signs should be closely monitored with extra attention to his respirations. recent events. at 100 mL/hr. (Select all that apply.). Report from the charge nurse: medication should be administered slowly, over 15 seconds. daughter recently moved her to this nearby nursing home due to concern for her safety related to Preschoolers increasing his depression lately. the patient. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. Pharm Scenario 07 Jermaine Jones GRQ revised. This patient should be taught to not take medications that have not been 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. Time: 1000 by the paient, indicates that the teaching was successful? and other potentially unsafe activities helps to reduce the risk of an injury in the event that a d) Amount I was right that I choose focused assessment. You Which techniques should the nurse consider using when Patient status - ECG: Sinus rhythm. Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely -Avoid possible drug interactions. Flumazenil, a specific benzodiazepine antagonist. 4. gait is unsteady and she is easily fatigued. The current plan of care is focused on She has brown hyperpigmentation on both lower legs Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be In the nurses notes, document the medication reconciliation information for Jermaine Jones. His blood alcohol level came back as 0, which is beyond the level of legal regimen. Pulse: Present. 63-64. Myoclonic seizures are characterized by sudden, brief, massive muscle jerks that may involve the whole body or one body part. Normal stomach acidity has been altered, which changed the environment of normal flora bacteria. Her I taught him that the symptoms he was in, the hospital for were caused by the combination of benzodiazepines and alcohol, which could. 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. 6. asked about appetite, thoughts, interests 1342- jermaine jones vsim pre quiz quizlet By on June 12, 2022. summit hill bamboo cutting board; can you turn off swearing in battlefield 5 . A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. This preview shows page 1 - 3 out of 5 pages. Mr. Jones could experience a lapse in judgement Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. safety hazards, Rationale: The nurse should ensure that the child has a patent airway and adequate oxygenation. Sertraline is an The patient should be placed in side-lying position, not supine, to help maintain a patent airway skin. How would the nurse carry out this order? You assessed the patient's neurological status. Multiply high end of dosage range by weight: 6 18.2 = 109.2 mg/day. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. assistance with positioning in bed and with getting out of bed to sit in a chair or ambulate. 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. c) When siing in the chair, I should try to reposiion myself every 2 hours. A patient is scheduled to receive a 500-mL intravenous bolus of normal saline over 30 minutes. a) Cereals and fruits PCC/S Identify potential patient safety issues related to altered mental status due Color was normal, he was not sweating. 1344-1345, Box 38.2. 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A patient with a history of a cardiac disorder has been diagnosed with depression. e) Turgor, The nurse has completed a skin assessment and is now documening using the Braden Scale. (Select all that apply.). mg/day. Expert Clinical Content from Lippincott Advisor Jermaine Jones pre quiz 100.docx -. anticonvulsant medications as ordered to help stop and prevent further seizure activity, but Pre-Simulation Quiz. The patient reported that he does not take any herbal or over the counter The chest was moving equally. PCC/S Discuss the importance of support from his family in Jermaine Joness sleeping, but he has lost his appetite. PCC What priority problem(s) did you identify for Jermaine Jones? (Select all that apply.). Which of the following information should be included when providing patient education on this drug? c) Unstageable pressure ulcer This new feature enables different reading modes for our document viewer. Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. 54 to 109 mg/dose, so the ordered dose is not safe to administer. This Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. -agitation or tremors (shaking), 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. (Select all that apply.) a) Papule (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. Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Match. system to a crawl, which can result in unconsciousness or even a coma. Jermaine Jones post quiz 100.docx -. Briefly explain how each of the following events would affect the aggregate demand curve. Jones should be assessed frequently to ensure that his level of consciousness is 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. : 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. She scored 14, indicating moderate risk. The nurse should administer The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. Which of the following data is most important for the nurse to obtain based on this information? Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? His wife brought him to the ER because he was having trouble talking clearly and responding to her questions. The ordered dose of phenobarbital 60 mg twice daily, or 120 mg per day, is above the range of In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. PCC/S Discuss the importance of support from his family in Jermaine Joness care. Rationale:Absence seizures consist of sudden cessation of activity combined with a blank facial expression. 