VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. What physical finding should make the clinician suspicious? 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. Offer the patient small amounts of fluids frequently and praise efforts to increase intake To melt 50 grams of 0-degree-Celsius ice requires ___ calories? Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Jackson Weber Complex Pre/Post Quiz. vSim for Nursing Pediatric | Laerdal Medical ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. 1) Have the patient lie down in a supine position, A patient with sickle cell disease admitted with acute splenic sequestration has ketorolac (Toradol) and morphine ordered intravenously for pain management. Hello I need help on getting the solution to this practice problem. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation How many milliliters should the nurse prepare to administer? VSim Documentation- Brittany Long.docx - Course Hero All three of the resident's children are. 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. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. Decreased cardiac output related to decrease in circulating blood volume A tiny tube will be placed where you go pee-pee. The patient and family should be taught to recognize the signs and symptoms of infection and should seek medical attention promptly at the first sign of infection or fever. 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. a. Document your initial focused assessment of Brittany Long. The child's name should be verified with the caregiver and additional information should be provided such as date of birth or medical record number according to institution protocol. Temp 99, and BP 110/74. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Sickle cell anemia is an autosomal recessive disorder, both parents must Which of the following assessments should the nurse perform on this patient? c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. (Select all that apply. Round the weight in kilograms to nearest the whole number. b. Parent/visitor identification 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Document your handoff report in the situation-background-assessment- b. The O2 SAT was 97% with 2 L of oxygen. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. Please refer to the attachment to answer this question. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. A 5-year-old would not be expected to remember his or her medical record number. A septic reaction is indicated by rigors, chills, fever, and shock. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. Longs response. Med Surg Nursing Cheat Sheets 76 Cheat Sheets for Nursing Students nodrm pdf, Test Out Lab Sim 2.2.6 Practice Questions, Tina Jones Health History Care Plan Shadow Health.pdf, Entrepreneurship Multiple Choice Questions, Lab 3 Measurement Measuring Volume SE (Auto Recovered), 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, Document your initial focused assessment of Brittany Long. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. during my initial focused Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Silver Creek High School (Colorado) University of California Los Angeles Course Hero is not sponsored or endorsed by any college or university. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. (Select all that apply.). 1. How did the simulated experience of Brittany Long's case make you feel? This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. I was sort. Unit 3 Biology - Functioning Ecosystems. S: The patient is Brittany Long, a 5-year-old African American female with a Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. a. ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. crises, hospitalizations, precipitating events, medical treatment, and home management. 18 terms. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. Naloxone should be readily available in case of respiratory depression. Thanks! Company Registration Number: 61965243 (SBAR) format to communicate what further care Brittany Long needs. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? 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CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. Pediatric Case 08 Brittany Long Complex DA - Studocu Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu Instead, offer small amounts of liquid frequently. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Provide the patient with several options to choose from, including a favorite drink a. Vitals Terms of Use Informed consent b. b. Identify and document key nursing diagnoses for Brittany Long. How did the simulated experience of Brittany Long's case make you feel? Rationale:Providing the patient with a favorite drink and allowing for simple choices such as what cup to drink the fluid in or which color straw to use gives the patient a sense of control. The patient was tachycardic with a HR of 157. brittany long vsim step by step. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. The nurse should also notify the patient's provider and the blood bank of the reaction; however, the priority action is to immediately discontinue the blood transfusion in the event of an acute hemolytic transfusion reaction. Management of the primary problem through fluid and/or blood product administration will increase cardiac output and circulating blood volume and improve peripheral tissue perfusion. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? 4. Is the dose safe and therapeutic? Further enhance your student . c. A: Attached the pulse oximeter per orders and then assessed her pain level using Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. Pennsylvania College of Technology. hhulsey6. 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. Respiratory depression Immediately discontinue the blood transfusion 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. reduce the risk of infection. Peps c4 | Pharmacology homework help - SweetStudy Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. Avoid giving large amounts of fluid at a time. Although pain management is important, assessment and management of circulation and perfusion are the priority. 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. days. Acute hemolytic reaction We're available through e-mail, live chat and Facebook. One hour later, the patient appears anxious and complains of chest tightness and headache. Please summarizethe article. Which of the following steps should be included during the preparation and administration process? From vSim for Nursing | Pediatric. Never punish a child for not eating or drinking. ), The nurse is assessing a patient with acute splenic sequestration crisis. Pediatric Case 08 Brittany Long Complex DA - Studocu d. Administered morphine 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. This question was created from SCH3U Lesson Assignment 7 (docx).docx. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. 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. Please refer to the attachment to answer this question. We communicated the importance of care and signs of infection and ways to include IV maintenance fluids and Morphine as needed. 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 (Select all that apply. c. Contacted doctor Patient reported 6/10 for pain. (Select all that apply.). Identify and document key nursing diagnoses for Brittany Long. The patient has had limited oral intake in the past 24 hours and is refusing to drink. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia PRBC was started running at 28mL/her in her L IV site. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? Pediatric Case 7: Brittany Long (Core) 1. (Select all that apply.) Identity should be confirmed each time a medication is given. Whole wheat toast, orange slices, and milk Wolters Kluwer Health. history of sickle cell disease who was diagnosed at 6 months old. 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. 3. VSim Charlie Snow Complex Pre/Post Sim. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. 19 terms. . (Select all that apply. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? The doctor has ordered Ceftazidime 140mg Q8hr. Risk for infection Available is Ceftazidime 500mg. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. Pediatric Case 8: Brittany Long (Complex). A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. [Show more] Preview 2 out of 5 pages kuuleinani1102. Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet Which right of medication administration has the nurse violated? 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. Please include all the critical details (method/results/limitations/implications), one page. a. Vitals ), Follow institution protocol for blood transfusion administration and management. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Any decrease in respiratory rate or change in breathing pattern should be noted. The blood pressure, temperature, and respiratory rate are all within normal limits. Identify and document key nursing diagnoses for Brittany Long. Explain the the clear differences between Anomie Theory and Strain Theory? The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. A medical alert bracelet should be worn at all times. The nurse proceeds to verify the patient's identity by asking her name and medical record number and administers the medication in the patient's peripheral intravenous line. Vitals were as followed: RR 35, was admitted due to complaining of right lower leg pain for the 2 consecutive Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. Rationale:Folic acid stimulates normal red blood cell production. A nonhemolytic febrile reaction is indicated by fever and chills. Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. Which of the following principles should the nurse be aware of when administering ketorolac? The patient weighs 35 lb. b. Preview text. Vsim Brittany Long Complex (Pre/Post) The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. 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. The patient is awake and sitting in bed playing video games with her sister. Administer 20 mL/kg bolus of isotonic crystalloid intravenously Which of the following actions should the nurse take first. the FACES scale. Course Hero is not sponsored or endorsed by any college or university.
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