The patient was tachycardic with a HR of 157. The nurse suspects the patient is experiencing which of the following transfusion reactions? When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? reduce the risk of infection. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. 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. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. Naloxone should be readily available in case of respiratory depression. brittany long vsim step by step. 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 You may feel a pinch. 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. 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. ), 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. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. 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. Identify and document key nursing diagnoses for Brittany Long. Please refer to the attachment to answer this question. ), Follow institution protocol for blood transfusion administration and 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. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Pediatric Case 08 Brittany Long Complex DA - Studocu VSIM 8 Brittany Long documentation.docx - Pediatric Case Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. The O2 SAT was 97% with 2 L of oxygen. 19 terms. rellawananab. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation Prophylactic antibiotics should be taken daily as prescribed to prevent infection. Terms of Use Hello I need help on getting the solution to this practice problem. Explain the the clear differences between Anomie Theory and Strain Theory? "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. vSim for Nursing Pediatric | Laerdal Medical d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. Identify and document key nursing diagnoses for Brittany Long. Offer the patient small amounts of fluids frequently and praise efforts to increase intake Preview text. (Select all that apply. Please refer to the attachment to answer this question. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Article : The impact of gender ideologies on men's and women's desire for a tr. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? Any decrease in respiratory rate or change in breathing pattern should be noted. (Select all that apply. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. 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. 27 terms. was admitted due to complaining of right lower leg pain for the 2 consecutive Decreased cardiac output related to decrease in circulating blood volume Risk for infection Patient reported 6/10 for pain. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. Brittany Long vSim Documentation Assignment - Homework Score Which of the following actions should the nurse take first. Respiratory depression How many milliliters should the nurse prepare to administer? ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. Provide the patient with several options to choose from, including a favorite drink 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. 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. before discharge. Document your initial focused assessment of Brittany Long. Please summarizethe article. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Instead, offer small amounts of liquid frequently. e. Administers a fluid bolus and PRBC as prescribed Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. b. Parent/visitor identification Document your initial focused assessment of Brittany Long. Sets found in the same folder. include IV maintenance fluids and Morphine as needed. Temp 99, and BP 110/74. Never punish a child for not eating or drinking. Whole wheat toast, orange slices, and milk Identify and document key nursing diagnoses for Brittany Long. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. 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. This question was created from SCH3U Lesson Assignment 7 (docx).docx. the documentation, over the simulation. We communicated the importance of care and signs of infection and ways to (Select all that apply. All three of the resident's children are. ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. PRBC was started running at 28mL/her in her L IV site. Administer 20 mL/kg bolus of isotonic crystalloid intravenously Pre/Post Simulation for Brittany Long. 2. Round the weight in kilograms to nearest the whole number. Unit 3 Biology - Functioning Ecosystems. b. Place the steps of an abdominal assessment in order. : an American History (Eric Foner). 4. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. Sickle cell anemia is an autosomal recessive disorder, both parents must The patient Identity should be confirmed each time a medication is given. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. Cross), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! (Select all that apply.). Peps c4 | Pharmacology homework help - SweetStudy Which right of medication administration has the nurse violated? B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . Which of the following principles should the nurse be aware of when administering ketorolac? vSim for Nursing | Pediatric - LWW This question was created from P21_Homework 2.pdf. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. Further enhance your student . It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. 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. f. Reassessed vitals c. Contacted doctor Company Registration Number: 61965243 Informed consent The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. 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. kuuleinani1102. Available is Ceftazidime 500mg. Which of the following assessments should the nurse perform on this patient? Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. What physical finding should make the clinician suspicious? Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Avoid giving large amounts of fluid at a time. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? One hour later, the patient appears anxious and complains of chest tightness and headache. a. Vitals Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. c. A: Attached the pulse oximeter per orders and then assessed her pain level using Which of the following statements by the caregiver indicates that teaching has been effective? a. Vitals DramaQueen66. Document your initial focused assessment of Brittany Long. . VSim Charlie Snow Complex Pre/Post Sim. 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. 3. The patient weighs 35 lb. We're available through e-mail, live chat and Facebook. a. Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. Pediatric Case 08 Brittany Long Complex DA - Studocu Which of the following results would the nurse expect to be elevated? A 5-year-old would not be expected to remember his or her medical record number. Course Hero is not sponsored or endorsed by any college or university. 2. Rationale:Folic acid stimulates normal red blood cell production. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. Pre/Post Simulation for Brittany Long Flashcards | Quizlet (Select all that apply.) Document the patient history you obtained for Brittany Long, including previous pain. VSim Brittany Long Pre/Post test Flashcards | Quizlet 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. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. 1. S: The patient is Brittany Long, a 5-year-old African American female with a Click the card to flip 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. [Show more] Preview 2 out of 5 pages Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. 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 Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. (Select all that apply. 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. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex Which of the following findings would indicate that the patient is progressing into hypovolemic shock? (Select all that apply.). Serve fluids in a decorated cup with a brightly colored straw The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. 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 The blood pressure, temperature, and respiratory rate are all within normal limits. 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. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Please include all the critical details (method/results/limitations/implications), one page. a. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. hhulsey6. Course Hero is not sponsored or endorsed by any college or university. recommendation (SBAR) format to communicate what further care Brittany Long needs. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Pediatric Case 7: Brittany Long (Core) 1. hidy_esther . 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. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. a hard, Jeremy is suffering from chronic alcohol abuse.