), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. 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. 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. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. A medical alert bracelet should be worn at all times. Available is Ceftazidime 500mg. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. Document your . a hard, Jeremy is suffering from chronic alcohol abuse. 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 (Select all that apply.) Which of the following results would the nurse expect to be elevated? ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. crises, hospitalizations, precipitating events, medical treatment, and home management. The doctor has ordered Ceftazidime 140mg Q8hr. The patient was tachycardic with a HR of 157. (Select all that apply. b. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Which of the following steps should be included during the preparation and administration process? Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Pediatric Case 8: Brittany Long (Complex). The patient is alone in the room, sitting in bed watching television and says she lost her identification band. Any decrease in respiratory rate or change in breathing pattern should be noted. a. Respiratory depression 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. 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. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? 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. history of sickle cell disease who was diagnosed at 6 months old. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany a. Vitals Immediately discontinue the blood transfusion b. All three of the resident's children are. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. 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. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? hhulsey6. The child had a FLACC pain scale of 3 out of %. (Select all that apply. VSim Sabina Vasquez Pre/Post test. : an American History (Eric Foner). 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. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? 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. before discharge. Document the patient teaching that you would provide for Brittany Long and her family 4. Terms of Use This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. Identify and document key nursing diagnoses for Brittany Long. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. 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. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. Company Registration Number: 61965243 b. c. A: Attached the pulse oximeter per orders and then assessed her pain level using Risk for infection 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. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. . You may feel a pinch. 27 terms. 18 terms. kuuleinani1102. 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. Pediatric Case 7: Brittany Long (Core) 1. 1. Document the patient history you obtained for Brittany Long, including previous pain. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. The patient weighs 35 lb. Document your initial focused assessment of Brittany Long. include IV maintenance fluids and Morphine as needed. A septic reaction is indicated by rigors, chills, fever, and shock. [Show more] Preview 2 out of 5 pages His symptoms include mental confusion, ataxia, stupor, and hypotension. Identity should be confirmed each time a medication is given. 20 terms. Please refer to the attachment to answer this question. 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 Patient reported 6/10 for pain. Vitals were as followed: RR 35, Which of the following findings would indicate that the patient is progressing into hypovolemic shock? Be honest if a procedure is going to be uncomfortable or cause pain. 2. Please include all the critical details (method/results/limitations/implications), one page. 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. Longs response. We're available through e-mail, live chat and Facebook. The nurse suspects the patient is experiencing which of the following transfusion reactions? Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. Thanks! The O2 SAT was 97% with 2 L of oxygen. 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. Identify and document key nursing diagnoses for Brittany Long. 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. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. Administer 20 mL/kg bolus of isotonic crystalloid intravenously ______________________ 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. ), 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. 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 findings would indicate that the patient is experiencing splenic sequestration crisis? a. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . Informed consent Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. Round the weight in kilograms to nearest the whole number. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. Sickle cell anemia is an autosomal recessive disorder, both parents must Which of the following statements by the caregiver indicates that teaching has been effective? 2. 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 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. rellawananab. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. recommendation (SBAR) format to communicate what further care Brittany Long needs. Which right of medication administration has the nurse violated? b. Parent/visitor identification Hello I need help on getting the solution to this practice problem. Wolters Kluwer Health. 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. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? (Select all that apply. Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. Serve fluids in a decorated cup with a brightly colored straw pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. Offer the patient small amounts of fluids frequently and praise efforts to increase intake The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. Pre/Post Simulation for Brittany Long. The patient has had limited oral intake in the past 24 hours and is refusing to drink. Unit 3 Biology - Functioning Ecosystems. a. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. Pennsylvania College of Technology. (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. 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 documentation, over the simulation. (Select all that apply. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. How many milliliters should the nurse prepare to administer? e. Administers a fluid bolus and PRBC as prescribed The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. "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. f. Reassessed vitals 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. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? 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 Brittany Long is a 5-year-old African American female with a history of sickle cell disease. One hour later, the patient appears anxious and complains of chest tightness and headache. Provide the patient with several options to choose from, including a favorite drink 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. Sets found in the same folder. Course Hero is not sponsored or endorsed by any college or university. a. brittany long complex vsim documentation. Is the dose safe and therapeutic? Please refer to the attachment to answer this question. This question was created from SCH3U Lesson Assignment 7 (docx).docx. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT Preview text. 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? days. 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. (Select all that apply.). 19 terms. Jackson Weber Complex Pre/Post Quiz. (Select all that apply. (SBAR) format to communicate what further care Brittany Long needs. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. g. Double checked PRBC with two nurses. From vSim for Nursing | Pediatric. Although pain management is important, assessment and management of circulation and perfusion are the priority. Whole wheat toast, orange slices, and milk 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! How did the simulated experience of Brittany Long's case make you feel? 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. She has been hospitalized twi. Never punish a child for not eating or drinking. DramaQueen66. 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. Article : The impact of gender ideologies on men's and women's desire for a tr. ), The nurse is assessing a patient with acute splenic sequestration crisis. 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. 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. brittany long vsim step by step. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. Further enhance your student . The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. d. Administered morphine Which of the following assessments should the nurse perform on this patient? how to summon ben drowned on cleverbot, united states district court southern district of florida,
brittany long complex vsim documentation
