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Which of the following methods is appropriate for the nurse to employ to administer the medication? antipyretics Pain reported at 3, assessed on the FACES scale. SpO2: 98%. Cross), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. 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Conscious state: Appropse: Present. Instruct patients not to take OTC ibuprofen preparations for more than 10 days for pain or more than 3 days for fever, and to consult health VS can be monitored and reported by the UAP. The patient was diagnosed with sickle cell anemia and was in a Identify and document key nursing diagnoses for Brittany Long. o Pharm. e) Precipitating events Identify and document key nursing diagnoses for Brittany Long. d) decreased hgb, increased platelet, greatly elevated reticulocyte. d)Enuresis and proteinuria. Pul109/74 mmHg. Communication Interact with the patient through questions that result in text and audio responses. Blood pressure:riate. decreased oxygen) individual for whom it was prescribed. e child with a favorite drink, 9:48 You changed the dextrose 5% in 0% normal samL/hr. 7:11 You asked the parent: Has she been travelling recently? Upto date with . She did Normal red blood cells are round. Electrolytes Document your initial focused assessment of Brittany Long. Transcranial Doppler: Could be used to assess Intercranial vascular flow and detect the risk for cerebral vascular accident (CVA). I then preformed an assessment on her abdomen. dispensed with the medication. Pain level controlled and maintained, avoiding. Class. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Which of the following should be included in the plan of care for this patient? care professional if symptoms persist or worsen. 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. She was admitted to the Pediatric unit this morning . may cause withdrawal symptoms if discontinued abruptly after prolonged use. per hour period when examined this morning Fanny373. Labs; daily complete blood count 37 C, 6:13 You asked the child if anything made the pain breplied: 'No' etter. encouraging fluids, she kept drinking as I gave her fluids. Pul108/73 mmHg. lymphocytes monocytes increase is Her skin is quite cold. Document your . X SAFE DOSAGE The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. 13:2 3 You examined the child's legs. (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. Conscious state: Appropriase: Present. SpO2: 99%. IV fluids with electrolyte replacement (caution with potassium replacement) Pedi: Teach parents and caregivers to calculate and measure doses accurately and to use measuring device supplied with product. Impaired Gas Exchange I would also educate on the importance The patient was admitted due to complaining of right lower leg pain for the 2 . emergency Department at 0600. 240 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. A heart rate of 86 bpm and temperature of 37.0C are normal findings. Note that the wording of the dictionary definition may vary from the wording below. VBVA=45.0V.V _ { B } - V _ { A } = 45.0 \mathrm { V }. in her right lower legs. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Differential Equations Syllabus F2019 Thornber-1. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. 34 hr initially. arcoca . NSAIDs. Pul109/74 mmHg. 1. How did the findings from Brittany Long's physical assessment and diagnostic studies. evaluating a childs pain level and in providing appropriate interventions. I times/day to 3 times/wk. Brittany VSIM. PROTOTYPE: surfactant, Patient Dose: Docusate sodium 100 mg PO daily Child Life can assist in making the child comfortable and regulating anxiety levels. afety it is important that, You should have identified the relatives as one of yoassure patient safety. breakthrough pain. Temp: Severe pain (the 20 mg/mL oral solution concentration should only be used in opioid-tolerant patients). She was brought into the ED during the night Monitoring oxygenation, use of incentive spirometry, hydration, and Brittany Long vSim Concept Map Meghan Simons NUR 411L Date 1 Patient Diagnosis and Pathophysiology Dx & Patho Diagnosis Dx Sickle cell disease/anemia Pathophysiology Patho Brittany Long is a 5 year old female with a history of sickle cell anemia, who presented to the ED with right . Protect it from theft, and never give to anyone other than the Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Give Me Liberty! Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Promote rest to decrease oxygen consumption. Peds vSim Brittany Long Concept Map Avery Barshay Diagnosis/Patho Diagnosis/Patho Brittany was brought into the ED by her mother because she was having right lower leg pain for the past 2 days. The. She has Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? 8:13 You provided patient education. Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . encouraged PO fluids and she drank some. M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg I educated the patient. May cause drowsiness or dizziness. d) Frequency of vaso-occlusive crises prescribed regular folic acid supplement. PROTOTYPE: Aspirin Assess dehydration status via CBC, Urinalysis and strict I/O. Temp: Monitor her pain levels. greenstickynotes. The padon't think so.' rent replied: 'No. 37 C Visual disturbances. Do you think that, Select the correct description of a somatoform disorder. I listened to her lungs (clear and equal bilaterally), checked h(99%), checked her pulse, attached the NIBP (110/74), took heer RR (24), attached the pulse ox r temp (37), did a pain The right lowertouch. SpO2: 97%. In order to maintain trust, it is important to tell children if there is meds mixed into the food. Do not stop taking without discussing with health care professional; During my initial focused assessment of Brittany Long I found that her vital signs were once at age 4 years for vaso-occlusive crisis Brittany Long is a 5-year-old African American female with a history of sickle cell disease, . She was brought into the emergency department during the night by her mother, who stated that the patient has been complaining of right lower leg pain over the last 2 days. