S: The patient is Brittany Long, a 5-year-old African American female with a 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. She has been hospitalized twi. Company Registration Number: 61965243 Praise the patient for attempts at eating and drinking. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. 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. hhulsey6. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. a. . DramaQueen66. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? a. Respiratory depression kuuleinani1102. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? 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. The nurse is ordering breakfast for a patient with sickle cell anemia. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. 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. Decreased cardiac output related to decrease in circulating blood volume recommendation (SBAR) format to communicate what further care Brittany Long needs. (Select all that apply. The blood pressure, temperature, and respiratory rate are all within normal limits. 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. : an American History (Eric Foner). Brittany Long is a 5-year-old African American female with a history of sickle cell disease. The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. ), 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. Which of the following steps should be included during the preparation and administration process? Is the dose safe and therapeutic? Terms of Use The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. 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. (SBAR) format to communicate what further care Brittany Long needs. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. 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. Immediately discontinue the blood transfusion Article : The impact of gender ideologies on men's and women's desire for a tr. Which of the following statements by the caregiver indicates that teaching has been effective? The nurse suspects the patient is experiencing which of the following transfusion reactions? Sickle cell anemia is an autosomal recessive disorder, both parents must : 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: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. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? 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. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. Informed consent Which of the following actions should the nurse take first. 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! It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. [Show more] Preview 2 out of 5 pages (Select all that apply. PRBC was started running at 28mL/her in her L IV site. 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. Vitals were as followed: RR 35, 4. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. Risk for infection Round the weight in kilograms to nearest the whole number. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? Identify and document key nursing diagnoses for Brittany Long. We're available through e-mail, live chat and Facebook. Thanks! rellawananab. 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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. Please refer to the attachment to answer this question. Which of the following is the priority for the nurse to monitor for with administration? Referring to your feedback log, document the nursing care you provided and Brittany Long's response. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Document your initial focused assessment of Brittany Long. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. "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. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT The O2 SAT was 97% with 2 L of oxygen. brittany long complex vsim documentation. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. 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. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? Please refer to the attachment to answer this question. After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. ), 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. brittany long vsim step by step. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. 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. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. All three of the resident's children are. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. the documentation, over the simulation. Although pain management is important, assessment and management of circulation and perfusion are the priority. Jackson Weber Complex Pre/Post Quiz. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. Which of the following meal choices would be the best to increase folic acid intake? 19 terms. (Select all that apply.). c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. ), The nurse is assessing a patient with acute splenic sequestration crisis. 1. A tiny tube will be placed where you go pee-pee. 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 VSim Sabina Vasquez Pre/Post test. The patient was tachycardic with a HR of 157. 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 (Select all that apply.). 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. Any decrease in respiratory rate or change in breathing pattern should be noted. a. VSim Charlie Snow Complex Pre/Post Sim. This question was created from P21_Homework 2.pdf. Pennsylvania College of Technology. include IV maintenance fluids and Morphine as needed. Identify and document key nursing diagnoses for Brittany Long. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. Document your . (Select all that apply. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. 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. (Select all that apply.). was admitted due to complaining of right lower leg pain for the 2 consecutive Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. 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. Sets found in the same folder. Which of the following assessments should the nurse perform on this patient? ), Follow institution protocol for blood transfusion administration and management. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders The doctor has ordered Ceftazidime 140mg Q8hr. Rationale:Folic acid stimulates normal red blood cell production. The patient is awake and sitting in bed playing video games with her sister. A nonhemolytic febrile reaction is indicated by fever and chills. A 5-year-old would not be expected to remember his or her medical record number. Patient reported 6/10 for pain. days. Click the card to flip Further enhance your student . Hello I need help on getting the solution to this practice problem. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. a. Vitals 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. Pediatric Case 8: Brittany Long (Complex). 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. Please include all the critical details (method/results/limitations/implications), one page. 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. 20 terms. Longs response. Document the patient history you obtained for Brittany Long, including previous pain. Offer the patient small amounts of fluids frequently and praise efforts to increase intake Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? The patient has had limited oral intake in the past 24 hours and is refusing to drink. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Never punish a child for not eating or drinking. We communicated the importance of care and signs of infection and ways to VSim for FA Davis. Document the patient teaching that you would provide for Brittany Long and her family Be honest if a procedure is going to be uncomfortable or cause pain. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. Instead, offer small amounts of liquid frequently. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. c. Contacted doctor
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