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. She has been hospitalized twi. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. We communicated the importance of care and signs of infection and ways to 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. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. 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 patient weighs 35 lb. S: The patient is Brittany Long, a 5-year-old African American female with a The patient is awake and sitting in bed playing video games with her sister. Which of the following actions should the nurse take first. Decreased cardiac output related to decrease in circulating blood volume 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 is alone in the room, sitting in bed watching television and says she lost her identification band. Instead, offer small amounts of liquid frequently. The patient has had limited oral intake in the past 24 hours and is refusing to drink. Vitals were as followed: RR 35, A medical alert bracelet should be worn at all times. Document the patient teaching that you would provide for Brittany Long and her family What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. Which of the following results would the nurse expect to be elevated? (Select all that apply. The nurse suspects the patient is experiencing which of the following transfusion reactions? B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders Pediatric Case 08 Brittany Long Complex DA - Studocu The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. e. Administers a fluid bolus and PRBC as prescribed a. Vitals The patient Longs response. What physical finding should make the clinician suspicious? Although pain management is important, assessment and management of circulation and perfusion are the priority. Praise the patient for attempts at eating and drinking. 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. Any decrease in respiratory rate or change in breathing pattern should be noted. From vSim for Nursing | Pediatric. Which of the following assessments should the nurse perform on this patient? before discharge. b. a. 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. Never punish a child for not eating or drinking. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Sets found in the same folder. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. The child had a FLACC pain scale of 3 out of %. brittany long complex vsim documentation. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex 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. Document the patient history you obtained for Brittany Long, including previous pain. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. 27 terms. kuuleinani1102. We're available through e-mail, live chat and Facebook. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Document your handoff report in the situation-background-assessment- . Provide the patient with several options to choose from, including a favorite drink Unit 3 Biology - Functioning Ecosystems. Offer the patient small amounts of fluids frequently and praise efforts to increase intake 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. This question was created from P21_Homework 2.pdf. The blood pressure, temperature, and respiratory rate are all within normal limits. 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. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany 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. 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. Document your . The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. Wolters Kluwer Health. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. Pediatric Case 7: Brittany Long (Core) 1. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. The nurse is ordering breakfast for a patient with sickle cell anemia. Pre/Post Simulation for Brittany Long. Round the weight in kilograms to nearest the whole number. Avoid giving large amounts of fluid at a time. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. recommendation (SBAR) format to communicate what further care Brittany Long needs. 2. 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. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. history of sickle cell disease who was diagnosed at 6 months old. a hard, Jeremy is suffering from chronic alcohol abuse. VSim Brittany Long Pre/Post test Flashcards | Quizlet VSim Sabina Vasquez Pre/Post test. a. Vitals Please refer to the attachment to answer this question. Which of the following is the priority for the nurse to monitor for with administration? b. 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! Pediatric Case 08 Brittany Long Complex DA - Studocu The doctor has ordered Ceftazidime 140mg Q8hr. Which of the following statements by the caregiver indicates that teaching has been effective? : an American History, Chapter 5 - Summary Give Me Liberty! (SBAR) format to communicate what further care Brittany Long needs. 1. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. A nonhemolytic febrile reaction is indicated by fever and chills. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. Course Hero is not sponsored or endorsed by any college or university. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? 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. The O2 SAT was 97% with 2 L of oxygen. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? Identify and document key nursing diagnoses for Brittany Long. How did the simulated experience of Brittany Long's case make you feel? Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. 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. Thanks! Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Pennsylvania College of Technology. Naloxone should be readily available in case of respiratory depression. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. 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. Risk for infection Jackson Weber Complex Pre/Post Quiz. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. Document your initial focused assessment of Brittany Long. DramaQueen66. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. (Select all that apply.). Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. : 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 is a 5-year old African American female with a history of sickle cell disease. Which of the following steps should be included during the preparation and administration process? On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. VSim Charlie Snow Complex Pre/Post Sim. After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. 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 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. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Document your initial focused assessment of Brittany Long. 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. How many milliliters should the nurse prepare to administer? 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. 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. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. A 5-year-old would not be expected to remember his or her medical record number. A tiny tube will be placed where you go pee-pee. 2. 3. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Whole wheat toast, orange slices, and milk (Select all that apply. (Select all that apply.). Temp 99, and BP 110/74. Respiratory depression Please summarizethe article. Immediately discontinue the blood transfusion Prophylactic antibiotics should be taken daily as prescribed to prevent infection. ), The nurse is assessing a patient with acute splenic sequestration crisis. VSim for FA Davis. hidy_esther . 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. Please refer to the attachment to answer this question. 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. Click the card to flip Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids.

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