Identify and document key nursing diagnoses for Brittany Long. Identify and document key nursing diagnoses for Brittany Long. a. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders Which of the following assessments should the nurse perform on this patient? (Select all that apply. b. Course Hero is not sponsored or endorsed by any college or university. : an American History (Eric Foner). Immediately discontinue the blood transfusion : 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! The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Document your initial focused assessment of Brittany Long. 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. Please summarizethe article. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. 2. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. a hard, Jeremy is suffering from chronic alcohol abuse. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. His symptoms include mental confusion, ataxia, stupor, and hypotension. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Article : The impact of gender ideologies on men's and women's desire for a tr. Jackson Weber Complex Pre/Post Quiz. c. Contacted doctor Which of the following findings would indicate that the patient is progressing into hypovolemic shock? The patient is awake and sitting in bed playing video games with her sister. 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. After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. the documentation, over the simulation. Identity should be confirmed each time a medication is given. 19 terms. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. Respiratory depression (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. 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. Decreased cardiac output related to decrease in circulating blood volume Acute hemolytic reaction Provide the patient with several options to choose from, including a favorite drink This question was created from P21_Homework 2.pdf. . a. 4. Informed consent The patient 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. Explain the the clear differences between Anomie Theory and Strain Theory? This question was created from SCH3U Lesson Assignment 7 (docx).docx. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. Please refer to the attachment to answer this question. rellawananab. Naloxone should be readily available in case of respiratory depression. 20 terms. Offer the patient small amounts of fluids frequently and praise efforts to increase intake 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. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. A septic reaction is indicated by rigors, chills, fever, and shock. Avoid giving large amounts of fluid at a time. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. ), 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. How did the simulated experience of Brittany Long's case make you feel? Patient reported 6/10 for pain. The blood pressure, temperature, and respiratory rate are all within normal limits. 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. f. Reassessed vitals reduce the risk of infection. (Select all that apply. Be honest if a procedure is going to be uncomfortable or cause pain. Round the weight in kilograms to nearest the whole number. Which right of medication administration has the nurse violated? Pediatric Case 8: Brittany Long (Complex). The nurse is ordering breakfast for a patient with sickle cell anemia. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? Using terms such as "if" or "OK" and asking whether the patient wants to do something offer the illusion of a choice when there is not one available. d. Administered morphine 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. 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. the FACES scale. Pre/Post Simulation for Brittany Long. Which of the following meal choices would be the best to increase folic acid intake? We communicated the importance of care and signs of infection and ways to 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. S: The patient is Brittany Long, a 5-year-old African American female with a A 5-year-old would not be expected to remember his or her medical record number. days. Place the steps of an abdominal assessment in order. e. Administers a fluid bolus and PRBC as prescribed 27 terms. 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 Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. 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. b. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. include IV maintenance fluids and Morphine as needed. Vitals were as followed: RR 35, hhulsey6. One hour later, the patient appears anxious and complains of chest tightness and headache. Never punish a child for not eating or drinking. Please refer to the attachment to answer this question. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. A tiny tube will be placed where you go pee-pee. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Rationale:Folic acid stimulates normal red blood cell production. 18 terms. Wolters Kluwer Health. b. Click the card to flip a. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Serve fluids in a decorated cup with a brightly colored straw 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. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. Administer 20 mL/kg bolus of isotonic crystalloid intravenously 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. 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. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. 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. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. 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. 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 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. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? ), Follow institution protocol for blood transfusion administration and management. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. 19 terms. Pediatric Case 7: Brittany Long (Core) 1. DramaQueen66. VSim for FA Davis. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. Boeing, American aerospace companythe world's, Overview The "have a little" group has a reputation for being ambivalent, yet some of the most notable revolutionaries in history have come from this group, including Thomas Jefferson, Dr. Martin, You are caring for an infant weighing 5kg. 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. Is the dose safe and therapeutic? (Select all that apply. 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. Available is Ceftazidime 500mg. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. kuuleinani1102. The child had a FLACC pain scale of 3 out of %. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. Temp 99, and BP 110/74. Sets found in the same folder. hidy_esther . 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. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. (Select all that apply. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. Document the patient teaching that you would provide for Brittany Long and her family a. Vitals Longs response. You may feel a pinch. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. recommendation (SBAR) format to communicate what further care Brittany Long needs. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. She has been hospitalized twi. Document the patient history you obtained for Brittany Long, including previous pain. Which of the following steps should be included during the preparation and administration process? Risk for infection The doctor has ordered Ceftazidime 140mg Q8hr. a. The nurse suspects the patient is experiencing which of the following transfusion reactions? On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? [Show more] Preview 2 out of 5 pages Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany 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. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen.
Richard Engel First Wife,
Norwalk, Ohio Police Reports,
Streets Of Rage 2 Play As Abadede,
Matt Spicer Canonsburg,
Toledo Blade Obituaries,
Articles B