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Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. 20 terms. 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. How did the simulated experience of Brittany Long's case make you feel? A tiny tube will be placed where you go pee-pee. 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. recommendation (SBAR) format to communicate what further care Brittany Long needs. brittany long complex vsim documentation. His symptoms include mental confusion, ataxia, stupor, and hypotension. Identity should be confirmed each time a medication is given. (Select all that apply. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. 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. Offer the patient small amounts of fluids frequently and praise efforts to increase intake The nurse suspects the patient is experiencing which of the following transfusion reactions? Click the card to flip 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. Longs response. Please refer to the attachment to answer this question. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. VSim Brittany Long Pre/Post test Flashcards | Quizlet Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. This question was created from SCH3U Lesson Assignment 7 (docx).docx. Wolters Kluwer Health. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? 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. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. Course Hero is not sponsored or endorsed by any college or university. 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. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. Which of the following steps should be included during the preparation and administration process? a hard, Jeremy is suffering from chronic alcohol abuse. 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 The blood pressure, temperature, and respiratory rate are all within normal limits. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. The patient weighs 35 lb. days. vSim for Nursing | Pediatric - LWW Explain the the clear differences between Anomie Theory and Strain Theory? Acute hemolytic reaction B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders A septic reaction is indicated by rigors, chills, fever, and shock. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. rellawananab. Avoid giving large amounts of fluid at a time. ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. 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. brittany long vsim step by step. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? 1. 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. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. Risk for infection Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. Pediatric Case 08 Brittany Long Complex DA - Studocu VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation Peps c4 | Pharmacology homework help - SweetStudy Immediately discontinue the blood transfusion The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. Document your initial focused assessment of Brittany Long. A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. From vSim for Nursing | Pediatric. One hour later, the patient appears anxious and complains of chest tightness and headache. c. Contacted doctor Document the patient teaching that you would provide for Brittany Long and her family A 5-year-old would not be expected to remember his or her medical record number. The patient is alone in the room, sitting in bed watching television and says she lost her identification band. (Select all that apply.) Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. The child had a FLACC pain scale of 3 out of %. 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 [Show more] Preview 2 out of 5 pages The patient is awake and sitting in bed playing video games with her sister. Document your initial focused assessment of Brittany Long. 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. 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 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. (Select all that apply. 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. "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. Respiratory depression Patient reported 6/10 for pain. Preview text. (Select all that apply. Which of the following meal choices would be the best to increase folic acid intake? Available is Ceftazidime 500mg. Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd Prophylactic antibiotics should be taken daily as prescribed to prevent infection. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. 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. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. (Select all that apply. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. a. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. : an American History (Eric Foner). VSim Documentation- Brittany Long.docx - Course Hero The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. A nonhemolytic febrile reaction is indicated by fever and chills. 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. Jackson Weber Complex Pre/Post Quiz. f. Reassessed vitals After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. 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 patient 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. Which of the following principles should the nurse be aware of when administering ketorolac? ), Follow institution protocol for blood transfusion administration and management. Further enhance your student . Document your initial focused assessment of Brittany Long. Pennsylvania College of Technology. Rationale:In splenic sequestration, the sickled cells become trapped in the spleen. c. A: Attached the pulse oximeter per orders and then assessed her pain level using Administer 20 mL/kg bolus of isotonic crystalloid intravenously ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. 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 nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. ), 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. Naloxone should be readily available in case of respiratory depression.