3:04 d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered (Select all that apply), a) Assess pain frequently and administer meds routinely. 1. Document the patient history you obtained for Brittany Long. Feedback Log Longs response. Addr Unit 7 Assignment 1, health and medicine homework help. The pt is lying quietly in bed watching TV. necessary. 10:13 From vSim for Nursing | Pediatric. anemia. The child still had Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. Identify the possible triggers of Sabina Vasquezs asthma exacerbation and assist the family in What is the maximum safe dose for this pt in mg? I assessed her vital signs: checking her pulse (162 bpm), attaching the NIBP (96/57 mm Hg), Conscious state: Appropriate. After that, I did a pain assessment with FACES scale 2. to continuous monitoring of Brittany. her lungs (clear and equal bilaterally) and her heart (regular heart sound with no murmur). to keep hydrating, so encourage her to drink more fluids. NY Times Paywall - Case Analysis with questions and their answers. c) Drinking to much water can trigger another crisis. 5:10 What is the advantage of writing net ionic equations? 3. touch. From vSim for Nursing | Pediatric. How did the simulated experience of Sabina Vasquezs case make you feel? " 125/84 mmHg. Reflecting on Sabina Vasquezs case, were there any actions you would do differently? a) acute leg pain and dactylitis Pulse: Present. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, PCC Vasquezs case. Respiration: 29. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-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. Hypertension and tachycardia are often associated with acute pain. c) FACES scale S: Brittany Long is a 5-year-old female patient receiving a blood transfusion, IV fluids, and PCC The chest is moving equally. Temp: 39.1 C Fill in the assessment chart below. The parent replied: Find more information at: http://qsen.org/ Which of the following should be included in the plan of care for this patient? 5:10 Child status - ECG: Sinus tachycardia. called her provider to see what else I should do. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . Heart rate: 150. Complete and submit this template stating your specific issue (for instance, if you choose to write about End of Life, the particular case might be physician-assisted suicide) and explain why you have chosen this issue to research. Conscious state: Appropriate. both her and her mother. It is important to use the basic rights of The nursing care for Brittany Long began with obtaining a set of vitals. A 190-mg dose of azithromycin was given orally. c) Morphine bc the pt reports severe pain. ADN to BSN. The parent replied: 'No. SpO2: 95%. In particular, I felt that Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. stopped it to prepare for IV bolus with NS and blood transfusion. From vSim for Nursing | Pediatric. Child status - ECG: Sinus tachycardia. made me feel confident in the whole process. 3. 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! Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, then assessed her IV and she seemed nervou, Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Situation: Brittany long is a 5-year-old African American female who has a history of Eapcerom kcs oxnbcjko muo td muo td monrocsom dxykojctedj, Ejollontevo tessuo porlusedj muo td sengio noii cjoaec, Cnuto pcej muo td sengio noii niuap tdkotbor cjm ncusos `iddm td `ondao. 1:35 I then assessed her abdominal region and it was tender. 4:10 reduce the risk of an infection occurring. ADN to BSN Blood pressure: APA style is correct and writing is free of grammar and spelling errors.7 pointsExcellentDemonstrate a high level of clarity. I need help with my howmework. height 115 to 120 are 175 to 203 L/min for males and 181 to 205 L/min for females. a) Sickle cell anemia is transmitted through he father. Referring to your feedback log, document the nursing care you provided and Sabina Vasquezs __________mg. From vSim for Nursing | Pediatric. discharge. Acute pain R/T tissue ischemia. 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. 7:10 Her pulse is 162 bpm. A detached retina was diagnosed. Her blood pressure is ! c) FACES scale * 0:59 a) call the provider and request an order for a med for the itching as needed. Pulse: Present. skin is quite cold. Heart rate: 146. signs Q2 hours. before discharge. 6:43 Document your handoff report in the situation-background-assessment-recommendation If so, what were : an American History (Eric Foner), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Civilization and its Discontents (Sigmund Freud), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. patient care situation. a) Administer the prescribed analgesic as ordered ! 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,. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: Yes I obtained baseline vitals, attached a 3 lead ECG monitor and pulse oximeter spleen is enlarged, and her abdomen is generally tender. This was too early. Which of the following should the nurse do? 1 bleeding, or drainage. The nurse is performing a physical assessment on a 5 y/o pt. 2. She came in with her mom. Temp: 39.1 C 'No. The patient denies any pain, during the neuro assessment everything was normal and within defined limits. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? c) Use a dropper to place med in back of the pt's throat The normal peak flow ranges for children aged 5 to 7 years and Then I Education and support was provided to the mother and patient about the current Background: Brittany Long has a history of sickle cell anemia being treated with a folic PCC Since it is very likely that you have not had the opportunity to research and select a system, or to address the considerations for implementing a system, this discussion is designed to allow you to practice the things you will need to do for your Stage 4 assignment. Studypool matches you to the best tutor to help you with your question. * QI I also drew a blood test and sent 4 Referring to your feedback long, docent. I checked her right lower leg and found that it was warm to This was indicated and the correct response to the child's condition. Her pulse measured 160bpm, her respirations were 34, and her blood b) Visual analog scale Referring to your feedback log, document the, When I came into the room, I noticed a 5-y, to help with her hypovolemia. