You may feel a pinch. Respiratory depression (Select all that apply.). Immediately discontinue the blood transfusion Hello I need help on getting the solution to this practice problem. This question was created from SCH3U Lesson Assignment 7 (docx).docx. include IV maintenance fluids and Morphine as needed. 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. was admitted due to complaining of right lower leg pain for the 2 consecutive Risk for infection On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? the documentation, over the simulation. Never punish a child for not eating or drinking. Decreased cardiac output related to decrease in circulating blood volume 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. (Select all that apply. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. Avoid giving large amounts of fluid at a time. 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. Document your . c. Contacted doctor 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. Naloxone should be readily available in case of respiratory depression. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. A septic reaction is indicated by rigors, chills, fever, and shock. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. A nonhemolytic febrile reaction is indicated by fever and chills. 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. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. 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. Which of the following steps should be included during the preparation and administration process? Prophylactic antibiotics should be taken daily as prescribed to prevent infection. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. the FACES scale. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. 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. S: The patient is Brittany Long, a 5-year-old African American female with a hhulsey6. a. Vitals kuuleinani1102. before discharge. The patient weighs 35 lb. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. 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 With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? Document your initial focused assessment of Brittany Long. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. Acute hemolytic reaction 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. The child had a FLACC pain scale of 3 out of %. Which of the following actions should the nurse take first. b. Parent/visitor identification Sickle cell anemia is an autosomal recessive disorder, both parents must Document your handoff report in the situation-background-assessment- She has been hospitalized twi. (SBAR) format to communicate what further care Brittany Long needs. Explain the the clear differences between Anomie Theory and Strain Theory? ), 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. Course Hero is not sponsored or endorsed by any college or university. a hard, Jeremy is suffering from chronic alcohol abuse. 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. Administer 20 mL/kg bolus of isotonic crystalloid intravenously Temp 99, and BP 110/74. 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. Serve fluids in a decorated cup with a brightly colored straw "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 suspects the patient is experiencing which of the following transfusion reactions? Course Hero is not sponsored or endorsed by any college or university. Round the weight in kilograms to nearest the whole number. ), Follow institution protocol for blood transfusion administration and management. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. 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! VSim for FA Davis. A 5-year-old would not be expected to remember his or her medical record number. 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. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT From vSim for Nursing | Pediatric. Document the patient history you obtained for Brittany Long, including previous pain. 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[Show more] Preview 2 out of 5 pages A tiny tube will be placed where you go pee-pee. a. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. His symptoms include mental confusion, ataxia, stupor, and hypotension. 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Sets found in the same folder. Right patient Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. b. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? Preview text. The doctor has ordered Ceftazidime 140mg Q8hr. 1. How did the simulated experience of Brittany Long's case make you feel? This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. I was sort. 19 terms. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders recommendation (SBAR) format to communicate what further care Brittany Long needs. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. 3. Although pain management is important, assessment and management of circulation and perfusion are the priority. Place the steps of an abdominal assessment in order. days. Identify and document key nursing diagnoses for Brittany Long. 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. Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. rellawananab. brittany long complex vsim documentation. (Select all that apply.). 20 terms. 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. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. 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. Identify and document key nursing diagnoses for Brittany Long. 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 Document your initial focused assessment of Brittany Long. (Select all that apply. VSim Charlie Snow Complex Pre/Post Sim. 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. 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 The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Is the dose safe and therapeutic? b. Wolters Kluwer Health. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? (Select all that apply.). Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. (Select all that apply.) She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Be honest if a procedure is going to be uncomfortable or cause pain. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Pre/Post Simulation for Brittany Long. : an American History (Eric Foner). This question was created from P21_Homework 2.pdf. Provide the patient with several options to choose from, including a favorite drink The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? d. Administered morphine Click the card to flip Pediatric Case 7: Brittany Long (Core) 1. We communicated the importance of care and signs of infection and ways to Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. Identify and document key nursing diagnoses for Brittany Long. The patient is awake and sitting in bed playing video games with her sister. ), 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. Whole wheat toast, orange slices, and milk PRBC was started running at 28mL/her in her L IV site. Praise the patient for attempts at eating and drinking. Informed consent The O2 SAT was 97% with 2 L of oxygen. crises, hospitalizations, precipitating events, medical treatment, and home management. (Select all that apply. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. Document the patient teaching that you would provide for Brittany Long and her family Document your initial focused assessment of Brittany Long. Offer the patient small amounts of fluids frequently and praise efforts to increase intake Document your initial focused assessment of Brittany Long. 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. We're available through e-mail, live chat and Facebook. Company Registration Number: 61965243 Which of the following is the priority for the nurse to monitor for with administration? A medical alert bracelet should be worn at all times. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. Please refer to the attachment to answer this question. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. Which right of medication administration has the nurse violated?
