The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. Which of the following principles should the nurse be aware of when administering ketorolac? Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? ), The nurse is assessing a patient with acute splenic sequestration crisis. b. 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. Further enhance your student . A 5-year-old would not be expected to remember his or her medical record number. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. rellawananab. was admitted due to complaining of right lower leg pain for the 2 consecutive Article : The impact of gender ideologies on men's and women's desire for a tr. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 2. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. Sets found in the same folder. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. She has been hospitalized twi. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Identify and document key nursing diagnoses for Brittany Long.
VSIM 8 Brittany Long documentation.docx - Pediatric Case A medical alert bracelet should be worn at all times. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. 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 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 patient weighs 35 lb. (Select all that apply. Preview text. Which of the following assessments should the nurse perform on this patient?
Pediatric Case 08 Brittany Long Complex DA - Studocu Risk for infection PRBC was started running at 28mL/her in her L IV site. (Select all that apply. Praise the patient for attempts at eating and drinking. 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. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. 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. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. (Select all that apply. From vSim for Nursing | Pediatric.
Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu the FACES scale. 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. b. Which of the following meal choices would be the best to increase folic acid intake? Thanks! Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. Explain the the clear differences between Anomie Theory and Strain Theory? Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. 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. Document your initial focused assessment of Brittany Long. Is the dose safe and therapeutic? Which of the following steps should be included during the preparation and administration process? Document your initial focused assessment of Brittany Long. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. The nurse suspects the patient is experiencing which of the following transfusion reactions? The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. : an American History (Eric Foner). (Select all that apply.). 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B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . 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. 1. Identify and document key nursing diagnoses for Brittany Long. Document your handoff report in the situation-background-assessment- The patient ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with 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. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? 3. Avoid giving large amounts of fluid at a time. a. Document the patient teaching that you would provide for Brittany Long and her family 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. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? The patient is awake and sitting in bed playing video games with her sister. 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. 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.). 27 terms. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. Sickle cell anemia is an autosomal recessive disorder, both parents must DramaQueen66. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. One hour later, the patient appears anxious and complains of chest tightness and headache. 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. before discharge. brittany long complex vsim documentation. 19 terms. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. Which of the following results would the nurse expect to be elevated? 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. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. Although pain management is important, assessment and management of circulation and perfusion are the priority. Company Registration Number: 61965243 days. Offer the patient small amounts of fluids frequently and praise efforts to increase intake Rationale:Folic acid stimulates normal red blood cell production. hidy_esther . Longs response. : an American History, Chapter 5 - Summary Give Me Liberty! include IV maintenance fluids and Morphine as needed. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Which of the following actions should the nurse take first. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. The nurse is ordering breakfast for a patient with sickle cell anemia. 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. S: The patient is Brittany Long, a 5-year-old African American female with a Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. f. Reassessed vitals 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. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. 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 His symptoms include mental confusion, ataxia, stupor, and hypotension. Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany b. Parent/visitor identification It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. Round the weight in kilograms to nearest the whole number. Never punish a child for not eating or drinking. .
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. brittany long vsim step by step. A septic reaction is indicated by rigors, chills, fever, and shock. [Show more] Preview 2 out of 5 pages 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. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. 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.
VSim Documentation- Brittany Long.docx - Course Hero a. hhulsey6. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Identify and document key nursing diagnoses for Brittany Long. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. ), 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. This question was created from P21_Homework 2.pdf. Please include all the critical details (method/results/limitations/implications), one page. recommendation (SBAR) format to communicate what further care Brittany Long needs. Whole wheat toast, orange slices, and milk What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? To melt 50 grams of 0-degree-Celsius ice requires ___ calories? The child had a FLACC pain scale of 3 out of %. b. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. We're available through e-mail, live chat and Facebook. How did the simulated experience of Brittany Long's case make you feel?
: an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. 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. Any decrease in respiratory rate or change in breathing pattern should be noted.
Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex kuuleinani1102. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? d. Administered morphine
Peps c4 | Pharmacology homework help - SweetStudy Wolters Kluwer Health. 18 terms. This question was created from SCH3U Lesson Assignment 7 (docx).docx. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT 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. (Select all that apply. a. history of sickle cell disease who was diagnosed at 6 months old. 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. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis.
vSim for Nursing Pediatric | Laerdal Medical vSim for Nursing | Pediatric - LWW When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. the documentation, over the simulation. 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 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. (SBAR) format to communicate what further care Brittany Long needs. Pennsylvania College of Technology. c. A: Attached the pulse oximeter per orders and then assessed her pain level using
Pre/Post Simulation for Brittany Long Flashcards | Quizlet Which of the following is the priority for the nurse to monitor for with administration? How many milliliters should the nurse prepare to administer? Click the card to flip 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. 4. We communicated the importance of care and signs of infection and ways to The O2 SAT was 97% with 2 L of oxygen. 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 Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Which right of medication administration has the nurse violated? 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. "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. Instead, offer small amounts of liquid frequently. You may feel a pinch. A tiny tube will be placed where you go pee-pee. The doctor has ordered Ceftazidime 140mg Q8hr. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. 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. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. Please refer to the attachment to answer this question. Naloxone should be readily available in case of respiratory depression. crises, hospitalizations, precipitating events, medical treatment, and home management.
Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd Terms of Use (Select all that apply. All three of the resident's children are. 2. Respiratory depression Which of the following statements by the caregiver indicates that teaching has been effective? 19 terms. VSim Sabina Vasquez Pre/Post test. Jackson Weber Complex Pre/Post Quiz. A nonhemolytic febrile reaction is indicated by fever and chills.
VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. Pre/Post Simulation for Brittany Long.
VSim Brittany Long Pre/Post test Flashcards | Quizlet Patient reported 6/10 for pain. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders