The nurse is compleing a skin assessment of an older adult paient. Which of the following statements is true regarding this condition? assessment? The nurse has an order to check a patient's post-void residual urine. would the nurse document this inding? Assessment reveals a sunken in look to the eyes and poor skin turgor. 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. Louinna_Cross. is the nurse's best interpretation of this data? . Jermaine Jones vsim. PCC What potential problems could arise due to combination of alcohol with. a pt wit preeclampsia is admitted with vital signs as follows: temp 98.6, HR 110, RR 28, BP182/116, SpO2 92%. Which of the following medications would be the best choice of treatment for this patient? 996- twice daily. The nurse is admitting a pediatric patient with a known seizure 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. Side effects: -pain or irritation where the medicine was injected, -ringing in your ears (John P. Cunha,2019). A patient who has taken pantoprazole for several years reports six or more incidents of foul-smelling watery diarrhea over the last 3 days. The patient was graded a 3. His blood alcohol level came back as 0, which is beyond the level of legal 5. Which statement, if made at 100 mL/hr. ), 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. I was right that I choose focused assessment. There is no d) To simulate circulaion, it is important for me to vigorously massage my -Avoid possible drug interactions The last BP reading in the right arm was 120/50. b) Leg pain and brownish or blue skin discoloraion Location: Nursing home mg/day. 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. How did the simulated experience of Jermaine Joness case make you feel? Temp: 99 F (37 C), Patient status - ECG: Sinus rhythm. 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. PCC/S Identify potential patient safety issues related to altered mental status due to the combination of alcohol with SSRIs and benzodiazepines. correct to assess the patient's vital signs. (Select all that apply. PRE. Which of the following statements is correct regarding probiotics? administering oral medications during a seizure is not indicated due to risk of aspiration. 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(Select all that apply. Background: Mrs. Morrow has a past medical history of COPD, chronic venous insufficiency, and B- inspecion Time Spent - 00:00: b) Stage III pressure ulcer The reported combination of signs and symptoms are characteristic of clinical depression. c) Hydraion At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. A patient diagnosed with PUD has been prescribed sucralfate and pantoprazole. drinking three beers. This type of seizure lasts less than 30 seconds and can occur multiple times during the day. this assessment? 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. 9. patient handoff. 2. The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. 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! 4. The safe dose range is 3 to 6 mg/kg/day. gait is unsteady and she is easily fatigued. care. the patient. Which inding would require Which of the following factors placed this patient at a higher risk for developing this disease? Prescription medications: he took one of his wifes Xanax tablets. Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. The bed should be kept in low position and objects removed from the bed. Medications administered: No medications were administered in this vsim. He is oriented to person and place, but not to time, so he is . ntil routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild preeclampsia. Tended to drift off to 4. 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. Learn. suggest that he had consumed approximately ten alcoholic beverages, even though he reports (Select all that apply.) She is on a regular d, supplement and has been eating the majority of her meals since admission. He will be taking just his sertraline when he gets home, as prescribed. This will allow you to reassess the patient continuously. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. The ordered dose of phenobarbital 60 mg twice daily, or 120 mg per day, is above the range of Which of the following statements identifies why Jermaine Jones may be at higher risk for the adverse effects of benzodiazepines? c) This assessment will help me ind out if you will be able to take care of 266- maintaining good skin integrity. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Flumazenil, a specific benzodiazepine antagonist. He was brought to the I felt that my major assessment should be patient mental assessment. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Which of the following data is most important for the nurse to obtain based on this information? Glasgow Coma Scale (GCS). The patient reports that the symptoms started approximately 2 hours after taking the first dose of escitalopram. healing. It will be important to reconcile Jermaine Jones's medications prior to discharge. Multiply high end of PCC What priority problem(s) did you identify for Jermaine Jones? He is oriented to person and place, but not to time, so he is slightly confused. Which of the following is a common side effect of this medication? 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, Evaluation Strategies For Nurse Educators (NURS 710), Evaluation Strategies For Nurse Educators. side rails and removing any safety hazards, helps to keep the environment safe and reduce the However, you cannot access the post-simulation Quiz Name RicciKyle4e_Pre_Jackson Web ber. jermaine jones vsim pre quiz quizlet. Vernon watkins vsim 100%.docx. This is a Premium document. a) Compare current medications to all medications taken. This will allow you to reassess the patient, You checked the radial pulse. -Avoid possible drug interactions. She scored 14, indicating moderate risk. Which of the following drug combinations can put the patient at risk for . a) Coninence Georgian College. sleeping, but he has lost his appetite. This preview shows page 1 - 5 out of 5 pages. d) Pallor in the lower extremity, The nurse is educaing Ms. Morrow and her daughter on food choices that will promote wound You assessed the patient's neurological status. Remediation: Pharm Scenario 07 Jermaine Jones GRQ revised. Uploaded By stephanie343. Course Hero is not sponsored or endorsed by any college or university. The backseat is the safest place for the child to ride. patient reported that he thinks the tablets are 0. (Select all that apply.) The use of this medication is contraindicated in patients with a lowered 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. Blood pressure: 124/75, You assessed the patient's consciousness. It can take up to 4 weeks before feeling the effects of antidepressants. (Select all that apply. Edit Print Download Embed Share. Assessment: Mrs. Morrow is alert and oriented to person, time, and place but sometimes forgets Test results show the presence of Helicobacter pylori (H. pylori). 2The nurse is teaching the parent of a 5-year-old patient about home safety and injury prevention. b) Lesions c) Ensure disposal of all home medications. (Select all that apply.). 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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. 3 PCC/S Identify potential patient safety issues . Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. If so, how would your patient care change? If Mr. Jones Opening Questions impaired memory Wolters Kluwer. His wife was also receiving education and instructions so she may help patient remember and also implement them in the home. Assessed sedation level using The patient reports taking his prescribed Which techniques should the nurse consider using when 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. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. PCC/S Discuss the importance of support from his family in Jermaine Joness 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. Respiration: 12. -sweating or shivering, Labs are Mr. Jones could experience a lapse in judgement medications, but that he does take a prescription medication for depression and he had taken . and contraindications. anticonvulsant medications as ordered to help stop and prevent further seizure activity, but and decrease the risk for aspiration. d) Hygiene coach house furniture stockists near me. His wife brought him to the ER because he was having trouble talking clearly and responding to her questions. ), Exposure to irritants, Cigarette smoking, Mucosal defects, Genetics. and/or benzodiazepines, and about drug interactions. PCC/S Discuss the importance of support from his family in Jermaine Joness care. yourself at home. She requ, assistance with positioning in bed and with getting out of bed to sit in a chair or ambu, gait is unsteady and she is easily fatigued. 3. e) Nutriion, A paient with a history of skin cancer reports an itchy mole on the back.