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Document your handoff report in the situation-background-assessment- The patient was tachycardic with a HR of 157. Which of the following statements by the caregiver indicates that teaching has been effective? 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. Course Hero is not sponsored or endorsed by any college or university. 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. a. To melt 50 grams of 0-degree-Celsius ice requires ___ calories? A 5-year-old would not be expected to remember his or her medical record number. Please include all the critical details (method/results/limitations/implications), one page. A septic reaction is indicated by rigors, chills, fever, and shock. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. The O2 SAT was 97% with 2 L of oxygen. The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. I will make sure her immunizations are current and that she has a flu shot every year to keep her from getting very sick. Thanks! The patient was admitted due to complaining of right lower leg pain for the 2 consecutive days. [Show more] Preview 2 out of 5 pages before discharge. 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. "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. kuuleinani1102. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. At 1200, the nurse prepares ketorolac 8 mg in a syringe and takes it to the room. 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 Sets found in the same folder. ), Follow institution protocol for blood transfusion administration and management. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. (SBAR) format to communicate what further care Brittany Long needs. Terms of Use Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. (Select all that apply. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. a hard, Jeremy is suffering from chronic alcohol abuse. Right patient ), The nurse is preparing to administer a blood transfusion to a 5-year-old patient with acute splenic sequestration. Click the card to flip VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. b. (Select all that apply. Impaired gas exchanges, Referring to your feedback log, document the nursing care you provided and Brittany 2. One hour later, the patient appears anxious and complains of chest tightness and headache. S: The patient is Brittany Long, a 5-year-old African American female with a 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. Round the weight in kilograms to nearest the whole number. 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. The nurse suspects the patient is experiencing which of the following transfusion reactions? 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. The patient has had limited oral intake in the past 24 hours and is refusing to drink. The patient with sickle cell anemia has intravenous ketorolac 8 mg scheduled every 6 hours, and the last dose was administered at 0600. The blood pressure, temperature, and respiratory rate are all within normal limits. 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. 18 terms. Decreased cardiac output related to decrease in circulating blood volume DramaQueen66. Patients should be immunized against Streptococcus pneumonia, Neisseria meningitidis, and Haemophilus influenza type B to reduce the risk of serious infection and sepsis. (Select all that apply.). 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! c. A: Attached the pulse oximeter per orders and then assessed her pain level using Risk for infection 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. (Select all that apply. Which of the following actions should the nurse take first. Which of the following steps should be included during the preparation and administration process? The patient is awake and sitting in bed playing video games with her sister. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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. Document your initial focused assessment of Brittany Long. Explain the the clear differences between Anomie Theory and Strain Theory? This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. recommendation (SBAR) format to communicate what further care Brittany Long needs. Pre/Post Simulation for Brittany Long. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? 19 terms. : 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! After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. The doctor has ordered Ceftazidime 140mg Q8hr. VSim for FA Davis. Preview text. Identify and document key nursing diagnoses for Brittany Long. . Please refer to the attachment to answer this question. Hello I need help on getting the solution to this practice problem. rellawananab. Document your initial focused assessment of Brittany Long. Pediatric Case 7: Brittany Long (Core) 1. the FACES scale. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Praise the patient for attempts at eating and drinking. Pennsylvania College of Technology. 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. : an American History (Eric Foner). a. brittany long complex vsim documentation. The nurse is preparing to administer intravenous morphine to a 5-year-old patient with acute splenic sequestration crisis. CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT 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. Naloxone should be readily available in case of respiratory depression. hhulsey6. Pediatric Case 02 Jackson Weber Complex DA, Pediatric Case 02 Jackson Weber Complex GRQ, Pediatric Case 04 Sabina Vasquez Complex DA, Pediatric Case 04 Sabina Vasquez Complex GRQ, Pediatric Case 06 Eva Madison Complex DA rev, Pediatric Case 06 Eva Madison Complex GRQ, Business Environment Applications I: Business Structures and Legal Environment (D078), Management Information Systems and Technology (BUS 5114), Ethics and Social Responsibility (PHIL 1404), Healthcare Strategic Management and Policy (HCM415), Financial Statement Analysis/Business Valuation (ACC345), Fundamentals of Biology: Cellular and Organ Physiology (BIO 203), Managing Organizations and Leading People (C200 Task 1), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), TB-Chapter 21 Peripheral Vascular System and Lymphatic System, Chapter 3 - Summary Give Me Liberty! You may feel a pinch. 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. Respiratory depression Place the steps of an abdominal assessment in order. A nonhemolytic febrile reaction is indicated by fever and chills. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. Patient reported 6/10 for pain. It is important to let the patient know that it is acceptable to express feelings and get upset or cry if in pain. Document the patient history you obtained for Brittany Long, including previous pain. history of sickle cell disease who was diagnosed at 6 months old.

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