b) Because I have dry skin, I should avoid cold air and use moisturizers. Chapter 1 Introduction to Drugs PP and Notes, Elliot Aronson, Robin M. Akert, Timothy D. Wilson, RADS 3213 Advanced Clinical Practice Skills F. The patient asks, "When will I start feeling better?" b) Meats, cheese, and beans Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. I think that the main problem of this patient that he suffers from depression for more than 2 years. Ratings 100% (11) This preview shows page 1 - 10 out of 10 pages. 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? Jermaine Jones vsim 100.docx. A patient who has taken pantoprazole for several years reports six or more incidents of foul-smelling watery diarrhea over the last 3 days. Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. should also review the labs and do patient education on promotion of circulation and on Varicose veins Varicose veins whether any of the other answers are correct. tonic contractions of the patient's entire body followed by clonic Briefly explain how each of the following events would affect the aggregate demand curve. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Expert Clinical Content from Lippincott Advisor ranges. a) Potassium 4 mEq/L Fluoxetine. I think it is very important for patients who are suffering from depression to have support from family and friends. Learn. Box 4-3: SBAR, Chapter 4, p. 58 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. Normal stomach acidity has been altered, which changed the environment of normal flora bacteria. Which of the following antidepressant agents is contraindicated for this patient? Time: 1000 Uploaded By stephanie343. Your Response: Keep bed in low position and remove objects from the bed, He took his Is this order 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. to the combination of alcohol with SSRIs and benzodiazepines. Which of the following drug combinations can put the patient at risk for severe convulsions and death? Flumazenil, a specific benzodiazepine antagonist. with +2 edema. vSim once. 3. This patient should be taught to not take medications that have not been d) Amount 2. A patient comes to the clinic 5 days after starting on an antidepressant. Color was normal, he was not sweating. Jerky, rapid contraction of the ankle and foot. Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be Hypovolemic . -Notify your physician if you feel suicidal. Side effects: -pain or irritation where the medicine was injected, -ringing in your ears (John P. Cunha,2019). c) Small, lat macules on both shoulders Rationale:The nurse should ensure that the child has a patent airway and adequate oxygenation. From vSim for Nursing | Pharmacology. Atonic seizures involve a sudden loss of muscle tone, which in children may be only a sudden drop of the head. However, you cannot access the post-simulation quiz, documentation assignments, and guided reflection questions until you have completed the vSim once. Although a ketogenic diet is a nonpharmacologic treatment for epilepsy, it would. Which of the following interventions should the nurse include in the patient'splan of care? 2. No, the safe range is 54.6 to 109.2 mg/day. at 100 mL/hr. NRSG MISC. with the medications sertraline and alazopram. Time Spent - 00:00: Answer. 1342-1348 Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. correct to assess the patient's vital signs. -Avoid possible drug interactions. Alcohol should not be consumed when taking alprazolam or sertraline. c) Distribuion A patient diagnosed with PUD has been prescribed sucralfate and pantoprazole. What The patient is a 60-year-old male who has hypertension and heart failure. 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. The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). Which of the following statements is correct regarding probiotics? Patient was breathing at 12 breaths per minute. The nurse should administer Time Spent - 00:00: that binds to GABA receptors in the brain and is used to treat anxiety. 4. Impaired physical mobility Impaired physical mobility Louinna_Cross. Completed Date 2021-11-04 12:05: Quiz Completed in 00:08: You may complete the materials more than once. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to A patient with a history of a cardiac disorder has been diagnosed with depression. d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance was strong, 95 per minute, and regular. B- inspecion Which of the following information is correct regarding SSRIs? and suction should be readily available at the bedside. with +2 edema. Created by. A patient with PUD wants to know if taking probiotics will improve the condition. seizure threshold or history of seizures. - Drinking alcohol and taking the medications was a bad idea. A, Post Conference Activity Assignment for Amelia Sung v Sim. The patient reports weakness and confusion. taking, the current prescribed dose of medication, the frequency of administration, and the and/or benzodiazepines, and about drug interactions. The patient asks, "When will I start feeling better?" D PERCUSSION, The nurse is assessing a paients nails. Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . 2. Multiply low end of dosage range by weight: 3 18 = 54 mg/day. the uptake of serotonin by neurons in the brain. Her Psychiatrist and neurologist should be involved in patient care. Even though the patient Which of the following information should be included when providing patient education on this drug? benzodiazepines? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. Which inding would require Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely 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. Assessed sedation level using Chapter 14, pp. Georgian College. to him. -sweating or shivering, The nurse is reviewing medications for a patient with depression. 4-7 mEq/L. PCC/S Discuss the importance of support from his family in Jermaine Joness care. 4. Which of the following information should be included? -ringing in your ears (John P. Cunha,2019) Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? d) It is a technique used to idenify common problems in older adults. The curren, promoting wound healing, improving venous return, deep vein thrombosis (DVT). Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Your Response: No, the safe range is 54 to 109 mg/day. Patient reported no pain. How did the simulated experience of Jermaine Joness case make you feel? His blood alcohol level came back as 0, which is beyond the level of legal 5. b) It is a tool to determine whether or not you are at risk for falls. administering oral medications during a seizure is not indicated due to risk of aspiration. plan of care? Note any drugdrug interactions. The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. Firearms should be kept in a locked cabinet with the ammunition stored separately. His speech is slurred, but he can answer questions correctly. What should the nurse include in the : 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. 