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Patient was oriented to person, place, but not time. As an advocate, the nurse safeguards and advances the interests of patients and their families. Box 38. recent events. mg/day. Which of the following principles Assessment: Mrs. Morrow is alert and oriented to person, time, and place but sometimes forgets Retrieved from https://www.rxlist.com/romazicon-side-effects-drug-center.htm. 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. Eat several small meals during the day rather than three large meals., Notify the physician if you develop a cough, stuffy nose, or hoarseness. There is not enough information provided in the description as it stands to conclude whether any of the other answers are correct. Which of the following drug classifications would most likely be prescribed to treat the cause of this patient's symptoms? Benzodiazepines and alcohol are both central nervous depressants. a) Arterial ulcer 2 Pre-Simulation Quiz 3. Which diet choices should be included in the teaching session? This will allow you to reassess the patient continuously. (Select all that apply.) The priority problem that I identified for Jermaine Jones was the combination of alcohol NRSG MISC. He says he feels sad because his father died a Patient reported no pain. The workflow below is a suggested learning path. c) Albumin 5 g/dL a) Cereals and fruits Uploaded By stephanie343. Cardiac arrest and anaphylactic shock are not Describe how you would apply the knowledge and skills that you obtained in Jermaine Joness case to an PCC/S Identify potential patient safety issues related to altered mental status due to the combination of alcohol with SSRIs and benzodiazepines. 9 terms. Include the medications he was taking prior to admission, any medications given during the scenario, and the medications he will be taking at home. The reported combination of signs and symptoms are characteristic of clinical depression. Which of the following characteristics, reported by the patient, best support this diagnosis? 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. Is this order safe? Preview text. SpO2: 95%. -Take the drug at the same time each day. Blood pressure: 124/74, You identified the patient. Wolters Kluwer. He will be taking just his sertraline when he gets home, as prescribed. d) To simulate circulaion, it is important for me to vigorously massage my PCC What potential problems could arise due to combination of alcohol with. Sertraline, alcohol, and alprazolam are all central nervous system depressants. Obesity, long-term care Obesity, long-term care emergency department by his wife after he had been drinking a few beers and had following components includes the nurse's work with the. Patient status - ECG: Sinus rhythm. Test. Time Spent - 00:00: Assessing Skin, Hair, and Nails, Chapter 14, pp. 3. intoxication for a man of his weight. A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical. During my assessment, I forgot to ask my patient about alcohol intake. need to insert a Foley catheter for a patient at risk for seizures. 4. 266- alcohol with SSRIs and benzodiazepines. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. and/or benzodiazepines, and about drug interactions. I taught him that the symptoms he was in Albumin level test Albumin level test Medications administered: No medications were administered in this vsim. -sweating or shivering, She scored 14, indicating moderate risk. (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. The patient reports taking his prescribed recent events. interaction between the three. reflection questions until you have completed the impaired mobility, an unhealthy diet, and inability to adequately care for herself at home. Ricci, S., Kyle, T., and Carman, S. Maternity and Pediatric Nursing, 4th Edition, pp. A psychologist can be involved during rehabilitation therapy. Which of the following directions for taking these two medications is correct? responding to her questions. The answers and Rationales to the required VSIM Prequiz. POST. I completed a You are reinforcing patient education for Jermaine Jones related to sertraline. e) Length. -pain or irritation where the medicine was injected, A patient who has experienced vomiting for several days is admitted to the hospital. appropriate. Patients taking SSRIs are at an increased risk of suicidal behavior. 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. It can take up to 4 weeks before feeling the effects of antidepressants. Post-Quiz Jermaine Jones. b) Meats, cheese, and beans Ratings 100% (11) This preview shows page 1 - 10 out of 10 pages. Test results show the presence of Helicobacter pylori (H. pylori). Temp: 99F. This : an American History, ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH), CWV-101 T3 Consequences of the Fall Contemporary Response Worksheet 100%, Leadership and management ATI The leader CASE 1, Pretest IN Grade 10 English jkhbnbuhgiuinmbbjhgybnbnbjhiugiuhkjn,mn,jjnkjuybnmbjhbjhghjhjvjhvvbvbjhjbmnbnbnnuuuuuuhhhghbnjkkkkuugggnbbbbbbbbfsdehnnmmjjklkjjkhyt ugbb, Entrepreneurship Multiple Choice Questions, Fundamentals-of-nursing-lecture-Notes-PDF, Med