Brittany Long vSim Documentation Assignment - Homework Score 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. Please include all the critical details (method/results/limitations/implications), one page. 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. Which of the following principles should the nurse be aware of when administering ketorolac? An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. Informed consent A septic reaction is indicated by rigors, chills, fever, and shock. Article : The impact of gender ideologies on men's and women's desire for a tr. vSim for Nursing Pediatric | Laerdal Medical This question was created from SCH3U Lesson Assignment 7 (docx).docx. The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. Vitals were as followed: RR 35, 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. 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. 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. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. Avoid giving large amounts of fluid at a time. VSim Charlie Snow Complex Pre/Post Sim. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. a. Pediatric Case 08 Brittany Long Complex DA - Studocu Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. Pre/Post Simulation for Brittany Long Flashcards | Quizlet c. A: Attached the pulse oximeter per orders and then assessed her pain level using a hard, Jeremy is suffering from chronic alcohol abuse. Provide the patient with several options to choose from, including a favorite drink e. Administers a fluid bolus and PRBC as prescribed 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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. (Select all that apply. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. kuuleinani1102. The patient was tachycardic with a HR of 157. before discharge. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. Which of the following meal choices would be the best to increase folic acid intake? Which of the following steps should be included during the preparation and administration process? On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. 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. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? 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. b. Peps c4 | Pharmacology homework help - SweetStudy Company Registration Number: 61965243 history of sickle cell disease who was diagnosed at 6 months old. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. b. Parent/visitor identification Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Document your initial focused assessment of Brittany Long. Please summarizethe article. 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Pennsylvania College of Technology. 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. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. What physical finding should make the clinician suspicious? Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia We communicated the importance of care and signs of infection and ways to a. PRBC was started running at 28mL/her in her L IV site. Patient reported 6/10 for pain. 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. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. a. hhulsey6. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. brittany long vsim step by step. Course Hero is not sponsored or endorsed by any college or university. Which of the following statements by the caregiver indicates that teaching has been effective? : an American History, Chapter 5 - Summary Give Me Liberty! Identity should be confirmed each time a medication is given. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. Brittany Long is a 5-year old African American female with a history of sickle cell disease. 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. (SBAR) format to communicate what further care Brittany Long needs. (Select all that apply. Document your initial focused assessment of Brittany Long. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. Pediatric Case 7: Brittany Long (Core) 1. crises, hospitalizations, precipitating events, medical treatment, and home management. The patient is awake and sitting in bed playing video games with her sister. Immediately discontinue the blood transfusion Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Further enhance your student . 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. Longs response. A tiny tube will be placed where you go pee-pee. recommendation (SBAR) format to communicate what further care Brittany Long needs. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. 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. When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? 18 terms. "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. You may feel a pinch. a. Vitals 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. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. How did the simulated experience of Brittany Long's case make you feel? 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. 19 terms. Risk for infection Sickle cell anemia is an autosomal recessive disorder, both parents must After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. d. Administered morphine 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. Administer 20 mL/kg bolus of isotonic crystalloid intravenously The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? b. The O2 SAT was 97% with 2 L of oxygen. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. 19 terms. (Select all that apply. ), The nurse is assessing a patient with acute splenic sequestration crisis. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. The patient has had limited oral intake in the past 24 hours and is refusing to drink. Identify and document key nursing diagnoses for Brittany Long. Document your handoff report in the situation-background-assessment- b. (Select all that apply.). The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. 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 Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. a. Vitals ), Follow institution protocol for blood transfusion administration and management. Wolters Kluwer Health. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. ), 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 the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Which of the following results would the nurse expect to be elevated? Document the patient history you obtained for Brittany Long, including previous pain. Right patient (Select all that apply.) 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 Which of the following actions should the nurse take first. Pediatric Case 8: Brittany Long (Complex). The blood pressure, temperature, and respiratory rate are all within normal limits. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? 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. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. b. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. Round the weight in kilograms to nearest the whole number. Preview text. S: The patient is Brittany Long, a 5-year-old African American female with a 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 child had a FLACC pain scale of 3 out of %. A medical alert bracelet should be worn at all times. Place the steps of an abdominal assessment in order. The nurse suspects the patient is experiencing which of the following transfusion reactions? : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. The nurse is ordering breakfast for a patient with sickle cell anemia. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. reduce the risk of infection. 2. Jackson Weber Complex Pre/Post Quiz. ), 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. Document your initial focused assessment of Brittany Long.