Rationale:Folic acid stimulates normal red blood cell production. Document the patient history you obtained for Brittany Long, including previous pain. hidy_esther . The patient was tachycardic with a HR of 157. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. Document your . Any decrease in respiratory rate or change in breathing pattern should be noted. ), The nurse is assessing a patient with acute splenic sequestration crisis. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. Instead, offer small amounts of liquid frequently. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. VSim Charlie Snow Complex Pre/Post Sim. The patient is awake and sitting in bed playing video games with her sister. 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. Which of the following assessments should the nurse perform on this patient? Unit 3 Biology - Functioning Ecosystems. Informed consent Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. Document your initial focused assessment of Brittany Long. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. 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 hard, Jeremy is suffering from chronic alcohol abuse. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? 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. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. 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. Available is Ceftazidime 500mg. Article : The impact of gender ideologies on men's and women's desire for a tr. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. 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. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. (Select all that apply. Click the card to flip b. The nurse suspects the patient is experiencing which of the following transfusion reactions? Pennsylvania College of Technology. [Show more] Preview 2 out of 5 pages 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. The patient has had limited oral intake in the past 24 hours and is refusing to drink. c. Contacted doctor This question was created from P21_Homework 2.pdf. a. How many milliliters should the nurse prepare to administer? (Select all that apply.). : an American History (Eric Foner). Sets found in the same folder. 2. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. Risk for infection pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Jackson Weber Complex Pre/Post Quiz. Round the weight in kilograms to nearest the whole number. Hello I need help on getting the solution to this practice problem. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. hhulsey6. Which of the following actions should the nurse take first. 27 terms. Avoid giving large amounts of fluid at a time. (Select all that apply. You may feel a pinch. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. From vSim for Nursing | Pediatric. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. 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. "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. 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. Pediatric Case 8: Brittany Long (Complex). kuuleinani1102. Which of the following is the priority for the nurse to monitor for with administration? 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(SBAR) format to communicate what further care Brittany Long needs. (Select all that apply.) a. Vitals 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. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. Patient reported 6/10 for pain. reduce the risk of infection. days. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. The nurse is ordering breakfast for a patient with sickle cell anemia. 19 terms. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. 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 Be honest if a procedure is going to be uncomfortable or cause pain. Identify and document key nursing diagnoses for Brittany Long. 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. 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 Right patient brittany long vsim step by step. (Select all that apply. include IV maintenance fluids and Morphine as needed. (Select all that apply. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. The nurse proceeds to verify the patient's identity by asking her name and medical record number and administers the medication in the patient's peripheral intravenous line. (Select all that apply. ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. before discharge. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. The patient Which of the following principles should the nurse be aware of when administering ketorolac? A tiny tube will be placed where you go pee-pee. Preview text. Document your initial focused assessment of Brittany Long. 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. Although pain management is important, assessment and management of circulation and perfusion are the priority. We communicated the importance of care and signs of infection and ways to 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. b. the documentation, over the simulation. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. We're available through e-mail, live chat and Facebook. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. Naloxone should be readily available in case of respiratory depression. 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. Acute hemolytic reaction Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. 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. ), 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. 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. Terms of Use brittany long complex vsim documentation. b. . This question was created from SCH3U Lesson Assignment 7 (docx).docx. How did the simulated experience of Brittany Long's case make you feel? b. Which of the following results would the nurse expect to be elevated? Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. 18 terms. 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. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. His symptoms include mental confusion, ataxia, stupor, and hypotension. Please include all the critical details (method/results/limitations/implications), one page. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? Is the dose safe and therapeutic? Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. Temp 99, and BP 110/74. S: The patient is Brittany Long, a 5-year-old African American female with a rellawananab. b. Parent/visitor identification 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. 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. The child had a FLACC pain scale of 3 out of %. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders Provide the patient with several options to choose from, including a favorite drink Administer 20 mL/kg bolus of isotonic crystalloid intravenously