e. Administers a fluid bolus and PRBC as prescribed It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. "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. Praise the patient for attempts at eating and drinking. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. 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. Course Hero is not sponsored or endorsed by any college or university. Jackson Weber Complex Pre/Post Quiz. history of sickle cell disease who was diagnosed at 6 months old. (Select all that apply.). Place the steps of an abdominal assessment in order. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. Med Surg Nursing Cheat Sheets 76 Cheat Sheets for Nursing Students nodrm pdf, Test Out Lab Sim 2.2.6 Practice Questions, Tina Jones Health History Care Plan Shadow Health.pdf, Entrepreneurship Multiple Choice Questions, Lab 3 Measurement Measuring Volume SE (Auto Recovered), Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Document your initial focused assessment of Brittany Long. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. S: The patient is Brittany Long, a 5-year-old African American female with a Pediatric Case 08 Brittany Long Complex DA - Studocu Is the dose safe and therapeutic? b. 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. Course Hero is not sponsored or endorsed by any college or university. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. ), The nurse is assessing a patient with acute splenic sequestration crisis. VSim Documentation- Brittany Long.docx - Course Hero 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. 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. Preview text. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. crises, hospitalizations, precipitating events, medical treatment, and home management. 19 terms. Instead, offer small amounts of liquid frequently. Document your . Cross), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. A nurse is caring for a 5-year-old patient with sickle cell anemia who is exhibiting signs of dehydration. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? ), 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. 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. 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. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. Unit 3 Biology - Functioning Ecosystems. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. Peps c4 | Pharmacology homework help - SweetStudy A 5-year-old would not be expected to remember his or her medical record number. 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 Care Plan - CONCEPT MAP WORKSHEET DESCRIBE - Studocu A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. Round the weight in kilograms to nearest the whole number. [Show more] Preview 2 out of 5 pages Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Please refer to the attachment to answer this question. The patient hidy_esther . 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. The doctor has ordered Ceftazidime 140mg Q8hr. g. Double checked PRBC with two nurses. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? a. 19 terms. 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. Please refer to the attachment to answer this question. After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. rellawananab. 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. ), 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. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. All three of the resident's children are. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 4. Wolters Kluwer Health. ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. Serve fluids in a decorated cup with a brightly colored straw reduce the risk of infection. (Select all that apply.). Click the card to flip Avoid giving large amounts of fluid at a time. Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. The child had a FLACC pain scale of 3 out of %. Which right of medication administration has the nurse violated? The patient weighs 35 lb. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. a hard, Jeremy is suffering from chronic alcohol abuse. Vitals were as followed: RR 35, Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. Administer 20 mL/kg bolus of isotonic crystalloid intravenously VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia brittany long vsim step by step. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. (Select all that apply. Sickle cell anemia is an autosomal recessive disorder, both parents must recommendation (SBAR) format to communicate what further care Brittany Long needs. 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.

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brittany long complex vsim documentation

brittany long complex vsim documentation

brittany long complex vsim documentation