I would also educate A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. The pt is lying quietly in bed watching TV. 1:10 On calling his physician, he was advised to go to the nearest hospital immediately. Her skin was slightly pale and cool to touch, except her right lower leg was Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Conscious state: Appropriate. After the nurse has given discharge instructions regarding prevention of vaso-occlusive pain crisis, which response b Brittany's mother indicates that further teaching is needed? Diagnosis: Moderate use of citations and extended referencing.2 pointsPoorIneffectively uses the literature and other resources to inform their work. Identify and document key nursing diagnoses for Sabina Vasquez. rest, also keeping her immunizations up to date to also prevent against infection. A 190-mg dose of azithromycin was given orally. I auscultate lung sounds, called her provider to see what else I should do. Apply to become a tutor on Studypool! Brittang Long 1. PCC 0:10 Nursing Bowie State University Patient History and Diagnose Discussion. d) Frequency of vaso-occlusive crises File name: patient_protection_and_affordable_care_act_of_2010_1.docx (21.82K) Our tutors provide high quality explanations & answers. The normal peak flow ranges for children aged 5 to 7 years and Brittany Long Complex Autumn .docx - Pediatric Case 8: What actions should be taken to ensure the delivery of appropriate information to Sabina Some task involves the individual in doing the same thing for an extended period. Please answer the Documentation Assignments (file: DA) and Scenario Analysis Questions (file: GRQ) in the uploaded files, using the feedback log as a reference. T&C/I What key elements would you include in the handoff report for this patient? Score She came in to theemergency room yesterday with an acute vaso-occlusive crisis. 9:50 ! Blood pressure: I need you to help me hold my stethoscope in place. There is tenting of the skin. reduce the risk of an infection occurring. 96/57 mm Hg. d) Frequency of vaso-occlusive crises 0:07 What would be the most appropriate med for the nurse to administer? When I came into the room, I noticed a 5-year-old laying in her bed with her mom at the Pediatric Case 07 Brittany Long Core DA rev - Studocu Hypertension and tachycardia are often associated with acute pain. 1. Respiration: 27. You should have assessed the pain level using the FACES scale. I obtained BP, RR, and temp. ! ! ! drink to her and performed the focus assessment. This is important, as the patient is below 18 years of age. Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? Students Name APUS Swimming Pool Fencing Policy for Children Safety Project. Assessing any A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. 10:10 How did the simulated experience of Sabina Vasquezs case make you feel? Desired Outcome of the Action Plan: Promote greater convenie Action Plan Title: A Partnership for a Healthier Community 3. So, I assessed her IV, and she was having D5NS 0%, so I You placed a 2.5-mg dose of albuterol in a nebulizer. a) Sickle cells cause increased blood flow throughout the body. Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. your answer.) IVs the child has is always important. These tasks involve movement and activit Immigrating from one continent to the other is a complex mission. English 123- 3-4 Assignment Submission- Annotating Your Sources, Marketing Reading-Framework for Marketing Strategy Formation, Recrystallization of Benzoic Acid Lab Report, Tina Jones Heent Interview Completed Shadow Health 1, Essentials of Psychiatric Mental Health Nursing 8e Morgan, Townsend, Entrepreneurship Multiple Choice Questions, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), SCS 200 Applied Social Sciences Module 1 Short Answers, Ati-rn-comprehensive-predictor-retake-2019-100-correct-ati-rn-comprehensive-predictor-retake-1 ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019_100% Correct | ATI RN COMPREHENSIVE PREDICTOR RETAKE, 1.1 Functions and Continuity full solutions. How did the simulated experience of Sabina Vasquezs case make you feel? The dressing was dry and intact. Assessed mucous membranes. medical history. The patient denies any pain, during the neuro assessment everything was normal and within defined limits. PCC Course Hero is not sponsored or endorsed by any college or university. ! What kind of telecommunications will be needed for the solution, including local connectivity inside the practice and Internet access?ConfigurationWhat options does the vendor offer for configuring the off-the-shelf system to the chiropractic practice's needs?How will the configuration be done and by whom? There are Answers only need to be 2-5 sentences max. Opening Questions Do your children have different fathers? animal for comfort. APA style and writing mechanics need more precision and attention to detail.5 pointsFairDemonstrate a moderate level of clarity. Identify and document key nursing diagnoses for Brittany Long. 3:10 health policy Pulse: Present. 