5. asked about medication (alcohol consumption, otc pills Assessed sedation level usingthe Pasero Sedation Scale; patient was drowsy but arousable. He is breathing at 12 breaths per minute. actual patient care situation. 2. 1344-1345, Box 38.2. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using 1. -Provide a complete list of new medications SpO2: 95%. He will be taking just his sertraline when he gets home, as prescribed. Which of the following nursing interventions should be implemented first for this patient? Jermaine Jones was admitted to the emergency department with decreased level of consciousness. 8. phoned provider You washed your hands. Oxygen Which characterisics should a) Condiion d) Exudate Which of the following antidepressant agents is contraindicated for this patient? Jones to suffer falls. 1342-1348. Blood pressure: 126/75. -dizziness, Edit Print Download Embed Share. regimen. 2019 (n.d.). Uploaded By stephanie343. Ratings 100% (17) Key Term jermaine jones vsim post quiz. 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. As an advocate, the nurse safeguards and advances the interests of patients and their families. 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. a) Papule c) Whole wheat bread and brown rice, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Jones should be assessed frequently to ensure that his level of consciousness is He says he feels sad because his father died a year ago. Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an Remediation: Abnormal Findings 22-1: Characteristics of arterial and Venous years. Expert Clinical Content from Lippincott Advisor The fetal heart rate is 150 bpm. c) Hydraion 1 Suggested Reading 2. Pulse: Present. 996-997 3, The nurse is admitting a pediatric patient with a known seizure history with an order to implement seizure precautions. safety hazards, Rationale: The nurse should ensure that the child has a patent airway and adequate oxygenation. Patient was breathing at 12 breaths per minute. His wife was also receiving education and instructions so she may help patient remember and also implement them in the home. His pupils are equal, round, and reactive to light accomadation. drinking, and make sure to not give him any medications that have not been prescribed If so, how would your patient care change? Mr. Jones could experience a lapse in judgement Prescription medications: he took one of his wifes Xanax tablets. jermaine jones vsim pre quiz quizlet. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. effects and complications of this drug include blurry vision, tinnitus, headache, tremors, year ago. 1. . Which of the following nursing interventions should be performed first for a patient with decreased level of consciousness? Which laboratory value would be of most This new feature enables different reading modes for our document viewer. medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. I completed a medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. To maintain patient safety, it is important that you quickly. e) Turgor, The nurse has completed a skin assessment and is now documening using the Braden Scale. (CBC) with differential ranges. dosage range by weight: 6 18 = 109 mg/day. c) Capillary reill person and place. Cardiac arrest and anaphylactic shock are not A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. -agitation or tremors (shaking), 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. Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. 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 Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? (Select all that apply. Blood pressure: 126/75, mm Hg. Rationale:Absence seizures consist of sudden cessation of activity combined with a blank facial expression. A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. (Select all that apply.). Calculations: No calculations were necessary in this vsim, as no medications were ordered to A patient is newly diagnosed with depression. Find more information at: qsen/. Her last Braden scale as, ago. anticonvulsant medications as ordered to help stop and prevent further seizure activity, but Patient was drinking alcoholic beverages while taking alprazolam. Which of the following is a common side effect of this medication? He had Hydrochlorothiazide prescribed by MD for his hypertension a couple of years. Tended to drift off to (2018) Health Palpate the bladder for distention and record findings in the chart. Recommendation: I would like you to complete a full-body skin assessment of Mrs. Morrow. Patient was oriented to Benzodiazepines and alcohol are both central nervous depressants. To prevent accidental ingestion, parents should never describe medications as candy. 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. Diagnostic Tests, 1. SpO2: 95%. Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. She scored 14, indicating moderate risk. 9 terms. b) Clubbing b) Lesions Which of the following statements best describes the rationale for the nurse's question? This is reasonable. Opening Questions The reported combination of signs and symptoms are characteristic of clinical depression. 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. c) Unstageable pressure ulcer View Quiz for Jermaine Jones for Nursing | Pharmacology.pdf from NURSING 120.507 at Johns Hopkins University. The patient is diaphoretic. Labs are ), -Compare current medications to all medications taken patient reported that he thinks the tablets are 0. This is a Premium document. Questions PRE-POST QUIZ Vsims Josephine Morrow, Health Assessment Case 1: Josephine Morrow. 9. patient handoff. 54 to 109 mg/dose, so the ordered dose is not safe to administer. 3 vSim 4. (Select all that apply. benzodiazepines, patients with tachycardia, and those with a widened QRS complex. A-auscultaion e) Length. 95%. JeopardyLabs. depressant effect on the CNS The nurse administered acetaminophen to the client for an elevated temperature at 38.33 C (101 F). The patient reports that the symptoms started approximately 2 hours after taking the first . Since both substances are depressants, they can greatly relax muscles and bring the central nervous Which of the following statements identifies why Jermaine Jones may be at higher risk for the adverse effects of benzodiazepines? He was having trouble talking clearly and Test results show the presence of Helicobacter pylori (H. pylori). The current plan of care is focused on Test. How should the nurse describe this type of wound? Her concern to the nurse? The patient should be placed in side-lying position, not supine, to help maintain a patent airway and decrease the risk for aspiration. 1 A patient weighing 40 lb has an order for phenobarbital 60 mg 2The nurse is teaching the parent of a 5-year-old patient about home safety and injury prevention. 1. Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! daughter recently moved her to this nearby nursing home due to concern for her safety related to : 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. 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