What physical finding should make the clinician suspicious? Document your . Offer the patient small amounts of fluids frequently and praise efforts to increase intake Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. VSim Charlie Snow Complex Pre/Post Sim. 19 terms. Thanks! VSim Sabina Vasquez Pre/Post test. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. Acute hemolytic reaction 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. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. We're available through e-mail, live chat and Facebook. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. 3. 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. kuuleinani1102. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. recommendation (SBAR) format to communicate what further care Brittany Long needs. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. 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. ), Follow institution protocol for blood transfusion administration and management. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. vSim for Nursing Pediatric | Laerdal Medical Temp 99, and BP 110/74. From vSim for Nursing | Pediatric. 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. 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. the FACES scale. Document your initial focused assessment of Brittany Long. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. b. ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. Serve fluids in a decorated cup with a brightly colored straw Explain the the clear differences between Anomie Theory and Strain Theory? b. The nurse suspects the patient is experiencing which of the following transfusion reactions? : 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! hhulsey6. 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 This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. Hello I need help on getting the solution to this practice problem. Risk for infection Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Be honest if a procedure is going to be uncomfortable or cause pain. The patient was tachycardic with a HR of 157. Never punish a child for not eating or drinking. Longs response. Which of the following meal choices would be the best to increase folic acid intake? VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia How did the simulated experience of Brittany Long's case make you feel? was admitted due to complaining of right lower leg pain for the 2 consecutive brittany long complex vsim documentation. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Please refer to the attachment to answer this question. We communicated the importance of care and signs of infection and ways to Terms of Use The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. f. Reassessed vitals c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. A septic reaction is indicated by rigors, chills, fever, and shock. 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Identify and document key nursing diagnoses for Brittany Long. Preview text. b. Parent/visitor identification b. 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. Company Registration Number: 61965243 history of sickle cell disease who was diagnosed at 6 months old. 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. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. ), 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. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? Further enhance your student . I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. before discharge. The nurse is ordering breakfast for a patient with sickle cell anemia. Naloxone should be readily available in case of respiratory depression. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet The child had a FLACC pain scale of 3 out of %. Document your initial focused assessment of Brittany Long. Document your initial focused assessment of Brittany Long. Whole wheat toast, orange slices, and milk Wolters Kluwer Health. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. (Select all that apply. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? Pennsylvania College of Technology. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. A medical alert bracelet should be worn at all times. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. Document the patient teaching that you would provide for Brittany Long and her family : an American History, Chapter 5 - Summary Give Me Liberty! Identify and document key nursing diagnoses for Brittany Long. Which of the following steps should be included during the preparation and administration process? VSim for FA Davis. (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. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. Avoid giving large amounts of fluid at a time. Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Decreased cardiac output related to decrease in circulating blood volume 20 terms. You may feel a pinch. Patient reported 6/10 for pain. a. Vitals 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. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 19 terms. 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. 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. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. c. A: Attached the pulse oximeter per orders and then assessed her pain level using Please refer to the attachment to answer this question. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders Instead, offer small amounts of liquid frequently. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. brittany long vsim step by step. a. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Which of the following is the priority for the nurse to monitor for with administration? 1. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. : an American History (Eric Foner). Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. 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. Document your initial focused assessment of 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. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. 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 hard, Jeremy is suffering from chronic alcohol abuse. 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 A nonhemolytic febrile reaction is indicated by fever and chills. Click the card to flip S: The patient is Brittany Long, a 5-year-old African American female with a Informed consent Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany Pre/Post Simulation for Brittany Long Flashcards | Quizlet With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. the documentation, over the simulation. The doctor has ordered Ceftazidime 140mg Q8hr. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. His symptoms include mental confusion, ataxia, stupor, and hypotension. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? 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? (Select all that apply. The O2 SAT was 97% with 2 L of oxygen. 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 Hero is not sponsored or endorsed by any college or university. 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.
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