(Select all that apply. Right patient kuuleinani1102. (Select all that apply.) Respiratory depression Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. Please summarizethe article. 19 terms. ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. b. c. A: Attached the pulse oximeter per orders and then assessed her pain level using Pediatric Case 8: Brittany Long (Complex). PRBC was started running at 28mL/her in her L IV site. [Show more] Preview 2 out of 5 pages Pre/Post Simulation for Brittany Long. 4. 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. Terms of Use Administer 20 mL/kg bolus of isotonic crystalloid intravenously reduce the risk of infection. 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. (Select all that apply. We communicated the importance of care and signs of infection and ways to Which of the following principles should the nurse be aware of when administering ketorolac? 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. Rationale:Folic acid stimulates normal red blood cell production. (Select all that apply.). She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Article : The impact of gender ideologies on men's and women's desire for a tr. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. A tiny tube will be placed where you go pee-pee. Decreased cardiac output related to decrease in circulating blood volume She has been hospitalized twi. The patient was tachycardic with a HR of 157. Instead, offer small amounts of liquid frequently. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? A 5-year-old would not be expected to remember his or her medical record number. You may feel a pinch. Document your . ), 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. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. (Select all that apply. Which of the following statements by the caregiver indicates that teaching has been effective? Naloxone should be readily available in case of respiratory depression. g. Double checked PRBC with two nurses. How many milliliters should the nurse prepare to administer? It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. 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. c. Contacted doctor Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? a. Vitals Identify and document key nursing diagnoses for Brittany Long. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. Longs response. f. Reassessed vitals From vSim for Nursing | Pediatric. 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. Is the dose safe and therapeutic? Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. hhulsey6. Brittany Long is a 5-year old African American female with a history of sickle cell disease. 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. a. 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. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. The nurse suspects the patient is experiencing which of the following transfusion reactions? To melt 50 grams of 0-degree-Celsius ice requires ___ calories? The patient weighs 35 lb. Unit 3 Biology - Functioning Ecosystems. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. 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. Course Hero is not sponsored or endorsed by any college or university. Document the patient teaching that you would provide for Brittany Long and her family a hard, Jeremy is suffering from chronic alcohol abuse. 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. the documentation, over the simulation. Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. 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. Jackson Weber Complex Pre/Post Quiz. Document your initial focused assessment of Brittany Long. a. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? VSim Sabina Vasquez Pre/Post test. rellawananab. Identity should be confirmed each time a medication is given. 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. include IV maintenance fluids and Morphine as needed. 3. brittany long vsim step by step. b. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. 2. . Which of the following is the priority for the nurse to monitor for with administration? VSim Charlie Snow Complex Pre/Post Sim. 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. All three of the resident's children are. hidy_esther . Which of the following actions should the nurse take first. Click the card to flip Which of the following steps should be included during the preparation and administration process? a. (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. 1. 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. was admitted due to complaining of right lower leg pain for the 2 consecutive 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. brittany long complex vsim documentation. Which of the following assessments should the nurse perform on this patient? The patient Temp 99, and BP 110/74. Vitals were as followed: RR 35, 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. 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. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. Patient reported 6/10 for pain. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? Immediately discontinue the blood transfusion Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? 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. (Select all that apply. 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. 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! Identify and document key nursing diagnoses for Brittany Long. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . b. 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.