The patient should be placed in side-lying position, not supine, to help maintain a patent airway be administered. a pt wit preeclampsia is admitted with vital signs as follows: temp 98.6, HR 110, RR 28, BP182/116, SpO2 92%. Restraining the patient or placing anything in the mouth, such as a tongue blade, while the patient is actively seizing can cause further injury. A patient with PUD wants to know if taking probiotics will improve the condition. (Select all that apply.) Rationale: Convert pounds to kilograms and round to the nearest 10th: 40 2 = 18 kg. The nurse should administer Normal saline is infusing -headache, Which of the following foods should the patient avoid? Medications administered: No medications were administered in this vsim. Talk about what went well in the scenario. 1342- Heart rate: 95. The nurse is admitting a pediatric patient with a known seizure Test. with the medications sertraline and alazopram. The nurse should administer anticonvulsant medications as ordered to help stop and prevent further seizure activity, but administering oral medications during a seizure is not indicated due to risk of aspiration. T&C What other interprofessional team members should be involved in Jermaine Joness care? c) Pustule Which of the following principlesis correct regarding safety for this age group? tonic contractions of the patient's entire body followed by clonic Which techniques should the nurse consider using when b) Meats, cheese, and beans The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). 5. asked about medication (alcohol consumption, otc pills supplement and has been eating the majority of her meals since admission. - I should not have taken the medication prescribed for my wife. Retrieved from https://www.rxlist.com/romazicon-side-effects-drug-center.htm. Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. b) Leg pain and brownish or blue skin discoloraion medication reconciliation with this patient, and looked for any potential interactions, allergies, Peripheral arterial disease was ruled out by duplex ultrasound. Patient was breathing at 12 breaths per minute. d) Pallor in the lower extremity, The nurse is educaing Ms. Morrow and her daughter on food choices that will promote wound Which of the following statements best describes the rationale for the nurse's question? Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Remediation: c) Ensure disposal of all home medications. Even though the patient Which technique would the nurse use to perform Implementation of seizure precautions, including rasing the Which of the following equipment should the nurse gather first based on the patient's signs and symptoms. (Select all that apply. I was right that I choose focused assessment. 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. Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be lethal. b) Do you have a family history of keloids? (Select all that apply.) not be appropriate for the nurse to implement this without an order from the provider. Assessment Tool 14-1: Braden Scale for Predicting Pressure Sore Risk, -Take the drug at the same time each day. Patient was breathing at 12 breaths per minute. 54 to 109 mg/dose, so the ordered dose is not safe to administer. 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. His eyes open to verbal command, and he is able to follow instructions and move all extremities. and other potentially unsafe activities helps to reduce the risk of an injury in the event that a (Select all that apply.) Heart rate: 95. Which inding would require 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. Find more information at: qsen/. a) Dependent rubor Expert Clinical Content from Lippincott Advisor taken alprazolam, prescribed for his wife. Box 38. Is this order The chest was moving equally. In the role of educator, the nurse instructs and counsels patients and their families about all aspects of health and illness. The nurse administered acetaminophen to the client for an elevated temperature at 38.33 C (101 F). and contraindications. 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. Patient education for this patient would include which of the following statements? with +2 edema. 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. Insufficiency, Chapter 22, p. 488 Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? The nurse is providing paient teaching about prevenion of pressure ulcers. Rationale:The nurse should ensure that the child has a patent airway and adequate oxygenation. The patient is diaphoretic. Which of the following characteristics, reported by the patient, best support this diagnosis? The patient scores 12 on the. recent events. what is the therapeutic blood level for a pt receiving an IV infusion of magnesium sulfate? d) It is a technique used to idenify common problems in older adults. Sertraline, alcohol, and alprazolam are all central nervous system depressants. 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. 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. assistance with positioning in bed and with getting out of bed to sit in a chair or ambulate. Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 1 A patient weighing 40 lb has an order for phenobarbital 60 mg To maintain patient safety, it is important to wash your, Patient status - ECG: Sinus rhythm. Patient was oriented to person, place, but not time. PCC/S Identify potential patient safety issues related to altered mental status due (Select all that apply.). ), Esomeprazole, Amoxicillin, Lansoprazole, Clarithromycin. Obesity, long-term care Obesity, long-term care This was reasonable. b) Insert a straight catheter and measure the urinary output in two hours. Scenario Analysis Questions 1 He took his prescription depression medication this morning. The last BP reading in the right arm was 120/50. Which of the following antidepressant agents is contraindicated for this patient? Which of the following information is correct regarding SSRIs? What is the purpose of this process? Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. Chapter 1 Introduction to Drugs PP and Notes, Elliot Aronson, Robin M. Akert, Timothy D. Wilson, RADS 3213 Advanced Clinical Practice Skills F. Which of the following medications would be the best choice of treatment for this patient? b) Vesicle His blood alcohol level came back as 0, which is beyond the level of legal . 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. this assessment? The dressing was changed and the wound cleaned this morning. 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. 2 The nurse is teaching the parent of a 5-year-old patient about I really enjoyed her simulaion. a) Texture d) Prealbumin 6 mg/dL. behavior which could signify a worsening in his depression. Rationale: During the health history, the nurse needs to determine what medication the patient is Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Which of the following information should be included when providing patient education on this drug? The patient should be placed in side-lying position, not supine, to help maintain a patent airway and decrease the risk for aspiration. 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You are conducting discharge teaching for Jermaine Jones related to the cause of his decreased level of consciousness. 2. done monthly, and results from yesterday are in the chart. (B) Lowering the body's ability to tolerate insulin is the main focus of treatment for . 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. suggest that he had consumed approximately ten alcoholic beverages, even though he reports (CBC) with differential -Avoid possible drug interactions The patient was graded a 3. 996- She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with diabetes mellitus. Concluding Questions A patient is newly diagnosed with depression. Vernon watkins vsim 100%.docx. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. Normal stomach acidity has been altered, which changed the environment of normal flora bacteria. B- inspecion 1. 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? Time: 1000 plan of care? side rails and removing any safety hazards, helps to keep the environment safe and reduce the 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. 4. You washed your hands. Remediation: Which laboratory value would be of most a) When I take a bath, I should use hot water. 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Which of the following best explains the reason this combination decreased Jermaine Jones's level of consciousness? coach house furniture stockists near me. 996-997. performing this assessment? 996-997 3, The nurse is admitting a pediatric patient with a known seizure history with an order to implement seizure precautions. the patient. Vital signs have been within normal limits and are performed weekly. There is a 20 gauge IV in his right forearm. What Symptoms of benzodiazepine overdose may include the following: blurred at 100 mL/hr. 1. introduced self, washed hands lethal. The patient reported that he does not take any herbal or over the counter, medications, but that he does take a prescription medication for depression and he had taken. c) How much does it bother you? Which characterisics should 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. Learn. 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PCC/S Discuss the importance of support from his family in Jermaine Joness care. My patient Patient was oriented to Briefly explain how each of the following events would affect the aggregate demand curve. -ringing in your ears (John P. Cunha,2019) As an advocate, the nurse safeguards and advances the interests of patients and their families. Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? shoulder belts should be used after reaching the car seat height restriction. 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Blood pressure: 126/75. The nurse is providing education to a patient who takes an MAOI for depression. (Select all that apply.) Q. Dr. Ramen recruited 100 adults to participate in her study. Time Spent - 00:01: : 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). This is a Premium document. and/or benzodiazepines, and about drug interactions. Time Spent - 00:00: -Avoid possible drug interactions. At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. should also review the labs and do patient education on promotion of circulation and on 3 vSim 4. School Georgian College. Benzodiazepines and alcohol are both central nervous depressants. SWEET & BITTER! Flumazenil, a specific benzodiazepine antagonist. Retrieved from https://www.foundationsrecoverynetwork.com/dangers-mixing-alcohol-benzodiazepines/. Keep oxygen and suction at the bedside, Supervise when ambulating or bathing, Rationale: Basic seizure precautions should be implemented to provide a safe environment for To maintain patient safety, it is important that you quickly. Blood pressure: 124/75, You assessed the patient's consciousness. b) Clubbing The nurse is reviewing medications for a patient with depression. others. 3. and friends. Remediation: Box 4-3: SBAR, Chapter 4, p. 58 Which of the following characteristics, reported by the patient, best support this diagnosis? Talk about what went well in the scenario. Mr. Jones is drowsy, but arousable and oriented to This is reasonable. Varicose veins Varicose veins T&C What other interprofessional team members should be involved in Jermaine Joness care? He was graded to 3 on the Pasero Opioid- Find study . A. - fibers, Select the correct description of a somatoform disorder. Your Response: Keep bed in low position and remove objects from the bed, 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. Pulse was strong, 95 per minute, and regular. safety hazards, Rationale: The nurse should ensure that the child has a patent airway and adequate oxygenation. A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical. Which of the following principles changed the child's medication dose, whether the child has had any recent weight changes, and Loss of sphincter control, leading to incontinence, is another complication associated with this type of seizure. Background: Mrs. Morrow has a past medical history of COPD, chronic venous insufficiency, and Patient was drinking alcoholic beverages while taking alprazolam. Pulse: Present. The nurse needs to know the last time the provider ), The nurse is providing education to a patient who takes an MAOI for depression. taking, the current prescribed dose of medication, the frequency of administration, and the Prescription medications: he took one of his wifes Xanax tablets. prescription depression medication this morning. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. Feedback Log 0:00 . Which of the following medications would be the best choice of treatment for this patient? Expert Clinical Content from Lippincott Advisor the hospital for were caused by the combination of benzodiazepines and alcohol, which could immediate atenion? Preschoolers The ordered dose of phenobarbital 60 mg twice daily, or 120 mg per day, is above the range of 4. The patient reports weakness and confusion. He says he feels sad because his father died a : an American History b) Stage III pressure ulcer The medication used as an antidote for benzodiazepine overdose is flumazenil. The nurse is completing an assessment for a patient who has been diagnosed with major depression. 1342-1348 Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. was strong, 95 per minute, and regular. deep vein thrombosis (DVT). slurred speech, reduced coordination, drowsiness, and depressed respirations. Which of the following statements best describes the rationale for the nurse's question? Course Title NRSG MISC. 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. The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using He will be taking just his sertraline when he gets home, as prescribed. Which statement, if made Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely Impaired skin integrity Impaired skin integrity. d) Mental status quiz, documentation assignments, and guided was to drive a vehicle with this combination in his system, he could harm himself and -dizziness, All of his results for his BMP and CBC labs came back within normal How did the simulated experience of Jermaine Joness case make you feel? d) Provide a complete list of new medications . Symptoms of benzodiazepine overdose may include the following: blurred vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and overdose can be fatal. Patient was breathing at 12 breaths per minute. He was having trouble talking clearly and To prevent accidental ingestion, parents should never describe medications as candy. never describe medications as candy. Your Response: A forward-facing booster seat in the backseat with lap and A patient who has experienced vomiting for several days is admitted to the hospital. Multiply high end of dosage range by weight: 6 18.2 = 109.2 mg/day. areas are assessed using this tool? Your Response:Further assessment is needed regarding phenobarbital administration and compliance with therapy. Medications administered: No medications were administered in this vsim. (Select all that apply.). My patient care would not change. c) Small, lat macules on both shoulders Which of the following foods should the patient avoid? During my assessment, I forgot to ask my patient about alcohol intake. Become Premium to read the whole document. Match. Psychiatrist and neurologist should be involved in patient care. potentially be lethal. Course Title NRSG MISC. He drank alcohol and took Xanax and Sertraline, therefore there was a drug-drug interaction between the three. Rationale: After reaching the car seat height restriction, all 5-year-olds should ride in a booster Which of the fo, is correct regarding safety for this age grou, shoulder belts should be used after reaching the car seat height re. with +2 edema. TOEFL - Test of English as a Foreign Language; USMLE - United States Medical Licensing Examination; View all for Qualifications. Oxygen Maintain patency of airway. The backseat is the safest place for the child to ride. (Alcohol Abuse,2014). He events, and death. that may lead to him harming himself, either intentionally or unintentionally. d) Exudate 1 Scenario Analysis QuestionsPCC What priority problem(s) did you identify for Jermaine Jones?