a. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. before discharge. From vSim for Nursing | Pediatric. 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. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. Sickle cell anemia is an autosomal recessive disorder, both parents must 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 O2 SAT was 97% with 2 L of oxygen. Which of the following is the priority for the nurse to monitor for with administration? Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? 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(Select all that apply.). pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. ), 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. : an American History (Eric Foner). The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. Pre/Post Simulation for Brittany Long Flashcards | Quizlet Serve fluids in a decorated cup with a brightly colored straw a. Decreased cardiac output related to decrease in circulating blood volume Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. Peps c4 | Pharmacology homework help - SweetStudy Brittany Long is a 5-year-old African American female with a history of sickle cell disease. 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. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? Which of the following principles should the nurse be aware of when administering ketorolac? Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. She has been hospitalized twi. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. Respiratory depression Document your initial focused assessment of Brittany Long. 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. g. Double checked PRBC with two nurses. 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. Which of the following meal choices would be the best to increase folic acid intake? 19 terms. Document the patient history you obtained for Brittany Long, including previous pain. kuuleinani1102. Which of the following assessments should the nurse perform on this patient? Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. The patient was tachycardic with a HR of 157. One hour later, the patient appears anxious and complains of chest tightness and headache. 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 nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Jackson Weber Complex Pre/Post Quiz. include IV maintenance fluids and Morphine as needed. Naloxone should be readily available in case of respiratory depression. 3. Whole wheat toast, orange slices, and milk Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. The patient is awake and sitting in bed playing video games with her sister. 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. Instead, offer small amounts of liquid frequently. 19 terms. Provide the patient with several options to choose from, including a favorite drink VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation The patient (Select all that apply. 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. Which of the following results would the nurse expect to be elevated? The patient weighs 35 lb. Brittany Long vSim Documentation Assignment - Homework Score A nonhemolytic febrile reaction is indicated by fever and chills. 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. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. VSIM 8 Brittany Long documentation.docx - Pediatric Case Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. The child had a FLACC pain scale of 3 out of %. All three of the resident's children are. 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. Company Registration Number: 61965243 Identity should be confirmed each time a medication is given. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid 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! (Select all that apply. Risk for infection Course Hero is not sponsored or endorsed by any college or university. Avoid giving large amounts of fluid at a time. days. 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. b. Parent/visitor identification How did the simulated experience of Brittany Long's case make you feel? 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. Document your initial focused assessment of Brittany Long. 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. the documentation, over the simulation. d. Administered morphine Vitals were as followed: RR 35, Unit 3 Biology - Functioning Ecosystems. This question was created from SCH3U Lesson Assignment 7 (docx).docx. ______________________ 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. Document the patient teaching that you would provide for Brittany Long and her family CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT 1. How many milliliters should the nurse prepare to administer? Rationale:Folic acid stimulates normal red blood cell production. ), 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. b. 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. 20 terms. Pediatric Case 7: Brittany Long (Core) 1. Document your handoff report in the situation-background-assessment- 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 knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. VSim Charlie Snow Complex Pre/Post Sim. Immediately discontinue the blood transfusion A tiny tube will be placed where you go pee-pee. 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Further enhance your student . Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. 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. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. 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. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. Identify and document key nursing diagnoses for Brittany Long. Please include all the critical details (method/results/limitations/implications), one page. ), Follow institution protocol for blood transfusion administration and management. We're available through e-mail, live chat and Facebook. Administer 20 mL/kg bolus of isotonic crystalloid intravenously Referring to your feedback log, document the nursing care you provided and Brittany Long's response.
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