VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting 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. 1. (Select all that apply.). Pharm Scenario 08 Suzanne Morris GRQ revised - StuDocu love and help. 1342-1348. seat that uses both the shoulder and lap belts. impaired mobility, an unhealthy diet, and inability to adequately care for herself at home. PCC/S Discuss the importance of support from his family in Jermaine Joness care. The fetal heart rate is 150 bpm. The nurse is reviewing medications for a patient with depression. a) Cereals and fruits Pulse was strong, 95 per minute, and regular. Fluoxetine. Which indings would alert the nurse to the possible development of an addiional venous wound? 3. b) Meats, cheese, and beans Peripheral arterial disease was ruled out by duplex ultrasound. by the paient, indicates that the teaching was successful? This new feature enables different reading modes for our document viewer. 5. Heart rate: 95. Find study . before I came to see him. To maintain patient safety, it is important that you quickly. 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. Blood pressure: 124/74, You identified the patient. The nurse is providing education to a patient who takes an MAOI for depression. (Select all that apply.) Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. 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Which of the following factors placed this patient at a higher risk for developing this disease? He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug interaction between the three. : 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. Cunningham; Mary Ann Cunningham), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. He replied: 'No, I am not allergic to anything.' You looked for normal breathing. 4 A nurse is reviewing lab results and notes that a 5-year-old dizziness, weak and shallow breathing, panic attacks, fear, and fast or uneven heart rate. -Avoid possible drug interactions Rationale:Absence seizures consist of sudden cessation of activity combined with a blank facial expression. Heart rate: 95. Alprazolam is a benzodiazepine -Avoid possible drug interactions. Patient education for this patient would include which of the following statements? A patient is newly diagnosed with depression. (2014, June 11). Oxygen Heart rate-95. My patient Patient reported, I was feeling down, so I took some pills and drank some alcohol. Complete blood count (CBC) with differential Complete blood count and/or benzodiazepines, and about drug interactions. and localized edema. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. Pharmacology Scenario 7: Jermaine Jones Guided Reflection Questions. The nurse is admitting a pediatric patient with a known seizure scored a 12 on the Glasgow Coma Scale. Jermaine jones vsim - Pharmacology Scenario 7: Jermaine Jones - StuDocu Rationale: During the health history, the nurse needs to determine what medication the patient is Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. daughter recently moved her to this nearby nursing home due to concern for her safety related to 247- Which of the following statements by Jermaine Jones indicates that he understands the consequences of his actions? 1344-1345, A patient reports severe epigastric pain after eating. c) Whole wheat bread and brown rice, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01. She requires Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! actual patient care situation. The ordered dose of phenobarbital 60 mg twice daily, or 120 mg per day, is above the range of There is a 20 gauge IV in his right forearm. It is. Remediation: Psychiatrist and neurologist should be involved in patient care. Even though the patient mentioned that he used alcohol, I as a nurse should ask about the amount of alcohol intake. Atonic seizures involve a sudden loss of muscle tone, which in children may be only a sudden drop of the head. be administered. The patient scored a 12 on the Glasgow Coma Scale. c) Diminished pulses in the afected extremity 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! done monthly, and results from yesterday are in the chart. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Pharm: Jermaine Jones Post-Sim VSIM Flashcards | Quizlet the following interventions should the nurse include in the patient's Tina jones comprehensive questions to ask; . 50mg sertraline once a day, but he also took one of his wifes alprazolam tablets. d) Venous stasis ulcer, The nurse is providing teaching to Ms. Morrow on how to prevent addiional venous stasis ulcers. quiz, documentation assignments, and guided He says he feels sad because his father died a I think that the main problem of this patient that he suffers from depression for more than 2 Remediation: This patient should be taught to not take medications that have not been You assessed the patient's neurological status. with the medications sertraline and alazopram. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. (Select all that apply.) 2. Assessment in Nursing, 6th Edition. 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Flumazenil, a specific benzodiazepine antagonist. The patient asks, "When will I start feeling better?" SWEET & BITTER! Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an View full document. the patient. 1342-1348 Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. The patient should be placed in side-lying position, not supine, to help maintain a patent airway and decrease the risk for aspiration. POST. Jones should be assessed frequently to ensure that his level of consciousness is The patient reported that he does not take any herbal or over the counter prescribed to him. Which of the following statements best describes the rationale for the nurse's question? 