a. Vitals VSim Sabina Vasquez Pre/Post test. The patient has had limited oral intake in the past 24 hours and is refusing to drink. the FACES scale. ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? Be honest if a procedure is going to be uncomfortable or cause pain. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. 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. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. 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 nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. Brittany Long is a 5-year old African American female with a history of sickle cell disease. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. Sickle cell anemia is an autosomal recessive disorder, both parents must Serve fluids in a decorated cup with a brightly colored straw Hello I need help on getting the solution to this practice problem. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? Any decrease in respiratory rate or change in breathing pattern should be noted. 19 terms. (Select all that apply. PRBC was started running at 28mL/her in her L IV site. Which of the following actions should the nurse take first. Document your initial focused assessment of Brittany Long. The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. days. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . Identify and document key nursing diagnoses for Brittany Long. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? A medical alert bracelet should be worn at all times. 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. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. 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. Article : The impact of gender ideologies on men's and women's desire for a tr. 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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 documentation. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. Offer the patient small amounts of fluids frequently and praise efforts to increase intake Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Round the weight in kilograms to nearest the whole number. His symptoms include mental confusion, ataxia, stupor, and hypotension. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Wolters Kluwer Health. Vitals were as followed: RR 35, 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. Terms of Use 2. From vSim for Nursing | Pediatric. 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. 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. Praise the patient for attempts at eating and drinking. Unit 3 Biology - Functioning Ecosystems. This question was created from P21_Homework 2.pdf. was admitted due to complaining of right lower leg pain for the 2 consecutive Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? Course Hero is not sponsored or endorsed by any college or university. How many milliliters should the nurse prepare to administer? Thanks! Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. The patient is awake and sitting in bed playing video games with her sister. a. Vitals reduce the risk of infection. Which of the following assessments should the nurse perform on this patient? "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. Pediatric Case 8: Brittany Long (Complex). Jackson Weber Complex Pre/Post Quiz. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. The patient was tachycardic with a HR of 157. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. Company Registration Number: 61965243 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. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. 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. 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. : an American History, Chapter 5 - Summary Give Me Liberty! VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. 20 terms. Immediately discontinue the blood transfusion DramaQueen66. Which of the following principles should the nurse be aware of when administering ketorolac? Decreased cardiac output related to decrease in circulating blood volume a hard, Jeremy is suffering from chronic alcohol abuse. Pennsylvania College of Technology. 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. 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. Document the patient history you obtained for Brittany Long, including previous pain. Please include all the critical details (method/results/limitations/implications), one page. a. 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. 2. 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 is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. Place the steps of an abdominal assessment in order. A 5-year-old would not be expected to remember his or her medical record number. Pediatric Case 7: Brittany Long (Core) 1. Risk for infection brittany long vsim step by step. 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. include IV maintenance fluids and Morphine as needed. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders a. Document your initial focused assessment of Brittany Long. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. b. Course Hero is not sponsored or endorsed by any college or university. 19 terms. Further enhance your student . Naloxone should be readily available in case of respiratory depression. A septic reaction is indicated by rigors, chills, fever, and shock. Is the dose safe and therapeutic? 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. hidy_esther . 4. before discharge. Please refer to the attachment to answer this question. b. 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. Explain the the clear differences between Anomie Theory and Strain Theory? the documentation, over the simulation. Which of the following steps should be included during the preparation and administration process? After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. 27 terms. A nonhemolytic febrile reaction is indicated by fever and chills. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. (Select all that apply.). It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. The child had a FLACC pain scale of 3 out of %. Which of the following meal choices would be the best to increase folic acid intake? Please summarizethe article. 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Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. d. Administered morphine Identify and document key nursing diagnoses for Brittany Long. rellawananab. 18 terms. One hour later, the patient appears anxious and complains of chest tightness and headache. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. All three of the resident's children are. We communicated the importance of care and signs of infection and ways to Identify and document key nursing diagnoses for Brittany Long. 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Available is Ceftazidime 500mg. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. (SBAR) format to communicate what further care Brittany Long needs. (Select all that apply. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. 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 How did the simulated experience of Brittany Long's case make you feel? 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. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? VSim for FA Davis. Document your handoff report in the situation-background-assessment- The patient is alone in the room, sitting in bed watching television and says she lost her identification band. Longs response. S: The patient is Brittany Long, a 5-year-old African American female with a Whole wheat toast, orange slices, and milk Although pain management is important, assessment and management of circulation and perfusion are the priority. 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. 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. [Show more] Preview 2 out of 5 pages Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. a. 1. The nurse suspects the patient is experiencing which of the following transfusion reactions? 3. Which of the following is the priority for the nurse to monitor for with administration? I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. 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. (Select all that apply.). We're available through e-mail, live chat and Facebook. : 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! If the patient has poor respiratory effort or is apneic, 100% oxygen should be administered via bag valve mask or endotracheal tube, but this patient has adequate respiratory effort, so use of the bag valve mask is not needed. Never punish a child for not eating or drinking. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. b. (Select all that apply.). The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. b. f. Reassessed vitals Identity should be confirmed each time a medication is given. The O2 SAT was 97% with 2 L of oxygen. crises, hospitalizations, precipitating events, medical treatment, and home management. 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. . 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 The nurse is ordering breakfast for a patient with sickle cell anemia. 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. Preview text. 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. VSim Charlie Snow Complex Pre/Post Sim. This question was created from SCH3U Lesson Assignment 7 (docx).docx. Which right of medication administration has the nurse violated? The patient weighs 35 lb. Document the patient teaching that you would provide for Brittany Long and her family (Select all that apply. 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. 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. Provide the patient with several options to choose from, including a favorite drink b. Parent/visitor identification 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. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. Sets found in the same folder. 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 Pre/Post Simulation for Brittany Long. You may feel a pinch. (Select all that apply. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? Right patient a. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. Rationale:Folic acid stimulates normal red blood cell production. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. Administer 20 mL/kg bolus of isotonic crystalloid intravenously Please refer to the attachment to answer this question. Which of the following results would the nurse expect to be elevated? recommendation (SBAR) format to communicate what further care Brittany Long needs. Avoid giving large amounts of fluid at a time. 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 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. 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.
