brittany long complex vsim documentation

Never punish a child for not eating or drinking. Temp 99, and BP 110/74. The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. a. The nurse suspects the patient is experiencing which of the following transfusion reactions? Further enhance your student . Risk for infection (Select all that apply.). c. A: Attached the pulse oximeter per orders and then assessed her pain level using The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. 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. ), 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 O2 SAT was 97% with 2 L of oxygen. 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. Hello I need help on getting the solution to this practice problem. 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. Document your handoff report in the situation-background-assessment- Informed consent A nonhemolytic febrile reaction is indicated by fever and chills. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. Explain the the clear differences between Anomie Theory and Strain Theory? ), The nurse is assessing a patient with acute splenic sequestration crisis. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT [Show more] Preview 2 out of 5 pages Whole wheat toast, orange slices, and milk 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Rationale:Folic acid stimulates normal red blood cell production. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. 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. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor 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 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. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? 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. Pennsylvania College of Technology. e. Administers a fluid bolus and PRBC as prescribed Sickle cell anemia is an autosomal recessive disorder, both parents must (Select all that apply. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. 2. 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. Offer the patient small amounts of fluids frequently and praise efforts to increase intake recommendation (SBAR) format to communicate what further care Brittany Long needs. Course Hero is not sponsored or endorsed by any college or university. hhulsey6. a hard, Jeremy is suffering from chronic alcohol abuse. 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. b. 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. 4. 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. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. ), 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. What physical finding should make the clinician suspicious? Although pain management is important, assessment and management of circulation and perfusion are the priority. Which of the following assessments should the nurse perform on this patient? hidy_esther . We're available through e-mail, live chat and Facebook. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. reduce the risk of infection. 19 terms. 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. Which of the following meal choices would be the best to increase folic acid intake? Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? rellawananab. (Select all that apply.). Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. 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. A medical alert bracelet should be worn at all times. 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. include IV maintenance fluids and Morphine as needed. Document your initial focused assessment of Brittany Long. Which of the following steps should be included during the preparation and administration process? 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. How did the simulated experience of Brittany Long's case make you feel? brittany long complex vsim documentation. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? : an American History (Eric Foner). Identify and document key nursing diagnoses for Brittany Long. ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. The patient has had limited oral intake in the past 24 hours and is refusing to drink. was admitted due to complaining of right lower leg pain for the 2 consecutive d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. Jackson Weber Complex Pre/Post Quiz. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? The child had a FLACC pain scale of 3 out of %. b. 27 terms. VSim for FA Davis. This question was created from SCH3U Lesson Assignment 7 (docx).docx. 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. Place the steps of an abdominal assessment in order. 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. Longs response. Immediately discontinue the blood transfusion 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. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. Administer 20 mL/kg bolus of isotonic crystalloid intravenously Brittany Long is a 5-year old African American female with a history of sickle cell disease. Terms of Use b. 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. You may feel a pinch. The patient was tachycardic with a HR of 157. 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 The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. b. ), Follow institution protocol for blood transfusion administration and management. Article : The impact of gender ideologies on men's and women's desire for a tr. (Select all that apply. 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. Document the patient teaching that you would provide for Brittany Long and her family Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. d. Administered morphine Avoid giving large amounts of fluid at a time. 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. 19 terms. 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. 3. 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. Please refer to the attachment to answer this question. : an American History, Chapter 5 - Summary Give Me Liberty! S: The patient is Brittany Long, a 5-year-old African American female with a The patient weighs 35 lb. Which of the following results would the nurse expect to be elevated? (Select all that apply.) With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. Wolters Kluwer Health. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. Patient reported 6/10 for pain. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. kuuleinani1102. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. (SBAR) format to communicate what further care Brittany Long needs. Round the weight in kilograms to nearest the whole number. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. Pediatric Case 02 Jackson Weber Complex DA, Pediatric Case 02 Jackson Weber Complex GRQ, Pediatric Case 04 Sabina Vasquez Complex DA, Pediatric Case 04 Sabina Vasquez Complex GRQ, Pediatric Case 06 Eva Madison Complex DA rev, Pediatric Case 06 Eva Madison Complex GRQ, Business Environment Applications I: Business Structures and Legal Environment (D078), Management Information Systems and Technology (BUS 5114), Ethics and Social Responsibility (PHIL 1404), Healthcare Strategic Management and Policy (HCM415), Financial Statement Analysis/Business Valuation (ACC345), Fundamentals of Biology: Cellular and Organ Physiology (BIO 203), Managing Organizations and Leading People (C200 Task 1), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), TB-Chapter 21 Peripheral Vascular System and Lymphatic System, Chapter 3 - Summary Give Me Liberty! a. Vitals 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. a. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. One hour later, the patient appears anxious and complains of chest tightness and headache. Document your initial focused assessment of Brittany Long. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? Course Hero is not sponsored or endorsed by any college or university. Which right of medication administration has the nurse violated? Which of the following is the priority for the nurse to monitor for with administration? 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. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? . a. 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! Decreased cardiac output related to decrease in circulating blood volume A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? f. Reassessed vitals Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Right patient 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. DramaQueen66. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts.

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