Rationale:Folic acid stimulates normal red blood cell production. Offer the patient small amounts of fluids frequently and praise efforts to increase intake Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. days. Be honest if a procedure is going to be uncomfortable or cause pain. 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. Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd Document your initial focused assessment of Brittany Long. ), Follow institution protocol for blood transfusion administration and management. brittany long complex vsim documentation. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. (Select all that apply. ), 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. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. g. Double checked PRBC with two nurses. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. Document your handoff report in the situation-background-assessment- 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. 19 terms. Is the dose safe and therapeutic? Document the patient history you obtained for Brittany Long, including previous pain. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. (Select all that apply.) 4. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation 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. Avoid giving large amounts of fluid at a time. Document your . Which of the following principles should the nurse be aware of when administering ketorolac? Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? VSIM 8 Brittany Long documentation.docx - Pediatric Case Informed consent brittany long vsim step by step. Vitals were as followed: RR 35, before discharge. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex a. Vitals B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . the documentation, over the simulation. This question was created from SCH3U Lesson Assignment 7 (docx).docx. 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. 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 ordering breakfast for a patient with sickle cell anemia. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. (SBAR) format to communicate what further care Brittany Long needs. Acute hemolytic reaction f. Reassessed vitals 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. Identify and document key nursing diagnoses for Brittany Long. the FACES scale. d. Administered morphine Never punish a child for not eating or drinking. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. 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. Pediatric Case 7: Brittany Long (Core) 1. Which of the following steps should be included during the preparation and administration process? 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A medical alert bracelet should be worn at all times. 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. One hour later, the patient appears anxious and complains of chest tightness and headache. 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. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu Identify and document key nursing diagnoses for Brittany Long. Please summarizethe article. A septic reaction is indicated by rigors, chills, fever, and shock. (Select all that apply. 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 Prophylactic antibiotics should be taken daily as prescribed to prevent infection. b. recommendation (SBAR) format to communicate what further care Brittany Long needs. Patient reported 6/10 for pain. 3. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. (Select all that apply. VSim Brittany Long Pre/Post test Flashcards | Quizlet hidy_esther . The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. 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. Whole wheat toast, orange slices, and milk Jackson Weber Complex Pre/Post Quiz. The doctor has ordered Ceftazidime 140mg Q8hr. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. 27 terms. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. 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. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? 2. Although pain management is important, assessment and management of circulation and perfusion are the priority. Which right of medication administration has the nurse violated? VSim Documentation- Brittany Long.docx - Course Hero : an American History, Chapter 5 - Summary Give Me Liberty! PRBC was started running at 28mL/her in her L IV site. "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. How many milliliters should the nurse prepare to administer? e. Administers a fluid bolus and PRBC as prescribed You may feel a pinch. 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. 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. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. 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. vSim for Nursing Pediatric | Laerdal Medical With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. 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 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. c. A: Attached the pulse oximeter per orders and then assessed her pain level using
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