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