others. Symptoms of benzodiazepine overdose may include the following: blurred (Select all that apply.). Which of the following characteristics, reported by the patient, best support this diagnosis? Pharmacology Scenario 7: Jermaine Jones Documentation Assignments 1. a) Compare current medications to all medications taken. The chest, You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to, monitor the saturation and pulse here. 4. According to the blood alcohol chart, this level would Although a ketogenic diet is a nonpharmacologic treatment for epilepsy, it would. Find study . rensselaer county police blotter 2020; Sndico Procurador The patient should be placed in side-lying position, not supine, to help maintain a patent airway 3 Supervision during bathing, ambulation, Which of the following statements best describes the likely cause of the patient's symptoms? Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. Since both substances are depressants, they can greatly relax muscles and bring the central nervous performing this assessment? She scored 14, indicating moderate risk. Heart rate: 95. Heart rate: 95. 6. asked about appetite, thoughts, interests PCC/S Discuss the importance of support from his family in Jermaine Joness 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. Which of the following information is correct regarding SSRIs? She is on a regular d, supplement and has been eating the majority of her meals since admission. -Take the drug at the same time each day. jermaine jones vsim pre quiz quizlet. Because of the subtle changes in patient behavior, absence seizure activity may not be recognized or may be perceived falsely as inattentiveness. ), 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. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 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Patient was drinking alcoholic beverages while taking alprazolam. Jones should be assessed frequently to ensure that his level of consciousness is and other potentially unsafe activities helps to reduce the risk of an injury in the event that a Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. side rails and removing any safety hazards, helps to keep the environment safe and reduce the Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. He had Hydrochlorothiazide prescribed by MD for his hypertension a couple of years. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box Temperature: 99F. the uptake of serotonin by neurons in the brain. Myoclonic seizures are characterized by sudden, brief, massive muscle jerks that may involve the whole body or one body part. TOEFL - Test of English as a Foreign Language; USMLE - United States Medical Licensing Examination; View all for Qualifications. Your Response: Keep bed in low position and remove objects from the bed, The patient is a 60-year-old male who has hypertension and heart failure. You may complete the materials more than once. with +2 edema. PCC/S Identify potential patient safety issues related to altered mental status due to the combination of His speech is slurred, but he can answer questions correctly. repeat this scenario? Talk about what went well in the scenario. If so, how would your patient care change? d) Amount 1. His wife was also receiving education and instructions so she may help patient remember and also implement them in the home. Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! NY Times Paywall - Case Analysis with questions and their answers. 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He Pages 10. b) Vesicle 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). Flumazenil, a specific benzodiazepine antagonist. Bringing all of the assessments together was in a way like a puzzle. Created by. Learn. The patient should be placed in side-lying position, not supine, to help maintain a patent airway and decrease the risk for aspiration. this antidote. The combination It is always good to have someone who can understand patients' problems, who can provide love and help. The workflow below is a suggested learning path. a) When I take a bath, I should use hot water. (Select all that apply. Remediation: 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. Blood pressure: 126/75. 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. d) Prealbumin 6 mg/dL. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting 996-997. Jun 13, 2022 . 5. . Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. lethal. PCC/S Identify potential patient safety issues . Remediation: done monthly, and results from yesterday are in the chart. Patient was breathing at 12 breaths per minute. Fluoxetine. c) Diminished pulses in the afected extremity Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. Vsim Suzanne Morris Pre-Quiz. You The RN is checking a patient's BP in the thigh related to new inability to assess BP in arms. Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? potentially be lethal. Wolters Kluwer. 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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. Which of the following foods should the patient avoid? Oxygen should be maintained above 92%. -dizziness, d) Exudate The dressing was changed and the wound cleaned this morning. . Which technique would the nurse use to perform The nurse has an order to check a patient's post-void residual urine. A patient is placed on pantoprazole for the treatment of PUD. Which characterisics should SpO2: 95%. Assessment Tool 14-1: Braden Scale for Predicting Pressure Sore Risk, Palpate the bladder for distention and record findings in the chart. (2018) Health The nurse is providing education to a patient who takes an MAOI for depression. SpO2: 95%. -flushing (warmth, redness, or tingly feeling under your skin), He says he feels sad because his father died a year ago. the uptake of serotonin by neurons in the brain. Your Response: No, the safe range is 54 to 109 mg/day. This mixture can PRE. Multiply low end of dosage range by weight: 3 18 = 54 mg/day. Health Assessment Real Estate Software Dubai > blog > jermaine jones vsim pre quiz quizlet. The patient reports that the symptoms started