The chest was moving equally. with +2 edema. Situation: Josephine Morrow is an obese, 80-year-old female who developed a venous stasis ulcer Because of the loss of consciousness and rhythmic clonic contractions associated with this type of seizure, the patient is at risk for head trauma. Prealbumin test Prealbumin test School Georgian College. Diagnostic Tests, 1. A patient comes to the clinic 5 days after starting on an antidepressant. The nurse is compleing a skin assessment of an older adult paient. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 2. identified patient actual patient care situation. John P. Cunha,Common Side Effects of Romazicon (Flumazenil) Drug Center. Which of the following statements is correct regarding probiotics? PCC/S Identify potential patient safety issues related to altered mental status due to the combination of 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. Vernon watkins vsim 100%.docx. ranges. d) Pallor in the lower extremity, The nurse is educaing Ms. Morrow and her daughter on food choices that will promote wound Which Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to drinking, and make sure to not give him any medications that have not been prescribed During my assessment, I forgot to ask my patient about alcohol intake. My patient Side effects: -pain or irritation where the medicine was injected, -ringing in your ears (John P. Cunha,2019). a) Condiion Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. 4 Post-Simulation Quiz Study with Quizlet and memorize flashcards containing terms like Jermaine Jones consumed alcohol while taking alprazolam and sertraline. a) Borders d) Venous stasis ulcer, The nurse is providing teaching to Ms. Morrow on how to prevent addiional venous stasis ulcers. The nurse is reviewing medications for a patient with depression. A patient comes to the clinic 5 days after starting on an antidepressant. Psychiatrist and neurologist should be involved in patient care. He took his You are conducting discharge teaching for Jermaine Jones related to the cause of his decreased level of consciousness. stipendio di un agente immobiliare remax; life expectancy definition ap human geography; uss wasp commanding officer; please keep her in the loop for further emails He reports no thoughts of self-harm, no lost interest in daily activities, no trouble c) Diminished pulses in the afected extremity In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. Supervision during bathing, ambulation, and other potentially unsafe activities helps to reduce the risk of an injury in the event that a seizure occurs. At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. Prescription medications: he took one of his wifes Xanax tablets. and contraindications. 1. deep vein thrombosis (DVT). Which of the following statements is true regarding this condition? This mixture can You may complete the materials more than once. -agitation or tremors (shaking), 4. 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) (Select all that apply.) a) Potassium 4 mEq/L You may complete the materials more than once. The nurse is reviewing medications for a patient with depression. help him tremendously during this difficult time. 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. ), Esomeprazole, Amoxicillin, Lansoprazole, Clarithromycin. T&C What other interprofessional team members should be involved in Jermaine Joness care? Myoclonic seizures are characterized by sudden, brief, massive muscle jerks that may involve the whole body or one body part. He had Hydrochlorothiazide prescribed by MD for his hypertension a couple of years. Palpate the bladder for distention and record findings in the chart. Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with peptic ulcer disease (PUD). d) Exudate The patient reported that he does not take any herbal or over the counter Assessment: Mrs. Morrow is alert and oriented to person, time, and place but sometimes forgets c) Whole wheat bread and brown rice, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Patients taking SSRIs are at an increased risk of suicidal behavior. dizziness, weak and shallow breathing, panic attacks, fear, and fast or uneven heart rate. rehabilitation therapy. dosage range by weight: 6 18 = 109 mg/day. twice daily. I think it is very important for patients who are suffering from depression to have support from family to the combination of alcohol with SSRIs and benzodiazepines. vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. The patient was graded a 3. seat that uses both the shoulder and lap belts. skin. 1342-1349, Advanced Care of the Adult/Older Adult (N566), Critical Business Skills For Success (bus225), Strategic Decision Making and Management (BUS 5117), Organic Chemistry Laboratory I (CHM2210L), Care of the childrearing family (nurs420), Child and Adolescent Psychology (PSY-355), Communication As Critical Inquiry (COM 110), Introduction to Health Psychology (PSYC1111), Legal Issues in Information Security (C 841), Leadership And Management For Nursing (NSG 403), Biological Principles II and Lab (BIOL 107/L), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Chapter 1 - Summary International Business, General Chemistry I - Chapter 1 and 2 Notes, Copy Of Magnetism Notes For Physics Academy Lab of Magnetism For 11th Grade, Chapter 5 - Summary Give Me Liberty! I was right that I choose focused assessment. Jermaine Jones was admitted to the emergency department with decreased level of consciousness. Insufficiency, Chapter 22, p. 488 Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. gait is unsteady and she is easily fatigued. 