Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. : an American History, Chapter 5 - Summary Give Me Liberty! To melt 50 grams of 0-degree-Celsius ice requires ___ calories? VSim Sabina Vasquez Pre/Post test. The patient is awake and sitting in bed playing video games with her sister. b. Parent/visitor identification 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. "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. Risk for infection Brittany Long is a 5-year-old African American female with a history of sickle cell disease. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? Wolters Kluwer Health. The patient was tachycardic with a HR of 157. A septic reaction is indicated by rigors, chills, fever, and shock. rellawananab. Document your initial focused assessment of Brittany Long. before discharge. 2. Informed consent 19 terms. VSim Brittany Long Pre/Post test Flashcards | Quizlet Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. a. Vitals The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. kuuleinani1102. From vSim for Nursing | Pediatric. Naloxone should be readily available in case of respiratory depression. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. the FACES scale. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. The blood pressure, temperature, and respiratory rate are all within normal limits. a. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? (Select all that apply. Respiratory depression Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? This question was created from P21_Homework 2.pdf. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. The child had a FLACC pain scale of 3 out of %. ), The nurse is assessing a patient with acute splenic sequestration crisis. 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. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet ), 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. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. She has been hospitalized twi. 3. 18 terms. Pre/Post Simulation for Brittany Long Flashcards | Quizlet Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. d. Administered morphine 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. All three of the resident's children are. Course Hero is not sponsored or endorsed by any college or university. 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. 4. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. Instead, offer small amounts of liquid frequently. Explain the the clear differences between Anomie Theory and Strain Theory? 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. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. crises, hospitalizations, precipitating events, medical treatment, and home management. : an American History (Eric Foner). b. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. b. Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. The O2 SAT was 97% with 2 L of oxygen. reduce the risk of infection. 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. Identify and document key nursing diagnoses for Brittany Long. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. Please include all the critical details (method/results/limitations/implications), one page. 1) Have the patient lie down in a supine position, A patient with sickle cell disease admitted with acute splenic sequestration has ketorolac (Toradol) and morphine ordered intravenously for pain management. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. 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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! This question was created from SCH3U Lesson Assignment 7 (docx).docx. 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. c. Contacted doctor (Select all that apply.) Document your . brittany long vsim step by step. 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. hidy_esther . pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. 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. Which of the following is the priority for the nurse to monitor for with administration? 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 a. Vitals Whole wheat toast, orange slices, and milk I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? The nurse suspects the patient is experiencing which of the following transfusion reactions? (Select all that apply. Sets found in the same folder. (Select all that apply. history of sickle cell disease who was diagnosed at 6 months old. VSim Documentation- Brittany Long.docx - Course Hero CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT was admitted due to complaining of right lower leg pain for the 2 consecutive Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Pediatric Case 8: Brittany Long (Complex). 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 the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. (SBAR) format to communicate what further care Brittany Long needs. Which of the following meal choices would be the best to increase folic acid intake? 2. 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. Any decrease in respiratory rate or change in breathing pattern should be noted. 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VSim for FA Davis. Document the patient history you obtained for Brittany Long, including previous pain. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Identify and document key nursing diagnoses for Brittany Long. 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. 1. a. brittany long complex vsim documentation. How many milliliters should the nurse prepare to administer? This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. Identity should be confirmed each time a medication is given. Vitals were as followed: RR 35,
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