The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. The patient is awake and sitting in bed playing video games with her sister. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? g. Double checked PRBC with two nurses. The doctor has ordered Ceftazidime 140mg Q8hr. Informed consent Explain the the clear differences between Anomie Theory and Strain Theory? 18 terms. (Select all that apply.). Please refer to the attachment to answer this question. Whole wheat toast, orange slices, and milk On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? (Select all that apply. The patient weighs 35 lb. Course Hero is not sponsored or endorsed by any college or university. Never punish a child for not eating or drinking. Administer 20 mL/kg bolus of isotonic crystalloid intravenously This question was created from SCH3U Lesson Assignment 7 (docx).docx. Peps c4 | Pharmacology homework help - SweetStudy This question was created from P21_Homework 2.pdf. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. Praise the patient for attempts at eating and drinking. a. Vitals b. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. ), Follow institution protocol for blood transfusion administration and management. 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 Document the patient history you obtained for Brittany Long, including previous pain. : 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! Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. d. Administered morphine A medical alert bracelet should be worn at all times. Instead, offer small amounts of liquid frequently. DramaQueen66. Immediately discontinue the blood transfusion Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? Place the steps of an abdominal assessment in order. (Select all that apply. ), The nurse is assessing a patient with acute splenic sequestration crisis. 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. Risk for infection VSim Sabina Vasquez Pre/Post test. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? Article : The impact of gender ideologies on men's and women's desire for a tr. 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. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. a. 3. a. Vitals All three of the resident's children are. b. Parent/visitor identification Be honest if a procedure is going to be uncomfortable or cause pain. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. Document the patient teaching that you would provide for Brittany Long and her family Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. Offer the patient small amounts of fluids frequently and praise efforts to increase intake Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany Which right of medication administration has the nurse violated? Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. brittany long vsim step by step. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. 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 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. Patient reported 6/10 for pain. 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. We communicated the importance of care and signs of infection and ways to Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. a. Longs response. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. Is the dose safe and therapeutic? Avoid giving large amounts of fluid at a time. the FACES scale. Which of the following assessments should the nurse perform on this patient? Document your initial focused assessment of Brittany Long. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. 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. VSim Documentation- Brittany Long.docx - Course Hero history of sickle cell disease who was diagnosed at 6 months old. Please include all the critical details (method/results/limitations/implications), one page. 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Provide the patient with several options to choose from, including a favorite drink Identity should be confirmed each time a medication is given. Thanks! ), 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. Document your handoff report in the situation-background-assessment- Pediatric Case 08 Brittany Long Complex DA - Studocu I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. (Select all that apply. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. 19 terms. 19 terms. Pennsylvania College of Technology. 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. 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! was admitted due to complaining of right lower leg pain for the 2 consecutive pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Any decrease in respiratory rate or change in breathing pattern should be noted. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Sickle cell anemia is an autosomal recessive disorder, both parents must a. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. 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 Which of the following is the priority for the nurse to monitor for with administration? The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. Which of the following actions should the nurse take first. "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. 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. Pediatric Case 7: Brittany Long (Core) 1. Preview text. vSim for Nursing Pediatric | Laerdal Medical 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. Document your initial focused assessment of Brittany Long. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. Identify and document key nursing diagnoses for Brittany Long. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. Please refer to the attachment to answer this question. 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. ), 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.

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