brittany long complex vsim documentation

include IV maintenance fluids and Morphine as needed. The patient weighs 35 lb. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. Pennsylvania College of Technology. Place the steps of an abdominal assessment in order. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. All three of the resident's children are. 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. Never punish a child for not eating or drinking. 27 terms. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? 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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. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. (Select all that apply. Thanks! DramaQueen66. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. Document the patient teaching that you would provide for Brittany Long and her family (Select all that apply. Pediatric Case 8: Brittany Long (Complex). Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. Instead, offer small amounts of liquid frequently. ), The nurse is assessing a patient with acute splenic sequestration crisis. 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. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. Which of the following actions should the nurse take first. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Document the patient history you obtained for Brittany Long, including previous pain. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. Offer the patient small amounts of fluids frequently and praise efforts to increase intake Company Registration Number: 61965243 Further enhance your student . 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 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. a. Risk for infection The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. Which of the following meal choices would be the best to increase folic acid intake? 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. a. Vitals : an American History (Eric Foner). The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. Right patient Which right of medication administration has the nurse violated? Article : The impact of gender ideologies on men's and women's desire for a tr. b. Avoid giving large amounts of fluid at a time. The nurse suspects the patient is experiencing which of the following transfusion reactions? b. ), Follow institution protocol for blood transfusion administration and management. Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. Be honest if a procedure is going to be uncomfortable or cause pain. 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. [Show more] Preview 2 out of 5 pages Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. (Select all that apply.). B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders b. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. 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. e. Administers a fluid bolus and PRBC as prescribed 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. 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. 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. hhulsey6. The child had a FLACC pain scale of 3 out of %. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? A nonhemolytic febrile reaction is indicated by fever and chills. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. 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! The doctor has ordered Ceftazidime 140mg Q8hr. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? We communicated the importance of care and signs of infection and ways to Preview text. Identify and document key nursing diagnoses for Brittany Long. The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. The blood pressure, temperature, and respiratory rate are all within normal limits. Which of the following results would the nurse expect to be elevated? 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. a hard, Jeremy is suffering from chronic alcohol abuse. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. the FACES scale. 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. brittany long vsim step by step. This question was created from SCH3U Lesson Assignment 7 (docx).docx. (Select all that apply.). Pediatric Case 7: Brittany Long (Core) 1. a. ), 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 ordering breakfast for a patient with sickle cell anemia. Avoid terms that are too technical or confusing, such as "catheter" or "urethra," which can cause the child to misunderstand what is going to occur. ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. From vSim for Nursing | Pediatric. Course Hero is not sponsored or endorsed by any college or university. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. 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 B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . Please summarizethe article. We're available through e-mail, live chat and Facebook. was admitted due to complaining of right lower leg pain for the 2 consecutive Please include all the critical details (method/results/limitations/implications), one page. You may feel a pinch. 1. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. Which of the following assessments should the nurse perform on this patient? Which of the following steps should be included during the preparation and administration process? 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. Please refer to the attachment to answer this question. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? "Brittany Long is a 5-year-old African American female with a history of sickle cell disease, diagnosed at 6 months old, and has been prescribed regular folicacid supplement. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. (SBAR) format to communicate what further care Brittany Long needs. 19 terms. His symptoms include mental confusion, ataxia, stupor, and hypotension. (Select all that apply.) rellawananab. Acute hemolytic reaction The patient is awake and sitting in bed playing video games with her sister. : an American History, Chapter 5 - Summary Give Me Liberty! Naloxone should be readily available in case of respiratory depression. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. Rationale:Folic acid stimulates normal red blood cell production. Provide the patient with several options to choose from, including a favorite drink kuuleinani1102. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? a. Vitals Document your initial focused assessment of Brittany Long. 4. A tiny tube will be placed where you go pee-pee. 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. Document your initial focused assessment of Brittany Long. She has been hospitalized twi. Round the weight in kilograms to nearest the whole number. Administer 20 mL/kg bolus of isotonic crystalloid intravenously 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. S: The patient is Brittany Long, a 5-year-old African American female with a Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. Any decrease in respiratory rate or change in breathing pattern should be noted. d. Administered morphine ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. Decreased cardiac output related to decrease in circulating blood volume CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT How did the simulated experience of Brittany Long's case make you feel? Which of the following is the priority for the nurse to monitor for with administration? 20 terms. 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 A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. the documentation, over the simulation. 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. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Temp 99, and BP 110/74. Immediately discontinue the blood transfusion Sets found in the same folder. 2. Pre/Post Simulation for Brittany Long. A medical alert bracelet should be worn at all times. Is the dose safe and therapeutic? VSim Charlie Snow Complex Pre/Post Sim. Identify and document key nursing diagnoses for Brittany Long. One hour later, the patient appears anxious and complains of chest tightness and headache. 18 terms. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. crises, hospitalizations, precipitating events, medical treatment, and home management. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. 19 terms. A septic reaction is indicated by rigors, chills, fever, and shock. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. (Select all that apply. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. Whole wheat toast, orange slices, and milk Patient reported 6/10 for pain. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. 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. 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 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. Informed consent ), 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. 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. 2. Serve fluids in a decorated cup with a brightly colored straw PRBC was started running at 28mL/her in her L IV site. 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. Document your initial focused assessment of Brittany Long. (Select all that apply. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. a. (Select all that apply. b. Parent/visitor identification On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? before discharge. 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. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. Respiratory depression pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. A 5-year-old would not be expected to remember his or her medical record number. 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 nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. 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. (Select all that apply.). b. Document your initial focused assessment of Brittany Long. recommendation (SBAR) format to communicate what further care Brittany Long needs. g. Double checked PRBC with two nurses. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. 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. The patient was tachycardic with a HR of 157. 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. Wolters Kluwer Health. 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. How many milliliters should the nurse prepare to administer? Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. (Select all that apply. 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? The patient has had limited oral intake in the past 24 hours and is refusing to drink. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. This question was created from P21_Homework 2.pdf. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Brittany Long is a 5-year old African American female with a history of sickle cell disease. f. Reassessed vitals c. A: Attached the pulse oximeter per orders and then assessed her pain level using Identity should be confirmed each time a medication is given. Hello I need help on getting the solution to this practice problem. Praise the patient for attempts at eating and drinking. history of sickle cell disease who was diagnosed at 6 months old. VSim Sabina Vasquez Pre/Post test. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. : 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! c. Contacted doctor Explain the the clear differences between Anomie Theory and Strain Theory? Sickle cell anemia is an autosomal recessive disorder, both parents must 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. Which of the following statements by the caregiver indicates that teaching has been effective? Longs response. Which of the following principles should the nurse be aware of when administering ketorolac? Vitals were as followed: RR 35, hidy_esther . The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. Identify and document key nursing diagnoses for Brittany Long. reduce the risk of infection. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. Document your . 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. a. VSim for FA Davis. . The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Available is Ceftazidime 500mg. Please refer to the attachment to answer this question. Although pain management is important, assessment and management of circulation and perfusion are the priority. 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. days. Document your handoff report in the situation-background-assessment- Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany 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. Click the card to flip The O2 SAT was 97% with 2 L of oxygen. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? Unit 3 Biology - Functioning Ecosystems. 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. Terms of Use 3. Course Hero is not sponsored or endorsed by any college or university. Jackson Weber Complex Pre/Post Quiz. After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. brittany long complex vsim documentation. What physical finding should make the clinician suspicious?

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