Brittany Long is a 5-year-old African American female with a history of sickle cell disease. 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. Which of the following statements by the caregiver indicates that teaching has been effective? Sickle cell anemia is an autosomal recessive disorder, both parents must (Select all that apply. Longs response. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. How many milliliters should the nurse prepare to administer? : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. Article : The impact of gender ideologies on men's and women's desire for a tr. Vitals were as followed: RR 35, (Select all that apply. b. Parent/visitor identification Provide the patient with several options to choose from, including a favorite drink The patient is awake and sitting in bed playing video games with her sister. 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 2. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. a. Vitals f. Reassessed vitals 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. history of sickle cell disease who was diagnosed at 6 months old. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. Which of the following is the priority for the nurse to monitor for with administration? ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. Document your initial focused assessment of Brittany Long. 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Identify and document key nursing diagnoses for Brittany Long. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. 19 terms. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Risk for infection Respiratory depression Offer the patient small amounts of fluids frequently and praise efforts to increase intake VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? (Select all that apply.). 19 terms. a. days. Instead, offer small amounts of liquid frequently. Although pain management is important, assessment and management of circulation and perfusion are the priority. Jackson Weber Complex Pre/Post Quiz. 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! 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. include IV maintenance fluids and Morphine as needed. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. the FACES scale. b. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? (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 Charlie Snow Complex Pre/Post Sim. 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. hhulsey6. Pediatric Case 8: Brittany Long (Complex). Please include all the critical details (method/results/limitations/implications), one page. Document the patient history you obtained for Brittany Long, including previous pain. A tiny tube will be placed where you go pee-pee. 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. rellawananab. (SBAR) format to communicate what further care Brittany Long needs. hidy_esther . The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. 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. Please refer to the attachment to answer this question. Patient reported 6/10 for pain. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. The patient has had limited oral intake in the past 24 hours and is refusing to drink. 18 terms. 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. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. 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. Naloxone should be readily available in case of respiratory depression. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders She has been hospitalized twi. d. Administered morphine d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. 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. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany Administer 20 mL/kg bolus of isotonic crystalloid intravenously Document your initial focused assessment of Brittany Long. You may feel a pinch. Which of the following meal choices would be the best to increase folic acid intake? 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Rationale:Folic acid stimulates normal red blood cell production. 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. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. This question was created from SCH3U Lesson Assignment 7 (docx).docx. a hard, Jeremy is suffering from chronic alcohol abuse. From vSim for Nursing | Pediatric. : an American History, Chapter 5 - Summary Give Me Liberty! Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? 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. Immediately discontinue the blood transfusion Unit 3 Biology - Functioning Ecosystems. The nurse suspects the patient is experiencing which of the following transfusion reactions? Serve fluids in a decorated cup with a brightly colored straw (Select all that apply.). Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. ), Follow institution protocol for blood transfusion administration and management. Please refer to the attachment to answer this question. What physical finding should make the clinician suspicious? "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 patient DramaQueen66. Further enhance your student . Which of the following principles should the nurse be aware of when administering ketorolac? Any decrease in respiratory rate or change in breathing pattern should be noted. 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. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. Wolters Kluwer Health. Place the steps of an abdominal assessment in order. 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. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. (Select all that apply. His symptoms include mental confusion, ataxia, stupor, and hypotension. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. Hello I need help on getting the solution to this practice problem. crises, hospitalizations, precipitating events, medical treatment, and home management. Temp 99, and BP 110/74. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? reduce the risk of infection. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. : 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! Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. All three of the resident's children are. Which of the following actions should the nurse take first. was admitted due to complaining of right lower leg pain for the 2 consecutive A septic reaction is indicated by rigors, chills, fever, and shock. kuuleinani1102. 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. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. . Acute hemolytic reaction brittany long complex vsim documentation. Document the patient teaching that you would provide for Brittany Long and her family 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. (Select all that apply.). ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. 4. Which right of medication administration has the nurse violated? 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. Whole wheat toast, orange slices, and milk : an American History (Eric Foner). 1. 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. b. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. Company Registration Number: 61965243 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. [Show more] Preview 2 out of 5 pages 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 has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Course Hero is not sponsored or endorsed by any college or university. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. c. Contacted doctor Round the weight in kilograms to nearest the whole number. How did the simulated experience of Brittany Long's case make you feel? Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. Click the card to flip She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. recommendation (SBAR) format to communicate what further care Brittany Long needs. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. Be honest if a procedure is going to be uncomfortable or cause pain. 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 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. ), 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. Avoid giving large amounts of fluid at a time. The patient was tachycardic with a HR of 157. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. 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Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. 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. The child had a FLACC pain scale of 3 out of %. Decreased cardiac output related to decrease in circulating blood volume Course Hero is not sponsored or endorsed by any college or university. ), The nurse is assessing a patient with acute splenic sequestration crisis. Document your handoff report in the situation-background-assessment- B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . VSim Sabina Vasquez Pre/Post test. ), 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. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT b. 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 nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. Identify and document key nursing diagnoses for Brittany Long. Available is Ceftazidime 500mg. VSim for FA Davis. 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 g. Double checked PRBC with two nurses. 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. Document your initial focused assessment of Brittany Long. Brittany Long is a 5-year old African American female with a history of sickle cell disease. A 5-year-old would not be expected to remember his or her medical record number. Explain the the clear differences between Anomie Theory and Strain Theory? Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. The doctor has ordered Ceftazidime 140mg Q8hr. Pennsylvania College of Technology. Is the dose safe and therapeutic? What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? e. Administers a fluid bolus and PRBC as prescribed Thanks! 2. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. 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.