Your Response: Check for a patent airway, Raise the side rails and remove any what is the therapeutic blood level for a pt receiving an IV infusion of magnesium sulfate? Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. A patient is newly diagnosed with depression. Supervision during bathing, ambulation, and other potentially unsafe activities helps to reduce the risk of an injury in the event that a seizure occurs. Patients taking SSRIs are at an increased risk of suicidal behavior. The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. Recommendation: I would like you to complete a full-body skin assessment of Mrs. Morrow. Pulse was strong, 95 per minute, and regular. b) It is a tool to determine whether or not you are at risk for falls. Atonic seizures involve a sudden loss of muscle tone, which in children may be only a sudden drop of the head. The backseat is the safest place for the child to ride. 50mg sertraline once a day, but he also took one of his wifes alprazolam tablets. This is reasonable. Blood pressure: 124/74, You identified the patient. 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. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. Jermaine Jones was admitted to the emergency department with decreased level of consciousness. SpO2: 95%. e) Length. His pupils are equal, round, and reactive to light accomadation. - Patient confused, under the influence, and more than likely will be a poor historian. -headache, b) Urine protein 60 mg/24 hours Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box 35.2. I Which of the following principlesis correct regarding safety for this age group? Sertraline, alcohol, and alprazolam are all central nervous system depressants. 4. Restraining the patient or placing anything in the mouth, such as a tongue blade, while the patient is actively seizing can cause further injury. Even though the patient 1 Suggested Reading 2. 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. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? a) Potassium 4 mEq/L 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. How would the nurse carry out this order? You washed your hands. PRE. A patient reports severe epigastric pain after eating. medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. at 100 mL/hr. 266- In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. 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. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to To prevent accidental ingestion, parents should never describe medications as candy. Location: Nursing home The reported combination of signs and symptoms are characteristic of clinical depression. 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. The RN is checking a patient's BP in the thigh related to new inability to assess BP in arms. ranges. b) Do you have a family history of keloids? However, you cannot access the post-simulation She has brown hyperpigmentation on both lower legs Which of the fo, is correct regarding safety for this age grou, shoulder belts should be used after reaching the car seat height re. Which of the following antidepressant agents is contraindicated for this patient? year ago. -dizziness, NRSG MISC. It will be important to reconcile Jermaine Jones's medications prior to discharge. 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. Patient reported, I was feeling down, so I took some pills and drank some alcohol. Chapter 1 Introduction to Drugs PP and Notes, Elliot Aronson, Robin M. Akert, Timothy D. Wilson, RADS 3213 Advanced Clinical Practice Skills F. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. administration and compliance with therapy. 1344-1345, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. c) Whole wheat bread and brown rice, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. 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 prescribed to him. Pulse: Present. seat that uses both the shoulder and lap belts. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. when the provider last assessed the child's drug levels. b) Clubbing 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. a) Dependent rubor Patient was drinking alcoholic beverages while taking alprazolam. : 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. His blood alcohol level came back as 0, which is beyond the level of legal They should ensure that any of their prescription medications are stored safely in I completed a medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. Prescription medications: he took one of his wifes Xanax tablets. Patient reported no pain. Jackson Webber VSIM Pre Quiz Answers and Rationales, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Vital signs have been within normal limits and are performed weekly. Which indings would alert the nurse to the possible development of an addiional venous wound? Which of the following complications of peptic ulcers is associated with the presence of H. pylori? Jackson Weber vsim Course Point prequiz 12:05 pm close course point pediatric case jackson weber suggested readings quiz vsim quiz documentation assignments. Normal elasticity of the skin. 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Find study . b) Vesicle He is oriented to person and place, but not to time, so he is slightly confused. is the nurse's best interpretation of this data? Heart rate: 95. Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely 3. 