Flumazenil, a specific benzodiazepine antagonist. b) Meats, cheese, and beans They should ensure that any of their prescription medications are stored safely in 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. The nurse is reviewing medications for a patient with depression. a) Papule 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 b) Leg pain and brownish or blue skin discoloraion Heart rate: 95. The patient is diaphoretic. Health Assessment Time Spent - 00:00: Rationale:During the health history, the nurse needs to determine what medication the patient is taking, the current prescribed dose of medication, the frequency of administration, and the duration of therapy as well as whether the patient is complying with the prescribed medication regimen. c) Pustule 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. 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. 4. assessed consciousness Hypovolemic . View Quiz for Jermaine Jones for Nursing | Pharmacology.pdf from NURSING 120.507 at Johns Hopkins University. b) Asymmetry 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. Course Hero is not sponsored or endorsed by any college or university. Quality Improvement (QI), Safety (S), and Informatics (I). Firearms should be kept in a locked cabinet with the ammunition stored separately. A patient with a history of a cardiac disorder has been diagnosed with depression. administering oral medications during a seizure is not indicated due to risk of aspiration. I taught him that the symptoms he was in Patient reported, I was feeling down, so I took some pills and drank some alcohol. Alprazolam is a benzodiazepine 266- The bed should be kept in low position and objects removed from the bed. Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be lethal. Her last Braden scale as, ago. The patient is a 60-year-old male who has hypertension and heart failure. Chapter 14, pp. Time: 1000 recent events. Implementation of seizure precautions, including rasing the Box 4-3: SBAR, Chapter 4, p. 58 (2014, June 11). 2019 (n.d.). Blood pressure: 124/74, You identified the patient. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to In the role of educator, the nurse instructs and counsels patients and their families about all aspects of health and illness. seat that uses both the shoulder and lap belts. considered therapeutic at levels between 10 and 40 mcg/mL. Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an actual patient care situation. 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! history with an order to implement seizure precautions. -dizziness, immediate atenion? would the nurse document this inding? Oxygen and suction should be readily available at the bedside. . Which of the following information is correct regarding SSRIs? He reports no thoughts of self-harm, no lost interest in daily activities, no trouble If so, how would your patient care change? before I came to see him. with +2 edema. 9. patient handoff. To maintain patient safety, it is important that you quickly. You washed your hands. Preschoolers are not mature enough to ride a bicycle in the street and should ride on the sidewalk; bicycles should be ridden in the same direction as traffic. Complete blood count (CBC) with differential Complete blood count 2. identified patient vSim ISBAR Activity Student Worksheet Introduction (Your name, position (RN), unit you are working on), ER Nurse Situation Patient's name, age, specific reason for visit Jermaine Jones, 34-year-old African American male. d) It is a technique used to idenify common problems in older adults. PCC What priority problem(s) did you identify for Jermaine Jones? The patient should be placed in side-lying position, not supine, to help maintain a patent airway and decrease the risk for aspiration. (Select all that apply. To prevent accidental ingestion, parents should never describe medications as candy. It is. Which of the following statements best describes the likely cause of the patient's symptoms? SWEET & BITTER! 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. Questions PRE-POST QUIZ Vsims Josephine Morrow, Health Assessment Case 1: Josephine Morrow. ), 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. D PERCUSSION, The nurse is assessing a paients nails. 996- 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. Heart rate-95. The patient should have a neurological assessment done, and his vital Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be 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. drinking, and make sure to not give him any medications that have not been prescribed c) Small, lat macules on both shoulders Assessing Skin, Hair, and Nails, Chapter 14, pp. by the paient, indicates that the teaching was successful? lethal. Peripheral arterial disease was ruled ou, daughter recently moved her to this nearby nursing home due to con, impaired mobility, an unhealthy diet, and inability to adequately care for. (Select all that apply. She is on a regular diet with nutritional complication associated with this type of seizure. Rationale: After reaching the car seat height restriction, all 5-year-olds should ride in a booster Blood alcohol level is .27. Which technique would the nurse use to perform scored a 12 on the Glasgow Coma Scale. The reported combination of signs and symptoms are characteristic of clinical depression. c) Distribuion He reports no thoughts of self-harm, no lost interest in daily activities, no trouble sleeping, but he has lost his appetite. the patient. signs should be closely monitored with extra attention to his respirations. benzodiazepine receptor antagonist. Pharm Scenario 07 Jermaine Jones GRQ revised. Which of the following characteristics, reported by the patient, best support this diagnosis? In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. Georgian College. safe? Probiotics help prevent or treat infections in the intestines. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Rationale: During the health history, the nurse needs to determine what medication the patient is Tended to drift off to sleep. I Which of the following foods should the patient avoid? actions should the nurse take? Background: Mrs. Morrow has a past medical history of COPD, chronic venous insufficiency, and rehabilitation therapy. I felt that my major assessment should be patient mental assessment. I think that the main problem of this patient that he suffers from depression for more than 2 years. BIO 102 - Lecture notes Invertebrates-End of Course, Business LawIUM1 IUM1 Task 1: Integrated Arts Activities, Contract analysis - Trish Denton hails from Detroit's ailing sister city Pontiac, Michigan. Remediation: daughter recently moved her to this nearby nursing home due to concern for her safety related to prescribed to him. Is this order safe? Diseases and Conditions, 1. He took his Patient reported no pain. 3 care. She has brown hyperpigmentation on both lower legs Fundamentals of Nursing 9th Edition Taylor Test Bank-1-10; Chapter 3 workbook Cells and Tissues; Psychology 101 Notes; Tina jones comprehensive; Destroying Altering Tables and Views; EDUC 327 The Teacher and The School Curriculum Document; Anthropological Perspective; Chapter 01 - Fundamentals of Nursing 9th edition - test bank -ringing in your ears (John P. Cunha,2019) (Select all that apply.). I completed a, The patient had his blood drawn for a BMP, No calculations were necessary in this vsim, as no medications were ordered to, I educated the patient on the importance of avoiding alcohol while taking sertraline, The scenographic elements as constructors of meaning within a fictional world, Success Strategies for Online Learning (SNHU107), Biotechnology Applications (BIOTECH 10007110), Online Education Strategies (UNIV 1001 - AY2021-T), Primary Concepts Of Adult Nursing II (NUR 4110), Variations in Psychological Traits (PSCH 001), Communication As Critical Inquiry (COM 110), advanced placement United States history (APUSH191), Informatics for Transforming Nursing Care (D029), 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), Death Penalty Research Paper - Can Capital Punishment Ever Be Justified, Skomer Casey, Lesson 12 Seismicity in North America The New Madrid Earthquakes of 1811-1812, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, CHEM111G - Lab Report for Density Experiment (Experiment 1), Focused Exam Alcohol Use Disorder Completed Shadow Health, Analysis of meaning and relevance of History from the millennial point of view, BUS 225 Module One Assignment: Critical Thinking Kimberly-Clark Decision, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. PCC/S Identify potential patient safety issues related to altered mental status due to the combination of alcohol with SSRIs and benzodiazepines. on her right lower extremity while still living at home. His wife was also receiving education and instructions so she may help patient remember and also implement them in the home. b) Prevent duplication of medications. Multiply low end of dosage range by weight: 3 18.2 = 54.6 mg/day, dosage range by weight: 6 18.2 = 109.2 mg/day, The ordered dose of phenobarbital 60 mg twice daily, 54.6 to 109.2 mg/dose, so the ordered dose is not safe to administer, home safety and injury prevention. 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. Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. a) A raised nevus on the back of the neck The medication used as an antidote for benzodiazepine overdose is flumazenil. contractions alternating with relaxation of all muscle groups. year ago. c) Color The patient is diaphoretic. Vital signs have been within normal limits and are performed weekly. The workflow below is a suggested learning path. His blood alcohol level came back as 0, which is beyond the level of legal The nurse is assessing for skin texture, and moisture. The nurse is reviewing medications for a patient with depression. medication reconciliation with this patient, and looked for any potential interactions, allergies, Created by. when the provider last assessed the child's drug levels. He was graded to 3 on the Pasero Opioid- Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. I taught him that the symptoms he was in, the hospital for were caused by the combination of benzodiazepines and alcohol, which could. the hospital for were caused by the combination of benzodiazepines and alcohol, which could Note any drugdrug interactions. status in addition to poor coordination. should also review the labs and do patient education on promotion of circulation and on A patient with a history of a cardiac disorder has been diagnosed with depression. Uploaded By stephanie343. Patient was oriented to person, place, but not time. emergency department by his wife after he had been drinking a few beers and had - I should not have taken the medication prescribed for my wife. maintaining good skin integrity. Which of the fo, is correct regarding safety for this age grou, shoulder belts should be used after reaching the car seat height re. 2. 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. Study with Quizlet and memorize flashcards containing terms like It will be important to reconcile Jermaine Jones's medications prior to discharge. During my assessment, I forgot to ask my patient about alcohol intake. this assessment? Patients taking SSRIs are at an increased risk of suicidal behavior. A patient is placed on pantoprazole for the treatment of PUD. taken alprazolam, prescribed for his wife. I would monitor patients vital signs, espessialy respirations. -flushing (warmth, redness, or tingly feeling under your skin), You asked if the patient was <Allergy>allergic<> to anything. You assessed the patient's neurological status. Your Response: Check for a patent airway, Raise the side rails and remove any The nurse is admitting a pediatric patient with a known seizure Respiration: 12. Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! As an advocate, the nurse safeguards and advances the interests of patients and their families. All sales are final. depressant effect on the CNS e) Depth, The nurse is inspecing a paients cheek and inds a palpable, 0-cm mass containing clear luid. The patient reports weakness and confusion. reflection questions until you have completed the May 20, 2021; tapioca starch whole30; barient 32 self tailing winch parts A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical. The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). Multiply the dose by the number of times administered per day: 60 2 = 120 mg/day. patient reported that he thinks the tablets are 0.5mg. Jermaine Jones pre quiz 100.docx -. Palpate the bladder for distention and record findings in the chart. skin. and decrease the risk for aspiration. patient's serum phenobarbital level is 8 mcg/mL. The combination of SSRIs, benzodiazepines, and alcohol can cause altered mental What is the nurse's role in preventing polypharmacy? You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. PCC/S Discuss the importance of support from his family in Jermaine Jones's care. c) Unstageable pressure ulcer 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. No, the safe range is 54.6 to 109.2 mg/day. School Georgian College. Varicose veins Varicose veins S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using a) Choose footwear that is nonskid with a low heel. SpO2: 95%. He took his prescription depression medication this morning. A. - fibers, Select the correct description of a somatoform disorder. How did the simulated experience of Jermaine Joness case make you feel? Protein dipstick is +4, negative ketones, negative glucose, +2 dependent edema, and facial . Which of the following antidepressant agents is contraindicated for this patient? Time Spent - 00:00: : an American History The nurse should administer To prevent accidental ingestion, parents should : 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.