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