63-64. Ratings 100% (11) This preview shows page 1 - 10 out of 10 pages. 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. deep vein thrombosis (DVT). Jermaine Jones pre quiz 100.docx -. PCC What potential problems could arise due to combination of alcohol with SSRIs and 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 . 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(Select all that apply.) I felt that my major assessment should be patient mental assessment. plan of care? Jermaine Jones vsim. Which of the following foods should the patient avoid? In the nurses notes, document the medication reconciliation information for Jermaine Jones. The patient is diaphoretic. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. The nurse asks if the patient is feeling depressed. (Select all that apply.). this assessment? The nurse is completing an assessment for a patient who has been diagnosed with major depression. 3. took vitals (temp, pulse, respirations, o2, bp) 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. mg/day. I was right that I choose focused assessment. Flashcards. Which of supplement and has been eating the majority of her meals since admission. d) Amount You may complete the materials more than once. Impaired physical mobility Impaired physical mobility Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. 4 A nurse is reviewing lab results and notes that a 5-year-old The patient is diaphoretic. Which 1. 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. Symptoms of benzodiazepine overdose may include the following: blurred c) Hydraion Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with peptic ulcer disease (PUD). Which of the following information should be included when providing patient education on this drug? Teachings: I educated the patient on the importance of avoiding alcohol while taking sertraline The patient should be placed in side-lying position, not supine, to help maintain a patent airway didnt think it would matter. He reports suffering from depressin for a few years now. 996-997 3, The nurse is admitting a pediatric patient with a known seizure history with an order to implement seizure precautions. 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Conscious state: Somnolent. Which of the b) Because I have dry skin, I should avoid cold air and use moisturizers. safety hazards, Rationale: The nurse should ensure that the child has a patent airway and adequate oxygenation. The fetal heart rate is 150 bpm. 247- Remediation: Your Response:No, the safe range is 54.6 to 109.2 mg/day. Which of the following is a common side effect of this medication? During an admission assessment, the nurse notes a sudden onset of Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box Uploaded By stephanie343. a) Arterial ulcer She requires ), PO ABBREVIATIONS AND CONVERSIONS - FOUNDATION, Cyber Security, FBLA massive review guide. correct to assess the patient's vital signs. Real Estate Software Dubai > blog > jermaine jones vsim pre quiz quizlet. The nurse ensures that the needs of the patient and family are met as a consultant through activities that include support group facilitation and working with the school nurse to plan the patient's care. e) What other symptoms occur with it? Albumin level test Albumin level test reflection questions until you have completed the The patient reported that he does not take any herbal or over the counter e) Nutriion, A paient with a history of skin cancer reports an itchy mole on the back. vSim once. 2 The nurse is teaching the parent of a 5-year-old patient about A patient comes to the clinic 5 days after starting on an antidepressant. The backseat is the safest place for the child to ride. : 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). 1342- Peripheral arterial disease was ruled out by duplex ultrasound. should also review the labs and do patient education on promotion of circulation and on d) When did it begin? He is oriented to person and place, but not to time, so he is . mood swings A patient with a history of a cardiac disorder has been diagnosed with depression. My patient care would not change. repeat this scenario? Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. Which of the following characteristics, reported by the patient, best support this diagnosis? Note any drugdrug interactions. never describe medications as candy. Weber, J. and Kelley, J. 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Which of the following statements is true regarding this condition? a) Texture (Select all that apply.) b) Meats, cheese, and beans Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with diabetes mellitus. 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. Remediation: The combination of SSRIs, benzodiazepines, and alcohol can cause altered mental Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? daughter recently moved her to this nearby nursing home due to concern for her safety related to Background: Mrs. Morrow has a past medical history of COPD, chronic venous insufficiency, and -Avoid possible drug interactions I didnt think it would matter. He reports suffering from depressin for a few years now. The nurse has an order to check a patient's post-void residual urine. Loss of sphincter control, leading to incontinence, is another complication associated with this type of seizure. 54 to 109 mg/dose, so the ordered dose is not safe to administer.