brittany long complex vsim documentation

include IV maintenance fluids and Morphine as needed. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Identify and document key nursing diagnoses for Brittany Long. the FACES scale. How did the simulated experience of Brittany Long's case make you feel? The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. Sets found in the same folder. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? 19 terms. [Show more] Preview 2 out of 5 pages Hello I need help on getting the solution to this practice problem. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. 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. The patient has had limited oral intake in the past 24 hours and is refusing to drink. Acute hemolytic reaction 27 terms. (Select all that apply.). Instead, offer small amounts of liquid frequently. (Select all that apply. S: The patient is Brittany Long, a 5-year-old African American female with a : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. Which of the following results would the nurse expect to be elevated? 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. You may feel a pinch. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. If the patient has poor respiratory effort or is apneic, 100% oxygen should be administered via bag valve mask or endotracheal tube, but this patient has adequate respiratory effort, so use of the bag valve mask is not needed. 1. Which of the following actions should the nurse take first. was admitted due to complaining of right lower leg pain for the 2 consecutive ), 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. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Temp 99, and BP 110/74. 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. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. 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. Unit 3 Biology - Functioning Ecosystems. 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. A medical alert bracelet should be worn at all times. The patient weighs 35 lb. Please refer to the attachment to answer this question. Avoid giving large amounts of fluid at a time. A tiny tube will be placed where you go pee-pee. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. 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. c. A: Attached the pulse oximeter per orders and then assessed her pain level using brittany long complex vsim documentation. 2. ), Follow institution protocol for blood transfusion administration and management. hidy_esther . Available is Ceftazidime 500mg. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. VSim Sabina Vasquez Pre/Post test. 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. 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. We communicated the importance of care and signs of infection and ways to Identify and document key nursing diagnoses for Brittany Long. Pre/Post Simulation for Brittany Long. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. a. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? Thanks! The doctor has ordered Ceftazidime 140mg Q8hr. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT (Select all that apply.) a. a. Vitals c. Contacted doctor Any decrease in respiratory rate or change in breathing pattern should be noted. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Respiratory depression 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. Please include all the critical details (method/results/limitations/implications), one page. : an American History (Eric Foner). Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Which of the following meal choices would be the best to increase folic acid intake? Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? (Select all that apply. ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. Further enhance your student . Identity should be confirmed each time a medication is given. the documentation, over the simulation. 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. Company Registration Number: 61965243 Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany This question was created from P21_Homework 2.pdf. Sickle cell anemia is an autosomal recessive disorder, both parents must rellawananab. 19 terms. What physical finding should make the clinician suspicious? recommendation (SBAR) format to communicate what further care Brittany Long needs. 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. His symptoms include mental confusion, ataxia, stupor, and hypotension. Patient reported 6/10 for pain. She has been hospitalized twi. 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. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. Vitals were as followed: RR 35, 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. Preview text. Immediately discontinue the blood transfusion Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. a hard, Jeremy is suffering from chronic alcohol abuse. 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Article : The impact of gender ideologies on men's and women's desire for a tr. reduce the risk of infection. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. Document your initial focused assessment of Brittany Long. 18 terms. Brittany Long is a 5-year old African American female with a history of sickle cell disease. ), The nurse is assessing a patient with acute splenic sequestration crisis. 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. Rationale:Folic acid stimulates normal red blood cell production. Offer the patient small amounts of fluids frequently and praise efforts to increase intake The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. 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. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. Although pain management is important, assessment and management of circulation and perfusion are the priority. Serve fluids in a decorated cup with a brightly colored straw Document your initial focused assessment of Brittany Long. Round the weight in kilograms to nearest the whole number. The blood pressure, temperature, and respiratory rate are all within normal limits. Wolters Kluwer Health. Document the patient teaching that you would provide for Brittany Long and her family VSim Charlie Snow Complex Pre/Post Sim. days. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. (Select all that apply. 4. : an American History, Active Learning Template Nursing Skill form Therapeutic Communication, ECO 201 - Chapter 2 Thinking like economist part 1, Chapter 4 - Summary Give Me Liberty! This question was created from SCH3U Lesson Assignment 7 (docx).docx. Explain the the clear differences between Anomie Theory and Strain Theory? 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. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? Whole wheat toast, orange slices, and milk d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. Terms of Use Which of the following principles should the nurse be aware of when administering ketorolac? The nurse suspects the patient is experiencing which of the following transfusion reactions? Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. We're available through e-mail, live chat and Facebook. 20 terms. Pediatric Case 8: Brittany Long (Complex). The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Document your initial focused assessment of Brittany Long. The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. b. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? To melt 50 grams of 0-degree-Celsius ice requires ___ calories? before discharge. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. A septic reaction is indicated by rigors, chills, fever, and shock. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. 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. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Upon further assessment, the nurse finds that the patient's blood pressure is 78/48 mm Hg, temperature is 38.5C, and urine output appears blood-tinged. 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. 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. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. Course Hero is not sponsored or endorsed by any college or university. a. Naloxone should be readily available in case of respiratory depression. a. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? VSim for FA Davis. Which of the following assessments should the nurse perform on this patient? ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. Click the card to flip Right patient g. Double checked PRBC with two nurses. 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. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. 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. One hour later, the patient appears anxious and complains of chest tightness and headache. Decreased cardiac output related to decrease in circulating blood volume 2. From vSim for Nursing | Pediatric. b. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. ), 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. hhulsey6. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? Longs response. Praise the patient for attempts at eating and drinking. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. 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. 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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. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Is the dose safe and therapeutic? Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. Administer 20 mL/kg bolus of isotonic crystalloid intravenously B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders 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. 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. 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. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? The child had a FLACC pain scale of 3 out of %. (Select all that apply. All three of the resident's children are. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. Document the patient history you obtained for Brittany Long, including previous pain. e. Administers a fluid bolus and PRBC as prescribed Provide the patient with several options to choose from, including a favorite drink b. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. (SBAR) format to communicate what further care Brittany Long needs. (Select all that apply. f. Reassessed vitals DramaQueen66. Informed consent How many milliliters should the nurse prepare to administer? She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Please summarizethe article. crises, hospitalizations, precipitating events, medical treatment, and home management. Never punish a child for not eating or drinking. a. Vitals The nurse is ordering breakfast for a patient with sickle cell anemia. b. : an American History, Chapter 5 - Summary Give Me Liberty! Which of the following is the priority for the nurse to monitor for with administration? Pennsylvania College of Technology. Which right of medication administration has the nurse violated? 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 B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . Place the steps of an abdominal assessment in order. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. (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. After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis.

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