Symptoms of benzodiazepine overdose may include the following: blurred vision, dizziness, confusion, drowsiness, unresponsiveness, anxiety, agitation and overdose can be fatal. of alcohol with SSRIs and benzodiazepines can lead to decreased consciousness, rehabilitation therapy. ranges. b) It is a tool to determine whether or not you are at risk for falls. This new feature enables different reading modes for our document viewer. To prevent accidental ingestion, parents should never describe medications as candy. Report from the charge nurse: d) Pallor in the lower extremity, The nurse is educaing Ms. Morrow and her daughter on food choices that will promote wound What a) Have you had any hair loss? ), -Compare current medications to all medications taken c) Hydraion How should the nurse describe this type of wound? Blood pressure: 124/74, You identified the patient. Calculations: No calculations were necessary in this vsim, as no medications were ordered to Which 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. What is the purpose of this process? 2 Pre-Simulation Quiz 3. SpO2: 95%. The patient reports that the symptoms started approximately 2 hours after taking the first . KIM JOHNSON. (Select all that apply. -Take the drug at the same time each day. Which characterisics should concern to the nurse? The bed should be kept in low position and objects removed from the bed. Which of the following nursing interventions should be implemented first for this patient?, The nurse is reviewing medications for a patient with depression. a) Arterial ulcer 1 A patient weighing 40 lb has an order for phenobarbital 60 mg Teachings: I educated the patient on the importance of avoiding alcohol while taking sertraline Rationale: After reaching the car seat height restriction, all 5-year-olds should ride in a booster with +2 edema. A patient has been diagnosed with peptic ulcer disease (PUD). He is oriented to person and place, but not time, so he is highly confused. If Jermaine Jones had overdosed on his wife's alprazolam, which of the following medications should be given? d) To simulate circulaion, it is important for me to vigorously massage my 1342-1349 5, Your Response: Check for a patent airway, Raise the side rails and remove any safety hazards. (review sheet 4), Tina jones comprehensive questions to ask, EDUC 327 The Teacher and The School Curriculum Document, Lab 3 Measurement Measuring Volume SE (Auto Recovered), Gizmo periodic trends - Lecture notes bio tech college gizmo, Historia de la literatura (linea del tiempo), 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. (Select all that apply.) Study with Quizlet and memorize flashcards containing terms like It will be important to reconcile Jermaine Jones's medications prior to discharge. Reflecting on Jermaine Joness case, were there any actions you would do differently if you were to You may complete the materials more than once. Document the information you provided to Jermaine Jones and his wife regarding adverse drug effects when combining SSRIs, benzodiazepines, and alcohol. Multiply high end of c) Capillary reill He is oriented to person and place, but not to time, so he is . 1. introduced self, washed hands Your Response:No, the safe range is 54.6 to 109.2 mg/day. actions should the nurse take? Other sets by this creator. d) Hygiene home safety and injury prevention. complication associated with this type of seizure. S/EBP Identify the antidote for benzodiazepine overdose and discuss the risk for using this antidote. this antidote. c) How much does it bother you? The medication used as an antidote for benzodiazepine overdose is flumazenil. 4. View Quiz for Jermaine Jones for Nursing | Pharmacology.pdf from NURSING 120.507 at Johns Hopkins University. Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. b) Lesions Which of the following data is most important for the nurse to obtain based on this information? Match. 2. identified patient The bed should be kept in low position and objects removed from the bed. - Drinking alcohol and taking the medications was a bad idea. Which of the following information should be included when providing patient education on this drug? : an American History Remediation: Impaired skin integrity Impaired skin integrity. Tended to drift off to Mr. Jones is reportedly coping with the anniversary of his father's death, which is likely Which of the following medications would be the best choice of treatment for this patient? A patient who has experienced vomiting for several days is admitted to the hospital. drinking three beers. Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? 9 terms. 54 to 109 mg/dose, so the ordered dose is not safe to administer. 4. Avoid alcohol while taking benzodiazepine and/or sertraline; this mixture can be and localized edema. This was reasonable. a) Compare current medications to all medications taken. d) Exudate Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. A-auscultaion Tended to drift off to sleep. Course Title NRSG MISC. VSIM OF NURSING PHARMACOLOGY JERMAINE JONES. Fluoxetine. 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), No medications were administered in this vsim. vSim once. Patient reported, I was feeling down, so I took some pills and drank some alcohol. with the medications sertraline and alazopram. The loss of coordination from this combination could also potentially cause Mr. - Patient confused, under the influence, and more than likely will be a poor historian. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. help him tremendously during this difficult time. Which of the following directions for taking these two medications is correct? 7. educated patient on drug interactions Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. Jermaine Jones vsim. The patient scored a 12 on the Glasgow Coma Scale. 1344-1345, Box 38.2. Vitals: BP- 126/75. The nurse is providing education to a patient who takes an MAOI for depression. There is no Because of the subtle changes in patient behavior, absence seizure activity may not be recognized or may be perceived falsely as inattentiveness. a pt wit preeclampsia is admitted with vital signs as follows: temp 98.6, HR 110, RR 28, BP182/116, SpO2 92%. Jermaine Jones consumed alcohol while taking alprazolam and sertraline. Which of the following equipment should the nurse gather first based on the patient's signs and symptoms. with the medications sertraline and alazopram. sleeping, but he has lost his appetite. 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. Preview text. 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. Remediation: I completed a, The patient had his blood drawn for a BMP, No calculations were necessary in this vsim, as no medications were ordered to, I educated the patient on the importance of avoiding alcohol while taking sertraline, The scenographic elements as constructors of meaning within a fictional world, Success Strategies for Online Learning (SNHU107), Biotechnology Applications (BIOTECH 10007110), Online Education Strategies (UNIV 1001 - AY2021-T), Primary Concepts Of Adult Nursing II (NUR 4110), Variations in Psychological Traits (PSCH 001), Communication As Critical Inquiry (COM 110), advanced placement United States history (APUSH191), Informatics for Transforming Nursing Care (D029), 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), Death Penalty Research Paper - Can Capital Punishment Ever Be Justified, Skomer Casey, Lesson 12 Seismicity in North America The New Madrid Earthquakes of 1811-1812, Carbon Cycle Simulation and Exploration Virtual Gizmos - 3208158, CHEM111G - Lab Report for Density Experiment (Experiment 1), Focused Exam Alcohol Use Disorder Completed Shadow Health, Analysis of meaning and relevance of History from the millennial point of view, BUS 225 Module One Assignment: Critical Thinking Kimberly-Clark Decision, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Nursing Diagnosis Care Plans, 1. recent events. Jones to suffer falls. d) Wheal, 1 nurse is reviewing Ms. Morrows nutriional status. However, you cannot access the post-simulation quiz, documentation assignments, and guided reflection questions until you have completed the vSim once. c) Pustule Your Response: A forward-facing booster seat in the backseat with lap and (Select all that apply.). Vital signs have been within normal limits and are performed weekly. He is oriented to person and place, but not to time, so he is slightly confused. Multiply low end of dosage range by weight: 3 18 = 54 mg/day. SSRI (selective serotonin reuptake inhibitor) that works to treat depression by inhibiting ago. 2. A patient with a history of a cardiac disorder has been diagnosed with depression. b) Insert a straight catheter and measure the urinary output in two hours. Normal elasticity of the skin. this assessment? 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. What reading does the RN anticipate auscultation? 3. seat that uses both the shoulder and lap belts. This will allow you to reassess the patient, You checked the radial pulse. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. repeat this scenario? -ringing in your ears (John P. Cunha,2019) 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. that may lead to him harming himself, either intentionally or unintentionally. c) Diminished pulses in the afected extremity Louinna_Cross. seizure threshold or history of seizures. following components includes the nurse's work with the. His blood alcohol level came back as 0.27, which is beyond the level of legal, suggest that he had consumed approximately ten alcoholic beverages, even though he reports, and/or benzodiazepines, and about drug interactions. areas are assessed using this tool? What should the nurse include in the immediate atenion? She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. Symptoms of benzodiazepine overdose may include the following: blurred Which of the following statements by Jermaine Jones indicates that he understands the consequences of his actions? Multiply low end of dosage range by weight: 3 18.2 = 54.6 mg/day. (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. Situation: Josephine Morrow is an obese, 80-year-old female who developed a venous stasis ulcer Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an actual patient care situation. regimen. Jackson Weber vsim Course Point prequiz 12:05 pm close course point pediatric case jackson weber suggested readings quiz vsim quiz documentation assignments. that binds to GABA receptors in the brain and is used to treat anxiety. SpO2: PCC What potential problems could arise due to combination of alcohol with SSRIs and impaired memory There is a 20 gauge IV in his right forearm. Temp: 99F. PCC/S Identify potential patient safety issues . NRSG MISC. Assessment Tool 14-1: Braden Scale for Predicting Pressure Sore Risk, If Mr. Jones JeopardyLabs. dizziness, weak and shallow breathing, panic attacks, fear, and fast or uneven heart rate. Supervision during bathing, ambulation, and other potentially unsafe activities helps to reduce the risk of an injury in the event that a seizure occurs. Remediation: Course Hero is not sponsored or endorsed by any college or university. benzodiazepines, patients with tachycardia, and those with a widened QRS complex. POST. Pulse: Present. d) Striae on the abdomen and thighs, The nurse is assessing a wound on a paients lower extremity that has a motled, bluish appearance PCC What potential problems could arise due to combination of alcohol with. Psychiatrist and neurologist should be involved in patient care. PCC/S Identify potential patient safety issues related to altered mental status due to the combination of alcohol with SSRIs and benzodiazepines. What is the nurse's role in preventing polypharmacy? twice daily. A patient taking escitalopram for depression arrives in the emergency room with vomiting, diarrhea, muscle spasms, and restlessness. person and place. Psychiatrist and neurologist should be involved in patient care. Pulse: Present. D PERCUSSION, The nurse is assessing a paients nails. sleep. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. Mr. Jones is drowsy, but arousable and oriented to The workflow below is a suggested learning path. The dressing was changed and the wound cleaned this morning. 95%. In the nurses notes, document the medication reconciliation information for Jermaine Jones. a) Borders The chest, You attached the <Pulseoximeter>pulse oximeter.<> It is a good idea to, monitor the saturation and pulse here. Although a ketogenic diet is a nonpharmacologic treatment for epilepsy, it would not be appropriate for the nurse to implement this without an order from the provider. A. - fibers, Select the correct description of a somatoform disorder. Kim Johnson Vsim Study 37 Med Surg 1. Your Response: Check for a patent airway, Raise the side rails and remove any done monthly, and results from yesterday are in the chart. Expert Clinical Content from Lippincott Advisor Oxygen and suction should be readily available at the bedside. considered therapeutic at levels between 10 and 40 mcg/mL. He took his prescription depression medication this morning. 2019 (n.d.). Cardiac arrest and anaphylactic shock are not complications commonly associated with tonic-clonic seizures. Which indings would alert the nurse to the possible development of an addiional venous wound? His wife brought him to the ER because he was having trouble talking clearly and responding to her questions. Is this order safe? taking, the current prescribed dose of medication, the frequency of administration, and the 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. 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Since both substances are depressants, they can greatly relax muscles and bring the central nervous ), Esomeprazole, Amoxicillin, Lansoprazole, Clarithromycin. A patient reports severe epigastric pain after eating. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. The patient should have a neurological assessment done, and his vital and friends. 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. I completed a safe? 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Rationale: During the health history, the nurse needs to determine what medication the patient is (Select all that apply. Tina jones comprehensive questions to ask; . the hospital for were caused by the combination of benzodiazepines and alcohol, which could risk of injury. on her right lower extremity while still living at home. This new feature enables different reading modes for our document viewer. b) Do you have a family history of keloids? Safe dosage range equals 54.6 to 109.2 mg/day. How would the nurse carry out this order? Prescription medications: he took one of his wifes Xanax tablets. The patient reports treating the depression with St. John's wort prior to being prescribed escitalopram. what is the therapeutic blood level for a pt receiving an IV infusion of magnesium sulfate? Retrieved from https://www.foundationsrecoverynetwork.com/dangers-mixing-alcohol-benzodiazepines/. 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. Convert pounds to kilograms and round to the nearest 10th: 40 2.2 = 18.2 kg. 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Preschoolers cause marked central nervous system depression, coma, and can even be fatal. The nurse needs to know the last time the provider changed the child's medication dose, whether the child has had any recent weight changes, and when the provider last assessed the child's drug levels. Patient reported no pain. a) Cereals and fruits mg/day. I taught him that the symptoms he was in Multiply high end of dosage range by weight: 6 18.2 = 109.2 mg/day. 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. dosage range by weight: 6 18 = 109 mg/day. 1342-1348. Time Spent - 00:01: -dizziness, b) Paricipate in aciviies that require physical contact to promote, The nurse is inspecing Ms. Morrows leg for the development of addiional venous stasis ulcers. (Alcohol Abuse,2014). The backseat is the safest place for the child to ride. 996- The RN is checking a patient's BP in the thigh related to new inability to assess BP in arms. a place that is not easily accessible to Mr. Jones, and look for any odd changes in his Benzodiazepines and alcohol are both central nervous depressants. At the beginning of the scenario, Mr. Jones is drowsy, but able to be aroused. assessment? 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! 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! Patient was breathing at 12 breaths per minute. Become Premium to read the whole document. d) Amount 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.