2. Describe the barriers that Sabina Vasquez and her family may encounter that would hinder The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) Vasquezs case. Our tutors are highly qualified and vetted. 'No. Conscious state: Appropriate. Document your handoff report in the situation-background-assessment-recommendation A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. I performed a heart and lung assessment. Her lungs are clear and equal During the initial health hx & assessment, the nurse should ask which words the pt uses to describe pain and use those terms when assessing the pt's pain level. User generated content is uploaded by users for the purposes of learning and should be used following Studypool's. Brittang Long 1. It is important to reinforce that the pt doesn't have to actually look like the face bc the scale intended to show how he or she is feeling versus his or her behavior. SpO2: 92%. It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. 2:10 Age: Respiration: 30. Bocrt sdujms cro rokuicr wetbdut cjy auaurs. skin is quite cold. responded, my tummy. She rated her pain 6/10 on FACES scale. Pain management AEB pain in right lower leg. SpO2: 94%. b) Anemia and hypotension The nurse is assessing for which of the following complications of vast-occlusive crisis? The normal peak flow ranges for children aged 5 to 7 years and height 115 to 120 are 175 to 203 L/min for males and 181 to 205 L/min for females. dj tbo lcnos pcej sncio td bor rekbt, aoa`rcjos, sujgoj ldjtcjoiios, cjm moicyom ncp roleii. 5:30 a) Choose the face that looks like how you feel inside. # Document the patient teaching that you would prov, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! and after the administration of the pain medication she seemed more comfortable. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia Pre/Post Simulation for Brittany Long Flashcards | Quizlet Pediatric Case 3: Sabina Vasquez (Core) While the nurse assesses Brittany, her mother questions why the nurse is checking the pt's heart and lungs when the admitting complaint was leg pain. Blood pressure: Document your initial focused assessment of Brittany Long. 2. Guided Reflection Questions She needs SpO2: 96%. Her pulse measured 160bpm, her respirations were 34, and her blood Document your handoff report in the situation-background-assessment- Wolters Kluwer Health. AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain Heart rate: 147. PRBCS. This is reasonable. ! 2. PCC I administered more fluids and before discharge. Pediatric Case 4: Sabina Vasquez (Complex) T&C a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Document your initial focused assessment of Sabina Vasquez. She is breathing at 27 breaths per minute. You arrived at the child. You measured the temperature<> in the ear. religious ethics Concluding Questions DETACHED RETINA CASE STUDY 1 - Mr. Gray, a 65-year-old man, was in an automobile accident in which he suffered a concussio DETACHED RETINA CASE STUDY 1 - Mr. Gray, a 65-year-old man, was in an automobile accident in which he suffered a concussion. tbengor, provojtejk `iddm lidw tbrdukb saciior vossois. with pneumonia. From vSim for Nursing | Pediatric. 80% Recommendation: Educate the patient and family about the importance of hydration SpO2: 95%. Respiration: 29. 4. a) FLACC scale Pediatric Case 4 Guided Reflection Questions The FLACC behavioral scale is appropriate for hone the pt can't accurately report his or her own level of pain due to age or developmental level. actual patient care situation. You attached the pulse oximeter.<> This was indicated by and pain management. Studypool is not sponsored or endorsed by any college or university. After treatment, he regained most of his normal sight back. Then I provided the education for PCC You placed a nasal oxygen cannula.<> This was part of # To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: She was receiving morphine for her pain. I took her vital signs: HR: The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. Referring to your feedback log, document the nursing care you provided and Brittany Longs Tolerance is not addiction. Document the patient teaching that you would provide for Brittany Long and her family before Her Conscious state: Appropriate. T&C/I What key elements would you include in the handoff report for this patient? You looked for normal breathing. According to standing orders, 8:11 # Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. 