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At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. Explain the the clear differences between Anomie Theory and Strain Theory? Which of the following actions should the nurse take first. Identity should be confirmed each time a medication is given. 27 terms. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? Temp 99, and BP 110/74. (Select all that apply. . Pediatric Case 7: Brittany Long (Core) 1. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. Pre/Post Simulation for Brittany Long Flashcards | Quizlet 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. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders days. Please summarizethe article. 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. Respiratory depression It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. Any decrease in respiratory rate or change in breathing pattern should be noted. VSim Charlie Snow Complex Pre/Post Sim. before discharge. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. Document your initial focused assessment of Brittany Long. The doctor has ordered Ceftazidime 140mg Q8hr. This question was created from SCH3U Lesson Assignment 7 (docx).docx. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? ), Follow institution protocol for blood transfusion administration and management. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? Offer the patient small amounts of fluids frequently and praise efforts to increase intake 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. Although pain management is important, assessment and management of circulation and perfusion are the priority. 3. Which of the following results would the nurse expect to be elevated? Unit 3 Biology - Functioning Ecosystems. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. Wolters Kluwer Health. Please include all the critical details (method/results/limitations/implications), one page. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . Rationale:Folic acid stimulates normal red blood cell production. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Immediately discontinue the blood transfusion The patient is awake and sitting in bed playing video games with her sister. 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. 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. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany ), The nurse is assessing a patient with acute splenic sequestration crisis. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. b. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. VSim Brittany Long Pre/Post test Flashcards | Quizlet After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. ), 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. Sets found in the same folder. Whole wheat toast, orange slices, and milk (Select all that apply. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. a. Vitals Identify and document key nursing diagnoses for Brittany Long. 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. (Select all that apply. Brittany Long vSim Documentation Assignment - Homework Score Course Hero is not sponsored or endorsed by any college or university. The nurse suspects the patient is experiencing which of the following transfusion reactions? g. Double checked PRBC with two nurses. 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. We're available through e-mail, live chat and Facebook. Be honest if a procedure is going to be uncomfortable or cause pain. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Which of the following assessments should the nurse perform on this patient? (Select all that apply.). Which of the following is the priority for the nurse to monitor for with administration? the FACES scale. 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. b. Place the steps of an abdominal assessment in order. : 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! pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. a. Naloxone should be readily available in case of respiratory depression. Available is Ceftazidime 500mg. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. 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 handoff report in the situation-background-assessment- 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.). 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. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. 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. hhulsey6. From vSim for Nursing | Pediatric. 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. Document your initial focused assessment of Brittany Long. Pediatric Case 8: Brittany Long (Complex). Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? Course Hero is not sponsored or endorsed by any college or university. 2. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. Avoid giving large amounts of fluid at a time. 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. Identify and document key nursing diagnoses for Brittany Long. Which of the following steps should be included during the preparation and administration process? b. Click the card to flip The blood pressure, temperature, and respiratory rate are all within normal limits. The patient How many milliliters should the nurse prepare to administer? f. Reassessed vitals Risk for infection 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. Provide the patient with several options to choose from, including a favorite drink Document the patient teaching that you would provide for Brittany Long and her family Pennsylvania College of Technology. All three of the resident's children are. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. Further enhance your student . brittany long complex vsim documentation. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. a. (Select all that apply. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. The patient weighs 35 lb. 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. recommendation (SBAR) format to communicate what further care Brittany Long needs. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. Decreased cardiac output related to decrease in circulating blood volume vSim for Nursing | Pediatric - LWW Hello I need help on getting the solution to this practice problem. Which right of medication administration has the nurse violated? d. Administered morphine Please refer to the attachment to answer this question. 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. VSim Documentation- Brittany Long.docx - Course Hero Pre/Post Simulation for Brittany Long. She has been hospitalized twi. 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. 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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. 19 terms. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. 2. reduce the risk of infection. Article : The impact of gender ideologies on men's and women's desire for a tr. brittany long vsim step by step. Vitals were as followed: RR 35, Is the dose safe and therapeutic? DramaQueen66. 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.