tolerate insulin is the main focus of treatment for . You may complete the materials more than once. Palpate the bladder for distention and record findings in the chart. Calculate the setting for the infusion pump in __________________________ mL/hr. 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? 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, 9 terms. (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. b) Clubbing reflection questions until you have completed the 2. NRSG MISC. (Select all that apply.). It is always good to have someone who can understand patients' problems, who can provide What Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be lethal. Prescription medications: he took one of his wifes Xanax tablets. He is breathing at 12 breaths per minute. 4. assessment? Which characterisics should Which of the following information is correct regarding SSRIs? Your Response: Further assessment is needed regarding phenobarbital medications, but that he does take a prescription medication for depression and he had taken 996-997. Pulse: Present. was to drive a vehicle with this combination in his system, he could harm himself and Her last Braden scale as, ago. Jones should be assessed frequently to ensure that his level of consciousness is C-palpaion This patient should be taught to not take medications that have not been Jermaine Jones vsim. 2. Course Title NRSG MISC. rehabilitation therapy. Which of the following information should be included when providing patient education on this drug? Atonic seizures involve a sudden loss of muscle tone, which in children may be only a sudden drop of the head. depressant effect on the CNS Flashcards. -Provide a complete list of new medications Hypovolemic . You Assessed sedation level usingthe Pasero Sedation Scale; patient was drowsy but arousable. d) Venous stasis ulcer, The nurse is providing teaching to Ms. Morrow on how to prevent addiional venous stasis ulcers. He says he feels sad because his father died a year ago. Recommendation: I would like you to complete a full-body skin assessment of Mrs. Morrow. Box 4-3: SBAR, Chapter 4, p. 58 Patient was breathing at 12 breaths per minute. The fetal heart rate is 150 bpm. 4. daughter recently moved her to this nearby nursing home due to concern for her safety related to process Which statements would be appropriate to include in the teaching plan? (Select all that apply. coach house furniture stockists near me. The safe dose range is 3 to 6 mg/kg/day. medication should be administered slowly, over 15 seconds. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. b) Do you have a family history of keloids? 1342-, 6 The role of the pediatric nurse has many components. b) Asymmetry A patient has been diagnosed with peptic ulcer disease (PUD). Kim Johnson Vsim Study 37 Med Surg 1. drinking, and make sure to not give him any medications that have not been prescribed D PERCUSSION, The nurse is assessing a paients nails. sleeping, but he has lost his appetite. d) Pallor in the lower extremity, The nurse is educaing Ms. Morrow and her daughter on food choices that will promote wound She has gained 3 pounds since prenatal visit 1 week ago. (Select all that apply.) The use of this medication is contraindicated in patients with a lowered Patient reported, I was feeling down, so I took some pills and drank some alcohol. She requires A psychologist can be involved during Temp: 99F. (Select all that apply.) 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Edit Print Download Embed Share. by the paient, indicates that the teaching was successful? Which of the following antidepressant agents is contraindicated for this patient? b) Insert a straight catheter and measure the urinary output in two hours. (Select all that apply.) 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jermaine jones vsim pre quiz quizlet