What would be the highest priority and most appropriate nursing diagnosis for a patient with sickle cell anemia exhibiting signs of splenic sequestration? How did the simulated experience of Brittany Long's case make you feel? Risk for infection We communicated the importance of care and signs of infection and ways to (Select all that apply.). b. Parent/visitor identification 18 terms. 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. Offer the patient small amounts of fluids frequently and praise efforts to increase intake The nurse has an order to administer normal saline 20 mL/kg bolus intravenously over 30 minutes. Article : The impact of gender ideologies on men's and women's desire for a tr. Jackson Weber Complex Pre/Post Quiz. Serve fluids in a decorated cup with a brightly colored straw 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. Whole wheat toast, orange slices, and milk Document your initial focused assessment of Brittany Long. S: The patient is Brittany Long, a 5-year-old African American female with a Any decrease in respiratory rate or change in breathing pattern should be noted. Terms of Use c. A: Attached the pulse oximeter per orders and then assessed her pain level using Identify and document key nursing diagnoses for Brittany Long. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? After administration of fluid has been initiated, an indwelling urinary catheter should be placed to allow for frequent and accurate monitoring of urinary output. Rationale:After undergoing a splenectomy, a patient is at high risk for infection and sepsis. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? The patient Which of the following assessments should the nurse perform on this patient? A secondary IV line should then be started, if not already in place, and normal saline infused to keep the vein open. Although pain management is important, assessment and management of circulation and perfusion are the priority. e. Administers a fluid bolus and PRBC as prescribed A medical alert bracelet should be worn at all times. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? Rationale:In the event of an adverse reaction to a blood transfusion, the transfusion should be discontinued immediately. Document your initial focused assessment of Brittany Long. f. Reassessed vitals 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. Right patient 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. Thanks! On reassessment, which of the following findings would indicate that the patient's condition is deteriorating? days. Rationale:Any patient receiving a transfusion of blood or blood products is at risk of a transfusion reaction. Once airway and breathing needs are addressed, nursing management of shock focuses on obtaining vascular access and restoring fluid volume. Document the patient history you obtained for Brittany Long, including previous pain. d. Administered morphine Please include all the critical details (method/results/limitations/implications), one page. Acute hemolytic reactions can progress to renal failure and shock if intervention is delayed. (Select all that apply. (Select all that apply. 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. Which of the following statements by the caregiver indicates that teaching has been effective? rellawananab. Temp 99, and BP 110/74. Click the card to flip Place the steps of an abdominal assessment in order. 1. How did the simulated experience of Brittany Long's case make you feel? This simulated experience made me feel like I was actually caring for a little girl who has sickle cell anemia. I was sort. : an American History, ECO 201 - Chapter 5 Elasticity and Its Applications. The patient and family should be taught to recognize the signs and symptoms of infection and should seek medical attention promptly at the first sign of infection or fever. Vsim Brittany Long Complex (Pre/Post) The nurse is developing a care plan for a patient with sickle cell anemia admitted with vaso-occlusive crisis and acute splenic sequestration. The nurse is ordering breakfast for a patient with sickle cell anemia. Which of the following interventions, as ordered by the primary provider, would be the nurse's first priority? Please refer to the attachment to answer this question. Which of the following steps should be included during the preparation and administration process? Available is Ceftazidime 500mg. Her vital signs are stable, with a blood pressure of 110/66 mm Hg, heart rate of 98 beats per minute (bpm), respiratory rate of 20 breaths per minute, temperature of 37.5C oral, and pain rating of 1 out of 5 on the FACES scale. history of sickle cell disease who was diagnosed at 6 months old. c. Contacted doctor This question was created from P21_Homework 2.pdf. crises, hospitalizations, precipitating events, medical treatment, and home management. 4. Wolters Kluwer Health. "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. a. [Show more] Preview 2 out of 5 pages A 5-year-old would not be expected to remember his or her medical record number. This question was created from SCH3U Lesson Assignment 7 (docx).docx. It is important to teach patients and families with sickle cell anemia about good nutrition, including foods that are high in folic acid. Patient reported 6/10 for pain. VSim Charlie Snow Complex Pre/Post Sim. Sets found in the same folder. Hello I need help on getting the solution to this practice problem. b. Round the weight in kilograms to nearest the whole number. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. The O2 SAT was 97% with 2 L of oxygen. Document your handoff report in the situation-background-assessment- After infusion of the normal saline has begun, the nurse should reassess the patient's response and monitor for signs of shock. Unit 3 Biology - Functioning Ecosystems. The patient has had limited oral intake in the past 24 hours and is refusing to drink. b. kuuleinani1102. c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. Vitals were as followed: RR 35, B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders Avoid terms that are too technical or confusing, such as "catheter" or "urethra," which can cause the child to misunderstand what is going to occur. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. The patient weighs 35 lb. 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. 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. 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! Which of the following findings would indicate that the patient is progressing into hypovolemic shock? Sickle cell anemia is an autosomal recessive disorder, both parents must recommendation (SBAR) format to communicate what further care Brittany Long needs. The complex scenarios require recognition of the emergent condition, prioritization, management of complications, and advanced team collaboration and communication. The patient has adequate respiratory effort and central pulses are present with weak peripheral pulses. PRBC was started running at 28mL/her in her L IV site. Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. 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. A nonhemolytic febrile reaction is indicated by fever and chills. Course Hero is not sponsored or endorsed by any college or university. Transfusion reactions may be immediate, occurring during the transfusion or within several hours of the completion of the transfusion, or delayed. 1. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Provide the patient with several options to choose from, including a favorite drink Praise the patient for attempts at eating and drinking. Further enhance your student . Asheville-Buncombe Technical Community College, vSim Clinical Worksheets Brittany Long 2021.docx, BOEING 737MAX: ETHICAL PRACTICES Boeing: Boeing, the largest exporter of USA, is a century old aircraft manufacturer started its operation in 1916. Document the patient teaching that you would provide for Brittany Long and her family Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. 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. Which of the following actions should the nurse take first. The child had a FLACC pain scale of 3 out of %. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. 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

Japan Borders Open 2022, Articles B