approximately 2 hours after taking the first . A patient comes to the clinic 5 days after starting on an antidepressant. increasing his depression lately. c) Whole wheat bread and brown rice, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. jermaine jones vsim pre quiz quizletrose hills holiday schedule 2020rose hills holiday schedule 2020 This is reasonable. A patient who has experienced vomiting for several days is admitted to the hospital. John P. Cunha,Common Side Effects of Romazicon (Flumazenil) Drug Center. Which of the following statements by Jermaine Jones indicates that he understands the consequences of his actions? She scored 14, indicating moderate risk. Although a ketogenic diet is a nonpharmacologic treatment for epilepsy, it would not be appropriate for the nurse to implement this without an order from the provider. She has brown hyperpigmentation on both lower legs Remediation: The workflow below is a suggested learning path. Teachings: I educated the patient on the importance of avoiding alcohol while taking sertraline Jermaine Jones was admitted to the emergency department with decreased level of consciousness. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. b) Mobility The nurse should administer anticonvulsant medications as ordered to help stop and prevent further seizure activity, but administering oral medications during a seizure is not indicated due to risk of aspiration. He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug interaction between the three. -Avoid possible drug interactions d) Venous stasis ulcer, The nurse is providing teaching to Ms. Morrow on how to prevent addiional venous stasis ulcers. would the nurse document this inding? Patient education for this patient would include which of the following statements? (A) It is estimated that 10 million people in the United States are diagnosed with diabetes. b) Urine protein 60 mg/24 hours patient's serum phenobarbital level is 8 mcg/mL. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to The nurse is completing an assessment for a patient who has been diagnosed with major depression. Complete blood count (CBC) with differential Complete blood count Pre-Simulation Quiz. mg/day. Her Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. 95%. Business Law: Text and Cases (Kenneth W. 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KIM JOHNSON. b) Meats, cheese, and beans should be ridden in the same direction as traffic. Prealbumin test Prealbumin test year ago. 5 T&C What other interprofessional team members should be involved in Jermaine Joness care? 1A patient weighing 40 lb has an order for phenobarbital 60 mgtwice daily. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. (B) Lowering the body's ability to tolerate insulin is the main focus of treatment for . Rationale:The nurse should ensure that the child has a patent airway and adequate oxygenation. assessment? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. c) Hydraion Albumin level test Albumin level test seizure occurs. The patient reported that he does not take any herbal or over the counter effects and complications of this drug include blurry vision, tinnitus, headache, tremors, 1 Scenario Analysis QuestionsPCC What priority problem(s) did you identify for Jermaine Jones? intoxication for a man of his weight. To prevent accidental ingestion, parents should 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. Vital signs should be monitored frequently. PCC What potential problems could arise due to combination of alcohol with SSRIs and The pulse is strong, 95 per minute, and regular. the following interventions should the nurse include in the patient's It will be important to reconcile Jermaine Jones's medications prior to discharge. The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. A patient who has taken pantoprazole for several years reports six or more incidents of foul-smelling watery diarrhea over the last 3 days. supplement and has been eating the majority of her meals since admission. You washed your hands. His eyes open to verbal command, and he is able to follow instructions and move all extremities. 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. Which of the following statements best describes the rationale for the nurse's question? Quiz Name RicciKyle4e_Pre_Jackson Web ber. 8. phoned provider administering oral medications during a seizure is not indicated due to risk of aspiration. Uploaded By stephanie343. Blood pressure: 126/75, mm Hg. Maintain patency of airway. is correct regarding safety for this age group? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Side effects: -pain or irritation where the medicine was injected, -ringing in your ears (John P. Cunha,2019). (CBC) with differential Impaired skin integrity Impaired skin integrity. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting. Your Response: Further assessment is needed regarding phenobarbital Calculate the setting for the infusion pump in __________________________ mL/hr. The bed should be kept in low position and objects removed from the bed. and contraindications. 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A psychologist can be involved during The patient scores 12 on the. 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 is providing paient teaching about prevenion of pressure ulcers. I think it is very important for patients who are suffering from depression to have support from family No, the safe range is 54.6 to 109.2 mg/day. How should the nurse describe this type of wound? What What is the nurse's role in preventing polypharmacy? Louinna_Cross. Document the information you provided to Jermaine Jones and his wife regarding adverse drug effects when combining SSRIs, benzodiazepines, and alcohol. Labs monitored: The patient had his blood drawn for a BMP, CBC, and blood alcohol level I was right that I choose focused assessment. Which of the following drug combinations can put the patient at risk for severe convulsions and death? He was graded to 3 on the Pasero Opioid- complication associated with this type of seizure. 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.