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Immediately discontinue the blood transfusion To melt 50 grams of 0-degree-Celsius ice requires ___ calories? Avoid giving large amounts of fluid at a time. Jackson Weber Complex Pre/Post Quiz. 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. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Thin liquids, such as gelatin and carbonated drinks, are easier to ingest than thicker liquids. c. 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Vitals were as followed: RR 35, CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT ______________________ How much, The Nurse Practitioner begins a Digital Rectal Exam on a 78year old male which he/she suspects may have prostate cancer. Click the card to flip Isotonic fluids such as normal saline or Ringer's lactate should be infused intravenously as a 20 mL/kg bolus rapidly. 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Fluids should not be infused through the same line as the blood transfusion if reaction is suspected. 27 terms. 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. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. (Select all that apply. Rationale:It is important to explain procedures to a child in simple terms that are nonthreatening. The doctor has ordered Ceftazidime 140mg Q8hr. : an American History, Chapter 5 - Summary Give Me Liberty! VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. This question was created from P21_Homework 2.pdf. The nurse knows that which of the following can exacerbate the patient's condition and contribute to further sickling? A septic reaction is indicated by rigors, chills, fever, and shock. Symptoms of an acute hemolytic reaction include: chills, shaking, fever, nausea and vomiting, chest tightness, headache, flank pain, and pain at the intravenous insertion site. 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. "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. Rationale:Folic acid stimulates normal red blood cell production. hhulsey6. 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. Document your initial focused assessment of Brittany Long. Praise the patient for attempts at eating and drinking. An allergic reaction is indicated by urticaria (hives), flushing, wheezing, and laryngeal edema. Sets found in the same folder. (Select all that apply.). When preparing a 5-year-old patient for indwelling urinary catheter insertion, which of the following demonstrates that the nurse understands developmentally appropriate communication? Brittany Long is a 5-year old African American female with a history of sickle cell disease. Pediatric Case 8: Brittany Long (Complex) Documentation Assignments 1. 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. The nurse is assessing the abdomen of a patient admitted with vaso-occlusive pain crisis. 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. Wolters Kluwer Health. Identify and document key nursing diagnoses for Brittany Long. Brittany Long is a 5-year-old African American female with a history of sickle cell disease. The nurse is caring for a patient with acute splenic sequestration in hypovolemic shock. Serve fluids in a decorated cup with a brightly colored straw ), The nurse is assessing a 5-year-old patient with sickle cell anemia diagnosed with acute splenic sequestration. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. Which of the following results would the nurse expect to be elevated? 20 terms. 2. Foods that are high in folic acid include liver, oranges, whole wheat grains, broccoli, and brussels sprouts. a. Vitals The patient is at risk for shock; however, the current priority is the management of the actual problem of decreased circulation causing poor perfusion. Thanks! Sickle cell anemia is an autosomal recessive disorder, both parents must c. Blood verification, Identify and document key nursing diagnoses for Brittany Long. a. Identify and document key nursing diagnoses for Brittany Long. (Select all that apply. The nurse initiates a blood transfusion for a 5-year-old patient with acute splenic sequestration. The patient is awake and sitting in bed playing video games with her sister. Whole wheat toast, orange slices, and milk 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. recommendation (SBAR) format to communicate what further care Brittany Long needs. Course NURSING MISC (NURSINGMISC) Institution Western Illinois University Opening Questions 1. Never punish a child for not eating or drinking. B: diagnosis of Sickle Cell Anemia, admitted on 10/5/2020, current orders include IV maintenance fluids . Document your initial focused assessment of Brittany Long. Please refer to the attachment to answer this question. Rationale:It is important to confirm the patient's identity since children may deny their identity in an attempt to avoid an unpleasant situation, play in another child's bed, or remove their identification bracelet. It is important to monitor urine output over several hours to determine whether fluid resuscitation has been effective, but this is not the immediate priority. pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Document your initial focused assessment of Brittany Long. 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. She has been hospitalized twi. Provide the patient with several options to choose from, including a favorite drink The patient 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. Company Registration Number: 61965243 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. before discharge. 18 terms. d. R: Continue to monitor for transfusion interaction by monitoring RR and temp. All three of the resident's children are. VSim Sabina Vasquez Pre/Post test. The patient was tachycardic with a HR of 157. The nurse is providing discharge teaching for a patient and family following a splenectomy after multiple admissions for recurrent splenic sequestration. Which of the following interventions can the nurse incorporate to encourage the child the increase oral fluid intake? ), Ketorolac may mask the signs and symptoms of an infection, The nurse is assessing a patient with sickle cell anemia admitted several days ago with vaso-occlusive pain crisis.

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brittany long complex vsim documentation