), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. e. Administers a fluid bolus and PRBC as prescribed B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders (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! VSim Charlie Snow Complex Pre/Post Sim. 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_Brittany_Long_1.docx - Pediatric Case 4 Documentation 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. Immediately discontinue the blood transfusion : an American History (Eric Foner). Identify and document key nursing diagnoses for Brittany Long. A 5-year-old would not be expected to remember his or her medical record number. a. Vitals Patient reported 6/10 for pain. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT Which of the following is the priority for the nurse to monitor for with administration? kuuleinani1102. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? Identify and document key nursing diagnoses for Brittany Long. 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. Sets found in the same folder. . Vitals were as followed: RR 35, Document your initial focused assessment of Brittany Long. 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. days. The nurse suspects the patient is experiencing which of the following transfusion reactions? a. Thanks! VSim Brittany Long Pre/Post test Flashcards | Quizlet Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? 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. 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. Course Hero is not sponsored or endorsed by any college or university. The patient Which right of medication administration has the nurse violated? Sickle cell anemia is an autosomal recessive disorder, both parents must (Select all that apply.). What physical finding should make the clinician suspicious? All three of the resident's children are. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Pediatric Case 08 Brittany Long Complex DA - Studocu We're available through e-mail, live chat and Facebook. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd Referring to your feedback log, document the nursing care you provided and Brittany Long's response. b. Which of the following statements by the caregiver indicates that teaching has been effective? VSIM 8 Brittany Long documentation.docx - Pediatric Case This question was created from SCH3U Lesson Assignment 7 (docx).docx. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. 20 terms. (Select all that apply.) A septic reaction is indicated by rigors, chills, fever, and shock. hidy_esther . The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. From vSim for Nursing | Pediatric. We communicated the importance of care and signs of infection and ways to Hello I need help on getting the solution to this practice problem. Please summarizethe article. Although pain management is important, assessment and management of circulation and perfusion are the priority. ), The nurse is assessing a patient with acute splenic sequestration crisis. Temp 99, and BP 110/74. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. 4. The blood pressure, temperature, and respiratory rate are all within normal limits. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. a. Pre/Post Simulation for Brittany Long. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. 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. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. vSim for Nursing Pediatric | Laerdal Medical Pre/Post Simulation for Brittany Long Flashcards | Quizlet 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 . B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . The nurse is ordering breakfast for a patient with sickle cell anemia. 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. history of sickle cell disease who was diagnosed at 6 months old. a. 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. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. "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. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. VSim Sabina Vasquez Pre/Post test. brittany long vsim step by step. Terms of Use Be honest if a procedure is going to be uncomfortable or cause pain. 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. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. Serve fluids in a decorated cup with a brightly colored straw Provide the patient with several options to choose from, including a favorite drink Pediatric Case 8: Brittany Long (Complex). Identify and document key nursing diagnoses for Brittany Long. Further enhance your student . Article : The impact of gender ideologies on men's and women's desire for a tr. b. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. Please refer to the attachment to answer this question. 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 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 FACES scale. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. c. A: Attached the pulse oximeter per orders and then assessed her pain level using Instead, offer small amounts of liquid frequently. Document your handoff report in the situation-background-assessment- Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. (Select all that apply.). Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. b. Unit 3 Biology - Functioning Ecosystems. d. Administered morphine The child had a FLACC pain scale of 3 out of %. Document your initial focused assessment of Brittany Long. (Select all that apply. ), 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 patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. 19 terms. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. How did the simulated experience of Brittany Long's case make you feel? 1. You may feel a pinch. before discharge. 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. 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. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. S: The patient is Brittany Long, a 5-year-old African American female with a 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. (Select all that apply. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. (SBAR) format to communicate what further care Brittany Long needs. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. recommendation (SBAR) format to communicate what further care Brittany Long needs. a. Vitals One hour later, the patient appears anxious and complains of chest tightness and headache. Course Hero is not sponsored or endorsed by any college or university. (Select all that apply. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. Naloxone should be readily available in case of respiratory depression. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. a. Company Registration Number: 61965243 A medical alert bracelet should be worn at all times. Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet hhulsey6. Any decrease in respiratory rate or change in breathing pattern should be noted. Document the patient teaching that you would provide for Brittany Long and her family Which of the following steps should be included during the preparation and administration process? d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. Which of the following results would the nurse expect to be elevated? 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. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. Pennsylvania College of Technology. the documentation, over the simulation. Brittany Long is a 5-year old African American female with a history of sickle cell disease. 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Contacted doctor Wolters Kluwer Health. 3. Praise the patient for attempts at eating and drinking. After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. f. Reassessed vitals 18 terms. reduce the risk of infection. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Click the card to flip Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. The doctor has ordered Ceftazidime 140mg Q8hr. [Show more] Preview 2 out of 5 pages 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. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany Brittany Long vSim Documentation Assignment - Homework Score b. 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. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? g. Double checked PRBC with two nurses. Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu Offer the patient small amounts of fluids frequently and praise efforts to increase intake The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. ), Follow institution protocol for blood transfusion administration and management. She has been hospitalized twi. 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 Avoid giving large amounts of fluid at a time. Jackson Weber Complex Pre/Post Quiz. This question was created from P21_Homework 2.pdf. ), 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. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. Pediatric Case 08 Brittany Long Complex DA - Studocu
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