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. Created by. 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. Remediation: She is on a regular d, supplement and has been eating the majority of her meals since admission. Mr. The patient is diaphoretic. Document the information you provided to Jermaine Jones and his wife regarding adverse drug effects when combining SSRIs, benzodiazepines, and alcohol. TOEFL - Test of English as a Foreign Language; USMLE - United States Medical Licensing Examination; View all for Qualifications. However, you cannot access the post-simulation quiz, documentation assignments, and guided reflection questions until you have completed the vSim once. is the nurse's best interpretation of this data? Rationale:Basic seizure precautions should be implemented to provide a safe environment for the patient. immediate atenion? Heart rate: 95. The loss of coordination from this combination could also potentially cause Mr. Ratings 100% (17) Key Term jermaine jones vsim post quiz. She is on a regular diet with nutritional Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. status in addition to poor coordination. b) Insert a straight catheter and measure the urinary output in two hours. School Georgian College. 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. Expert Clinical Content from Lippincott Advisor He was graded to 3 on the Pasero Opioid- After reviewing the electronic medical record, what potential safety concerns should the nurse, Of the axons involved in the transmission of pain, which one is thinly myelinated and conducts that first feeling of pain that is often felt as coming on as a sharp, rapid feeling? Educational Psychology and Development of Children Adolescents (D094), Assessing Impact on Student Learning (D093), Introduction to Structured Query Language (DAD220), Fundamentals of Information Technology (IT200), Child and Adolescent Psychology (PSY-355), Introduction to Christian Thought (D) (THEO 104), Mathematical Concepts and Applications (MAT112), Critical Thinking In Everyday Life (HUM 115), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083). b) Clubbing Tended to drift off to A patient is scheduled to receive a 500-mL intravenous bolus of normal saline over 30 minutes. the uptake of serotonin by neurons in the brain. 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. A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. Jun 13, 2022 . medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. Pulse: Present. b) Vesicle 2The nurse is teaching the parent of a 5-year-old patient about home safety and injury prevention. b) Because I have dry skin, I should avoid cold air and use moisturizers. PCC/S Discuss the importance of support from his family in Jermaine Jones's care. Other sets by this creator. Patient was breathing at 12 breaths per minute. Course Hero is not sponsored or endorsed by any college or university. Firearms should be kept in a locked cabinet with the ammunition stored separately, are not mature enough to ride a bicycle in the street and should ride on the sidewalk; bic, should be ridden in the same direction as traf, The nurse is admitting a pediatric patien, history with an order to implement seizure precau, Keep oxygen and suction at the bedside, Supervise when ambulating or bathing, and suction should be readily available at the bedside. 9. patient handoff. 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), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! Quality Improvement (QI), Safety (S), and Informatics (I). PCC/S Discuss the importance of support from his family in Jermaine Joness care. There is no Your Response: Further assessment is needed regarding phenobarbital -pain or irritation where the medicine was injected, 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. -sweating or shivering, Normal saline is infusing Vital signs have been within normal limits and are performed weekly. changed the child's medication dose, whether the child has had any recent weight changes, and 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. Your Response: Keep bed in low position and remove objects from the bed, Blood alcohol level is .27. Which of the Remediation: -Be sure to keep follow-up appointments. The patient should be placed in side-lying position, not supine, to help maintain a patent airway Which of the following nursing interventions should be implemented first for this patient? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 4. SWEET & BITTER! . and suction should be readily available at the bedside. e) What other symptoms occur with it? Louinna_Cross. His speech is slurred, but he can answer questions coherently. The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C).
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