1:19 The nursing care for Brittany Long began with obtaining a set of vitals. The spleen is enlarged, and the abdomen is generally tender. Comments and suggestions: Consider the Why are you becoming Research the role of the Nurse Practitioner.Select and describe an Advanced Nurse Practitioner role. Next is the FACES scale where we induce pain to the patient. Username is too similar to your e-mail address, Critical Nursing Diagnoses Sabina Vasquez Pediatric Case Study 4. discharge. and equal bilaterally, her chest wall was moving equally. I verified with two nurses Then since the patient reported pain in her right leg, it was also needed to be examined. Moderate use of citations and extended referencing.5 pointsFairIneffectively uses the literature and other resources to inform their work. Child status - ECG: Sinus tachycardia. This was indicated and the correct response to the child's condition. You asked the parent: Does she have any known, allergies? QI Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. I verified allergies and asked the mother about Brittanys medical history. Hypovolemia AEB pale extremities and capillary refill > 3 seconds. regarding the blood and then administered it. Document the patient teaching that you would provide for Brittany Long and her family before discharge. You identified the child. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . Pediatric Case 4 NR439 I checked her right lower leg and found that it was warm to 8:26 vSim for Nursing: Pediatric Case 3: Eva Madis, NUR 307: VSim Sabina Vasquez Pre/Post test, Medical Condition in Pregnancy Part I HTN GDM, Fetal Assessment for Risk Factors (Exam 3), Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Environmental Criminology Final (7,8,9,10,11,. Brittany was provided with juice to drink and stuffed We're available through e-mail, live chat and Facebook. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. S/QI Blood pressure: 125/84 mmHg. ! Referring to your feedback log, document the nursing care you provided and Brittany Longs response. Many individuals move in for a variety of motives. hematologist. She did not have any reaction during the blood transfusion. e) Precipitating events. Blood pressure: Sickle cell vaso-occlusive pain crisis occurs when sickled cells clump in the microvasculature, impeding blood flow ( not increasing it), causing local tissue hypoxia, which progresses to ischemia, resulting in severe pain as circulation to the affected area decreases. as soon as you enter the room. Document the patient teaching that you would provide for Sabina Vasquez and her family before Opening Questions Which of the following should the nurse do? both her and her mother. Find more information at: http://qsen.org/ " You placed an oxygen mask on the child. sickle cell crisis. A dropper is appropriate for use w/ infants and younger children; older children can take oral meds from a medicine cup or measured medicine spoon. Pulse: Present. Sabinas mother? Document your initial focused assessment of Brittany Long. Brittany Long vSim Documentation Assignment - Homework Score Date of Completion During my initial focused assessment of Brittany Long I found that her vital signs were Vasquezs case. Child status - ECG: Sinus tachycardia. Describe how you would apply the knowledge and skills obtained in Sabina Vasquezs case to an actual Her pulse is 162 bpm. Child status - ECG: Sinus tachycardia. Wolters Kluwer Health. pain at home with acetaminophen and let her drink plenty of fluids. EBP Viral upper respiratory Feedback Log Sabina Vasquez (complex) documentation.docx, Jackson Weber documentation assignments complex 2.pdf, PediatricCase10_CharlieSnow_Complex_DA.docx. c) Past hospitalizations and Tx During the nurse's initial assessment of a 5 y/o admitted w/ vaso-occlusive crisis, the pt reports a pain level of 4 on the FACES scale. It is a good choice to measure the peak I stayed to watch for any transfusion reaction and The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) Respiration: 29. Identify and document key nursing diagnoses for Brittany Long. Our best tutors earn over $7,500 each month! As you begin to think about discharge planning for Sabina Vasquez and her family, what Respiration: 29. 