Sets found in the same folder. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. [Show more] Preview 2 out of 5 pages a. Instead, offer small amounts of liquid frequently. A septic reaction is indicated by rigors, chills, fever, and shock. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. The blood pressure, temperature, and respiratory rate are all within normal limits. Identify and document key nursing diagnoses for Brittany Long. All three of the resident's children are. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. 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. One hour later, the patient appears anxious and complains of chest tightness and headache. the documentation, over the simulation. "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. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Pennsylvania College of Technology. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? 18 terms. 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. A medical alert bracelet should be worn at all times. Respiratory depression b. A nonhemolytic febrile reaction is indicated by fever and chills. You may feel a pinch. 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. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. 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. (Select all that apply. 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 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. The child had a FLACC pain scale of 3 out of %. brittany long complex vsim documentation. 19 terms. 27 terms. Company Registration Number: 61965243 Wolters Kluwer Health. 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. Please summarizethe article. a. Vitals The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. was admitted due to complaining of right lower leg pain for the 2 consecutive 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. Pediatric Case 7: Brittany Long (Core) 1. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. Pediatric Case 08 Brittany Long Complex DA - Studocu Peps c4 | Pharmacology homework help - SweetStudy Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. Administer 20 mL/kg bolus of isotonic crystalloid intravenously Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. 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. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? Round the weight in kilograms to nearest the whole number. ), 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. Available is Ceftazidime 500mg. a. Vitals Which of the following is the priority for the nurse to monitor for with administration? Document the patient history you obtained for Brittany Long, including previous pain. Which of the following principles should the nurse be aware of when administering ketorolac? include IV maintenance fluids and Morphine as needed. Which of the following results would the nurse expect to be elevated? Which of the following actions should the nurse take first. Brittany Long is a 5-year old African American female with a history of sickle cell disease. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. (Select all that apply.). Is the dose safe and therapeutic? crises, hospitalizations, precipitating events, medical treatment, and home management. Please refer to the attachment to answer this question. 19 terms. Document your . The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. 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. Course Hero is not sponsored or endorsed by any college or university. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Identify and document key nursing diagnoses for Brittany Long. vSim for Nursing Pediatric | Laerdal Medical Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. Decreased cardiac output related to decrease in circulating blood volume 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. c. A: Attached the pulse oximeter per orders and then assessed her pain level using Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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. Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd before discharge. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. ), The nurse is assessing a patient with acute splenic sequestration crisis. (Select all that apply. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? Pre/Post Simulation for Brittany Long. Risk for infection ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. b. The patient weighs 35 lb. Which of the following meal choices would be the best to increase folic acid intake? This question was created from P21_Homework 2.pdf. We're available through e-mail, live chat and Facebook. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? Pediatric Case 08 Brittany Long Complex DA - Studocu Offer the patient small amounts of fluids frequently and praise efforts to increase intake rellawananab. How many milliliters should the nurse prepare to administer? Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. Hello I need help on getting the solution to this practice problem. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? Click the card to flip a. Never punish a child for not eating or drinking. Any decrease in respiratory rate or change in breathing pattern should be noted. Jackson Weber Complex Pre/Post Quiz. Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. She has been hospitalized twi. Rationale:Folic acid stimulates normal red blood cell production. Which of the following steps should be included during the preparation and administration process? 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. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany VSim for FA Davis. 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Temp 99, and BP 110/74. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Pre/Post Simulation for Brittany Long Flashcards | Quizlet 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 suspects the patient is experiencing which of the following transfusion reactions? B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders 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 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. f. Reassessed vitals Document your initial focused assessment of Brittany Long. Brittany Long vSim Documentation Assignment - Homework Score Identify and document key nursing diagnoses for Brittany Long. Which of the following statements by the caregiver indicates that teaching has been effective? 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. VSim Sabina Vasquez Pre/Post test. Document your handoff report in the situation-background-assessment- vSim for Nursing | Pediatric - LWW Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? A tiny tube will be placed where you go pee-pee. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. d. Administered morphine Serve fluids in a decorated cup with a brightly colored straw From vSim for Nursing | Pediatric. days. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. Terms of Use This question was created from SCH3U Lesson Assignment 7 (docx).docx. Acute hemolytic reaction Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. Explain the the clear differences between Anomie Theory and Strain Theory? We communicated the importance of care and signs of infection and ways to brittany long vsim step by step. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT Provide the patient with several options to choose from, including a favorite drink A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. S: The patient is Brittany Long, a 5-year-old African American female with a 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. a. (Select all that apply. b. Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu Document your initial focused assessment of Brittany Long. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. hhulsey6. a. Pediatric Case 8: Brittany Long (Complex). A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. 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. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. Although pain management is important, assessment and management of circulation and perfusion are the priority. How did the simulated experience of Brittany Long's case make you feel? Course Hero is not sponsored or endorsed by any college or university. 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. Unit 3 Biology - Functioning Ecosystems. 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. kuuleinani1102. Right patient (Select all that apply. What physical finding should make the clinician suspicious? The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. 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 doctor has ordered Ceftazidime 140mg Q8hr. His symptoms include mental confusion, ataxia, stupor, and hypotension. Praise the patient for attempts at eating and drinking. The patient VSim Documentation- Brittany Long.docx - Course Hero Please include all the critical details (method/results/limitations/implications), one page. Preview text. e. Administers a fluid bolus and PRBC as prescribed Place the steps of an abdominal assessment in order. Document your initial focused assessment of Brittany Long. 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. g. Double checked PRBC with two nurses. hidy_esther . The patient is awake and sitting in bed playing video games with her sister. Immediately discontinue the blood transfusion b. Parent/visitor identification 2. (Select all that apply.) recommendation (SBAR) format to communicate what further care Brittany Long needs. 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. Thanks! The patient was tachycardic with a HR of 157. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. 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! (Select all that apply.). 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. Further enhance your student . 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. PRBC was started running at 28mL/her in her L IV site. Whole wheat toast, orange slices, and milk (Select all that apply. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. A 5-year-old would not be expected to remember his or her medical record number. DramaQueen66. 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. 4. ), 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Sickle cell anemia is an autosomal recessive disorder, both parents must history of sickle cell disease who was diagnosed at 6 months old.
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