From vSim for Nursing | Pediatric. 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. His symptoms include mental confusion, ataxia, stupor, and hypotension. 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. The blood pressure, temperature, and respiratory rate are all within normal limits. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. Which of the following results would the nurse expect to be elevated? Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. 3. Document your handoff report in the situation-background-assessment- rellawananab. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. kuuleinani1102. 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 b. Document the patient teaching that you would provide for Brittany Long and her family Informed consent recommendation (SBAR) format to communicate what further care Brittany Long needs. The patient was tachycardic with a HR of 157. A 5-year-old would not be expected to remember his or her medical record number. a. Vitals (Select all that apply.). A medical alert bracelet should be worn at all times. a. Vitals Click the card to flip This question was created from P21_Homework 2.pdf. Whole wheat toast, orange slices, and milk 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. before discharge. Hello I need help on getting the solution to this practice problem. 19 terms. a. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. : an American History (Eric Foner). The patient weighs 35 lb. Available is Ceftazidime 500mg. 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. ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? b. 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. Identity should be confirmed each time a medication is given. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Right patient Brittany Long is a 5-year old African American female with a history of sickle cell disease. Patient reported 6/10 for pain. Respiratory depression Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. : an American History, Chapter 5 - Summary Give Me Liberty! 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. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . 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. brittany long vsim step by step. g. Double checked PRBC with two nurses. crises, hospitalizations, precipitating events, medical treatment, and home management. 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? . 19 terms. Longs response. 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? 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. [Show more] Preview 2 out of 5 pages (Select all that apply. Which right of medication administration has the nurse violated? 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. ), 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. 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. Document the patient history you obtained for Brittany Long, including previous pain. 4. hhulsey6. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. Please summarizethe article. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Terms of Use The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Document your initial focused assessment of Brittany Long. b. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. the documentation, over the simulation. ), 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. c. Contacted doctor reduce the risk of infection. 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. Praise the patient for attempts at eating and drinking. b. Parent/visitor identification : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. The patient has had limited oral intake in the past 24 hours and is refusing to drink. Vitals were as followed: RR 35, The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. Explain the the clear differences between Anomie Theory and Strain Theory? ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. 2. VSim for FA Davis. A tiny tube will be placed where you go pee-pee. (Select all that apply.). 2. Is the dose safe and therapeutic? It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. ), The nurse is assessing a patient with acute splenic sequestration crisis. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? Further enhance your student . Naloxone should be readily available in case of respiratory depression. Acute hemolytic reaction (Select all that apply. 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 d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. 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. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. 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! Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany This question was created from SCH3U Lesson Assignment 7 (docx).docx. Pediatric Case 8: Brittany Long (Complex). Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. Place the steps of an abdominal assessment in order. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. Thanks! It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. 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. Identify and document key nursing diagnoses for Brittany Long. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. a. VSim Charlie Snow Complex Pre/Post Sim. e. Administers a fluid bolus and PRBC as prescribed Offer the patient small amounts of fluids frequently and praise efforts to increase intake Decreased cardiac output related to decrease in circulating blood volume Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. b. ), Follow institution protocol for blood transfusion administration and management. a hard, Jeremy is suffering from chronic alcohol abuse. 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She has been hospitalized twi. The child had a FLACC pain scale of 3 out of %. Which of the following statements by the caregiver indicates that teaching has been effective? 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. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. Which of the following is the priority for the nurse to monitor for with administration? Sets found in the same folder. a. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. DramaQueen66. Unit 3 Biology - Functioning Ecosystems. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT Any decrease in respiratory rate or change in breathing pattern should be noted. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. history of sickle cell disease who was diagnosed at 6 months old. Course Hero is not sponsored or endorsed by any college or university. 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Risk for infection brittany long complex vsim documentation. 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. include IV maintenance fluids and Morphine as needed. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. Which of the following actions should the nurse take first. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. 27 terms. The 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. How did the simulated experience of Brittany Long's case make you feel? 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. Administer 20 mL/kg bolus of isotonic crystalloid intravenously The O2 SAT was 97% with 2 L of oxygen. Although pain management is important, assessment and management of circulation and perfusion are the priority. We're available through e-mail, live chat and Facebook. PRBC was started running at 28mL/her in her L IV site. Company Registration Number: 61965243 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 patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. (Select all that apply.). Referring to your feedback log, document the nursing care you provided and Brittany Long's response. Pre/Post Simulation for Brittany Long. A nonhemolytic febrile reaction is indicated by fever and chills. 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. We communicated the importance of care and signs of infection and ways to To melt 50 grams of 0-degree-Celsius ice requires ___ calories? How many milliliters should the nurse prepare to administer? 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. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Sickle cell anemia is an autosomal recessive disorder, both parents must 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. hidy_esther . Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. 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. Serve fluids in a decorated cup with a brightly colored straw Which of the following findings would indicate that the patient is progressing into hypovolemic shock? 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. 18 terms. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. f. Reassessed vitals Avoid giving large amounts of fluid at a time. Immediately discontinue the blood transfusion the FACES scale. Rationale:Folic acid stimulates normal red blood cell production. (Select all that apply. (SBAR) format to communicate what further care Brittany Long needs. Temp 99, and BP 110/74. You may feel a pinch. Never punish a child for not eating or drinking. 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. What physical finding should make the clinician suspicious? 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. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. 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. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. Be honest if a procedure is going to be uncomfortable or cause pain. Please include all the critical details (method/results/limitations/implications), one page. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? 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. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. 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. ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. Identify and document key nursing diagnoses for Brittany Long. Which of the following meal choices would be the best to increase folic acid intake? Round the weight in kilograms to nearest the whole number. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. 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. Preview text. VSim Sabina Vasquez Pre/Post test. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication?
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