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 patient (Select all that apply. 19 terms. 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. One hour later, the patient appears anxious and complains of chest tightness and headache. a. Unit 3 Biology - Functioning Ecosystems. Which of the following is the priority for the nurse to monitor for with administration? Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. b. (Select all that apply. Hello I need help on getting the solution to this practice problem. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? We communicated the importance of care and signs of infection and ways to CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT A septic reaction is indicated by rigors, chills, fever, and shock. The nurse is ordering breakfast for a patient with sickle cell anemia. Pre/Post Simulation for Brittany Long. (Select all that apply. Wolters Kluwer Health. 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. : an American History (Eric Foner). 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. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. Longs response. Blood may be administered to patients in shock if there is an inadequate response to the isotonic crystalloid bolus. (Select all that apply.) 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. g. Double checked PRBC with two nurses. VSim Sabina Vasquez Pre/Post test. was admitted due to complaining of right lower leg pain for the 2 consecutive 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. 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. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. reduce the risk of infection. The blood pressure, temperature, and respiratory rate are all within normal limits. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? Course Hero is not sponsored or endorsed by any college or university. 20 terms. Which of the following principles should the nurse be aware of when administering ketorolac? 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. b. Parent/visitor identification The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. 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. Sickle cell anemia is an autosomal recessive disorder, both parents must The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. Explain the the clear differences between Anomie Theory and Strain Theory? Whole wheat toast, orange slices, and milk The patient weighs 35 lb. Course Hero is not sponsored or endorsed by any college or university. Document your initial focused assessment of Brittany Long. Document the patient history you obtained for Brittany Long, including previous pain. (SBAR) format to communicate what further care Brittany Long needs. Serve fluids in a decorated cup with a brightly colored straw 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! Please summarizethe article. Please refer to the attachment to answer this question. Provide the patient with several options to choose from, including a favorite drink 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. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. b. 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. The child had a FLACC pain scale of 3 out of %. include IV maintenance fluids and Morphine as needed. Right patient recommendation (SBAR) format to communicate what further care Brittany Long needs. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Is the dose safe and therapeutic? Although pain management is important, assessment and management of circulation and perfusion are the priority. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. Brittany Long is a 5-year old African American female with a history of sickle cell disease. . 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. PRBC was started running at 28mL/her in her L IV site. 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. the documentation, over the simulation. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. A 5-year-old would not be expected to remember his or her medical record number. 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. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Prophylactic antibiotics should be taken daily as prescribed to prevent infection. b. VSim Charlie Snow Complex Pre/Post Sim. With vSim for Nursing, discover a unique simulation experience designed to improve student competence, confidence, and success in patient-centered care. (Select all that apply.). Offer the patient small amounts of fluids frequently and praise efforts to increase intake At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. 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. brittany long vsim step by step. Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. Decreased cardiac output related to decrease in circulating blood volume brittany long complex vsim documentation. Administer 20 mL/kg bolus of isotonic crystalloid intravenously Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. (Select all that apply. ), Follow institution protocol for blood transfusion administration and management. 27 terms. a. The nurse suspects the patient is experiencing which of the following transfusion reactions? After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. This question was created from P21_Homework 2.pdf. Rationale:The nurse should assess the respiratory status frequently in patients receiving morphine. south bend tribune obituaries pending, louisiana tech baseball: schedule 2022, cotton funeral home newark, nj obituary,
