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. The nurse suspects the patient is experiencing which of the following transfusion reactions? Informed consent f. Reassessed vitals Thanks! The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. Click the card to flip 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. (Select all that apply. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. Terms of Use Jackson Weber Complex Pre/Post Quiz. 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. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? (Select all that apply. Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu Preview text. : 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! Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet Praise the patient for attempts at eating and drinking. Which of the following steps should be included during the preparation and administration process? The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. 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 medical alert bracelet should be worn at all times. Never punish a child for not eating or drinking. 27 terms. (Select all that apply. Be honest if a procedure is going to be uncomfortable or cause pain. The blood pressure, temperature, and respiratory rate are all within normal limits. A 5-year-old would not be expected to remember his or her medical record number. His symptoms include mental confusion, ataxia, stupor, and hypotension. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. Respiratory depression brittany long complex vsim documentation. ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. If the patient has poor respiratory effort or is apneic, 100% oxygen should be administered via bag valve mask or endotracheal tube, but this patient has adequate respiratory effort, so use of the bag valve mask is not needed. 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. ), The nurse is assessing a patient with acute splenic sequestration crisis. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. The patient was tachycardic with a HR of 157. Pediatric Case 08 Brittany Long Complex DA - Studocu e. Administers a fluid bolus and PRBC as prescribed Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex We communicated the importance of care and signs of infection and ways to Explain the the clear differences between Anomie Theory and Strain Theory? Hello I need help on getting the solution to this practice problem. 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. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. 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. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? 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! What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? 3. Pediatric Case 8: Brittany Long (Complex). ), Follow institution protocol for blood transfusion administration and management. VSim for FA Davis. 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 patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. 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. Please refer to the attachment to answer this question. Which of the following principles should the nurse be aware of when administering ketorolac? CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT 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 O2 SAT was 97% with 2 L of oxygen. The nurse is ordering breakfast for a patient with sickle cell anemia. 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. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. 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. Serve fluids in a decorated cup with a brightly colored straw Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. hidy_esther . Whole wheat toast, orange slices, and milk Which of the following results would the nurse expect to be elevated? 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. Instead, offer small amounts of liquid frequently. Longs response. : an American History (Eric Foner). (Select all that apply.). Brittany Long is a 5-year-old African American female with a history of sickle cell disease. The patient is awake and sitting in bed playing video games with her sister. 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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. the documentation, over the simulation. 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 After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. 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. One hour later, the patient appears anxious and complains of chest tightness and headache. Right patient Temp 99, and BP 110/74. Document your handoff report in the situation-background-assessment- d. Administered morphine Identity should be confirmed each time a medication is given. include IV maintenance fluids and Morphine as needed. vSim for Nursing Pediatric | Laerdal Medical The patient Risk for infection This question was created from P21_Homework 2.pdf. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? 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. Naloxone should be readily available in case of respiratory depression. Round the weight in kilograms to nearest the whole number. history of sickle cell disease who was diagnosed at 6 months old. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation 2. a. a. 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. (Select all that apply.). Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Unit 3 Biology - Functioning Ecosystems. Document your initial focused assessment of Brittany Long. (Select all that apply.) rellawananab. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Please summarizethe article. From vSim for Nursing | Pediatric. Identify and document key nursing diagnoses for Brittany Long. Patient reported 6/10 for pain. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. Pediatric Case 7: Brittany Long (Core) 1. Vitals were as followed: RR 35, b. Parent/visitor identification Avoid giving large amounts of fluid at a time. How many milliliters should the nurse prepare to administer? All three of the resident's children are. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders b. . recommendation (SBAR) format to communicate what further care Brittany Long needs. S: The patient is Brittany Long, a 5-year-old African American female with a Please include all the critical details (method/results/limitations/implications), one page. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. Is the dose safe and therapeutic? The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. DramaQueen66. Which of the following assessments should the nurse perform on this patient? Further enhance your student . You may feel a pinch. vSim for Nursing | Pediatric - LWW 2. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. reduce the risk of infection. Any decrease in respiratory rate or change in breathing pattern should be noted. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. 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. 20 terms. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . Document the patient teaching that you would provide for Brittany Long and her family She has been hospitalized twi. Provide the patient with several options to choose from, including a favorite drink Which of the following actions should the nurse take first. 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Which right of medication administration has the nurse violated? Although pain management is important, assessment and management of circulation and perfusion are the priority. Course Hero is not sponsored or endorsed by any college or university. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. Brittany Long vSim Documentation Assignment - Homework Score Acute hemolytic reaction was admitted due to complaining of right lower leg pain for the 2 consecutive the FACES scale. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. The doctor has ordered Ceftazidime 140mg Q8hr. VSIM 8 Brittany Long documentation.docx - Pediatric Case before discharge. 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. Offer the patient small amounts of fluids frequently and praise efforts to increase intake The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. Sickle cell anemia is an autosomal recessive disorder, both parents must 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. 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. 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. Which of the following meal choices would be the best to increase folic acid intake? Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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. VSim Charlie Snow Complex Pre/Post Sim. 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. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. VSim Sabina Vasquez Pre/Post test. a. Vitals 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 This question was created from SCH3U Lesson Assignment 7 (docx).docx. (SBAR) format to communicate what further care Brittany Long needs. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. ), 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. 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. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. (Select all that apply.). a. Vitals 1. b. PRBC was started running at 28mL/her in her L IV site. Course Hero is not sponsored or endorsed by any college or university. The child had a FLACC pain scale of 3 out of %. 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. a. Document your initial focused assessment of Brittany Long. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? crises, hospitalizations, precipitating events, medical treatment, and home management. How did the simulated experience of Brittany Long's case make you feel? Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. days. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. Peps c4 | Pharmacology homework help - SweetStudy A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. Pre/Post Simulation for Brittany Long Flashcards | Quizlet 4. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. Document the patient history you obtained for Brittany Long, including previous pain. hhulsey6. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Please refer to the attachment to answer this question. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. Immediately discontinue the blood transfusion Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? 18 terms. b. VSim Documentation- Brittany Long.docx - Course Hero Decreased cardiac output related to decrease in circulating blood volume Available is Ceftazidime 500mg. Rationale:Folic acid stimulates normal red blood cell production. Sets found in the same folder. Place the steps of an abdominal assessment in order. g. Double checked PRBC with two nurses. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany Company Registration Number: 61965243 Wolters Kluwer Health. [Show more] Preview 2 out of 5 pages Which of the following findings would indicate that the patient is progressing into hypovolemic shock? c. A: Attached the pulse oximeter per orders and then assessed her pain level using 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. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. Which of the following is the priority for the nurse to monitor for with administration? What physical finding should make the clinician suspicious? Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. a. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. : an American History, Chapter 5 - Summary Give Me Liberty! The patient has had limited oral intake in the past 24 hours and is refusing to drink. After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd "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. Article : The impact of gender ideologies on men's and women's desire for a tr. (Select all that apply. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. 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 (Select all that apply. ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. 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 Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. 19 terms. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. The patient weighs 35 lb. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. A nonhemolytic febrile reaction is indicated by fever and chills.