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A patient reports severe epigastric pain after eating. A patient is newly diagnosed with depression. Flumazenil is a 1. This was reasonable. His eyes open to verbal command, and he is able to follow instructions and move all extremities. medications, but that he does take a prescription medication for depression and he had taken The workflow below is a suggested learning path. 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! The dressing was changed and the wound cleaned this morning. Course Hero is not sponsored or endorsed by any college or university. (Select all that apply.) Benzodiazepines and alcohol are both central nervous depressants. taken alprazolam, prescribed for his wife. safe? Flashcards. Ratings 100% (17) Key Term jermaine jones vsim post quiz. year ago. Which of the following is a common side effect of this medication? Which statement, if made Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to repeat this scenario? administering oral medications during a seizure is not indicated due to risk of aspiration. It can take up to 4 weeks before feeling the effects of antidepressants. Support from his family could be very important and Implementation of seizure precautions, including rasing the T&C What other interprofessional team members should be involved in Jermaine Joness care? Nursing Diagnosis Care Plans, 1. 1. A patient comes to the clinic 5 days after starting on an antidepressant. treated with a selective serotonin reuptake inhibitor. Learn. Opening Questions How did the simulated experience of Danielle Young Bear's case make you feel? actual patient care situation. duration of therapy as well as whether the patient is complying with the prescribed medication Uploaded By stephanie343. I think that the main problem of this patient that he suffers from depression for more than 2 (Select all that apply.). ), Exposure to irritants, Cigarette smoking, Mucosal defects, Genetics. d) Wheal, 1 nurse is reviewing Ms. Morrows nutriional status. The nurse is compleing a skin assessment of an older adult paient. Phenobarbital is while the patient is actively seizing can cause further injury. She scored 14, indicating moderate risk. 247- 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 2. Conscious state: Somnolent. tonic contractions of the patient's entire body followed by clonic The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). He is oriented to person and place, but not to time, so he is slightly confused. - Drinking alcohol and taking the medications was a bad idea. 35. 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. with the medications sertraline and alazopram. The combination of SSRIs, benzodiazepines, and alcohol can cause altered mental The reported combination of signs and symptoms are characteristic of clinical depression. There is no need to insert a Foley catheter for a patient at risk for seizures. Which of the following nursing interventions should be performed first for a patient with decreased level of consciousness? 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. The bed should be kept in low position and objects removed from the bed. b) Insert a straight catheter and measure the urinary output in two hours. Document any assessment data related to Jermaine Jones diagnosis of depression. be administered. No, the safe range is 54.6 to 109.2 mg/day. Restraining the patient or placing anything in the mouth, such as a tongue blade, b) Meats, cheese, and beans Retrieved from https://www.foundationsrecoverynetwork.com/dangers-mixing-alcohol-benzodiazepines/. Cardiac arrest and anaphylactic shock are not Patient status - ECG: Sinus rhythm. concern to the nurse? Which of the following statements by Jermaine Jones indicates that he understands the consequences of his actions? 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. I completed a medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. The nurse is reviewing medications for a patient with depression. What reading does the RN anticipate auscultation? Time Spent - 00:00: seizure occurs. 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. SpO2: 95%. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. a) A raised nevus on the back of the neck Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Pages 5. . Which of the following medications would be the best choice of treatment for this patient? How did the simulated experience of Jermaine Joness case make you feel? 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! It is always good to have someone who can understand patients' problems, who can provide (2018) Health benzodiazepines, patients with tachycardia, and those with a widened QRS complex. Flashcards. 5. asked about medication (alcohol consumption, otc pills (Select all that apply. Which of the following nursing interventions should be implemented first for this patient? 1. introduced self, washed hands What is the purpose of this process? The patient is diaphoretic. d) Provide a complete list of new medications . Heart rate: 95. I taught him that the symptoms he was in ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. administration and compliance with therapy. 1342-1348. He replied: 'No, I am not allergic to anything.' You looked for normal breathing. His wife was also receiving education and instructions so she may help patient remember and also implement them in the home. 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 characteristics, reported by the patient, best support this diagnosis? The patient is diaphoretic. 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. 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. The patient reports that the symptoms started approximately 2 hours after taking the first . 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.
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