Administer 20 mL/kg bolus of isotonic crystalloid intravenously 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. We communicated the importance of care and signs of infection and ways to The nurse suspects the patient is experiencing which of the following transfusion reactions? VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. Please refer to the attachment to answer this question. b. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . We're available through e-mail, live chat and Facebook. The patient weighs 35 lb. 2. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. The nurse is ordering breakfast for a patient with sickle cell anemia. Preview text. Hello I need help on getting the solution to this practice problem. Which of the following assessments should the nurse perform on this patient? Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. Pre/Post Simulation for Brittany Long. DramaQueen66. Unit 3 Biology - Functioning Ecosystems. 27 terms. Respiratory depression The patient has had limited oral intake in the past 24 hours and is refusing to drink. b. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. Which of the following actions should the nurse take first. (Select all that apply. rellawananab. The patient was tachycardic with a HR of 157. a. vSim for Nursing | Pediatric - LWW Brittany Long is a 5-year old African American female with a history of sickle cell disease. 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. Pediatric Case 7: Brittany Long (Core) 1. a. Any decrease in respiratory rate or change in breathing pattern should be noted. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. 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. a. Document your initial focused assessment of Brittany Long. (Select all that apply.). 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. The doctor has ordered Ceftazidime 140mg Q8hr. . 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. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT ), The nurse is assessing a patient with acute splenic sequestration crisis. was admitted due to complaining of right lower leg pain for the 2 consecutive VSim Charlie Snow Complex Pre/Post Sim. Is the dose safe and therapeutic? (SBAR) format to communicate what further care Brittany Long needs. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. Please include all the critical details (method/results/limitations/implications), one page. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu 2. 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. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? 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. 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. Patient reported 6/10 for pain. What physical finding should make the clinician suspicious? a. Vitals (Select all that apply. VSim Sabina Vasquez Pre/Post test. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. The patient 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. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. days. Available is Ceftazidime 500mg. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? (Select all that apply. A tiny tube will be placed where you go pee-pee. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. Informed consent Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. Document your initial focused assessment of Brittany Long. 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. e. Administers a fluid bolus and PRBC as prescribed Document your . c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. (Select all that apply. Praise the patient for attempts at eating and drinking. 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. Avoid giving large amounts of fluid at a time. 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. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. b. Parent/visitor identification c. A: Attached the pulse oximeter per orders and then assessed her pain level using 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 The patient is awake and sitting in bed playing video games with her sister. 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. 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 patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. The child had a FLACC pain scale of 3 out of %. Click the card to flip Please refer to the attachment to answer this question. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? 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 Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? PRBC was started running at 28mL/her in her L IV site. (Select all that apply.). At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. brittany long complex vsim documentation. 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. reduce the risk of infection. Round the weight in kilograms to nearest the whole number. 1. history of sickle cell disease who was diagnosed at 6 months old. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. a hard, Jeremy is suffering from chronic alcohol abuse. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders His symptoms include mental confusion, ataxia, stupor, and hypotension. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. hidy_esther . Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? Longs response. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. Rationale:Folic acid stimulates normal red blood cell production. Article : The impact of gender ideologies on men's and women's desire for a tr. (Select all that apply. Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet hhulsey6. Acute hemolytic reaction The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. d. Administered morphine An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. Document your handoff report in the situation-background-assessment- ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. 3. Temp 99, and BP 110/74. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. This question was created from SCH3U Lesson Assignment 7 (docx).docx. Although pain management is important, assessment and management of circulation and perfusion are the priority. Naloxone should be readily available in case of respiratory depression. 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. : an American History, Chapter 5 - Summary Give Me Liberty! This question was created from P21_Homework 2.pdf. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. Vitals were as followed: RR 35, 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. Course Hero is not sponsored or endorsed by any college or university. 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. Pre/Post Simulation for Brittany Long Flashcards | Quizlet Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? Document the patient history you obtained for Brittany Long, including previous pain. 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. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. The blood pressure, temperature, and respiratory rate are all within normal limits. Company Registration Number: 61965243 Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. 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. Which of the following steps should be included during the preparation and administration process? Right patient Identify and document key nursing diagnoses for Brittany Long. 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. Document the patient teaching that you would provide for Brittany Long and her family VSim Documentation- Brittany Long.docx - Course Hero Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. Further enhance your student . From vSim for Nursing | Pediatric. Pediatric Case 08 Brittany Long Complex DA - Studocu Pediatric Case 8: Brittany Long (Complex). 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. 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 nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. Wolters Kluwer Health. include IV maintenance fluids and Morphine as needed. b. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. ), Follow institution protocol for blood transfusion administration and management. Identify and document key nursing diagnoses for Brittany Long. Sickle cell anemia is an autosomal recessive disorder, both parents must She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Instead, offer small amounts of liquid frequently. Which of the following statements by the caregiver indicates that teaching has been effective? After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. VSim Brittany Long Pre/Post test Flashcards | Quizlet Be honest if a procedure is going to be uncomfortable or cause pain. The O2 SAT was 97% with 2 L of oxygen. Course Hero is not sponsored or endorsed by any college or university. How did the simulated experience of Brittany Long's case make you feel? 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. Identify and document key nursing diagnoses for Brittany Long. 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. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? Document your initial focused assessment of Brittany Long. a. Vitals Pediatric Case 08 Brittany Long Complex DA - Studocu recommendation (SBAR) format to communicate what further care Brittany Long needs. VSIM 8 Brittany Long documentation.docx - Pediatric Case 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. Provide the patient with several options to choose from, including a favorite drink A septic reaction is indicated by rigors, chills, fever, and shock. 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 All three of the resident's children are. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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Serve fluids in a decorated cup with a brightly colored straw Sets found in the same folder. S: The patient is Brittany Long, a 5-year-old African American female with a 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. ), 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. a. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Which of the following principles should the nurse be aware of when administering ketorolac? A medical alert bracelet should be worn at all times. 19 terms. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. Brittany Long vSim Documentation Assignment - Homework Score Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. A nonhemolytic febrile reaction is indicated by fever and chills. 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. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. 19 terms. (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. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. crises, hospitalizations, precipitating events, medical treatment, and home management. You may feel a pinch. Jackson Weber Complex Pre/Post Quiz. "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. 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. Immediately discontinue the blood transfusion g. Double checked PRBC with two nurses. Offer the patient small amounts of fluids frequently and praise efforts to increase intake f. Reassessed vitals 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. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany 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. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. Never punish a child for not eating or drinking. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. ______________________ 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. 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_Brittany_Long_1.docx - Pediatric Case 4 Documentation Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. Pennsylvania College of Technology. Place the steps of an abdominal assessment in order. Which of the following is the priority for the nurse to monitor for with administration? : 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! Thanks! VSim for FA Davis. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. Please summarizethe article. Identity should be confirmed each time a medication is given. 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. 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Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. before discharge. ), 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. : an American History (Eric Foner). Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Peps c4 | Pharmacology homework help - SweetStudy (Select all that apply.) b. She has been hospitalized twi. vSim for Nursing Pediatric | Laerdal Medical A 5-year-old would not be expected to remember his or her medical record number. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis.
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