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The patient 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 Offer the patient small amounts of fluids frequently and praise efforts to increase intake brittany long vsim step by step. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. (Select all that apply.). The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. Place the steps of an abdominal assessment in order. 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. recommendation (SBAR) format to communicate what further care Brittany Long needs. 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. 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. Praise the patient for attempts at eating and drinking. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. Document your . 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. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of 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 medical alert bracelet should be worn at all times. Click the card to flip Serve fluids in a decorated cup with a brightly colored straw Right patient Risk for infection 3. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? : an American History, Chapter 5 - Summary Give Me Liberty! Preview text. hidy_esther . Avoid giving large amounts of fluid at a time. b. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. You may feel a pinch. 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. 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. Please include all the critical details (method/results/limitations/implications), one page. Document your initial focused assessment of Brittany Long. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. 18 terms. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? a. Vitals The nurse suspects the patient is experiencing which of the following transfusion reactions? before discharge. Document your initial focused assessment of Brittany Long. 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. Which of the following results would the nurse expect to be elevated? pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. f. Reassessed vitals His symptoms include mental confusion, ataxia, stupor, and hypotension. The O2 SAT was 97% with 2 L of oxygen. 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. Patient reported 6/10 for pain. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? Any decrease in respiratory rate or change in breathing pattern should be noted. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. Terms of Use 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. reduce the risk of infection. kuuleinani1102. . Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? This question was created from P21_Homework 2.pdf. 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. 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. One hour later, the patient appears anxious and complains of chest tightness and headache. Hello I need help on getting the solution to this practice problem. g. Double checked PRBC with two nurses. [Show more] Preview 2 out of 5 pages A 5-year-old would not be expected to remember his or her medical record number. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. VSim Charlie Snow Complex Pre/Post Sim. 2. Which of the following meal choices would be the best to increase folic acid intake? 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Jackson Weber Complex Pre/Post Quiz. Identify and document key nursing diagnoses for Brittany Long. 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. 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. 19 terms. VSim for FA Davis. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. 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. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Rationale:Folic acid stimulates normal red blood cell production. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. 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- Identity should be confirmed each time a medication is given. Whole wheat toast, orange slices, and milk When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? 1. Temp 99, and BP 110/74. Identify and document key nursing diagnoses for Brittany Long. From vSim for Nursing | Pediatric. ), 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. c. Contacted doctor a. Vitals She has been hospitalized twi. The child had a FLACC pain scale of 3 out of %. history of sickle cell disease who was diagnosed at 6 months old. Wolters Kluwer Health. The blood pressure, temperature, and respiratory rate are all within normal limits. a. b. Parent/visitor identification Prophylactic antibiotics should be taken daily as prescribed to prevent infection. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders Administer 20 mL/kg bolus of isotonic crystalloid intravenously The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. b. All three of the resident's children are. a. 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. Unit 3 Biology - Functioning Ecosystems. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Decreased cardiac output related to decrease in circulating blood volume Sets found in the same folder. PRBC was started running at 28mL/her in her L IV site. Thanks! : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. VSim Sabina Vasquez Pre/Post test. b. Respiratory depression Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. Identify and document key nursing diagnoses for Brittany Long. ), 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. 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. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. a hard, Jeremy is suffering from chronic alcohol abuse. Please summarizethe article. 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. 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 How many milliliters should the nurse prepare to administer? The patient is awake and sitting in bed playing video games with her sister. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. Immediately discontinue the blood transfusion Available is Ceftazidime 500mg. Course Hero is not sponsored or endorsed by any college or university. Which of the following actions should the nurse take first. Which of the following steps should be included during the preparation and administration process? At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. What physical finding should make the clinician suspicious? Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. Vitals were as followed: RR 35, Further enhance your student . (Select all that apply.). We're available through e-mail, live chat and Facebook. 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. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. d. Administered morphine ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. 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. Be honest if a procedure is going to be uncomfortable or cause pain. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. "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. Which of the following assessments should the nurse perform on this patient? The patient has had limited oral intake in the past 24 hours and is refusing to drink. Although pain management is important, assessment and management of circulation and perfusion are the priority. 20 terms. include IV maintenance fluids and Morphine as needed. The nurse is ordering breakfast for a patient with sickle cell anemia. (Select all that apply.) Pediatric Case 7: Brittany Long (Core) 1. (Select all that apply. 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. Please refer to the attachment to answer this question. Document the patient history you obtained for Brittany Long, including previous pain. 27 terms. 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. 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! A septic reaction is indicated by rigors, chills, fever, and shock. Never punish a child for not eating or drinking. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. Which of the following is the priority for the nurse to monitor for with administration? Sickle cell anemia is an autosomal recessive disorder, both parents must Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. Document your initial focused assessment of Brittany Long. A tiny tube will be placed where you go pee-pee. brittany long complex vsim documentation. ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. was admitted due to complaining of right lower leg pain for the 2 consecutive Company Registration Number: 61965243 CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT Longs response. This question was created from SCH3U Lesson Assignment 7 (docx).docx. Instead, offer small amounts of liquid frequently. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. 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. Please refer to the attachment to answer this question. 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. The doctor has ordered Ceftazidime 140mg Q8hr. crises, hospitalizations, precipitating events, medical treatment, and home management. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. Informed consent rellawananab. (Select all that apply. Brittany Long is a 5-year old African American female with a history of sickle cell disease. 4. Course Hero is not sponsored or endorsed by any college or university. : 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! Pre/Post Simulation for Brittany Long. 19 terms. 2. Document the patient teaching that you would provide for Brittany Long and her family b. hhulsey6. Article : The impact of gender ideologies on men's and women's desire for a tr. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. DramaQueen66. 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. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. 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. Explain the the clear differences between Anomie Theory and Strain Theory? The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. 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. c. A: Attached the pulse oximeter per orders and then assessed her pain level using Brittany Long is a 5-year-old African American female with a history of sickle cell disease. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. (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. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. 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. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. (Select all that apply.). Provide the patient with several options to choose from, including a favorite drink (Select all that apply. Naloxone should be readily available in case of respiratory depression. Pennsylvania College of Technology. ), The nurse is assessing a patient with acute splenic sequestration crisis. 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. Blood verification, Identify and document key nursing diagnoses for Brittany Long. 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. Round the weight in kilograms to nearest the whole number. A nonhemolytic febrile reaction is indicated by fever and chills. the FACES scale. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. Is the dose safe and therapeutic? How did the simulated experience of Brittany Long's case make you feel? 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. 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 e. Administers a fluid bolus and PRBC as prescribed We communicated the importance of care and signs of infection and ways to a. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. Acute hemolytic reaction the documentation, over the simulation. 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. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . (Select all that apply. Which of the following principles should the nurse be aware of when administering ketorolac? Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. Which right of medication administration has the nurse violated? Which of the following statements by the caregiver indicates that teaching has been effective? 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 nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. ), Follow institution protocol for blood transfusion administration and management. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. (Select all that apply. days. a. Document your initial focused assessment of Brittany Long. S: The patient is Brittany Long, a 5-year-old African American female with a Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. The patient was tachycardic with a HR of 157. (Select all that apply. Pediatric Case 8: Brittany Long (Complex). 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? The patient weighs 35 lb. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. : an American History (Eric Foner).