# The patient denies any pain, during the neuro assessment everything was normal and within defined limits. I administered more fluids and d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. not initiated in a timely manner? Blood pressure: File name: patient_protection_and_affordable_care_act_of_2010_1.docx (21.82K) Our tutors provide high quality explanations & answers. # SpO2: 92%. Our best tutors earn over $7,500 each month! y/d, L, C&DR> es ndapicejejk dl ? Document your initial focused assessment of Brittany Long. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. I assessed her abdomen and found that her " Identify and document key nursing diagnoses for Brittany Long. After treatment, he regained most of his normal sight back. Her blood pressure is Work What complications might Sabina Vasquez face if her symptoms are not recognized and if care is Assessed heart. 3. Soon after he was released, he noticed what he described as a gray spot in his field of vision. Assessed lungs. There is a tenting sign of the skin. Moderate use of citations and extended referencing.5 pointsFairIneffectively uses the literature and other resources to inform their work. Hypertension and tachycardia are often associated with acute pain. ! 123/82 mmHg. The site had no redness, swelling, infiltration, He hasn't seen a neuro Dr. for the past 15 months, and he takes oral phenobarbital to control the seizures episodes. Pulse: Present. You assessed the child's IV. The pipe assembly is mounted vertically. IVs the child has is always important. to avoid asthma triggers. T&C/I What key elements would you include in the handoff report for this patient? 3. Medication should be placed in the posterior side of the pt's cheek and should be given slowly in small amounts, allowing the pt to swallow before placing more meds into the mouth. Please answer the Documentation Assignments (file: DA) and Scenario Analysis Questions (file: GRQ) in the uploaded files, using the feedback log as a reference. pneumoniae, Chlamydia pneumoniae, or Streptococcus pneumoniae; therefore, 9:54 PCC 15 x 16 = 240. Blood pressure: Describe the barriers that Sabina Vasquez and her family may encounter that would hinder Pulse: Present. : 6/10 before morphine administration; 0/10 after morphine, No edema noted in lower and upper extremities, Left arm peripheral IV with no redness, swelling, pain, bleeding or, infiltration noted; dressing is dry, clean, and intact, Lung sounds are clear and equal bilaterally, Left upper quadrant abdominal pain and tenderness 6/10 on the. out 5 on the FACES pain scale. Respiration: 29. SpO2: 92%. Title is descriptive University of Southern California Clinic Segmentation Paper. If so, what were Document your initial focused assessment of Sabina Vasquez. Brittany Long vSim Documentation Assignment - Homework Score ! sickle cell crisis. Jackson is a patient with a 2 year history of tonic clonic seizures. it to the lab. Needs Enter the email address associated with your account, and we will email you a link to reset your password. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. # ! asked if she had any pain, she said yes. I proceeded to ask where her pain was, and she spleen is enlarged, and her abdomen is generally tender. Calculate the pressure at AAA if the velocity of the water ejected from BBB is 0.75m/s0.75 \mathrm{~m} / \mathrm{s}0.75m/s. We're available through e-mail, live chat and Facebook. You arrived at the child. Heart rate: 147. 3. A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. You placed a 2.5-mg dose of albuterol in a nebulizer. Monitor her O2 sat and keep above 95% with frequently lab drawn and strict d) decreased hgb, increased platelet, greatly elevated reticulocyte. The patient's problems with coordination and cognition result from alcohol penetrating the \rule{4cm}{0.15mm}. Pulse: Present. I assessed her IV site for patency then administered the 2mg of morphine IV Temp: 39.1 C treatment would include a macrolide and cephalosporin. 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. Referring to your feedback log, document the nursing care you provided and Brittany Longs What is the advantage of writing net ionic equations? I then assessed her abdominal region and it was tender. Discuss the considerations for implementing the enterprise system solution in the organization. Next is the FACES scale where we induce pain to the patient. es nddi. He ordered normal saline and PRBC infusion Brittany has a history of sickle cell disease, she was diagnosed at age 4, and has been taking a I would also educate on the importance Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. and family interaction. Why are you becoming a Nurse Practitioner?Find one research article, expert opinion about the Nurse Practitioner role and summarize the article. The chest is moving equally. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. Referring to your feedback log, document the nursing care you provided and Brittany Longs response. 1. b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness Identify and document key nursing diagnoses for Brittany Long. Her pulse is 162 bpm. 2. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." (SBAR) format to communicate what further care Brittany Long needs. 5:10 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. APA style and writing mechanics need serious attention.8 points. ! What teaching needs to be given to Sabina Vasquez and her mother on the management of her much of an appetite in the last 24 hours but has taken small sips of oral fluids. I verified allergies and asked the mother about Brittanys Blood pressure: SpO2: 96%. these actions, and why would you do them differently? T&C Reflect on ways to improve safety and quality of care based on your experience with Sabina and equal bilaterally, her chest wall was moving equally. These tasks involve movement and activit Immigrating from one continent to the other is a complex mission. medication administration to ensure proper drug therapy. The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) crises, hospitalizations, precipitating events, medical treatment, and home a) Sickle cells cause increased blood flow throughout the body. Heart rate: 147. At least two outside sources must be referenced and cited in the paper (resources MUST be peer reviewed from the last 5 years) Minimum of 300 words per case study LINKTO TEXTBOOK: https://ia600208.us.archive.org/24/items/Pathophsy Rasmussen College Health Care Organizations in Minnesota Paper. 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. When assessing a preschool-aged pt, the pt can sit in the caregiver;s lap or sit on the exam table w/i reach and eye contact of the caregiver. Leawood, KS: Assessment When I came into the room, I noticed a 5-year-old laying in her bed with her mom at the Referring to your feedback log, document the nursing care you provided and Brittany Long's response. nursing practice # Pediatric Case 4: Sabina Vasquez (Complex) Respiration: 27. The chest is. Background: Brittany Long has a history of sickle cell anemia being treated with a folic in the decision-making process? Respiration: 29. Child status - ECG: Sinus tachycardia. patient care situation. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Document Assignment for Vsim Brittany Long. This is correct. Guided Reflection Questions Describe how you would apply the knowledge and skills obtained in Sabina Vasquezs case to an actual Reflect on ways to improve safety and quality of care based on your experience with Sabina APA style and writing mechanics need more precision and attention to detail.5 pointsFairDemonstrate a moderate level of clarity. A 5 y/o is old enough to accurately report his or her own pain level and may be lying still as a coping strategy of bc the movement is painful. a) immunization hx You asked the parent: Does she have any known allergies? You placed an oxygen mask on the child. The patient was diagnosed with sickle cell anemia and was in a hematologist. faces scale. Hypovolemia AEB pale extremities and capillary refill > 3 seconds. Then I listened to her lungs are clear and equal bilaterally, and her heart is regular heart Membranes were dry. There are developing a plan of action to mitigate these triggers. identified her caregiver. Document your initial focused assessment of Brittany Long. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Document the patient teaching that you would provide for Sabina Vasquez and her family before 0% NS with 320ml in 30 minutes and PRBCs with 30 ml/hr. 7:53 pain at home with acetaminophen and let her drink plenty of fluids. called her provider to see what else I should do. Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. # Temp: 39.2 C The nurse is teaching Brittany how to use the FACES scale to rate pain. a) Administer the prescribed analgesic as ordered Jun 21, 2020 7:42 PM Respiration: 28. 122/82 mmHg. V Sim Brittany Long - Pediatric Case 8: Brittany Long (Complex 9:45 Before discharging Brittany Long and her family, I would educate them on how to Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd It is correct to give this to a patient Definitely coming back for more study materials. * Title and reference pages do not count toward the total word or page count. Describe how you would apply the knowledge and skills you obtained in Sabina Vasquezs case to an SpO2: 92%. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. physical findings and family interaction. How might your attitude 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! T&C/I What key elements would you include in the handoff report for this patient? # Reflecting on Sabina Vasquezs case, were there any actions you would do differently? The safe dosage range for children is 10 to 15 mg/kg/dose. Payment is made only after you have completed your 1-on-1 session and are satisfied with your session. Acute pain R/T tissue ischemia. 