brittany long complex vsim documentation brittany long complex vsim documentation
Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? before discharge. What physical finding should make the clinician suspicious? Wolters Kluwer Health. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. a. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? This question was created from P21_Homework 2.pdf. brittany long vsim step by step. hidy_esther . The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. 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. (Select all that apply.). Be honest if a procedure is going to be uncomfortable or cause pain. VSim Charlie Snow Complex Pre/Post Sim. VSim Brittany Long Pre/Post test Flashcards | Quizlet The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. The blood pressure, temperature, and respiratory rate are all within normal limits. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. Pre/Post Simulation for Brittany Long Flashcards | Quizlet The child had a FLACC pain scale of 3 out of %. Please include all the critical details (method/results/limitations/implications), one page. 3. A nonhemolytic febrile reaction is indicated by fever and chills. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. The doctor has ordered Ceftazidime 140mg Q8hr. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. 2. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 20 terms. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. : 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! A tiny tube will be placed where you go pee-pee. d. Administered morphine Praise the patient for attempts at eating and drinking. "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. reduce the risk of infection. was admitted due to complaining of right lower leg pain for the 2 consecutive pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. (Select all that apply. kuuleinani1102. 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. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. b. Which of the following principles should the nurse be aware of when administering ketorolac? Which of the following meal choices would be the best to increase folic acid intake? Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. : an American History, Chapter 5 - Summary Give Me Liberty! Available is Ceftazidime 500mg. Brittany Long vSim Documentation Assignment - Homework Score 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 patient is awake and sitting in bed playing video games with her sister. 19 terms. VSim Documentation- Brittany Long.docx - Course Hero Prophylactic antibiotics should be taken daily as prescribed to prevent infection. rellawananab. 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Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! Document your initial focused assessment of Brittany Long. (Select all that apply. b. 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. VSim Sabina Vasquez Pre/Post test. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? Provide the patient with several options to choose from, including a favorite drink ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. 2. PRBC was started running at 28mL/her in her L IV site. Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu (SBAR) format to communicate what further care Brittany Long needs. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. a. You may feel a pinch. Patient reported 6/10 for pain. b. Decreased cardiac output related to decrease in circulating blood volume Document your initial focused assessment of Brittany Long. Immediately discontinue the blood transfusion brittany long complex vsim documentation. Instead, offer small amounts of liquid frequently. Please summarizethe article. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. b. Parent/visitor identification Referring to your feedback log, document the nursing care you provided and Brittany Long's response. 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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. VSIM 8 Brittany Long documentation.docx - Pediatric Case a. Vitals We're available through e-mail, live chat and Facebook. A medical alert bracelet should be worn at all times. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT The patient is alone in the room, sitting in bed watching television and says she lost her identification band. A 5-year-old would not be expected to remember his or her medical record number. The patient Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. days. Document the patient teaching that you would provide for Brittany Long and her family To melt 50 grams of 0-degree-Celsius ice requires ___ calories? Which right of medication administration has the nurse violated? ), 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. 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 septic reaction is indicated by rigors, chills, fever, and shock. 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. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. ), 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. hhulsey6. One hour later, the patient appears anxious and complains of chest tightness and headache. His symptoms include mental confusion, ataxia, stupor, and hypotension. Identify and document key nursing diagnoses for Brittany Long. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. Naloxone should be readily available in case of respiratory depression. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. The nurse is ordering breakfast for a patient with sickle cell anemia. 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 for Nursing Pediatric | Laerdal Medical The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Temp 99, and BP 110/74. Please refer to the attachment to answer this question. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. (Select all that apply. the documentation, over the simulation. 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. 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. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. Hello I need help on getting the solution to this practice problem. Rationale:Folic acid stimulates normal red blood cell production. Pediatric Case 8: Brittany Long (Complex). Round the weight in kilograms to nearest the whole number. Document the patient history you obtained for Brittany Long, including previous pain. Risk for infection We communicated the importance of care and signs of infection and ways to Informed consent Terms of Use All three of the resident's children are. 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. Click the card to flip Brittany Long is a 5-year-old African American female with a history of sickle cell disease. c. A: Attached the pulse oximeter per orders and then assessed her pain level using How many milliliters should the nurse prepare to administer? The patient was tachycardic with a HR of 157. 