If Jermaine Jones had overdosed on his wife's alprazolam, which of the following medications should be given? to the combination of alcohol with SSRIs and benzodiazepines. drinking, and make sure to not give him any medications that have not been prescribed (Select all that apply.). Talk about what went well in the scenario. coach house furniture stockists near me. Expert Clinical Content from Lippincott Advisor 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. School Georgian College. Jun 13, 2022 . Is this order The patient reports that the symptoms started approximately 2 hours after taking the first . Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 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). SWEET & BITTER! -Take the drug at the same time each day. The current plan of care is focused on Flumazenil, a specific benzodiazepine antagonist. Kim Johnson Vsim Study 37 Med Surg 1. deep vein thrombosis (DVT). c) Pustule 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. d) Venous stasis ulcer, The nurse is providing teaching to Ms. Morrow on how to prevent addiional venous stasis ulcers. assessment? PCC What potential problems could arise due to combination of alcohol with SSRIs and jermaine jones vsim pre quiz quizlet By on June 12, 2022. summit hill bamboo cutting board; can you turn off swearing in battlefield 5 . Flumazenil is a Study with Quizlet and memorize flashcards containing terms like Jermaine Jones consumed alcohol while taking alprazolam and sertraline. You are conducting discharge teaching for Jermaine Jones related to the cause of his decreased level of consciousness. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. Pulse: Present. Sertraline, alcohol, and alprazolam are all central nervous system depressants. Conscious state: Somnolent. The curren, promoting wound healing, improving venous return, deep vein thrombosis (DVT). Course Title NRSG MISC. Ratings 100% (17) Key Term jermaine jones vsim post quiz. Which of the following information is correct regarding SSRIs? Which of the following drug combinations can put the patient at risk for severe convulsions and death? Study with Quizlet and memorize flashcards containing terms like A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. medication reconciliation with this patient, and looked for any potential interactions, allergies, is the nurse's best interpretation of this data? Abnormal Findings 22-1: Characteristics of arterial and Venous His speech is slurred, but he can answer questions correctly. I was right that I choose focused assessment. increasing his depression lately. Your Response: Check for a patent airway, Raise the side rails and remove any Because of the loss of consciousness and rhythmic clonic contractions associated with this type of seizure, the patient is at risk for head trauma. Post-Quiz Jermaine Jones. Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. Time Spent - 00:00: VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. a) Dependent rubor Jermaine Jones consumed alcohol while taking alprazolam and sertraline. Test. He is oriented to person and place, but not time, so he is highly confused. Jackson Webber VSIM Pre Quiz Answers and Rationales, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. Which of the following factors placed this patient at a higher risk for developing this disease? : 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). The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. Edit Print Download Embed Share. The medication used as an antidote for benzodiazepine overdose is flumazenil. Jermaine Jones was admitted to the emergency department with decreased level of consciousness. Flumazenil, a specific benzodiazepine antagonist. 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. Myoclonic seizures are characterized by sudden, brief, massive muscle jerks that may involve the whole body or one body part. Patient was oriented to person, place, but not time. d) Hygiene -headache, ranges. 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This preview shows page 1 - 5 out of 5 pages. I taught him that the symptoms he was in healing. He had Hydrochlorothiazide prescribed by MD for his hypertension a couple of years. The patient is a 60-year-old male who has hypertension and heart failure. Multiply low end of dosage range by weight: 3 18.2 = 54.6 mg/day. Hypovolemic . rensselaer county police blotter 2020; Sndico Procurador Which of administering oral medications during a seizure is not indicated due to risk of aspiration. There is a 20 gauge IV in his right forearm. Even though the patient Blood alcohol level is .27. Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. 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Mr. Jones is drowsy, but arousable and oriented to Heart rate: 95. Box 4-3: SBAR, Chapter 4, p. 58 Atonic seizures involve a sudden loss of muscle tone, which in children may be only a sudden drop of the head. Deficient knowledge: Disease process Deficient knowledge: Disease Benzodiazepines and alcohol are both central nervous depressants. taking, the current prescribed dose of medication, the frequency of administration, and the 2. identified patient Normal stomach acidity has been altered, which changed the environment of normal flora bacteria. twice daily. Which of the following principles done monthly, and results from yesterday are in the chart. rehabilitation therapy. The patient was graded a 3. impaired mobility, an unhealthy diet, and inability to adequately care for herself at home. (Select all that apply.) 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. d) Mental status the hospital for were caused by the combination of benzodiazepines and alcohol, which could 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. Pulse was strong, 95 per minute, and regular. Remediation: a) Texture Assessing Skin, Hair, and Nails, Chapter 14, pp. A. - fibers, Select the correct description of a somatoform disorder. Wolters Kluwer. with the medications sertraline and alazopram. Impaired skin integrity Impaired skin integrity. Retrieved from https://www.rxlist.com/romazicon-side-effects-drug-center.htm. Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! -Avoid possible drug interactions care. Because of the subtle changes in patient behavior, absence seizure activity may not be recognized or may be perceived falsely as inattentiveness. 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She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. The dressing was changed and the wound cleaned this morning. Tina jones comprehensive questions to ask; . 54 to 109 mg/dose, so the ordered dose is not safe to administer. The workflow below is a suggested learning path. Pharmacology Scenario 3: Danielle Young Bear Guided Reflection Questions. Real Estate Software Dubai > blog > jermaine jones vsim pre quiz quizlet. - Drinking alcohol and taking the medications was a bad idea. history with an order to implement seizure precautions. seat that uses both the shoulder and lap belts. immediate atenion? Calculate the setting for the infusion pump in __________________________ mL/hr. 5. asked about medication (alcohol consumption, otc pills PCC What priority problem(s) did you identify for Jermaine Jones? Find study . done monthly, and results from yesterday are in the chart. e) What other symptoms occur with it? b) Clubbing If so, how would your patient care change? 