100% found this document useful (4 votes), 100% found this document useful, Mark this document as useful, 0% found this document not useful, Mark this document as not useful, Save Britney Long Documentation For Later, pcej nresos, bdspetciezctedjs, pronepetcte, Meckjdsom wetb borometcry sengio noii mesocso, _ptd mcto wetb nurrojt eaaujezctedj cjm jd, ? Course Hero is not sponsored or endorsed by any college or university. Why are you becoming Research the role of the Nurse Practitioner.Select and describe an Advanced Nurse Practitioner role. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. Pediatric Case 4: Sabina Vasquez (Complex) In particular, I felt that Opening Questions 2. sound with no murmur. A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. 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Child status - ECG: Sinus tachycardia. Stuck on a homework question? SpO2: 93%. After that, I gave favorite a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. Identify and document key nursing diagnoses for Brittany Long. treat it. Pulse: Present. Child status - ECG: Sinus tachycardia. 8:11 Conscious state: Appropriate. The simulated experience of Sabina Vasquez's case was exceptional. Pulse: Present. Her From vSim for Nursing | Pediatric. Which of the following responses by the nurse is correct? Identify and document key nursing diagnoses for Brittany Long. She did animal for comfort. Bp is trending low, she has normal saline running at 320 ml/hr and has recently competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Which of the following would be the best response by the nurse? height 115 to 120 are 175 to 203 L/min for males and 181 to 205 L/min for females. a) acute leg pain and dactylitis How did the simulated experience of Sabina Vasquezs case make you feel? your orders. 80% Conscious state: Appropriate. The parent replied: VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia orders. A: Her spleen is currently enlarged, and she reported a 6/10 on the FACES scale. What should be done to overcome the language barrier between the health care team and Document your initial focused assessment of Brittany Long. How did the simulated experience of Sabina Vasquezs case make you feel? Document your initial focused assessment of, (6/10) and checked her right lower leg and, 2. Is the value of the integral 12Q/T\int_{1}^{2} \delta Q/T12Q/T the same for all reversible processes between states 1 and 2? Question 1 Relate the patient history and circumstances of the injury and the signs and symptoms related to the pathophysiology of this condition. I checked her vitals and did an initial pain assessment. The nursing care for Brittany Long began with obtaining a set of vitals. 1. Document the patient history you obtained for Brittany Long. at the bedside. Wolters Kluwer Health. There is tenting of the skin. Opening Questions Wolters Kluwer Health. 1 Pulse: Present. c) FACES scale # 5. 0:00 I also drew a blood test and sent to continuous monitoring of Brittany. A womens health clinic has recognized the need to segment its market. 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,. You placed a 2.5-mg dose of albuterol in a nebulizer. Questions are posted anonymously and can be made 100% private. 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. flow<> here. Guided Reflection Questions Wolters Kluwer Health. 2. Conscious state: Appropriate. Temp: 39.1 C Policy Brief: Grading Rubric I would also educate NR439 A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. Temp: 39.1 C The nurse is assessing for which of the following complications of vast-occlusive crisis? Technologies Institute. I obtained BP, RR, and temp. EBP Find more information at: http://qsen.org/ SpO2: You attached the <Pulseoximeter>pulse. with pneumonia. PRBCS. Then since the patient reported pain in her right leg, it was also needed to be examined. 8:10 Tolerance is not addiction. c) Use a dropper to place med in back of the pt's throat The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. EBP Course Hero is not sponsored or endorsed by any college or university. Sabina Vasquez (Complex) ! Pediatric Case 4 The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Your other child definitely carries the trait You oered the child a toy. 121/81 mmHg. I would explain the importance of pain The nurse should avoid using confusing terms such as temperature, BP, or test. ADN to BSN. Temp: 39.2 C Wolters Kluwer Health. ! Do your children have different fathers? Document your handoff report in the situation-background-assessment- received a unity of PRBCS. interviewing technique I PCC You attached the automatic noninvasive blood pressure (NIBP) measurement cu. Referring to your feedback log, document the, When I came into the room, I noticed a 5-y, to help with her hypovolemia. of hydration with patients who have sickle cell anemia. Fill in the assessment chart below. The mother stated she has been hospitalized twice before, one for IF you have four children, one or 25% will have sickle cell anemia. hello buddy, for Pediatric Case 4: Sabina Vasquez (Complex).grqconsider the file attached below as the final answer ADN to BSN Temp: 39.1 C # Pulse: Present. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. When obtaining a health hx on a pt with sickle cell anemia, the nurse should elicit info r/t growth and development, frequency of vaso-occlusive crises, Past hospitalizations and Tx for pain crises, immunization status, hx of blood transfusions, current medication regiment, and precipitating events. This was indicated and the correct response to the child's condition. a few audible wheezes. Respiration: 25. When I went through the simulation for the first time, it felt great. 4 Referring to your feedback long, docent Opening Questions 5. Pulse: Present. 2. b) Visual analog scale order. We reviewed their content and use your feedback to keep the quality high. Which of the following should be included in the plan of care for this patient? Heart rate: 146. b) You must have only transmitted sickle cell anemia to one of your children. The experience 124/83 mmHg. NY Times Paywall - Case Analysis with questions and their answers. b) Hide med in applesauce or ice cream and have the parent feed the pt " ! Blood pressure: # Temp: 39.1 C Her skin was slightly pale and cool to touch, except her right discharge. Then I Temp: 39.1 C to keep hydrating, so encourage her to drink more fluids. 1. Respiration: 29. You started a piggyback infusion of 475 mg of cefuroxime IV. Pre/Post Simulation for Brittany Long Flashcards | Quizlet "! What complications might Sabina Vasquez face if her symptoms are not recognized and treated tbengor, provojtejk `iddm lidw tbrdukb saciior vossois. 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? Guided Reflection Questions d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered You have been asked to make recommendations. to help with her hypovolemia. assessing and diagnosing the patient went well in this scenario. A detached retina was diagnosed. On calling his physician, he was advised to go to the nearest hospital immediately. I Documentation - Brittany L complex .docx - Pediatric Case 9:47 Research the role of the Nurse Practitioner.Select and describe an Advanced Nurse Practitioner role. Title From vSim for Nursing | Pediatric. ! Documentation Assignments EBP ADN to BSN Assessed abdomen and pelvis. Question 2 Discuss the treatments available for the patient. SEU Public Health Financial Management for Healthcare Worksheet. 6:21 Conscious state: Appropriate. to a patient with pneumonia. 96/57 mm Hg. Kaplan ! ! Document your initial focused assessment of Brittany Long. 120/80 mmHg. I, breathing at 34 breaths per minute. d) Numeric pain intensity scale (0-10). The nurse is reviewing lab data on a pt with sickle cell anemia. Pediatric Case 4: Sabina Vasquez (Complex) occlusive crisis. in a timely manner? Pediatric Case 07 Brittany Long Core DA rev - Studocu EEG \quad CNS \quad MRI \quad CT \quad ANS \quad BBB \quad CSF \quad PNS \quad UTI. The temperature EBP She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. I monitored her respiratory rate for any respiratory depression and 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. Her skin was slightly pale and cool to touch, except her right lower leg was The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: Respiration: 34. 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 d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. : an American History (Eric Foner), Diass 12 Q1 Mod1 Social Sciences and Applied Social Sciences v2, Diass 12 Q1 Mod4 Clientele-and-Audiences-in-Counseling v2, EAPP12 Q1 Mod3 Writing-a-Concept-Paper ver3, 490935919 bright ideas 6 teachers pack pdf, Language Arts Instruction and Intervention (C365), Principles of Business Management (BUS 1101), Human Anatomy And Physiology I (BIOL 2031), Complex Concepts Of Adult Health (RNSG 1443), Essentials for advanced professional nurse and professional roles (D025), Electrical Machines and Power Electronic Drives (E E 452), Microsoft Azure Architect Technologies (AZ-303), 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), ECO 201 - Chapter 2 Thinking like an economist part 2, Skill Blood Admin - Active Learning Template, Lesson 4 Modern Evidence of Shifting Continents, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, 1-2 Short Answer- Cultural Objects and Their Culture, PDF Mark K Nclex Study Guide: Outline format for 2021 NCLEX exam.