Immediately discontinue the blood transfusion Pediatric Case 7: Brittany Long (Core) 1. Pre/Post Simulation for Brittany Long Flashcards | Quizlet Available is Ceftazidime 500mg. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. 3. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. (Select all that apply.). Which of the following assessments should the nurse perform on this patient? Hello I need help on getting the solution to this practice problem. The patient has had limited oral intake in the past 24 hours and is refusing to drink. (Select all that apply. Which of the following results would the nurse expect to be elevated? The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. hhulsey6. Praise the patient for attempts at eating and drinking. 20 terms. Identify and document key nursing diagnoses for Brittany Long. (Select all that apply. VSim for FA Davis. Right patient Although pain management is important, assessment and management of circulation and perfusion are the priority. vSim for Nursing Pediatric | Laerdal Medical PRBC was started running at 28mL/her in her L IV site. Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet Course Hero is not sponsored or endorsed by any college or university. VSim Brittany Long Pre/Post test Flashcards | Quizlet 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. ), 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. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Pennsylvania College of Technology. 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. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. b. Parent/visitor identification 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. "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. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. 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! The patient weighs 35 lb. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. The O2 SAT was 97% with 2 L of oxygen. A tiny tube will be placed where you go pee-pee. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. Wolters Kluwer Health. 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 documentation, over the simulation. 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. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. 18 terms. A medical alert bracelet should be worn at all times. How many milliliters should the nurse prepare to administer? (Select all that apply.) Document your initial focused assessment of Brittany Long. Terms of Use hidy_esther . history of sickle cell disease who was diagnosed at 6 months old. (Select all that apply. ), Follow institution protocol for blood transfusion administration and management. 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. Which of the following meal choices would be the best to increase folic acid intake? Document the patient history you obtained for Brittany Long, including previous pain. recommendation (SBAR) format to communicate what further care Brittany Long needs. was admitted due to complaining of right lower leg pain for the 2 consecutive reduce the risk of infection. Pre/Post Simulation for Brittany Long. Jackson Weber Complex Pre/Post Quiz. How did the simulated experience of Brittany Long's case make you feel? Administer 20 mL/kg bolus of isotonic crystalloid intravenously 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. ), The nurse is assessing a patient with acute splenic sequestration crisis. 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. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. Document the patient teaching that you would provide for Brittany Long and her family S: The patient is Brittany Long, a 5-year-old African American female with a A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders We're available through e-mail, live chat and Facebook. Sets found in the same folder. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. Unit 3 Biology - Functioning Ecosystems. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? His symptoms include mental confusion, ataxia, stupor, and hypotension. 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. Identity should be confirmed each time a medication is given. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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. (SBAR) format to communicate what further care Brittany Long needs. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. a. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. a. Vitals Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. (Select all that apply.). Which of the following steps should be included during the preparation and administration process? The child had a FLACC pain scale of 3 out of %. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. You may feel a pinch. She has been hospitalized twi. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. [Show more] Preview 2 out of 5 pages 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? e. Administers a fluid bolus and PRBC as prescribed The nurse suspects the patient is experiencing which of the following transfusion reactions? include IV maintenance fluids and Morphine as needed. Sickle cell anemia is an autosomal recessive disorder, both parents must Which of the following statements by the caregiver indicates that teaching has been effective? Informed consent 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. 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. b. a. Vitals This question was created from P21_Homework 2.pdf. Serve fluids in a decorated cup with a brightly colored straw CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. Document your initial focused assessment of Brittany Long. Pediatric Case 8: Brittany Long (Complex). 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. (Select all that apply.). A septic reaction is indicated by rigors, chills, fever, and shock. We communicated the importance of care and signs of infection and ways to a. A nonhemolytic febrile reaction is indicated by fever and chills. Please summarizethe article. b. 27 terms. (Select all that apply. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. VSIM 8 Brittany Long documentation.docx - Pediatric Case 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. Please refer to the attachment to answer this question. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? Please refer to the attachment to answer this question. 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. 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. Instead, offer small amounts of liquid frequently. After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. Patient reported 6/10 for pain. Risk for infection The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication.
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