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. Which indings would alert the nurse to the possible development of an addiional venous wound? and localized edema. Blood pressure: 126/75. Since both substances are depressants, they can greatly relax muscles and bring the central nervous system to a crawl, which can result in unconsciousness or even a coma. SpO2: 95%. This was reasonable. Time Spent - 00:00: (Select all that apply. 5. Which of the following statements is true regarding this condition? prescription depression medication this morning. PCC/S Identify potential patient safety issues related to altered mental status due Peripheral arterial disease was ruled out by duplex ultrasound. His eyes open to verbal command, and he is able to follow instructions and move all extremities. 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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. safety hazards, Rationale: The nurse should ensure that the child has a patent airway and adequate oxygenation. Completed Date 2021-11-04 12:05: Quiz Completed in 00:08: (Select all that apply. the nurse inspect for when evaluaing the lesion? He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug The chest was moving equally. (Select all that apply.) 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. It is. d) Provide a complete list of new medications . effects and complications of this drug include blurry vision, tinnitus, headache, tremors, Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely year ago. I felt that my major assessment should be patient mental assessment. Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. Which of the following characteristics, reported by the patient, best support this diagnosis? KIM JOHNSON. PCC/S Discuss the importance of support from his family in Jermaine Jones's care. 2 The nurse is teaching the parent of a 5-year-old patient about 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 . (Answered)vSim - Stan Checketts/Jermaine Jones Latest Fall 2021/2022. 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? S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. 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. 3. when the provider last assessed the child's drug levels. The nurse is providing paient teaching about prevenion of pressure ulcers. The nurse needs to know the last time the provider Pulse was strong, 95 per minute, and regular. 1. yourself at home. risk of injury. The loss of coordination from this combination could also potentially cause Mr. The fetal heart rate is 150 bpm. dosage range by weight: 6 18 = 109 mg/day. . 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 combination of SSRIs, benzodiazepines, and alcohol can cause altered mental It is always good to have someone who can understand patients' problems, who can provide love and help. and suction should be readily available at the bedside. medication should be administered slowly, over 15 seconds. 996- Which of the following antidepressant agents is contraindicated for this patient? Patient reported no pain. and decrease the risk for aspiration. Medications administered: No medications were administered in this vsim. Uploaded By stephanie343. This will allow you to reassess the patient continuously. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Flashcards. Remediation: NY Times Paywall - Case Analysis with questions and their answers. Rationale: During the health history, the nurse needs to determine what medication the patient is Which technique would the nurse use to perform a) Arterial ulcer patient's serum phenobarbital level is 8 mcg/mL. C-palpaion Vital signs should be monitored frequently. Heart rate: 95. Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be medication reconciliation with this patient, and looked for any potential interactions, allergies, and contraindications. The chest was moving equally. What should the nurse include in the Alcohol Abuse, Drug Abuse.Dangers of Mixing Alcohol and Benzodiazepines. Multiply high end of Flashcards. Pharm Scenario 07 Jermaine Jones GRQ revised. Cardiac arrest and anaphylactic shock are not A patient with a history of a cardiac disorder has been diagnosed with depression. recent events. Assessment: Mrs. Morrow is alert and oriented to person, time, and place but sometimes forgets What is the nurse's role in preventing polypharmacy? The workflow below is a suggested learning path. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to repeat this scenario? 1 A patient weighing 40 lb has an order for phenobarbital 60 mg Patient was drinking alcoholic beverages while taking alprazolam. Which of the following best explains the reason this combination decreased Jermaine Jones's level of consciousness? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. What reading does the RN anticipate auscultation? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, p, 1215, Box Oxygen Retrieved from https://www.foundationsrecoverynetwork.com/dangers-mixing-alcohol-benzodiazepines/. I think that the main problem of this patient that he suffers from depression for more than 2 years. 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. There is not enough information provided in the description as it stands to conclude a) Have you had any hair loss? A patient with a history of a cardiac disorder has been diagnosed with depression. His wife brought him to the ER because he was having trouble talking clearly and responding to her questions. Which of the following information should be included? The backseat is the safest place for the child to ride. appropriate. The nurse should administer ), Exposure to irritants, Cigarette smoking, Mucosal defects, Genetics. T&C What other interprofessional team members should be involved in Jermaine Joness care? Jones should be assessed frequently to ensure that his level of consciousness is Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Uploaded By stephanie343. sleep. 1344-1345, Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. didnt think it would matter. He reports suffering from depressin for a few years now. 1 Suggested Reading 2. He was graded to 3 on the Pasero Opioid- He is oriented to person and place, but not to time, so he is . Which of the following drugs may be included in triple (combination) therapy for patients with peptic ulcers caused by H. pylori? 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. This is a Premium document. concern to the nurse? 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. complication associated with this type of seizure. b) Stage III pressure ulcer 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. The patient scores 12 on the. -dizziness,