brittany long complex vsim documentation

Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. We're available through e-mail, live chat and Facebook. 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 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. Pre/Post Simulation for Brittany Long Flashcards | Quizlet 27 terms. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. 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. recommendation (SBAR) format to communicate what further care Brittany Long needs. Never punish a child for not eating or drinking. Explain the the clear differences between Anomie Theory and Strain Theory? Provide the patient with several options to choose from, including a favorite drink DramaQueen66. Pediatric Case 08 Brittany Long Complex DA - Studocu f. Reassessed vitals Article : The impact of gender ideologies on men's and women's desire for a tr. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. The nurse suspects the patient is experiencing which of the following transfusion reactions? The patient weighs 35 lb. Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd 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. Sickle cell anemia is an autosomal recessive disorder, both parents must Referring to your feedback log, document the nursing care you provided and Brittany Long's response. b. This question was created from P21_Homework 2.pdf. (Select all that apply.). "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. Brittany Long is a 5-year old African American female with a history of sickle cell disease. 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 patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. The patient (Select all that apply. Whole wheat toast, orange slices, and milk Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. Which of the following statements by the caregiver indicates that teaching has been effective? Be honest if a procedure is going to be uncomfortable or cause pain. Document your initial focused assessment of Brittany Long. Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. 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. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. (Select all that apply.) A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. How many milliliters should the nurse prepare to administer? VSim Brittany Long Pre/Post test Flashcards | Quizlet Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? 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. His symptoms include mental confusion, ataxia, stupor, and hypotension. Peps c4 | Pharmacology homework help - SweetStudy Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. before discharge. Respiratory depression 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. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. One hour later, the patient appears anxious and complains of chest tightness and headache. c. Contacted doctor 2. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. Decreased cardiac output related to decrease in circulating blood volume Vitals were as followed: RR 35, 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 1. was admitted due to complaining of right lower leg pain for the 2 consecutive Sets found in the same folder. include IV maintenance fluids and Morphine as needed. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Naloxone should be readily available in case of respiratory depression. Which of the following steps should be included during the preparation and administration process? The child had a FLACC pain scale of 3 out of %. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. The O2 SAT was 97% with 2 L of oxygen. 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 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. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . The patient has had limited oral intake in the past 24 hours and is refusing to drink. Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet Patient reported 6/10 for pain. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. Document your . Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. (Select all that apply. vSim for Nursing | Pediatric - LWW a. Vitals Course Hero is not sponsored or endorsed by any college or university. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. reduce the risk of infection. (Select all that apply. Temp 99, and BP 110/74. Longs response. (SBAR) format to communicate what further care Brittany Long needs. Brittany Long vSim Documentation Assignment - Homework Score The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. Wolters Kluwer Health. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation Rationale:Folic acid stimulates normal red blood cell production. S: The patient is Brittany Long, a 5-year-old African American female with a Any decrease in respiratory rate or change in breathing pattern should be noted. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. All three of the resident's children are. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? vSim for Nursing Pediatric | Laerdal Medical What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? She has been hospitalized twi. 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. Pediatric Case 8: Brittany Long (Complex). Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Which of the following assessments should the nurse perform on this patient? hidy_esther . ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. the FACES scale. kuuleinani1102. 3. Identify and document key nursing diagnoses for Brittany Long. e. Administers a fluid bolus and PRBC as prescribed The patient is awake and sitting in bed playing video games with her sister. 4. Please refer to the attachment to answer this question. Unit 3 Biology - Functioning Ecosystems. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? From vSim for Nursing | Pediatric. 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 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. 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Place the steps of an abdominal assessment in order. Identify and document key nursing diagnoses for Brittany Long. 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! To melt 50 grams of 0-degree-Celsius ice requires ___ calories? ), The nurse is assessing a patient with acute splenic sequestration crisis. 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. Which of the following findings would indicate that the patient is experiencing splenic sequestration 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. hhulsey6. 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. b. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex VSim for FA Davis. b. 19 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. VSim Documentation- Brittany Long.docx - Course Hero 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. Identify and document key nursing diagnoses for Brittany Long. : 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! Document your handoff report in the situation-background-assessment- Identity should be confirmed each time a medication is given. . Preview text. 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 summarizethe article. b. Parent/visitor identification Thanks! a. Which of the following actions should the nurse take first. Which of the following principles should the nurse be aware of when administering ketorolac? Click the card to flip 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. 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 Is the dose safe and therapeutic? : an American History, Chapter 5 - Summary Give Me Liberty! Immediately discontinue the blood transfusion (Select all that apply. : an American History (Eric Foner). Although pain management is important, assessment and management of circulation and perfusion are the priority. 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. (Select all that apply.). Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia A tiny tube will be placed where you go pee-pee. Please refer to the attachment to answer this question. Which of the following meal choices would be the best to increase folic acid intake? Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and 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. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. d. Administered morphine 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. Administer 20 mL/kg bolus of isotonic crystalloid intravenously Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. rellawananab. Jackson Weber Complex Pre/Post Quiz. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? 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. ), 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. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? the documentation, over the simulation. 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. a. Vitals a hard, Jeremy is suffering from chronic alcohol abuse. brittany long complex vsim documentation. You may feel a pinch. How did the simulated experience of Brittany Long's case make you feel? What physical finding should make the clinician suspicious? VSIM 8 Brittany Long documentation.docx - Pediatric Case [Show more] Preview 2 out of 5 pages brittany long vsim step by step. a. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT a. Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. Round the weight in kilograms to nearest the whole number. The nurse is ordering breakfast for a patient with sickle cell anemia. Available is Ceftazidime 500mg. Pre/Post Simulation for Brittany Long. 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. 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. Which right of medication administration has the nurse violated? The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. Risk for infection The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. This question was created from SCH3U Lesson Assignment 7 (docx).docx. (Select all that apply. 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. 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. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. The patient was tachycardic with a HR of 157. Document your initial focused assessment of Brittany Long. 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. Please include all the critical details (method/results/limitations/implications), one page. VSim Charlie Snow Complex Pre/Post Sim. Which of the following results would the nurse expect to be elevated? Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. Document the patient teaching that you would provide for Brittany Long and her family After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. Further enhance your student . b. 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. ), 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 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 monitor urine output over several hours to determine whether fluid resuscitation has been effective, but this is not the immediate priority.
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