days. Hello I need help on getting the solution to this practice problem. Document the patient teaching that you would provide for Brittany Long and her family The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. (SBAR) format to communicate what further care Brittany Long needs. Please summarizethe article. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. VSim Sabina Vasquez Pre/Post test. Please include all the critical details (method/results/limitations/implications), one page. Risk for infection Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. 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. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? Document your initial focused assessment of Brittany Long. Right patient Which of the following principles should the nurse be aware of when administering ketorolac? Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. The patient is awake and sitting in bed playing video games with her sister. Which of the following meal choices would be the best to increase folic acid intake? a hard, Jeremy is suffering from chronic alcohol abuse. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. 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. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. 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_Brittany_Long_1.docx - Pediatric Case 4 Documentation Prophylactic antibiotics should be taken daily as prescribed to prevent infection. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT Document your initial focused assessment of Brittany Long. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. Provide the patient with several options to choose from, including a favorite drink B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . 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. 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. Which of the following is the priority for the nurse to monitor for with administration? A septic reaction is indicated by rigors, chills, fever, and shock. Pediatric Case 7: Brittany Long (Core) 1. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. . : an American History (Eric Foner). : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. a. Vitals Click the card to flip ), The nurse is assessing a patient with acute splenic sequestration crisis. DramaQueen66. Company Registration Number: 61965243 Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. (Select all that apply. Which of the following results would the nurse expect to be elevated? Avoid giving large amounts of fluid at a time. (Select all that apply.). 4. Identity should be confirmed each time a medication is given. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. One hour later, the patient appears anxious and complains of chest tightness and headache. 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. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. a. S: The patient is Brittany Long, a 5-year-old African American female with a Document your initial focused assessment of Brittany Long. Available is Ceftazidime 500mg. 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 Offer the patient small amounts of fluids frequently and praise efforts to increase intake Decreased cardiac output related to decrease in circulating blood volume 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! was admitted due to complaining of right lower leg pain for the 2 consecutive Which of the following actions should the nurse take first. 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. 1. 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. The child had a FLACC pain scale of 3 out of %. g. Double checked PRBC with two nurses. 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. Sets found in the same folder. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia A medical alert bracelet should be worn at all times. Patient reported 6/10 for pain. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. vSim for Nursing | Pediatric - LWW 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 20 terms. 18 terms. 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. Instead, offer small amounts of liquid frequently. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? b. Document your . Please refer to the attachment to answer this question. ), 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. PRBC was started running at 28mL/her in her L IV site. A nonhemolytic febrile reaction is indicated by fever and chills. This question was created from P21_Homework 2.pdf. ), Follow institution protocol for blood transfusion administration and management. Pre/Post Simulation for Brittany Long Flashcards | Quizlet Administer 20 mL/kg bolus of isotonic crystalloid intravenously Pediatric Case 8: Brittany Long (Complex). Which of the following statements by the caregiver indicates that teaching has been effective? the FACES scale. b. Parent/visitor identification Brittany Long vSim Documentation Assignment - Homework Score Brittany Long is a 5-year-old African American female with a history of sickle cell disease. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? VSim Charlie Snow Complex Pre/Post Sim. Pediatric Case 08 Brittany Long Complex DA - Studocu 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. You may feel a pinch. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. Be honest if a procedure is going to be uncomfortable or cause pain. Although pain management is important, assessment and management of circulation and perfusion are the priority. Thanks! We're available through e-mail, live chat and Facebook. Rationale:Folic acid stimulates normal red blood cell production. The patient was tachycardic with a HR of 157. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. (Select all that apply. brittany long complex vsim documentation. (Select all that apply. (Select all that apply.) 19 terms. Longs response. 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. c. Contacted doctor Pre/Post Simulation for Brittany Long. 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. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? b. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. 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. 2. What physical finding should make the clinician suspicious? c. A: Attached the pulse oximeter per orders and then assessed her pain level using brittany long vsim step by step. e. Administers a fluid bolus and PRBC as prescribed : 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! At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. The nurse suspects the patient is experiencing which of the following transfusion reactions? Serve fluids in a decorated cup with a brightly colored straw A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. His symptoms include mental confusion, ataxia, stupor, and hypotension. hhulsey6. 19 terms. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. She has been hospitalized twi. Never punish a child for not eating or drinking. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. 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Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. 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. Terms of Use Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. (Select all that apply.). Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. The nurse is ordering breakfast for a patient with sickle cell anemia. The patient weighs 35 lb. 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. Wolters Kluwer Health. ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. Document your handoff report in the situation-background-assessment- 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. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. Please refer to the attachment to answer this question. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. Which of the following steps should be included during the preparation and administration process? Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. Acute hemolytic reaction Immediately discontinue the blood transfusion The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. [Show more] Preview 2 out of 5 pages The O2 SAT was 97% with 2 L of oxygen. Identify and document key nursing diagnoses for Brittany Long. Further enhance your student . How many milliliters should the nurse prepare to administer? 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. VSim Documentation- Brittany Long.docx - Course Hero (Select all that apply.). hidy_esther . All three of the resident's children are. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. Pennsylvania College of Technology. 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. 2. How did the simulated experience of Brittany Long's case make you feel? Which of the following assessments should the nurse perform on this patient? Sickle cell anemia is an autosomal recessive disorder, both parents must 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. Temp 99, and BP 110/74. vSim for Nursing Pediatric | Laerdal Medical On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? 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. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. The patient has had limited oral intake in the past 24 hours and is refusing to drink. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. ), 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. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany 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. Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu 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. rellawananab. Article : The impact of gender ideologies on men's and women's desire for a tr. Peps c4 | Pharmacology homework help - SweetStudy Preview text. 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. a. 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. This question was created from SCH3U Lesson Assignment 7 (docx).docx. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Respiratory depression Explain the the clear differences between Anomie Theory and Strain Theory? Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. A tiny tube will be placed where you go pee-pee. the documentation, over the simulation. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Informed consent Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet d. Administered morphine Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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. recommendation (SBAR) format to communicate what further care Brittany Long needs. Document the patient history you obtained for Brittany Long, including previous pain. Document your initial focused assessment of Brittany Long. 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The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. 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. "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 Brittany Long Pre/Post test Flashcards | Quizlet 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.
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