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