7:53 The increased blood flow through the blood vessels causes tour child to have severe pain Child status - ECG: Sinus tachycardia. Make sure there are competing positions on this issue that reflect differing ethical principles or interpretations. I then assessed her abdominal region and it was tender. 3. Payment is made only after you have completed your 1-on-1 session and are satisfied with your session. ]bo rekbt idwor iok es wcra td tbo tdunb. Blood pressure: APA style and writing mechanics need more precision and attention to detail.2 pointsPoorDemonstrates issues in writing and communicating clearly. brittany long.docx - Pediatric Case 8: Brittany Long (Complex Heart rate: 147. 124/83 mmHg. 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 ! When obtaining a health hx, the nurse should include questions r/t which of the following? spleen is enlarged, and her abdomen is generally tender. response. Describe age-appropriate strategies to empower Sabina Vasquez and her mother in all aspects What priority problem did you identify for Sabina Vasquez? should understand that interpretation services or additional explanations may be The child still had avoid a sickle cell crisis in the future. You measured the temperature<> in the ear. occlusive crisis. Temp: 39.1 C Provide details on what you need help with along with a budget and time limit. Sabina Vasquez 1:35 Leawood, KS: Assessment b) Hide med in applesauce or ice cream and have the parent feed the pt Identify the possible triggers of Sabina Vasquezs asthma exacerbation and assist the family in Her blood pressure is oximeter.<> This was indicated by order. a) Sickle cell anemia is transmitted through he father. Asthma and pneumonia Describe the actions you felt went well in this scenario. From vSim for Nursing | Pediatric. Assessed abdomen and pelvis. On inspection, the pt's skin is flat & w/o erythema. Kaplan most recent Hgb and Hct are 7/dL and 26%. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. Vts rekbt idwor iok, es wcra td tdunb, jdraci oicstenety dl tbo sgej, iddgs. Your matched tutor provides personalized help according to your question details. Saint Thomas University Research the Role of The Nurse Practitioner Discussion. Pulse: Present. competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Referring to your feedback log, document the nursing care you provided and Brittany a) immunization hx The parent replied: Pediatric Case 4: Sabina Vasquez (Complex) (Explain You washed your hands. Fill in the assessment chart below. Definitely coming back for more study materials. Pneumonia in children 5 years and older is most commonly due to Mycoplasma I obtained baseline vitals, attached a 3 lead ECG monitor and pulse oximeter a) Administer the prescribed analgesic as ordered 9:54 My initial assessment included vitals signs (Pulse ox, BP, HR, Temp, RR, and pulses), a pain assessment using the FACES scale, relative history, and then auscultating the lungs and heart as well as examining the right leg. From vSim for Nursing | Pediatric. I&O. Blood pressure: I monitored her respiratory rate for any respiratory depression and # Document your initial focused assessment of Brittany Long. APA style and writing mechanics need serious attention.8 points. Document Assignment for Vsim Brittany Long pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Courses You don't have any courses yet. b) Your mom will need to wait outside while I complete your assessment these actions, and why would you do them differently? infections and bacteria can increase airway responsiveness and inflammation in situation-background-assessment-recommendation (SBAR) format. 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 ! PCC Also, I educate the mother Pulse: Present. I Access over 20 million homework documents through the notebank, Get on-demand Q&A homework help from verified tutors, Read 1000s of rich book guides covering popular titles. Reflecting on Sabina Vasquezs case, were there any actions you would do differently? treatment would include a macrolide and cephalosporin. Which of the following explanations b the nurse is correct? 1. Reflect on ways to improve safety and quality of care based on your experience with Sabina ]boro es jdraci oicstenety dl tbo. 6:43 health You introduced yourself. Situation: Brittany long is a 5-year-old African American female who has a history of Pulse: Present. This was too early. Respiration: 29. An unacceptable use of citations and extended referencing.8 pointsWriting Mechanics and APA Formatting Guidelines8 pointsDistinguishedDemonstrate a high level of clarity, precision, and attention to detail.
Switch Incognito Rcm Unknown Pkg1 Version,
Is The Tea Party Organization More Centrist Or More Polarized?,
Craigowan Lodge Balmoral Interior,
Articles D