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. 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 Pediatric Case 7: Brittany Long (Core) 1. Course Hero is not sponsored or endorsed by any college or university. 4. Which of the following statements by the caregiver indicates that teaching has been effective? Please refer to the attachment to answer this question. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. Sets found in the same folder. 27 terms. f. Reassessed vitals Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. include IV maintenance fluids and Morphine as needed. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. (Select all that apply. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. (Select all that apply.). The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. This question was created from SCH3U Lesson Assignment 7 (docx).docx. Offer the patient small amounts of fluids frequently and praise efforts to increase intake Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany 18 terms. Which of the following steps should be included during the preparation and administration process? 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. Serve fluids in a decorated cup with a brightly colored straw 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. 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. Document your initial focused assessment of Brittany Long. e. Administers a fluid bolus and PRBC as prescribed How did the simulated experience of Brittany Long's case make you feel? vSim for Nursing | Pediatric - LWW 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. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. Right patient Acute hemolytic reaction Which of the following actions should the nurse take first. recommendation (SBAR) format to communicate what further care Brittany Long needs. DramaQueen66. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. 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. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. (Select all that apply. Respiratory depression Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet Identity should be confirmed each time a medication is given. . The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. 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. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? 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. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. The O2 SAT was 97% with 2 L of oxygen. 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. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Preview text. She has been hospitalized twi. Article : The impact of gender ideologies on men's and women's desire for a tr. (Select all that apply. Explain the the clear differences between Anomie Theory and Strain Theory? Although pain management is important, assessment and management of circulation and perfusion are the priority. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? 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. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex 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 Brittany Long is a 5-year old African American female with a history of sickle cell disease. 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. Longs response. Pennsylvania College of Technology. Course Hero is not sponsored or endorsed by any college or university. Thanks! 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. Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd Pre/Post Simulation for Brittany Long. (Select all that apply.) 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. 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. Document your handoff report in the situation-background-assessment- c. Contacted doctor (Select all that apply.). 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. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. Which of the following assessments should the nurse perform on this patient? Peps c4 | Pharmacology homework help - SweetStudy 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. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. 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. Sickle cell anemia is an autosomal recessive disorder, both parents must Whole wheat toast, orange slices, and milk The patient has had limited oral intake in the past 24 hours and is refusing to drink. Is the dose safe and therapeutic? a hard, Jeremy is suffering from chronic alcohol abuse. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation a. Vitals The patient weighs 35 lb. Further enhance your student . Jackson Weber Complex Pre/Post Quiz. S: The patient is Brittany Long, a 5-year-old African American female with a Never punish a child for not eating or drinking. a. g. Double checked PRBC with two nurses. The nurse suspects the patient is experiencing which of the following transfusion reactions? The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Document your . the FACES scale. 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. From vSim for Nursing | Pediatric. 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. a. Vitals were as followed: RR 35, Company Registration Number: 61965243 1. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. history of sickle cell disease who was diagnosed at 6 months old. Pediatric Case 08 Brittany Long Complex DA - Studocu 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. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders Which of the following results would the nurse expect to be elevated? ), The nurse is assessing a patient with acute splenic sequestration crisis. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. : an American History (Eric Foner). ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. 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. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. Which of the following is the priority for the nurse to monitor for with administration? Administer 20 mL/kg bolus of isotonic crystalloid intravenously Place the steps of an abdominal assessment in order. Identify and document key nursing diagnoses for Brittany Long. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. Unit 3 Biology - Functioning Ecosystems. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Any decrease in respiratory rate or change in breathing pattern should be noted. Identify and document key nursing diagnoses for Brittany Long. Document your initial focused assessment of Brittany Long. 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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