Surg Nursing Cheat Sheets 76 Cheat Sheets for Nursing Students nodrm pdf, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. He is breathing at 12 breaths per minute. He is oriented to person and place, but not time, so he is highly confused. Preeclampsia (Olivia Jones and Case #1) Press F11 for full-screen mode. Which of the following statements is correct regarding probiotics? b) Lesions From vSim for Nursing | Pharmacology. : 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). a) Choose footwear that is nonskid with a low heel. Which laboratory value would be of most c) Diminished pulses in the afected extremity 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. done monthly, and results from yesterday are in the chart. This new feature enables different reading modes for our document viewer. -Provide a complete list of new medications 2. identified patient Cross), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! be administered. Patient reported, I was feeling down, so I took some pills and drank some alcohol. 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. TOEFL - Test of English as a Foreign Language; USMLE - United States Medical Licensing Examination; View all for Qualifications. sleeping, but he has lost his appetite. Study with Quizlet and memorize flashcards containing terms like A patient has been diagnosed with diabetes mellitus. Other sets by this creator. His eyes open to verbal command, and he is able to follow instructions and move all extremities. 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. The repeat this scenario? Peripheral arterial disease was ruled out by duplex ultrasound. before I came to see him. I was right that I choose focused assessment. 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. 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. are not mature enough to ride a bicycle in the street and should ride on the sidewalk; bicycles Restraining the patient or placing anything in the mouth, such as a tongue blade, while the patient is actively seizing can cause further injury. 3 vSim 4. Which of the following Glasgow Coma Scale totals would reflect Mr. Jones's presenting signs and symptoms? 1342-1348. 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. Which of the following equipment should the nurse gather first based on the patient's signs and symptoms. duration of therapy as well as whether the patient is complying with the prescribed medication Safe dosage range equals 54.6 to 109.2 mg/day. c) Ensure disposal of all home medications. 8. phoned provider 5. Time: 1000 dosage range by weight: 6 18 = 109 mg/day. The patient should have a neurological assessment done, and his vital Which of the fo, is correct regarding safety for this age grou, shoulder belts should be used after reaching the car seat height re. School Georgian College. b) Insert a straight catheter and measure the urinary output in two hours. Respiration: 12. Normal stomach acidity has been altered, which changed the environment of normal flora bacteria. The patient's heart rate is 122 bpm and the temperature is 101.2F (38.4C). Rationale:Basic seizure precautions should be implemented to provide a safe environment for the patient. The last BP reading in the right arm was 120/50. D PERCUSSION, The nurse is assessing a paients nails. Flashcards. Supervision during bathing, ambulation, and other potentially unsafe activities helps to reduce the risk of an injury in the event that a seizure occurs. Blood pressure: 126/75. A-auscultaion To prevent accidental ingestion, parents should 2. Bringing all of the assessments together was in a way like a puzzle. In determining the selection of a medication to treat the patient, the healthcare provider wants to select a medication with the least side effects. Course Title NRSG MISC. Questions PRE-POST QUIZ Vsims Josephine Morrow, Health Assessment Case 1: Josephine Morrow. (A) It is estimated that 10 million people in the United States are diagnosed with diabetes. Chapter 1 Introduction to Drugs PP and Notes, Elliot Aronson, Robin M. Akert, Timothy D. Wilson, RADS 3213 Advanced Clinical Practice Skills F. benzodiazepines, patients with tachycardia, and those with a widened QRS complex. Maintain patency of airway. A. - fibers, Select the correct description of a somatoform disorder. 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! c) Small, lat macules on both shoulders Course Hero is not sponsored or endorsed by any college or university. How should the nurse describe this type of wound? My patient safe? Color was normal, he was not sweating. . 1342-, 6 The role of the pediatric nurse has many components. Nursing Diagnosis Care Plans, 1. Palpate the bladder for distention and record findings in the chart. Tended to drift off to sleep. c) This assessment will help me ind out if you will be able to take care of -ringing in your ears (John P. Cunha,2019) To maintain patient safety, it is important to wash your, Patient status - ECG: Sinus rhythm. Prealbumin test Prealbumin test home safety and injury prevention. Course Hero is not sponsored or endorsed by any college or university. Pre-Simulation Quiz. a) Condiion Uploaded By stephanie343.