pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. hhulsey6. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. ), Distress over the family leaving the patient's bedside, Abdominal pain and tenderness, The nurse is reviewing laboratory results for a patient with sickle cell anemia presenting with splenic sequestration. (Select all that apply.). With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. Hello I need help on getting the solution to this practice problem. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. This question was created from P21_Homework 2.pdf. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation Which of the following statements by the caregiver indicates that teaching has been effective? 19 terms. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. Informed consent The patient is alone in the room, sitting in bed watching television and says she lost her identification band. VSim Sabina Vasquez Pre/Post test. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? 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Immediately discontinue the blood transfusion The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. b. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. b. ), The nurse is assessing a patient with acute splenic sequestration crisis. (Select all that apply. This question was created from SCH3U Lesson Assignment 7 (docx).docx. : an American History (Eric Foner). Decreased cardiac output related to decrease in circulating blood volume Never punish a child for not eating or drinking. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. Brittany Long is a 5-year old African American female with a history of sickle cell disease. (Select all that apply. The nurse is caring for a patient receiving an intravenous (IV) blood transfusion and observes that the patient is exhibiting signs of an acute hemolytic transfusion reaction. Sets found in the same folder. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? (Select all that apply. b. b. 3. include IV maintenance fluids and Morphine as needed. Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Naloxone should be readily available in case of respiratory depression. It is important to monitor urine output over several hours to determine whether fluid resuscitation has been effective, but this is not the immediate priority. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. VSim Brittany Long Pre/Post test Flashcards | Quizlet ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. . Patients receiving morphine should also be monitored for abdominal distention and decreased peristalsis, changes in urine output, and reports of itching, but these are not the priority for the nurse to monitor during administration. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. One hour later, the patient appears anxious and complains of chest tightness and headache. Identify and document key nursing diagnoses for Brittany Long. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders Although pain management is important, assessment and management of circulation and perfusion are the priority. Be honest if a procedure is going to be uncomfortable or cause pain. Document the patient teaching that you would provide for Brittany Long and her family Document the patient teaching that you would provide for Brittany Long and her family before discharge, including disease process, nutrition, signs and symptoms of crises, prevention of infection and dehydration, and pain management. Company Registration Number: 61965243 crises, hospitalizations, precipitating events, medical treatment, and home management. The patient was tachycardic with a HR of 157. Document your initial focused assessment of Brittany Long. Whole wheat toast, orange slices, and milk Avoid giving large amounts of fluid at a time. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Rationale:When caring for a patient in shock, the nurse should first evaluate and manage the airway and breathing and then check for pulses, all of which has been done already in this case. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. Referring to your feedback log, document the nursing care you provided and Brittany Longs, Document the patient teaching that you would provide for Brittany Long and her family, Document your handoff report in the situation-background-assessment-recommendation. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Thanks! How did the simulated experience of Brittany Long's case make you feel? 1. hidy_esther . Explain the the clear differences between Anomie Theory and Strain Theory? Provide the patient with several options to choose from, including a favorite drink Which of the following steps should be included during the preparation and administration process? Which of the following findings would indicate that the patient is progressing into hypovolemic shock? A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. A medical alert bracelet should be worn at all times. Please refer to the attachment to answer this question. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Jackson Weber Complex Pre/Post Quiz. The scenario is that an online delivery service such as amazon would like to provide a more eco friendly experience such as offering eco friendly products,packaging, eco friendly delivery vehicles. The most likely cause of Jeremy's disease is: Vitamin D deficiency Thiamine, Scenario "You are a community health nurse doing immunizations at a homeless shelter who encounters a resident with serious environmental health concerns. [Show more] Preview 2 out of 5 pages PRBC was started running at 28mL/her in her L IV site. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany reduce the risk of infection. Harm reduction A central tenet of the harm reduction (HR) model is that it is impossible to prevent substance abuse, but it is possible to limit the impact of substance abuse or addiction on society. brittany long is african american Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Southern New Hampshire University Keiser University Which of the following actions should the nurse take first. before discharge. A tiny tube will be placed where you go pee-pee. 18 terms. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex a. 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Please summarizethe article. Brittany Long vSim Documentation Assignment - Homework Score Serve fluids in a decorated cup with a brightly colored straw 27 terms. DramaQueen66. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. VSim Charlie Snow Complex Pre/Post Sim. What physical finding should make the clinician suspicious? A septic reaction is indicated by rigors, chills, fever, and shock. Click the card to flip Vitals were as followed: RR 35, e. Administers a fluid bolus and PRBC as prescribed Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. The patient brittany long complex vsim documentation. Pediatric Case 7: Brittany Long (Core) 1. The doctor has ordered Ceftazidime 140mg Q8hr. S: The patient is Brittany Long, a 5-year-old African American female with a Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? Place the steps of an abdominal assessment in order. Using terms such as "if" or "OK" and asking whether the patient wants to do something offer the illusion of a choice when there is not one available. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. Brittany Long v SIM Care Plan; Charlie Snow v Sim Care Plan; Sabrina Vasquez v Sim Complete Care Plan; Marilyn hughes - VSIM; Jennifer Hoffman - VSIM; Skylar Hansen - VSIM; Related Studylists Peds VSIMMS Nur402 Peds. Instead, offer small amounts of liquid frequently. a. the FACES scale. How many milliliters should the nurse prepare to administer? Document your initial focused assessment of Brittany Long. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. VSIM 8 Brittany Long documentation.docx - Pediatric Case Preview text. ), Ketorolac may mask the signs and symptoms of an infection, The nurse is assessing a patient with sickle cell anemia admitted several days ago with vaso-occlusive pain crisis. Pre/Post Simulation for Brittany Long Flashcards | Quizlet Acute hemolytic reaction 20 terms. (Select all that apply. c. A: Attached the pulse oximeter per orders and then assessed her pain level using (Select all that apply.). Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Which of the following meal choices would be the best to increase folic acid intake? d. Administered morphine S: The patient is Brittany Long, a 5-year-old African American female with a history of sickle cell disease who was diagnosed at 6 months old. 4. A nonhemolytic febrile reaction is indicated by fever and chills. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. a. Wolters Kluwer Health. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. (Select all that apply.). Please refer to the attachment to answer this question. Asheville-Buncombe Technical Community College, vSim Clinical Worksheets Brittany Long 2021.docx, BOEING 737MAX: ETHICAL PRACTICES Boeing: Boeing, the largest exporter of USA, is a century old aircraft manufacturer started its operation in 1916. vSim for Nursing Pediatric | Laerdal Medical Rationale:Folic acid stimulates normal red blood cell production. A 5-year-old would not be expected to remember his or her medical record number. Identify and document key nursing diagnoses for Brittany Long. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. ), Follow institution protocol for blood transfusion administration and management. a. Pennsylvania College of Technology. Es, Using Ubuntu, execute the following command and take a screenshot date with its sub commands free ps uptime passwd exit shutdown, Ensure that each part of the required is included in your response You are a senior auditor at WCP Partners LLP and you have just begun a high-risk audit engagement that is susceptible to various mate. Offer the patient small amounts of fluids frequently and praise efforts to increase intake Right patient The blood pressure, temperature, and respiratory rate are all within normal limits. Respiratory depression A patient with sickle cell anemia who was admitted in vaso-occlusive crisis for leg pain reports stomach pain and is guarding her left side. She has been hospitalized twi. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Longs response. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. Pediatric Case 08 Brittany Long Complex DA - Studocu We communicated the importance of care and signs of infection and ways to Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. The vSim for Nursing | Pediatric solution features the following 10 virtual patients from the National League for Nursing (NLN) Simulation in Nursing Education - Pediatric Scenarios: Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration Her vital signs are stable, with a blood pressure of 110/66 mm Hg, heart rate of 98 beats per minute (bpm), respiratory rate of 20 breaths per minute, temperature of 37.5C oral, and pain rating of 1 out of 5 on the FACES scale. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Identify and document key nursing diagnoses for Brittany Long. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. Article : The impact of gender ideologies on men's and women's desire for a tr. vSim for Nursing | Pediatric - LWW Is the dose safe and therapeutic? The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? kuuleinani1102. Temp 99, and BP 110/74. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. Available is Ceftazidime 500mg. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Document your . Rationale:It is important to confirm the patient's identity since children may deny their identity in an attempt to avoid an unpleasant situation, play in another child's bed, or remove their identification bracelet. Boeing, American aerospace companythe world's, Overview The "have a little" group has a reputation for being ambivalent, yet some of the most notable revolutionaries in history have come from this group, including Thomas Jefferson, Dr. Martin, You are caring for an infant weighing 5kg. the documentation, over the simulation. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Terms of Use Cross), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), 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), Psychology (David G. Myers; C. Nathan DeWall), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! rellawananab. c. Contacted doctor VSim for FA Davis. Symptoms of an acute hemolytic reaction include: chills, shaking, fever, nausea and vomiting, chest tightness, headache, flank pain, and pain at the intravenous insertion site. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. Which of the following assessments should the nurse perform on this patient? Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction.