Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, then assessed her IV and she seemed nervou, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! ! Title is descriptive University of Southern California Clinic Segmentation Paper. Blood pressure: 97/76 mmHg. e) Precipitating events Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). Identify and document key nursing diagnoses for Brittany Long. 3. Conscious state: Appropriate. Saint Thomas University Research the Role of The Nurse Practitioner Discussion. T&C/I What key elements would you include in the handoff report for this patient? Username is too similar to your e-mail address, Critical Nursing Diagnoses Sabina Vasquez Pediatric Case Study 4. 3:10 Heart rate: 149. medication administration to ensure proper drug therapy. Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. I also drew a blood test and sent After that, I gave favorite Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. your orders. these actions, and why would you do them differently? Heart sounds were normal without murmurs. Blood pressure: There are Your other child definitely carries the trait Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. SpO2: 94%. The patient's problems with coordination and cognition result from alcohol penetrating the \rule{4cm}{0.15mm}. Blood pressure: Her skin is quite cold Hope this will help The pipe assembly is mounted vertically. Wolters Kluwer Health. 2. Document your initial focused assessment of Brittany Long. # I a) Choose the face that looks like how you feel inside. d) decreased hgb, increased platelet, greatly elevated reticulocyte. APA style and writing mechanics need serious attention.8 points. Enter the email address associated with your account, and we will email you a link to reset your password. Our verified tutors can answer all questions, from basicmathto advanced rocket science! a) Place med in an oral syringe and allow the pt to squirt into his or her mouth asked if she had any pain, she said yes. I proceeded to ask where her pain was, and she A 240-mg dose of acetaminophen was given orally. * assessed her IV site for patency then administered the 2mg of morphine IV as ordered. (SBAR) format to communicate what further care Brittany Long needs. Guided Reflection Questions these actions, and why would you do them differently? competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), List in order of priority your initial nursing actions for Sabina Vasquez based on physical findings occlusive crisis. 8:26 This will allow you to reassess the child continuously. B: She came in with right lower leg pain, and it has been stabilized, but she has had a sudden Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? Vasquezs case. She came in to theemergency room yesterday with an acute vaso-occlusive crisis. Which of the following would be the best scale to use w/ this pt? PCC Many individuals move in for a variety of motives. touch. The parent replied: Her pulse measured 160bpm, her respirations were 34, and her blood Date of Completion Respiration: 30. dj tbo lcnos pcej sncio td bor rekbt, aoa`rcjos, sujgoj ldjtcjoiios, cjm moicyom ncp roleii. This was too early. c) FACES scale Her respiratory rate is 34 bpm. ! Find more information at: http://qsen.org/ Pediatric Case 4: Sabina Vasquez (Complex) Vasquezs mother? 125/84 mmHg. It is important to use the basic rights of developing a plan of action to mitigate these triggers. Sabinas mother? Bp is trending low, she has normal saline running at 320 ml/hr and has recently Definitely coming back for more study materials. abdomen is generally tender. Document your initial focused assessment of Brittany Long. you administered the drug too soon. Asthma and pneumonia 2. Guided Reflection Questions NR439 received a unity of PRBCS. Respiration: 30. ! # 1. with pneumonia. Document your initial focused assessment of, (6/10) and checked her right lower leg and, 2. Scenario Analysis Questions* Identify and document key nursing diagnoses for Brittany Long. Documentation - Brittany L complex .docx - Pediatric Case 0:59 Which of the following explanations b the nurse is correct? Identify and document key nursing diagnoses for Brittany Long. before discharge. Longs response. Sabina Vasquez Course Hero is not sponsored or endorsed by any college or university. d) Sickle cell anemia is transmitted through the mother. You started a piggyback infusion of 475 mg of cefuroxime IV. You washed your hands. 5 years What complications might Sabina Vasquez face if her symptoms are not recognized and treated This was part of your orders. patient care situation. 1. Our best tutors earn over $7,500 each month! pneumoniae, Chlamydia pneumoniae, or Streptococcus pneumoniae; therefore, Use the appropriate abbreviation to convey correct information about the patient. Brittang Long 1. Find attached file for the instructions and a sample paper for it. Hypovolemia AEB pale extremities and capillary refill > 3 seconds. Conscious state: Appropriate. ]bo rekbt idwor iok es wcra td tbo tdunb. I then did a 5. While the nurse assesses Brittany, her mother questions why the nurse is checking the pt's heart and lungs when the admitting complaint was leg pain. Conscious state: Appropriate. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: was 39.1 C. ! Pediatric Case 4 At first, he ignored it, thinking it would go away, but the spot seemed to darken and spread over his visual field. 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Opening Questions Referring to your feedback log, document the nursing care you provided and Brittany When assessing a preschool-aged pt, the pt can sit in the caregiver;s lap or sit on the exam table w/i reach and eye contact of the caregiver. 122/82 mmHg. 7:10 Education and support was provided to the mother and patient about the current faces scale. She reported that her belly was hurting, and she rated her pain level 3/5 on FACES scale. recommendation (SBAR) format to communicate what further care Brittany Long needs. This was indicated and the correct response to the child's condition. teaching needs to be provided? Her Pulse: Present. 0:49 ! 162 bpm, BP: 96/57 mmHg, T: 99 F, RR: 34 bpm, O2 sat: 97% on 2L nasal cannula. It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. sickle cell crisis. ]boro es jdraci oicstenety dl tbo. 100% found this document useful (4 votes), 100% found this document useful, Mark this document as useful, 0% found this document not useful, Mark this document as not useful, Save Britney Long Documentation For Later, pcej nresos, bdspetciezctedjs, pronepetcte, Meckjdsom wetb borometcry sengio noii mesocso, _ptd mcto wetb nurrojt eaaujezctedj cjm jd, ? Respiration: 29. ! Make sure there are competing positions on this issue that reflect differing ethical principles or interpretations. Brittany stated she had a 3 of out 5 on Pulse: Present. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex infections and bacteria can increase airway responsiveness and inflammation in of hydration with patients who have sickle cell anemia. Tolerance is not addiction. You placed a nasal oxygen cannula.<> This was part of VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . Jackson Weber Documentation Assignments Flashcards | Quizlet Conscious state: Appropriate. Wolters Kluwer Health. IVs the child has is always important. Payment is made only after you have completed your 1-on-1 session and are satisfied with your session. Medication should be placed in the posterior side of the pt's cheek and should be given slowly in small amounts, allowing the pt to swallow before placing more meds into the mouth. ! interviewing technique regarding the blood and then administered it. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Document Assignment for Vsim Brittany Long. 4 Referring to your feedback long, docent 0:10 Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? 119/79 mmHg. Title c) Morphine bc the pt reports severe pain. Pulse: Present. 240 b) Anemia and hypotension c) Ask the parent whether the pt is hurting Blood pressure: increase pain in her abdomen. 4. Assessed heart. was 39.1 C. clear and equal bilaterally, her chest wall was moving equally. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. From vSim for Nursing | Pediatric. To maintain patient safety it is important that you quickly Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. to help with her hypovolemia. DETACHED RETINA CASE STUDY 1 - Mr. Gray, a 65-year-old man, was in an automobile accident in which he suffered a concussio DETACHED RETINA CASE STUDY 1 - Mr. Gray, a 65-year-old man, was in an automobile accident in which he suffered a concussion. Critical Nursing Diagnoses Sabina Vasquez Pediatric Case Study 4 or ancillary staff member for data collection and teaching in Sabina Vasquezs case. 10:10 EEG \quad CNS \quad MRI \quad CT \quad ANS \quad BBB \quad CSF \quad PNS \quad UTI. Work ! the FACES pain scale. and BP now Desired Outcome of the Action Plan: Promote greater convenie Action Plan Title: A Partnership for a Healthier Community 3. 125/84 mmHg. The nurse should avoid using confusing terms such as temperature, BP, or test. Identify and document key nursing diagnoses for Brittany Long. b) Hide med in applesauce or ice cream and have the parent feed the pt Longs response. ADN to BSN Document your initial focused assessment of Brittany Long. it to the lab. She needs drink to her and performed the focus assessment. I need you to help me hold my stethoscope in place. Pulse: Present. Peps c4 | Pharmacology homework help - SweetStudy On calling his physician, he was advised to go to the nearest hospital immediately. diagnosis and management of care. What kind of telecommunications will be needed for the solution, including local connectivity inside the practice and Internet access?ConfigurationWhat options does the vendor offer for configuring the off-the-shelf system to the chiropractic practice's needs?How will the configuration be done and by whom? 123/82 mmHg. Identify and document key nursing diagnoses for Sabina Vasquez. ! Stuck on a homework question? I checked her right lower leg and found that it was warm to Opening Questions Consider providing patient education whenever possible. APA style and writing mechanics need more precision and attention to detail.5 pointsFairDemonstrate a moderate level of clarity. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. to continuous monitoring of Brittany. Blood pressure: Thus, the maximum safe dose is 240 mg. A 5 y/o pt with sickle cell anemia has an order for oral codeine elixir 8 mg Q4H around the clock for pain. Her PRBCS. I need help with my howmework. Monitor her O2 sat and keep above 95% with frequently lab drawn and strict not initiated in a timely manner? signs Q2 hours. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. Implementation Considerations:Vendor agreementWhat does the chiropractic practice need to do to be able to start using the system? We reviewed their content and use your feedback to keep the quality high. 121/81 mmHg. With each pregnancy, there is a 25% chance the child will have sickle cell anemia, a 50% chance the child will be a carrier of the trait and 25% chance the child will be unaffected. 120/80 mmHg. On inspection, the pt's skin is flat & w/o erythema. PCC This is reasonable. TestingHow will the chiropractic practice test the system to see if it is working properly for its needs?Who should be involved in the testing?Employee preparation Identify what the chiropractic practice will need to do in each of the following areas to prepare the employees to use the new system:Leadership and Change ManagementTraining Data migrationWhat existing data would likely need to be entered into the system to get started?How might this be accomplished?MaintenanceWho will provide updates and corrections to the system? ! hematologist. Fill in the assessment chart below. 2. ! animal for comfort. Pediatric Case 8: Brittany Long (Complex), Document your initial focused assessment of Brittany Long. Assessed abdomen and pelvis. to keep hydrating, so encourage her to drink more fluids. ! 2:10 She did not have any reaction during the blood transfusion. flow<> here. # The nursing care for Brittany Long began with obtaining a set of vitals. NY Times Paywall - Case Analysis with questions and their answers. Document your handoff report in the situation-background-assessment-recommendation (SBAR) format to communicate what further care Brittany Long needs. Temp: 39.1 C 2. d) You need to change into hospital gown before I can examine you. The central area of his visual field was becoming blurred, and he was losing his depth perception. situation-background-assessment-recommendation (SBAR) format. Pediatric Case 07 Brittany Long Core DA rev - Studocu Heart rate: 147. Pulse: Present. ydu sbduim cusnuitcto tbo iujks `dtb cjtoredriy cjm pdstoredriy. From vSim for Nursing | Pediatric. c) Past hospitalizations and Tx She is breathing at 27 breaths per minute. The dressing was dry and intact. Respiration: 27. 8:10 You measured the peak flow.<> The peak Document the patient history you obtained for Brittany Long, including previous pain a) immunization hx 5:10 Terms of Use A patient hando was performed. 4. 1. Child status - ECG: Sinus tachycardia. medical history. The S/QI S/QI 1. You measured the temperature<> in the ear. The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. as ordered. bronchospasms. at the bedside. Document the patient teaching that you would provide for Brittany Long and her family before discharge. Document Assignment for Vsim Brittany Long pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Courses You don't have any courses yet. Respiration: 34. Breath sounds are clear and equal bilaterally. " Moderate use of citations and extended referencing.2 pointsPoorIneffectively uses the literature and other resources to inform their work. 4:46 # treat it. es nddi. SpO2: 92%. stopped it to prepare for IV bolus with NS and blood transfusion. Documentation Assignments 1. in a timely manner? Her blood pressure is ADN to BSN You stopped the nebulized albuterol. Bocrt sdujms cro rokuicr wetbdut cjy auaurs. was 39.1 C. at the bedside. As you begin to think about discharge planning for Sabina Vasquez and her family, what EBP Background: Brittany Long has a history of sickle cell anemia being treated with a folic SpO2: 93%. Documentation Assignments Pulse: Present. 9:45 assessing her respiratory rate (34 bpm). "! a) Administer the prescribed analgesic as ordered tbengor, provojtejk `iddm lidw tbrdukb saciior vossois. The mother stated Brittany began complaining of right lower leg pain for the past 2 days, also the mother stated she hasn't had much of an appetite in the last 24 hours but has taken small sips of oral fluids. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia PCC and family interaction. about complications that could arise due to the sickle cell crisis and vaso-occlusive crisis, signs of lethargy, The increased blood flow through the blood vessels causes tour child to have severe pain Explain your recommendation for the chiropractic practice. 4. Describe the actions you felt went well in this scenario. Document the patient teaching that you would provide for Sabina Vasquez and her family before ! I would educate the mother about signs of dehydration, look at her legs frequently, manage her ! prevention of infection and dehydration, and pain management. Addr Unit 7 Assignment 1, health and medicine homework help. I stayed to watch for any transfusion reaction and Since it is very likely that you have not had the opportunity to research and select a system, or to address the considerations for implementing a system, this discussion is designed to allow you to practice the things you will need to do for your Stage 4 assignment. Which of the following methods is appropriate for the nurse to employ to administer the medication? She has a regular heart sound without murmur. A 5 y/o is old enough to accurately report his or her own pain level and may be lying still as a coping strategy of bc the movement is painful. QI Respiration: 28. APA style and writing mechanics need more precision and attention to detail.2 pointsPoorDemonstrates issues in writing and communicating clearly. 4. " When obtaining a health hx on a pt with sickle cell anemia, the nurse should elicit info r/t growth and development, frequency of vaso-occlusive crises, Past hospitalizations and Tx for pain crises, immunization status, hx of blood transfusions, current medication regiment, and precipitating events. Wolters Kluwer Health. of the health care process. most recent Hgb and Hct are 7/dL and 26%. to a patient with pneumonia. It is correct to give this to a patient Pediatric Case 4: Sabina Vasquez (Complex) # S: Brittany Long is a 5-year-old female patient receiving a blood transfusion, IV fluids, and Scenario Analysis Questions* She looked visually uncomfortable and reported feeling pain, a 6/10 on the before discharge, including disease process, nutrition, signs and symptoms of crises, Also, I educate the mother anemia. to avoid asthma triggers. a) acute leg pain and dactylitis 1. After that, I did a pain assessment with FACES scale 124/83 mmHg. her lungs (clear and equal bilaterally) and her heart (regular heart sound with no murmur). The child looked slightly tired and in pain. Then since the patient reported pain in her right leg, it was also needed to be examined. I, breathing at 34 breaths per minute. both her and her mother. # Do your children have different fathers? Identify and document key nursing diagnoses for Brittany Long. I performed a heart and lung assessment. c) I am going to take your temp. 3. Pain management AEB pain in right lower leg. Consider providing education to relatives whenever possible. What is your attitude toward Sabina Vasquezs cultural background? Brittany Long vSim Documentation Assignment - Homework Score " regular folic acid supplement. Concluding Questions Next is the FACES scale where we induce pain to the patient. cannula and was on D5NS 0% fluids, but I stopped the infusion and started IV bolus with I verified with two nurses c) tachycardia and jaundice 4:10 SpO2: You attached the <Pulseoximeter>pulse. Describe the actions you felt went well in this scenario. I would also educate 5:30 Document the patient teaching that you would provide for Brittany Long and her family a) I want to listen to you breathe. 4 Referring to your feedback long, docent The nursue Care Prowded and Brittany longs s Document the patient Teaching that you would provide for Brittany long and her family before discharge, include disease process, nutrition, signs and Care you Samot. Describe the importance of using an approved, trained interpreter rather than a family member Which of the following demonstrates that the nurse understand developmentally appropriate communication? 'No. Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. pressure was low. Pulse: Present. Pediatric Case 4: Sabina Vasquez (Complex) The temperature Document your initial focused assessment of Sabina Vasquez. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. I don't think so.' The normal peak flow ranges for children aged 5 to 7 years and height 115 to 120 are 175 to 203 L/min for males and 181 to 205 L/min for females. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. a) I want to listen to you breathe. Students Name Acute pain R/T tissue ischemia. Then I listened to Pediatric Case 3: Sabina Vasquez (Core) A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. 5:16 These are the countries currently available for verification, with more to come! Heart rate: 147. 15 x 16 = 240. IF you have four children, one or 25% will have sickle cell anemia. # a) Place med in an oral syringe and allow the pt to squirt into his or her mouth 3. in the decision-making process? Needs out 5 on the FACES pain scale. Wolters Kluwer Health. "! I took her vital signs: HR: You identified the relatives. Temp: 39.1 C PCC You should auscultate the lungs as part of a focused respiratory assessment. SpO2: 95%. T&C c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy How much will it cost to use the system?Hardware and telecommunicationsWhat hardware will the chiropractic practice need to have in order to implement and use the solution? The safe dosage range for children is 10 to 15 mg/kg/dose. ! Describe age-appropriate strategies to empower Sabina Vasquez and her mother in all aspects (Explain In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? scale. ! How did the simulated experience of Sabina Vasquezs case make you feel? Child status - ECG: Sinus tachycardia. The simulated experience of Sabina Vasquez's case was exceptional. (Select all that apply), a) Assess pain frequently and administer meds routinely. Wolters Kluwer Health. You introduced yourself. # She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. Provide details on what you need help with along with a budget and time limit. b) You must have only transmitted sickle cell anemia to one of your children. Referring to your feedback log, document the nursing care you provided and Sabina Vasquezs An unacceptable use of citations and extended referencing.8 pointsWriting Mechanics and APA Formatting Guidelines8 pointsDistinguishedDemonstrate a high level of clarity, precision, and attention to detail. 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Temp: 39.1 C Wolters Kluwer Health. ! much of an appetite in the last 24 hours but has taken small sips of oral fluids. The pt is lying quietly in bed watching TV. b) Visual analog scale Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Wolters Kluwer Health. identify the child. Brittang Long 1. Document the patient has hry you | Chegg.com APUS Swimming Pool Fencing Policy for Children Safety Project. taking her temperature (99 F), attaching the pulse ox (97% on 2L nasal cannula) and Which of the following would be the best response by the nurse? Documentation Assignments