a place that is not easily accessible to Mr. Jones, and look for any odd changes in his Louinna_Cross. 266- Which of the following complications of peptic ulcers is associated with the presence of H. pylori? PCC/S Identify potential patient safety issues related to altered mental status due He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug c) Small, lat macules on both shoulders Which of the following directions for taking these two medications is correct? b) It is a tool to determine whether or not you are at risk for falls. The patient should have a neurological assessment done, and his vital seat that uses both the shoulder and lap belts. Talk about what went well in the scenario. events, and death. He took his 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. The bed should be kept in low position and objects removed from the bed. His family should also monitor his Impaired skin integrity Impaired skin integrity. Normal elasticity of the skin. ), Exposure to irritants, Cigarette smoking, Mucosal defects, Genetics. Jerky, rapid contraction of the ankle and foot. Labs are Maintain patency of airway. d) Provide a complete list of new medications . 3 Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be lethal. His eyes open to verbal command, and he is able to follow instructions and move all extremities. areas are assessed using this tool? assessment? Which of the following statements is true regarding this condition? performing this assessment? His wife was also receiving education and instructions so she may help patient remember and also implement them in the home. Pharm Scenario 07 Jermaine Jones GRQ revised. KIM JOHNSON. 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. . Simple partial seizures are characterized by clonic or tonic movements involving the face, neck, and extremities and can include sensory signs such as numbness, tingling, paresthesia, or pain. Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. 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. Vital signs have been within normal limits and are performed weekly. School Georgian College. seizure threshold or history of seizures. No, the safe range is 54.6 to 109.2 mg/day. The priority problem that I identified for Jermaine Jones was the combination of alcohol A patient with PUD wants to know if taking probiotics will improve the condition. Patients taking SSRIs are at an increased risk of suicidal behavior. seizure occurs. View full document. The use of this medication is contraindicated in patients with a lowered Side effects: -pain or irritation where the medicine was injected, -ringing in your ears (John P. Cunha,2019). c) Distribuion The nurse is assessing for skin texture, and moisture. -headache, and friends. whether any of the other answers are correct. Study with Quizlet and memorize flashcards containing terms like Jermaine Jones consumed alcohol while taking alprazolam and sertraline. The patient asks, "When will I start feeling better?" -sweating or shivering, didnt think it would matter. He reports suffering from depressin for a few years now. Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. (Select all that apply.). In the nurses notes, document the medication reconciliation information for Jermaine Jones. duration of therapy as well as whether the patient is complying with the prescribed medication The RN is checking a patient's BP in the thigh related to new inability to assess BP in arms. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. 4. Abnormal Findings 22-1: Characteristics of arterial and Venous Mr. Jones could experience a lapse in judgement skin. She is on a regular diet with nutritional ago. Time Spent - 00:00: I taught him that the symptoms he was in, the hospital for were caused by the combination of benzodiazepines and alcohol, which could. Tended to drift off to Loss of sphincter control, leading to incontinence, is another complication associated with this type of seizure. A patient is newly diagnosed with depression. Uploaded By stephanie343. To maintain patient safety, it is important to wash your, Patient status - ECG: Sinus rhythm. This preview shows page 1 - 3 out of 5 pages. another medication prescribed for his wife. slurred speech, reduced coordination, drowsiness, and depressed respirations. Which of the following statements best describes the likely cause of the patient's symptoms? 1. You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. Remediation: He reports no thoughts of self-harm, no lost interest in daily activities, no trouble Other sets by this creator. b) Lesions Study with Quizlet and memorize flashcards containing terms like 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. Pulse was strong, 95 per minute, and regular. Jermaine Jones post quiz 100.docx -. Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. Is this order Flashcards. The patient is diaphoretic. May 20, 2021; tapioca starch whole30; barient 32 self tailing winch parts d) Mental status Completed Date 2021-11-04 12:05: Quiz Completed in 00:08: The workflow below is a suggested learning path. -ringing in your ears (John P. Cunha,2019) medication reconciliation with this patient, and looked for any potential interactions, allergies, Which of the following nursing interventions should be performed first for a patient with decreased level of consciousness? Safe dosage range equals 54.6 to 109.2 mg/day. 95%. c) Capillary reill Blood pressure: 126/75, mm Hg. The fetal heart rate is 150 bpm. The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. alcohol with SSRIs and benzodiazepines. He took his prescription depression medication this morning. Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. - I should not have taken the medication prescribed for my wife. . and other potentially unsafe activities helps to reduce the risk of an injury in the event that a To prevent accidental ingestion, parents should I think it is very important for patients who are suffering from depression to have support from family Assessment in Nursing, 6th Edition. interaction between the three. A patient diagnosed with PUD has been prescribed sucralfate and pantoprazole. A patient is newly diagnosed with depression. PCC What potential problems could arise due to combination of alcohol with SSRIs and PRE. Jermaine Jones was admitted to the emergency department with decreased level of consciousness. Which of the following information is correct regarding SSRIs? a) Coninence ), -Compare current medications to all medications taken Albumin level test Albumin level test 50mg sertraline once a day, but he also took one of his wifes alprazolam tablets. Because of the subtle changes in patient behavior, absence seizure activity may not be recognized or may be perceived falsely as inattentiveness. a) Potassium 4 mEq/L 5. asked about medication (alcohol consumption, otc pills Time Spent - 00:00: Which of the following statements identifies why Jermaine Jones may be at higher risk for the adverse effects of benzodiazepines? 996- Test results show the presence of Helicobacter pylori (H. pylori). Tended to drift off to sleep. are not mature enough to ride a bicycle in the street and should ride on the sidewalk; bicycles 1342-1348 Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Implementation of seizure precautions, including rasing the side rails and removing any safety hazards, helps to keep the environment safe and reduce the risk of injury. A patient with a history of a cardiac disorder has been diagnosed with depression. Benzodiazepines and alcohol are both central nervous depressants. d) When did it begin? Weber, J. and Kelley, J. Quiz Name RicciKyle4e_Pre_Jackson Web ber. Restraining the patient or placing anything in the mouth, such as a tongue blade, while the patient is actively seizing can cause further injury. C-palpaion She has brown hyperp. The patient reports taking his prescribed Ratings 100% (11) This preview shows page 1 - 10 out of 10 pages. recent events. the following interventions should the nurse include in the patient's 2019 (n.d.). Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with peptic ulcer disease (PUD). The chest was moving equally. Oxygen should be maintained above 92%. (Select all that apply.) safety hazards, Rationale: The nurse should ensure that the child has a patent airway and adequate oxygenation. His speech is slurred, but he can answer questions correctly. Which of the following antidepressant agents is contraindicated for this patient? How did the simulated experience of Jermaine Joness case make you feel? Respiration: 12. The nurse asks if the patient is feeling depressed. Which of the following principles Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. help him tremendously during this difficult time. e) Depth, The nurse is inspecing a paients cheek and inds a palpable, 0-cm mass containing clear luid. deep vein thrombosis (DVT). There is no need to insert a Foley catheter for a patient at risk for seizures. Document any assessment data related to Jermaine Jones diagnosis of depression. Include the medications he was taking prior to admission, any medications given during the scenario, and the medications he will be taking at home. a) Cereals and fruits A patient diagnosed with depression talks to the nurse about death and making funeral arrangements. jermaine jones vsim pre quiz quizletrose hills holiday schedule 2020rose hills holiday schedule 2020 TB-Chapter 21 Peripheral Vascular System and Lymphatic System, General Chemistry I - Chapter 1 and 2 Notes, Laporan Praktikum Kimia Dasar II Reaksi Redoks KEL5, 1-2 Problem Set Module One - Income Statement, 1-2 Short Answer- Cultural Objects and Their Culture, The cell Anatomy and division. Bringing all of the assessments together was in a way like a puzzle. drinking, and make sure to not give him any medications that have not been prescribed treated with a selective serotonin reuptake inhibitor. Blood pressure: 126/75. risk of injury. 