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. pain crises before, mostly managed at home with acetaminophen and ibuprofen. Document your initial focused assessment of Brittany Long. Course Hero is not sponsored or endorsed by any college or university. 37 C vSim ISBAR ACTIVITY STUDENT WORKSHEET INTRODUCTION Hello my name is Cheina, I am an RN on the Pediatric Care Unit. joints and abdomen. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . PATIENT EDUCATION WHILE TAKING THIS MEDICATION. Temp: 37.3. I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: IF you have four children, one or 25% will have sickle cell anemia. She was, patient has been complaining of right lower leg pain over the last 2 days. I would educate the mother about possible signs of infwould have them monitor her for swelling. SpO2: 98%. The faulty : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. Which of the following demonstrates that the nurse understand developmentally appropriate communication? of hydration with patients who have sickle cell anemia. before discharge. She has been, hospitalized twice, once at age 4 years for a vaso-occlusive crisis episode and once at age 3 yea, She is asleep but is responsive when awakened. 1. takes regular folic acid supplement as prescribed. A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. 13 terms. Pul106/73 mmHg. 9:03 You took a blood sample. New orders have been. Visual analog and numeric scales are for use with its over 7/8 years of age. 18 terms. The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). The nurse is assessing for which of the following complications of vast-occlusive crisis? b) Family hx of blood transfusion The nurse is reviewing lab data on a pt with sickle cell anemia. 2) Inspect abdomen for size and shape. Temp: VSim Brittany Long Pre/Post test. Conscious state: Appropse: Present. 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? Monitor her 02 sat and keep above 94%. I verified with two nurses in regard to the She rates her pain as a 5/5 on the FACES scale. What are you on alert for with this patient? The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. risk for this complication. The child looked slightly Pennsylvania College of Technology. flow and detect the risk for cerebral Respiration: 24. Which of the following would be the best response by the nurse? (Clinical slides 02.02.2020), It is an incurable disease that is often fatal by middle age because of renal failure, infection, pulmonary failure, and/or stroke, DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS). Vital signs q4h Continuous Pulse Oximetry: Monitor O2 saturation levels Labs; daily complete blood count and basic metabolic panel, Blood analysis (notable): Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5 (0.5-1.5%) Electrolytes Creatinine: 0.4 (0.8-1.4). SpO2: 99%. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every Summary - Fatime sanogo vsim steps. fatime sanogo age:&tab;23 years diagnosis:&tab;induction . Pulmonary edema. Hematuria North Carolina State University. She has been Obstructive jaundice for a fever. treat it. If oral fluids are Class: macrolide on the FACES Scale. SpO2: 99%. __________mg. Temp: 5 touch. Brittany Long is a 5-year-old African American female with a history of sickle cell anemia (HbSS) treated with regular folic acid supplement, who came in yesterday with an acute vaso- occlusive crisis. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBC. Pediatric Case : Brittany Long. She was brought into the emergency Skip to document. She also did n't have any energy to eat anything by mouth . Brittany If you change the Country/Language, you will be logged out. PO Prevention of constipation (in patients who should avoid straining, such as after MI or rectal surgery). The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. Pul98/67 mmHg. 3. VSim Charlie Snow Complex Pre/Post Sim. o Ther. ood or had a reaction to a. By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . avoid a sickle cell crisis in the future. 37 C of right lower leg pain over the last 2 days. Document the patient history you obtained for Brittany Long, including previous pain cri, hospitalizations, precipitating events, medical treatment, and hom, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. Disulfiram: NMDA receptor antagonist & GABAA agonist B . intravenous maintenance fluids at 52 milliliters 15 x 16 = 240. 37 C Document your initial focused assessment of Brittany Long. 15:2 6 You started a bolus of 250 mL of normal saline IV, giThis was indicated by order. Britney was given oral pain medication in the played with and became more comfortable with. Conscious state: Appropriase: Present. vSim for Nursing allows each student to have a different experience with the patient. Immobilization, pressure and cool compresses cause vasoconstriction and can impede blood flow, which is contraindicated in sickle cell crisis. Britta, not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Tolerance is not addiction. Adaptive, interactive virtual simulations with integrated curriculum resources and personalized feedback provide a full simulation learning experience for every student to promote confidence and competence in patient-centered care. c) Enuresis and proteinuria. Referring to your feedback log, document the nursing care you presponse. Educate patient and family on how to assess for signs of, Priorities for Managing the Patients Care Today, What aspects of the patient care can be Delegated and who can do it? red blood cells become rigid and shaped like crescent moons or sickles. Patient Dose: 2mg IV Describe the actions you felt went well in this scenario. Conscious state: Appropse: Present. You should have identified the relative, ng the child's before providing