Avoid giving large amounts of fluid at a time. Course Hero is not sponsored or endorsed by any college or university. Which of the following actions should the nurse take first. Please refer to the attachment to answer this question. Document your handoff report in the situation-background-assessment- Pediatric Case 8: Brittany Long (Complex). (Select all that apply. Praise the patient for attempts at eating and drinking. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. A septic reaction is indicated by rigors, chills, fever, and shock. Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu Pediatric Case 7: Brittany Long (Core) 1. The patient is awake and sitting in bed playing video games with her sister. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. 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. The nurse is ordering breakfast for a patient with sickle cell anemia. (Select all that apply. Brittany Long vSim Documentation Assignment - Homework Score 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. 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. Naloxone should be readily available in case of respiratory depression. The nurse suspects the patient is experiencing which of the following transfusion reactions? From vSim for Nursing | Pediatric. ), The nurse is assessing a patient with acute splenic sequestration crisis. Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet The O2 SAT was 97% with 2 L of oxygen. Identify and document key nursing diagnoses for Brittany Long. One hour later, the patient appears anxious and complains of chest tightness and headache. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? Temp 99, and BP 110/74. 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. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? 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The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. Whole wheat toast, orange slices, and milk days. a. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. Is the dose safe and therapeutic? : an American History, Chapter 5 - Summary Give Me Liberty! This question was created from SCH3U Lesson Assignment 7 (docx).docx. 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. 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 was admitted due to complaining of right lower leg pain for the 2 consecutive Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. All three of the resident's children are. 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 the patient teaching that you would provide for Brittany Long and her family : 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! Which of the following is the priority for the nurse to monitor for with administration? 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. Further enhance your student . Jackson Weber Complex Pre/Post Quiz. She has been hospitalized twi. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. 20 terms. : an American History (Eric Foner). CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT Document your initial focused assessment of Brittany Long. Which of the following meal choices would be the best to increase folic acid intake? the documentation, over the simulation. Offer the patient small amounts of fluids frequently and praise efforts to increase intake 27 terms. Place the steps of an abdominal assessment in order. (Select all that apply. This question was created from P21_Homework 2.pdf. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia VSim Sabina Vasquez Pre/Post test. 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. The doctor has ordered Ceftazidime 140mg Q8hr. 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. Click the card to flip The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? before discharge. 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. vSim for Nursing | Pediatric - LWW 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. How did the simulated experience of Brittany Long's case make you feel? ), 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. 4. history of sickle cell disease who was diagnosed at 6 months old. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. Pediatric Case 08 Brittany Long Complex DA - Studocu Administer 20 mL/kg bolus of isotonic crystalloid intravenously Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. 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. a. A 5-year-old would not be expected to remember his or her medical record number. Which right of medication administration has the nurse violated? 2. The patient has had limited oral intake in the past 24 hours and is refusing to drink. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. rellawananab. b. Pennsylvania College of Technology. Rationale:Folic acid stimulates normal red blood cell production. Please refer to the attachment to answer this question. 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. VSIM 8 Brittany Long documentation.docx - Pediatric Case include IV maintenance fluids and Morphine as needed. Sickle cell anemia is an autosomal recessive disorder, both parents must 3. a. Vitals Pediatric Case 08 Brittany Long Complex DA - Studocu Decreased cardiac output related to decrease in circulating blood volume She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation The patient Wolters Kluwer Health. Sets found in the same folder. After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. 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. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. g. Double checked PRBC with two nurses. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. Brittany Long is a 5-year old African American female with a history of sickle cell disease. 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. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. reduce the risk of infection. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. (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? b. the FACES scale. Article : The impact of gender ideologies on men's and women's desire for a tr. 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. ), 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. Vitals were as followed: RR 35, Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? Document your . (Select all that apply.). Hello I need help on getting the solution to this practice problem. a. Vitals VSim for FA Davis. Pre/Post Simulation for Brittany Long. Identify and document key nursing diagnoses for Brittany Long. The child had a FLACC pain scale of 3 out of %. Identify and document key nursing diagnoses for Brittany Long. brittany long complex vsim documentation. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. 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 patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. How many milliliters should the nurse prepare to administer? a. VSim Documentation- Brittany Long.docx - Course Hero Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. Please include all the critical details (method/results/limitations/implications), one page. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. 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. Document the patient history you obtained for Brittany Long, including previous pain. Pre/Post Simulation for Brittany Long Flashcards | Quizlet His symptoms include mental confusion, ataxia, stupor, and hypotension. 19 terms. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. Although pain management is important, assessment and management of circulation and perfusion are the priority. 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. Document your initial focused assessment of Brittany Long. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. c. A: Attached the pulse oximeter per orders and then assessed her pain level using A tiny tube will be placed where you go pee-pee. b. Which of the following steps should be included during the preparation and administration process? 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. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . We're available through e-mail, live chat and Facebook. (Select all that apply.). The patient was tachycardic with a HR of 157. brittany long vsim step by step. Company Registration Number: 61965243 19 terms. hhulsey6. d. Administered morphine 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! a hard, Jeremy is suffering from chronic alcohol abuse. 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. Informed consent ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. (Select all that apply. 18 terms. Explain the the clear differences between Anomie Theory and Strain Theory? The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. Available is Ceftazidime 500mg. vSim for Nursing Pediatric | Laerdal Medical Course Hero is not sponsored or endorsed by any college or university. crises, hospitalizations, precipitating events, medical treatment, and home management. 2. Which of the following statements by the caregiver indicates that teaching has been effective? (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. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. 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. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. Patient reported 6/10 for pain.
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