VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet (Select all that apply.) This question was created from P21_Homework 2.pdf. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. Identity should be confirmed each time a medication is given. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. Offer the patient small amounts of fluids frequently and praise efforts to increase intake Which of the following is the priority for the nurse to monitor for with administration? The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. b. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. Pediatric Case 7: Brittany Long (Core) 1. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. days. Patient reported 6/10 for pain. (Select all that apply.). 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. Pennsylvania College of Technology. VSim Brittany Long Pre/Post test Flashcards | Quizlet b. Parent/visitor identification 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. Identify and document key nursing diagnoses for Brittany Long. brittany long vsim step by step. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. A septic reaction is indicated by rigors, chills, fever, and shock. Any decrease in respiratory rate or change in breathing pattern should be noted. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. VSIM 8 Brittany Long documentation.docx - Pediatric Case crises, hospitalizations, precipitating events, medical treatment, and home management. 19 terms. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. 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. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? Instead, offer small amounts of liquid frequently. 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! Be honest if a procedure is going to be uncomfortable or cause pain. Document your initial focused assessment of Brittany Long. Decreased cardiac output related to decrease in circulating blood volume 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. Wolters Kluwer Health. 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? 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. (Select all that apply. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. VSim Sabina Vasquez Pre/Post test. 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 patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . One hour later, the patient appears anxious and complains of chest tightness and headache. rellawananab. f. Reassessed vitals : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT Identify and document key nursing diagnoses for Brittany Long. a. The patient weighs 35 lb. Article : The impact of gender ideologies on men's and women's desire for a tr. A nonhemolytic febrile reaction is indicated by fever and chills. (Select all that apply.). Which right of medication administration has the nurse violated? Thanks! Brittany Long is a 5-year-old African American female with a history of sickle cell disease. history of sickle cell disease who was diagnosed at 6 months old. The nurse is ordering breakfast for a patient with sickle cell anemia. ), Follow institution protocol for blood transfusion administration and management. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. 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. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany (SBAR) format to communicate what further care Brittany Long needs. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu The doctor has ordered Ceftazidime 140mg Q8hr. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? (Select all that apply. 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. What physical finding should make the clinician suspicious? Which of the following statements by the caregiver indicates that teaching has been effective? How did the simulated experience of Brittany Long's case make you feel? The patient was tachycardic with a HR of 157. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. ), 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. Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd 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. The blood pressure, temperature, and respiratory rate are all within normal limits. vSim for Nursing Pediatric | Laerdal Medical Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. 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. b. Pediatric Case 8: Brittany Long (Complex). An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. 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. Pre/Post Simulation for Brittany Long Flashcards | Quizlet (Select all that apply. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Which of the following meal choices would be the best to increase folic acid intake? DramaQueen66. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? (Select all that apply. hhulsey6. 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. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? Peps c4 | Pharmacology homework help - SweetStudy How many milliliters should the nurse prepare to administer? the documentation, over the simulation. The nurse suspects the patient is experiencing which of the following transfusion reactions? Identify and document key nursing diagnoses for Brittany Long. Terms of Use Document your . 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 Document your initial focused assessment of Brittany Long.
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