996-997 3, The nurse is admitting a pediatric patient with a known seizure history with an order to implement seizure precautions. assistance with positioning in bed and with getting out of bed to sit in a chair or ambulate. recent events. The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. Blood pressure: 122/73, You checked the patient's pupils, and they were 4 mm and reactive. of alcohol with SSRIs and benzodiazepines can lead to decreased consciousness, seat that uses both the shoulder and lap belts. ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. before I came to see him. patient reported that he thinks the tablets are 0.5mg. The reported combination of signs and symptoms are characteristic of clinical depression. (Alcohol Abuse,2014). d) Venous stasis ulcer, The nurse is providing teaching to Ms. Morrow on how to prevent addiional venous stasis ulcers. side rails and removing any safety hazards, helps to keep the environment safe and reduce the a) Texture The safe dose range is 3 to 6 mg/kg/day. the uptake of serotonin by neurons in the brain. The patient scored a 12 on the Glasgow Coma Scale. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. d) Wheal, 1 nurse is reviewing Ms. Morrows nutriional status. Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? a) Compare current medications to all medications taken. Which of the following foods should the patient avoid? 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). : 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). Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. A patient is scheduled to receive a 500-mL intravenous bolus of normal saline over 30 minutes. The medication used as an antidote for benzodiazepine overdose is flumazenil. mg/day. d) Exudate Alcohol Abuse, Drug Abuse.Dangers of Mixing Alcohol and Benzodiazepines. Prealbumin test Prealbumin test 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! with the medications sertraline and alazopram. d) To simulate circulaion, it is important for me to vigorously massage my In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. It will be important to reconcile Jermaine Jones's medications prior to discharge. Multiply low end of dosage range by weight: 3 18 = 54 mg/day. Pulse: Present. Even though the patient D PERCUSSION, The nurse is assessing a paients nails. 996-997. The 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. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. b) Leg pain and brownish or blue skin discoloraion NY Times Paywall - Case Analysis with questions and their answers. She has gained 3 pounds since prenatal visit 1 week ago. Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. Insufficiency, Chapter 22, p. 488 Which of the following nursing interventions should be implemented first for this patient? The patient was graded a 3. 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), Josephine Morrow Health Assessment pre-and post- quiz questions, Josephine Morrow is an obese, 80-year-old female who developed a ven, Mrs. Morrow has a past medical history of COPD, chron, Mrs. Morrow is alert and oriented to person, time. Alcohol should not be consumed when taking alprazolam or sertraline. 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The nurse ensures that the needs of the patient and family are met as a consultant through activities that include support group facilitation and working with the school nurse to plan the patient's care. SpO2: I completed a Vital signs should be monitored frequently. The nurse administered acetaminophen to the client for an elevated temperature at 38.33 C (101 F). The nurse is reviewing medications for a patient with depression. (Select all that apply. -flushing (warmth, redness, or tingly feeling under your skin), a) A raised nevus on the back of the neck contractions alternating with relaxation of all muscle groups. the nurse inspect for when evaluaing the lesion? Which of the following drug combinations can put the patient at risk for severe convulsions and death? Color was normal, he was not sweating. and decrease the risk for aspiration. - Patient confused, under the influence, and more than likely will be a poor historian. 2. Cardiac arrest and anaphylactic shock are not I felt that my major assessment should be patient mental assessment. -blurred vision, or. Opening Questions a) Have you had any hair loss? medications, but that he does take a prescription medication for depression and he had taken ), The nurse is providing education to a patient who takes an MAOI for depression. Side How did the simulated experience of Jermaine Joness case make you feel? What reading does the RN anticipate auscultation? 35. 8. phoned provider considered therapeutic at levels between 10 and 40 mcg/mL. tonic contractions of the patient's entire body followed by clonic Health Assessment Remediation: system to a crawl, which can result in unconsciousness or even a coma.
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