the FACES scale. His symptoms include mental confusion, ataxia, stupor, and hypotension. 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. hhulsey6. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. Please refer to the attachment to answer this question. Which of the following actions should the nurse take first. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. 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The patient is alone in the room, sitting in bed watching television and says she lost her identification band. (Select all that apply. (Select all that apply. Instead, offer small amounts of liquid frequently. The O2 SAT was 97% with 2 L of oxygen. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. 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. The doctor has ordered Ceftazidime 140mg Q8hr. 2. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. include IV maintenance fluids and Morphine as needed. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia kuuleinani1102. Pre/Post Simulation for Brittany Long. Patient reported 6/10 for pain. Which of the following principles should the nurse be aware of when administering ketorolac? e. Administers a fluid bolus and PRBC as prescribed Risk for infection a. a. Administer 20 mL/kg bolus of isotonic crystalloid intravenously 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. Brittany Long vSim Documentation Assignment - Homework Score Any decrease in respiratory rate or change in breathing pattern should be noted. A tiny tube will be placed where you go pee-pee. (Select all that apply. Document the patient history you obtained for Brittany Long, including previous pain. The patient weighs 35 lb. Identify and document key nursing diagnoses for Brittany Long. before discharge. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Respiratory depression 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. ), Follow institution protocol for blood transfusion administration and management. Identify and document key nursing diagnoses for Brittany Long. 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. Which of the following is the priority for the nurse to monitor for with administration? Avoid giving large amounts of fluid at a time. hidy_esther . VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. 18 terms. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. What physical finding should make the clinician suspicious? She has been hospitalized twi. a hard, Jeremy is suffering from chronic alcohol abuse. Available is Ceftazidime 500mg. Brittany Long Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu Document your . the documentation, over the simulation. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. c. Contacted doctor Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. 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 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. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. Document your initial focused assessment of Brittany Long. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. b. Parent/visitor identification 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. : an American History, Chapter 5 - Summary Give Me Liberty! Offer the patient small amounts of fluids frequently and praise efforts to increase intake Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. All three of the resident's children are. Informed consent The patient has had limited oral intake in the past 24 hours and is refusing to drink. Although pain management is important, assessment and management of circulation and perfusion are the priority. 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. 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. ), 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. Document your initial focused assessment of Brittany Long. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders 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. (Select all that apply.) 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. The blood pressure, temperature, and respiratory rate are all within normal limits. Decreased cardiac output related to decrease in circulating blood volume Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet 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 Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. Course Hero is not sponsored or endorsed by any college or university. We're available through e-mail, live chat and Facebook. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. 20 terms. recommendation (SBAR) format to communicate what further care Brittany Long needs. This question was created from P21_Homework 2.pdf. 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 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. ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? We communicated the importance of care and signs of infection and ways to Pennsylvania College of Technology. The nurse suspects the patient is experiencing which of the following transfusion reactions? Temp 99, and BP 110/74. Peps c4 | Pharmacology homework help - SweetStudy VSim for FA Davis. Terms of Use The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. A medical alert bracelet should be worn at all times. a. Is the dose safe and therapeutic? Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. You may feel a pinch. . Which of the following steps should be included during the preparation and administration process? Praise the patient for attempts at eating and drinking. Which right of medication administration has the nurse violated? This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. Wolters Kluwer Health. Course Hero is not sponsored or endorsed by any college or university. VSIM 8 Brittany Long documentation.docx - Pediatric Case From vSim for Nursing | Pediatric. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. Unit 3 Biology - Functioning Ecosystems. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? 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Article : The impact of gender ideologies on men's and women's desire for a tr. ), The nurse is assessing a patient with acute splenic sequestration crisis. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . DramaQueen66. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis.