It is also contraindicated for those on long term e) Length. Preview text. The reported combination of signs and symptoms are characteristic of clinical depression. d) When did it begin? Retrieved from https://www.foundationsrecoverynetwork.com/dangers-mixing-alcohol-benzodiazepines/. To maintain patient safety, it is important to wash your, Patient status - ECG: Sinus rhythm. The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. Induced Sedation Scale. the hospital for were caused by the combination of benzodiazepines and alcohol, which could b) It is a tool to determine whether or not you are at risk for falls. 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. actual patient care situation. Impaired skin integrity Impaired skin integrity. Ratings 100% (17) Key Term jermaine jones vsim post quiz. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. She has brown hyperpigmentation on both lower legs The nurse is compleing a skin assessment of an older adult paient. . Match. - I should not have taken the medication prescribed for my wife. changed the child's medication dose, whether the child has had any recent weight changes, and 1342-1348. 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, The nurse is preparing to inspect Ms. Morrows hair and scalp. d) Wheal, 1 nurse is reviewing Ms. Morrows nutriional status. Which of the following characteristics, reported by the patient, best support this diagnosis? The chest was moving equally. She has gained 3 pounds since prenatal visit 1 week ago. The patient reports taking his prescribed Which laboratory value would be of most Pharm Scenario 07 Jermaine Jones GRQ revised. complication associated with this type of seizure. Course Hero is not sponsored or endorsed by any college or university. T&C What other interprofessional team members should be involved in Jermaine Joness care? e) Turgor, The nurse has completed a skin assessment and is now documening using the Braden Scale. Supervision during bathi, and other potentially unsafe activities helps to reduce the risk of an injury in the eve, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Which of the following nursing interventions should be implemented first for this patient? 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. His family should also monitor his Which of the following directions for taking these two medications is correct? 95%. Patients taking SSRIs are at an increased risk of suicidal behavior. Which of the following characteristics, reported by the patient, best support this diagnosis? d) Exudate Edit Print Download Embed Share. You assessed the patient's neurological status. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Conscious state: Somnolent. Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! Kim Johnson Vsim Study 37 Med Surg 1. Expert Clinical Content from Lippincott Advisor Restraining the patient or placing anything in the mouth, such as a tongue blade, while the patient is actively seizing can cause further injury. The nurse is assessing for skin texture, and moisture. Expert Clinical Content from Lippincott Advisor Since both substances are depressants, they can greatly relax muscles and bring the central nervous ago. Which of the following nursing interventions should be implemented first for this patient? Probiotics help prevent or treat infections in the intestines. Vital signs should be monitored frequently. Nursing Diagnosis Care Plans, 1. ), -Compare current medications to all medications taken Background: Mrs. Morrow has a past medical history of COPD, chronic venous insufficiency, and patrick schulte highlights. Preschoolers are not mature enough to ride a bicycle in the street and should ride on the sidewalk; bicycles should be ridden in the same direction as traffic. Talk about what went well in the scenario. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 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). All sales are final. a) Coninence A. - fibers, Select the correct description of a somatoform disorder. The nurse is completing an assessment for a patient who has been diagnosed with major depression. Respiration: 12. b) Mobility (Select all that apply.). This preview shows page 1 - 5 out of 5 pages. Blood pressure: 124/74, You identified the patient. (Alcohol Abuse,2014). He reports no thoughts of self-harm, no lost interest in daily activities, no trouble sleeping, but he has lost his appetite. The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). (Select all that apply.). Rationale: After reaching the car seat height restriction, all 5-year-olds should ride in a booster He replied: 'No, I am not allergic to anything.' You looked for normal breathing. a) Cereals and fruits The last BP reading in the right arm was 120/50. A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. while the patient is actively seizing can cause further injury. I think that the main problem of this patient that he suffers from depression for more than 2 years. Labs are overdose can be fatal. Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. 1 A patient weighing 40 lb has an order for phenobarbital 60 mg shoulder belts should be used after reaching the car seat height restriction. b) Vesicle whether any of the other answers are correct. Restraining the patient or placing anything in the mouth, such as a tongue blade, vSim once. not be appropriate for the nurse to implement this without an order from the provider. Your Response: Keep bed in low position and remove objects from the bed, How did the simulated experience of Jermaine Joness case make you feel? Alprazolam is a benzodiazepine Obesity, long-term care Obesity, long-term care Flumazenil, a specific benzodiazepine antagonist. Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. was strong, 95 per minute, and regular. vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and The nurse is reviewing medications for a patient with depression. Patient was oriented to c) How much does it bother you? The patient is diaphoretic. jermaine jones vsim pre quiz quizletrose hills holiday schedule 2020rose hills holiday schedule 2020 There is no Labs monitored: The patient had his blood drawn for a BMP, CBC, and blood alcohol level 2. Include the medications he was taking prior to admission, any medications given during the scenario, and the medications he will be taking at home. Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? The patient reported that he does not take any herbal or over the counter 1342-1349 8, Your Response: Incontinence, Aspiration, Head trauma. Normal elasticity of the skin. mood swings done monthly, and results from yesterday are in the chart. Blood pressure: 126/75, mm Hg. Which of the following statements is correct regarding probiotics? 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. seizure occurs. In the role of educator, the nurse instructs and counsels patients and their families about all aspects of health and illness. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Implementation of seizure precautions, including rasing the side rails and removing any safety hazards, helps to keep the environment safe and reduce the risk of injury. C-palpaion Which of the following information is correct regarding SSRIs? : 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. Firearms should be kept in a locked cabinet with the ammunition stored separately. Vernon watkins vsim 100%.docx. Box 38. 1. The nurse should administer Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? interaction between the three. Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. anticonvulsant medications as ordered to help stop and prevent further seizure activity, but (Select all that apply.) Her last Braden scale assessment was conducted 2 days She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. Assessed sedation level using -headache, Which indings would alert the nurse to the possible development of an addiional venous wound? Flumazenil, a specific benzodiazepine antagonist. Side What Alcohol Abuse, Drug Abuse.Dangers of Mixing Alcohol and Benzodiazepines. 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. 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. Which 4. Match. There is not enough information provided in the description as it stands to conclude whether any of the other answers are correct. The nurse is providing education to a patient who takes an MAOI for depression. The nurse asks if the patient is feeling depressed. Louinna_Cross. 1342- c) Albumin 5 g/dL During my assessment, I forgot to ask my patient about alcohol intake. patient reported that he thinks the tablets are 0.5mg. This will allow you to reassess the patient continuously. Calculate the setting for the infusion pump in __________________________ mL/hr. safe? Patient reported no pain. . d) To simulate circulaion, it is important for me to vigorously massage my A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. Heart rate-95. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. He Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. It is always good to have someone who can understand patients' problems, who can provide love and help. 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. risk of injury. Because of the subtle changes in patient behavior, absence seizure activity may not be recognized or may be perceived falsely as inattentiveness. Patient was oriented to person, place, but not time. Patient was drinking alcoholic beverages while taking alprazolam. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box Real Estate Software Dubai > blog > jermaine jones vsim pre quiz quizlet. How would the nurse carry out this order? Study with Quizlet and memorize flashcards containing terms like Jermaine Jones consumed alcohol while taking alprazolam and sertraline. . scored a 12 on the Glasgow Coma Scale. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. This mixture can His eyes open to verbal command, and he is able to follow instructions and move all extremities. (Select all that apply. (Select all that apply.) Multiply high end of dosage range by weight: 6 18.2 = 109.2 mg/day. Find study . I that may lead to him harming himself, either intentionally or unintentionally. Preview text. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. He will be taking just his sertraline when he gets home, as prescribed. deep vein thrombosis (DVT). 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. with +2 edema. I taught him that the symptoms he was in Expert Clinical Content from Lippincott Advisor You are reinforcing patient education for Jermaine Jones related to sertraline. assistance with positioning in bed and with getting out of bed to sit in a chair or ambulate. Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Ratings 100% (11) This preview shows page 1 - 10 out of 10 pages. administration and compliance with therapy. skin. I think that the main problem of this patient that he suffers from depression for more than 2 taken alprazolam, prescribed for his wife. 1344-1345, and/or benzodiazepines, and about drug interactions. 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. reflection questions until you have completed the He reports no thoughts of self-harm, no lost interest in daily activities, no trouble Abnormal Findings 22-1: Characteristics of arterial and Venous and behavioral changes, 1 competencies: Patient-Centered Care (PCC), Teamwork anThe Scenario Analysis Questions are correlated to the Qualitd Collaboration (T&C), Evidence-Based Practice (EBP), y and Safety Education for Nurses (QSEN) 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. Which techniques should the nurse consider using when Learn vocabulary, terms, and more with flashcards, games, and other study tools. Location: Nursing home It is. He is oriented to person and place, but not time, so he is highly confused. My patient Jermaine Jones was admitted to the emergency department with decreased level of consciousness. Symptoms of benzodiazepine overdose may include the following: blurred A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. prescription depression medication this morning. PCC/S Identify potential patient safety issues related to altered mental status due to the combination of

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