Please refer to the attachment to answer this question. 19 terms. The patient was tachycardic with a HR of 157. 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. DramaQueen66. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. d. Administered morphine (Select all that apply. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. VSim for FA Davis. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Risk for infection VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia a. Pre/Post Simulation for Brittany Long Flashcards | Quizlet vSim for Nursing | Pediatric - LWW 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. Sickle cell anemia is an autosomal recessive disorder, both parents must Please refer to the attachment to answer this question. A medical alert bracelet should be worn at all times. 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 handoff report in the situation-background-assessment- a. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? 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. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? (Select all that apply. "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. VSim Charlie Snow Complex Pre/Post Sim. VSim Brittany Long Pre/Post test Flashcards | Quizlet pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. include IV maintenance fluids and Morphine as needed. Thanks! Document your initial focused assessment of Brittany Long. The O2 SAT was 97% with 2 L of oxygen. 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. 18 terms. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. Unit 3 Biology - Functioning Ecosystems. Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders This question was created from P21_Homework 2.pdf. Jackson Weber Complex Pre/Post Quiz. Vitals were as followed: RR 35, 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 Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. 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 blood pressure, temperature, and respiratory rate are all within normal limits. 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. Peps c4 | Pharmacology homework help - SweetStudy Rationale:Folic acid stimulates normal red blood cell production. Never punish a child for not eating or drinking. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. S: The patient is Brittany Long, a 5-year-old African American female with a (Select all that apply.). The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. Offer the patient small amounts of fluids frequently and praise efforts to increase intake A nonhemolytic febrile reaction is indicated by fever and chills. 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. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. 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. Which of the following actions should the nurse take first. kuuleinani1102. 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. A septic reaction is indicated by rigors, chills, fever, and shock. f. Reassessed vitals 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 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. b. Parent/visitor identification The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. Which of the following meal choices would be the best to increase folic acid intake? Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. 1. ), The nurse is assessing a patient with acute splenic sequestration crisis. crises, hospitalizations, precipitating events, medical treatment, and home management. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. All three of the resident's children are. (Select all that apply. rellawananab. We're available through e-mail, live chat and Facebook. Serve fluids in a decorated cup with a brightly colored straw the documentation, over the simulation. 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. ), 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 initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. 2. 2. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. brittany long complex vsim documentation. Company Registration Number: 61965243 Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. (Select all that apply. a hard, Jeremy is suffering from chronic alcohol abuse. a. Vitals 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. : 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! PRBC was started running at 28mL/her in her L IV site. Document your . Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. Identify and document key nursing diagnoses for Brittany Long. Please summarizethe article. Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd Temp 99, and BP 110/74. Document your initial focused assessment of Brittany Long. 20 terms. Whole wheat toast, orange slices, and milk Avoid giving large amounts of fluid at a time. hidy_esther . 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. c. A: Attached the pulse oximeter per orders and then assessed her pain level using Identify and document key nursing diagnoses for Brittany Long. Right patient Document your initial focused assessment of Brittany Long. 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. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT How did the simulated experience of Brittany Long's case make you feel? Explain the the clear differences between Anomie Theory and Strain Theory? Prophylactic antibiotics should be taken daily as prescribed to prevent infection. Identify and document key nursing diagnoses for Brittany Long. 27 terms. b. reduce the risk of infection. 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Longs response. [Show more] Preview 2 out of 5 pages You may feel a pinch. ), 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. Acute hemolytic reaction A tiny tube will be placed where you go pee-pee. The patient : an American History (Eric Foner). The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Informed consent (SBAR) format to communicate what further care Brittany Long needs. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. Be honest if a procedure is going to be uncomfortable or cause pain. Terms of Use This question was created from SCH3U Lesson Assignment 7 (docx).docx. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . Decreased cardiac output related to decrease in circulating blood volume 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. Which of the following assessments should the nurse perform on this patient? Brittany Long vSim Documentation Assignment - Homework Score Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. (Select all that apply. Administer 20 mL/kg bolus of isotonic crystalloid intravenously the FACES scale. Immediately discontinue the blood transfusion (Select all that apply.). Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. Place the steps of an abdominal assessment in order. Further enhance your student . Although pain management is important, assessment and management of circulation and perfusion are the 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. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. 4. How many milliliters should the nurse prepare to administer? Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. 19 terms. 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
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