brittany long complex vsim documentation

reduce the risk of infection. 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. Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. Pediatric Case 08 Brittany Long Complex DA - Studocu Brittany Long vSim Documentation Assignment - Homework Score VSim Sabina Vasquez Pre/Post test. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. A tiny tube will be placed where you go pee-pee. The patient Terms of Use 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. brittany long vsim step by step. e. Administers a fluid bolus and PRBC as prescribed : an American History (Eric Foner). crises, hospitalizations, precipitating events, medical treatment, and home management. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Course Hero is not sponsored or endorsed by any college or university. Serve fluids in a decorated cup with a brightly colored straw 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. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. 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. c. Contacted doctor At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany Company Registration Number: 61965243 c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. 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. 19 terms. b. (Select all that apply. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. 18 terms. Jackson Weber Complex Pre/Post Quiz. Hello I need help on getting the solution to this practice problem. b. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . a. Vitals VSIM 8 Brittany Long documentation.docx - Pediatric Case A medical alert bracelet should be worn at all times. (Select all that apply.). The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. Round the weight in kilograms to nearest the whole number. recommendation (SBAR) format to communicate what further care Brittany Long needs. days. 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. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? kuuleinani1102. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex Is the dose safe and therapeutic? vSim for Nursing Pediatric | Laerdal Medical The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Which right of medication administration has the nurse violated? Pediatric Case 7: Brittany Long (Core) 1. c. A: Attached the pulse oximeter per orders and then assessed her pain level using Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu Vitals were as followed: RR 35, The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. 20 terms. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? hidy_esther . Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. 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. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Document your handoff report in the situation-background-assessment- PRBC was started running at 28mL/her in her L IV site. 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. Document your initial focused assessment of Brittany Long. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. a. 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 interventions, as ordered by the primary provider, would be the nurse's first priority? Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. vSim for Nursing | Pediatric - LWW Any decrease in respiratory rate or change in breathing pattern should be noted. Longs response. A 5-year-old would not be expected to remember his or her medical record number. "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. 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. Unit 3 Biology - Functioning Ecosystems. Sets found in the same folder. Decreased cardiac output related to decrease in circulating blood volume Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. 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. 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. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. Preview text. 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! 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. 2. Immediately discontinue the blood transfusion Please refer to the attachment to answer this question. Pre/Post Simulation for Brittany Long Flashcards | Quizlet Which of the following steps should be included during the preparation and administration process? ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. One hour later, the patient appears anxious and complains of chest tightness and headache. ), Follow institution protocol for blood transfusion administration and management. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? What physical finding should make the clinician suspicious? Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. 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. Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd 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. b. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. b. Parent/visitor identification This question was created from SCH3U Lesson Assignment 7 (docx).docx. the documentation, over the simulation. Document your . Please refer to the attachment to answer this question. The patient has had limited oral intake in the past 24 hours and is refusing to drink. 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. 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. 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 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 Pediatric Case 08 Brittany Long Complex DA - Studocu 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. 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. A septic reaction is indicated by rigors, chills, fever, and shock. Sickle cell anemia is an autosomal recessive disorder, both parents must This question was created from P21_Homework 2.pdf. 1. Which of the following statements by the caregiver indicates that teaching has been effective? g. Double checked PRBC with two nurses. Which of the following is the priority for the nurse to monitor for with administration? 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. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. 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. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. The child had a FLACC pain scale of 3 out of %. How did the simulated experience of Brittany Long's case make you feel? the FACES scale. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? (Select all that apply.). before discharge. ), 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. Informed consent [Show more] Preview 2 out of 5 pages 27 terms. 3. Click the card to flip The patient weighs 35 lb. include IV maintenance fluids and Morphine as needed. b. Thanks! (Select all that apply. 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. She has been hospitalized twi. The nurse is ordering breakfast for a patient with sickle cell anemia. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. rellawananab. brittany long complex vsim documentation. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. VSim Documentation- Brittany Long.docx - Course Hero 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. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. was admitted due to complaining of right lower leg pain for the 2 consecutive Identify and document key nursing diagnoses for Brittany Long. Identify and document key nursing diagnoses for Brittany Long. d. Administered morphine Document your initial focused assessment of Brittany Long. history of sickle cell disease who was diagnosed at 6 months old. 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. 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 Pennsylvania College of Technology. Administer 20 mL/kg bolus of isotonic crystalloid intravenously Please summarizethe article. 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. 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. 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 (Select all that apply. Wolters Kluwer Health. Never punish a child for not eating or drinking. a. Document the patient teaching that you would provide for Brittany Long and her family The patient is awake and sitting in bed playing video games with her sister. Temp 99, and BP 110/74. Be honest if a procedure is going to be uncomfortable or cause pain. Available is Ceftazidime 500mg. Instead, offer small amounts of liquid frequently. Rationale:Folic acid stimulates normal red blood cell production. The O2 SAT was 97% with 2 L of oxygen. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. Document your initial focused assessment of Brittany Long. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. Patient reported 6/10 for pain. The nurse suspects the patient is experiencing which of the following transfusion reactions? Although pain management is important, assessment and management of circulation and perfusion are the priority. a. Explain the the clear differences between Anomie Theory and Strain Theory? Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? We communicated the importance of care and signs of infection and ways to 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. : an American History, Chapter 5 - Summary Give Me Liberty! Which of the following principles should the nurse be aware of when administering ketorolac? This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. S: The patient is Brittany Long, a 5-year-old African American female with a 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. 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. His symptoms include mental confusion, ataxia, stupor, and hypotension. a. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Naloxone should be readily available in case of respiratory depression. Provide the patient with several options to choose from, including a favorite drink a hard, Jeremy is suffering from chronic alcohol abuse. Pediatric Case 8: Brittany Long (Complex). Whole wheat toast, orange slices, and milk Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. 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. Offer the patient small amounts of fluids frequently and praise efforts to increase intake A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. ), 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. Avoid giving large amounts of fluid at a time. Course Hero is not sponsored or endorsed by any college or university. 2. The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? 4. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. Document your initial focused assessment of Brittany Long. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation 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. All three of the resident's children are. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Place the steps of an abdominal assessment in order. 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.). Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. Which of the following meal choices would be the best to increase folic acid intake? DramaQueen66. . ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. Which of the following actions should the nurse take first. A nonhemolytic febrile reaction is indicated by fever and chills. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? We're available through e-mail, live chat and Facebook. The patient was tachycardic with a HR of 157. Acute hemolytic reaction hhulsey6. (Select all that apply.) (SBAR) format to communicate what further care Brittany Long needs. Which of the following results would the nurse expect to be elevated? Pre/Post Simulation for Brittany Long. (Select all that apply. 19 terms. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. Respiratory depression Risk for infection 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. The doctor has ordered Ceftazidime 140mg Q8hr. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT The blood pressure, temperature, and respiratory rate are all within normal limits. Further enhance your student . Right patient 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. 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