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The blood pressure, temperature, and respiratory rate are all within normal limits. hidy_esther . DramaQueen66. 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. This question was created from SCH3U Lesson Assignment 7 (docx).docx. Jackson Weber Complex Pre/Post Quiz. Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. Risk for infection Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. Immediately discontinue the blood transfusion (Select all that apply. b. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. Patient reported 6/10 for pain. 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. Brittany Long vSim Documentation Assignment - Homework Score The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. Identity should be confirmed each time a medication is given. Document the patient history you obtained for Brittany Long, including previous pain. kuuleinani1102. Naloxone should be readily available in case of respiratory depression. Instead, offer small amounts of liquid frequently. (Select all that apply. A medical alert bracelet should be worn at all times. Pre/Post Simulation for Brittany Long Flashcards | Quizlet Please include all the critical details (method/results/limitations/implications), one page. This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. include IV maintenance fluids and Morphine as needed. g. Double checked PRBC with two nurses. She has been hospitalized twi. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders You may feel a pinch. Course Hero is not sponsored or endorsed by any college or university. 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. The O2 SAT was 97% with 2 L of oxygen. VSim for FA Davis. Which of the following actions should the nurse take first. Article : The impact of gender ideologies on men's and women's desire for a tr. Praise the patient for attempts at eating and drinking. a. ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with 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 a. Vitals Document your . the FACES scale. The patient weighs 35 lb. VSim Sabina Vasquez Pre/Post test. 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. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. 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 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. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. VSIM 8 Brittany Long documentation.docx - Pediatric Case 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 Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. Pennsylvania College of Technology. Thanks! . The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Offer the patient small amounts of fluids frequently and praise efforts to increase intake vSim for Nursing | Pediatric - LWW 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. 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. Vitals were as followed: RR 35, c. A: Attached the pulse oximeter per orders and then assessed her pain level using 2. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. rellawananab. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? What physical finding should make the clinician suspicious? 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. vSim for Nursing Pediatric | Laerdal Medical VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia 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. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex To melt 50 grams of 0-degree-Celsius ice requires ___ calories? Sickle cell anemia is an autosomal recessive disorder, both parents must Wolters Kluwer Health. Which of the following principles should the nurse be aware of when administering ketorolac? (Select all that apply. PRBC was started running at 28mL/her in her L IV site. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. 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. 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. The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. 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. ), 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. Provide the patient with several options to choose from, including a favorite drink Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. Available is Ceftazidime 500mg. 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 is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. 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. Identify and document key nursing diagnoses for Brittany Long. Avoid giving large amounts of fluid at a time. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. a. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. A 5-year-old would not be expected to remember his or her medical record number. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. The doctor has ordered Ceftazidime 140mg Q8hr. Administer 20 mL/kg bolus of isotonic crystalloid intravenously Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. Which of the following findings would indicate that the patient is progressing into hypovolemic shock? 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.). the documentation, over the simulation. 4. Decreased cardiac output related to decrease in circulating blood volume 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. hhulsey6. Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd (Select all that apply.). Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. 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The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. brittany long complex vsim documentation. 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. Which of the following statements by the caregiver indicates that teaching has been effective? a. 2. The patient was tachycardic with a HR of 157. Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet 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. [Show more] Preview 2 out of 5 pages
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