Test. Probiotics help prevent or treat infections in the intestines. Test results show the presence of Helicobacter pylori (H. pylori). Answer. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Some African Americans are genetically predisposed to delayed metabolism of benzodiazepines. Blood pressure: 124/75, You assessed the patient's consciousness. -Be sure to keep follow-up appointments. 1 Scenario Analysis QuestionsPCC What priority problem(s) did you identify for Jermaine Jones? His family should also monitor his Chapter 14, pp. history with an order to implement seizure precautions. It will be important to reconcile Jermaine Jones's medications prior to discharge. medications, but that he does take a prescription medication for depression and he had taken Patients taking SSRIs are at an increased risk of suicidal behavior. Mr. Jones is drowsy, but arousable and oriented to Patient reported no pain. Blood pressure: 122/73, You checked the patient's pupils, and they were 4 mm and reactive. the following interventions should the nurse include in the patient's Which of the following statements identifies why Jermaine Jones may be at higher risk for the adverse effects of benzodiazepines? The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. c) How much does it bother you? He was having trouble talking clearly and 1. Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. Box 38. never describe medications as candy. Course Hero is not sponsored or endorsed by any college or university. 95%. A patient is newly diagnosed with depression. others. There is not enough information provided in the description as it stands to conclude whether any of the other answers are correct. Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be (Select all that apply.) 4. Time Spent - 00:00: (Select all that apply. The backseat is the safest place for the child to ride. Which of another medication prescribed for his wife. c) Unstageable pressure ulcer a) Choose footwear that is nonskid with a low heel. behavior which could signify a worsening in his depression. Alprazolam is a benzodiazepine The nurse is providing education to a patient who takes an MAOI for depression. Firearms should be kept in a locked cabinet with the ammunition stored separately. What is the purpose of this process? 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. Which of the following equipment should the nurse gather first based on the patient's signs and symptoms. Mr. Side A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. PCC/S Discuss the importance of support from his family in Jermaine Joness care. 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. 247- Quality Improvement (QI), Safety (S), and Informatics (I). contractions alternating with relaxation of all muscle groups. 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. Patients taking SSRIs are at an increased risk of suicidal behavior. 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. Opening Questions How did the simulated experience of Danielle Young Bear's case make you feel? She scored 14, indicating moderate risk. My patient care would not change. The nurse is completing an assessment for a patient who has been diagnosed with major depression. 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. Assessment: Mrs. Morrow is alert and oriented to person, time, and place but sometimes forgets 3 vSim 4. 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. PCC What priority problem(s) did you identify for Jermaine Jones? Remediation: : 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). It is always good to have someone who can understand patients' problems, who can provide love and help. a) Compare current medications to all medications taken. care. 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. 4. Georgian College. Jermaine Jones vsim 100.docx. Which of the following directions for taking these two medications is correct? T&C What other interprofessional team members should be involved in Jermaine Joness care? Which technique would the nurse use to perform Restraining the patient or placing anything in the mouth, such as a tongue blade, Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be lethal. Palpate the bladder for distention and record findings in the chart. -headache, assistance with positioning in bed and with getting out of bed to sit in a chair or ambulate. : an American History Box 4-3: SBAR, Chapter 4, p. 58 Temperature: 99F. and contraindications. SpO2: -Provide a complete list of new medications Even though the patient mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. To prevent accidental ingestion, parents should The reported combination of signs and symptoms are characteristic of clinical depression. Her Learn. d) To simulate circulaion, it is important for me to vigorously massage my 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. . Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Restraining the patient or placing anything in the mouth, such as a tongue blade, while the patient is actively seizing can cause further injury. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 2 Pre-Simulation Quiz 3. Retrieved from https://www.foundationsrecoverynetwork.com/dangers-mixing-alcohol-benzodiazepines/. Heart rate: 95. Labs monitored: The patient had his blood drawn for a BMP, CBC, and blood alcohol level d) Hygiene Heart rate: 95. Situation: Josephine Morrow is an obese, 80-year-old female who developed a venous stasis ulcer Pharmacology Scenario 3: Danielle Young Bear Guided Reflection Questions. However, you cannot access the post-simulation Obesity, long-term care Obesity, long-term care Feedback Log & Score Jermaine JonesDec 12, 2020 6_38 PM.html, Feedback Log & Score Jermaine JonesOct 03, 2019 08_05 AM.pdf, Feedback Log & Score Jermaine JonesApr 21, 2020 5_25 PM.pdf, In argument you try to win someone over to a belief or opinion in persuasion you, Consider y t is an ARp process as follow 1 y t 1 y t 1 2 y t 2 p y t p, Freshly fallen Leafmold leaves Forest type Ash CaO Ash CaO per cent per cent per, CS 2203-01 - AY2022-T3_ Learning Journal Unit 3.pdf, Briefly summarize the MACRO environment forces of the Hershey Company.docx, Data and information Asset Protection.docx, F21179-Measuring and Reporting Equity and other Investments-BFAS.pdf, For further information please see the remuneration report on page 105 Corporate, Copy of Philippines_ Imperialism Contextualization.docx, Step 3 There will be a monthly meeting and open forum for each staf f member in, adults D Psychiatric disorders in children manifest themselves very quickly 26, SUBS505-Experiential exercise conclusion.docx. 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. Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. at 100 mL/hr. Deficient knowledge: Disease process Deficient knowledge: Disease b) Do you have a family history of keloids? 266- ranges. The RN is checking a patient's BP in the thigh related to new inability to assess BP in arms. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using His eyes open to verbal command, and he is able to follow instructions and move all extremities. How did the simulated experience of Jermaine Joness case make you feel? done monthly, and results from yesterday are in the chart. e) Length. -dizziness, Pulse (Select all that apply.) drinking three beers. sleep. Ratings 100% (11) This preview shows page 1 - 10 out of 10 pages. Jun 13, 2022 . a) Potassium 4 mEq/L I think that the main problem of this patient that he suffers from depression for more than 2 years. Psychiatrist and neurologist should be involved in patient care. Medications administered: No medications were administered in this vsim. a) A raised nevus on the back of the neck The patient reports taking his prescribed emergency department by his wife after he had been drinking a few beers and had Assessment in Nursing, 6th Edition. that binds to GABA receptors in the brain and is used to treat anxiety. The combination 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. 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. administration and compliance with therapy. following components includes the nurse's work with the. the hospital for were caused by the combination of benzodiazepines and alcohol, which could Multiply high end of Chapter 1 Introduction to Drugs PP and Notes, Elliot Aronson, Robin M. Akert, Timothy D. Wilson, RADS 3213 Advanced Clinical Practice Skills F. help him tremendously during this difficult time. Supervision during bathing, ambulation, She is on a regular diet with nutritional Prescription medications: he took one of his wifes Xanax tablets. 1342- She scored 14, indicating moderate risk. I was right that I choose focused assessment. Find more information at: qsen/. a) Cereals and fruits 1. Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. 54 to 109 mg/dose, so the ordered dose is not safe to administer. a) Coninence Pulse: Present. Oxygen should be maintained above 92%. performing this assessment? 5 a) Dependent rubor Symptoms of benzodiazepine overdose may include the following: blurred He says he feels sad because his father died a This will allow you to reassess the patient, You checked the radial pulse. Assessed sedation level using 2 The nurse is teaching the parent of a 5-year-old patient about b) Insert a straight catheter and measure the urinary output in two hours. c) Capillary reill Use the self-concept theory to generate marketing strategies for the Carnival Cruise Lines. 2. need to insert a Foley catheter for a patient at risk for seizures. (Select all that apply.) Feedback Log 0:00 . The Your Response: Keep bed in low position and remove objects from the bed, He Peripheral arterial disease was ruled out by duplex ultrasound. Rationale:Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? seat that uses both the shoulder and lap belts. Patient reported no pain. Temperature: 99F. Prescription medications: he took one of his wifes Xanax tablets. He is oriented to person and place, but not to time, so he is . A patient comes to the clinic 5 days after starting on an antidepressant. (Select all that apply.). Teachings: I educated the patient on the importance of avoiding alcohol while taking sertraline They should ensure that any of their prescription medications are stored safely in Match. Heart rate: 95. A patient who has taken pantoprazole for several years reports six or more incidents of foul-smelling watery diarrhea over the last 3 days. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting. 2. PCC/S Identify potential patient safety issues related to altered mental status due Which of the following statements is correct regarding probiotics? a place that is not easily accessible to Mr. Jones, and look for any odd changes in his sleeping, but he has lost his appetite. Support from his family could be very important and He was brought to the Safe dosage range equals 54 to 109. 3. Vitals: BP- 126/75. Time Spent - 00:00: Calculations: No calculations were necessary in this vsim, as no medications were ordered to Post-Quiz Jermaine Jones. Which of the following nursing interventions should be implemented first for this patient?, The nurse is reviewing medications for a patient with depression. d) Exudate He is breathing at 12 breaths per minute. PCC What potential problems could arise due to combination of alcohol with SSRIs and
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