996-997. SpO2: 95%. safety hazards, Rationale: The nurse should ensure that the child has a patent airway and adequate oxygenation. Which of the following drugs may be included in triple (combination) therapy for patients with peptic ulcers caused by H. pylori? His eyes open to verbal command, and he is able to follow instructions and move all extremities. safe? d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance Heart rate: 95. b) Do you have a family history of keloids? e) Length. 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. Pharmacology Scenario 3: Danielle Young Bear Guided Reflection Questions. Which of the following medications would be the best choice of treatment for this patient? This at 100 mL/hr. done monthly, and results from yesterday are in the chart. I really enjoyed her simulaion. Test. Course Hero is not sponsored or endorsed by any college or university. (Select all that apply. 2. PCC/S Identify potential patient safety issues related to altered mental status due (Select all that apply. : 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. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 1 Suggested Reading 2. actions should the nurse take? ), Esomeprazole, Amoxicillin, Lansoprazole, Clarithromycin. Time Spent - 00:00: During an admission assessment, the nurse notes a sudden onset of NY Times Paywall - Case Analysis with questions and their answers. Which Which of the following drug combinations can put the patient at risk for . Supervision during bathing, ambulation, and other potentially unsafe activities helps to reduce the risk of an injury in the event that a seizure occurs. PCC/S Identify potential patient safety issues related to altered mental status due to the combination of What is the purpose of this process? How would the nurse carry out this order? Which of the following information is correct regarding SSRIs? deep vein thrombosis (DVT). The dressing was changed and the wound cleaned this morning. patient's serum phenobarbital level is 8 mcg/mL. others. (B) Lowering the body's ability to tolerate insulin is the main focus of treatment for . mood swings V-Sim Clinical Olivia Jones / Simulation Olivia Jones, latest - Stuvia NRSG MISC. 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The nurse has an order to check a patient's post-void residual urine. If so, how would your patient care change? care would not change. Psychiatrist and neurologist should be involved in patient care. I taught him that the symptoms he was in and decrease the risk for aspiration. patient reported that he thinks the tablets are 0.5mg. However, you cannot access the post-simulation quiz, documentation assignments, and guided reflection questions until you have completed the vSim once. b) Insert a straight catheter and measure the urinary output in two hours. ), Exposure to irritants, Cigarette smoking, Mucosal defects, Genetics. Normal saline is infusing Which of the Which statement, if made Time Spent - 00:00: The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). status in addition to poor coordination. jermaine jones vsim pre quiz quizlet Albumin level test Albumin level test His speech is slurred, but he can answer questions correctly. Study with Quizlet and memorize flashcards containing terms like A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. Other sets by this creator. The safe dose range is 3 to 6 mg/kg/day. The patient should be placed in side-lying position, not supine, to help maintain a patent airway There is no need to insert a Foley catheter for a patient at risk for seizures. Support from his family could be very important and Tended to drift off to sleep. He had Hydrochlorothiazide prescribed by MD for his hypertension a couple of years. Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? Concluding Questions I think that the main problem of this patient that he suffers from depression for more than 2 years. the uptake of serotonin by neurons in the brain. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. Patient status - ECG: Sinus rhythm. School Georgian College. Rationale:Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. with +2 edema. Flumazenil is a This preview shows page 1 - 3 out of 5 pages. Assessed sedation level usingthe Pasero Sedation Scale; patient was drowsy but arousable. The workflow below is a suggested learning path. Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely taking, the current prescribed dose of medication, the frequency of administration, and the was strong, 95 per minute, and regular. Impaired skin integrity Impaired skin integrity. A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. Rationale:Basic seizure precautions should be implemented to provide a safe environment for the patient. Obesity, long-term care Obesity, long-term care depressant effect on the CNS His family should also monitor his d) To simulate circulaion, it is important for me to vigorously massage my Pre-Simulation Quiz. According to the blood alcohol chart, this level would Jermaine Jones consumed alcohol while taking alprazolam and sertraline. Jones to suffer falls. His blood alcohol level came back as 0, which is beyond the level of legal PCC/S Discuss the importance of support from his family in Jermaine Joness care. No, the safe range is 54.6 to 109.2 mg/day. Preview text. Respiration: 12. c) How much does it bother you? lethal. (Select all that apply.) What is the purpose of this process? A patient diagnosed with PUD has been prescribed sucralfate and pantoprazole. Find more information at: qsen/. Side effects: performing this assessment? 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Impaired physical mobility Impaired physical mobility reflection questions until you have completed the seizure occurs. Vsim Olivia pre and post Flashcards | Quizlet Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. : 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. 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