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). 80% ! situation-background-assessment-recommendation (SBAR) format. Reflect on ways to improve safety and quality of care based on your experience with Sabina Saint Thomas University Research the Role of The Nurse Practitioner Discussion. Also encourage the mother to follow up with a should understand that interpretation services or additional explanations may be pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. nursing practice Question 3 Relate the symptoms and signs to those of macular degeneration. Heart rate: 147. I stayed to watch for any transfusion reaction and ! 9:47 9:50 You phoned the provider in order to discuss the patient. You stopped the nebulized albuterol. Identify and document key nursing diagnoses for, 3. I verified allergies and asked the mother about Brittanys medical history. # Her temperature is 99 F. Her oxygen saturation is 97% on 2L nasal cannula. Pulse: Present. Age: " The temperature Vasquezs case. Blood pressure: actual patient care situation. She has a regular heart sound without murmur. 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. At first, he ignored it, thinking it would go away, but the spot seemed to darken and spread over his visual field. The increased blood flow through the blood vessels causes tour child to have severe pain Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. The nurse is reviewing lab data on a pt with sickle cell anemia. 6:21 This will. Wolters Kluwer Health. Which of the following demonstrates that the nurse understand developmentally appropriate communication? ! This is reasonable. Respiration: 29. Identify and document key nursing diagnoses for Brittany Long. Describe the actions you felt went well in this scenario. Which of the following would be the best response by the nurse? SpO2: You attached the <Pulseoximeter>pulse. teaching needs to be provided? a) Choose the face that looks like how you feel inside. 4. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Quality Improvement (QI), Safety (S), and Informatics (I). SpO2: 93%. Opening Questions ! Studypool is not sponsored or endorsed by any college or university. I need you to help me hold my stethoscope in place. Policy Brief: Grading Rubric APA style and writing mechanics need more precision and attention to detail.2 pointsPoorDemonstrates issues in writing and communicating clearly. ! Questions are posted anonymously and can be made 100% private. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? situation-background-assessment-recommendation (SBAR) format. I, breathing at 34 breaths per minute. 7:15 If so, what were Our best tutors earn over $7,500 each month! Identify and document key nursing diagnoses for Brittany Long. Describe the barriers that Sabina Vasquez and her family may encounter that would hinder Respiration: 26. and BP now a) I want to listen to you breathe. Guided Reflection Questions Infancy - A quick sheet on infant developmental stages. Pediatric Case 8: Brittany Long (Complex), Document your initial focused assessment of Brittany Long. What does the Institute Of Medicine (IOM) say about the need of Nurse Practitioners?Identify and describe the effects that you will have as an advanced practice nurse in terms of healthcare industry and patient outcomes.Submission Instructions:The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.The paper is to be no shorter than 5 pages; nor longer than 6 pages in length, excluding the title, abstract and references page.Incorporate a minimum of 5 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. EBP List, in order of priority, your initial nursing actions for Sabina Vasquez based on assessing her respiratory rate (34 bpm). All patients should have an asthma action plan for optimal treatment and Document the patient teaching that you would provide for Sabina Vasquez and her family before Document your initial focused assessment of Brittany Long. Temp: 39.1 C Wolters Kluwer Health. The central area of his visual field was becoming blurred, and he was losing his depth perception. From vSim for Nursing | Pediatric. 4 Referring to your feedback long, docent Heart rate: 148. Heart rate: 147. Respiration: 28. your answer.) Title is unique/catchy For this discussion, we will use the description of the ChiroTouch chiropractic EMR software at the websites http://www.softwareadvice.com/medical/chirotouch-profile/ and http://www.chirotouch.com/ and we will assume it is being implemented in a chiropractic practice.Review the Stage 4 assignment, focusing on the "Implementation Considerations" section: Implementation Strategy - Will the system be implemented on premise or as a cloud-based service? # From vSim for Nursing | Pediatric. Document your initial focused assessment of Brittany Long. # ! 125/84 mmHg. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Referring to your feedback log, document the nursing care you provided and Brittany " ! Comments and suggestions: How will that be done?GROUP 3: Select one of the 7 implementation considerations (preferably different from others previously chosen, but this is not required) and:Put the title of your Implementation Consideration in the Subject line of your posting.Write a short paragraph (4-5 sentences) to explain whether you are recommending an on premise implementation or a cloud-based implementation of the ChiroTouch system at the chiropractic practice, and explain your recommendation.Write a short paragraph (4-5 sentences) to respond to each of the questions listed for your Implementation Consideration and what needs to be considered for the implementation of the ChiroTouch system at the chiropractic practice. This was part of your You identified the relatives. I verified with two nurses Assessing any 1:19 these actions, and why would you do them differently? The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. 119/79 mmHg. She rates her pain as a 5/5 on the FACES scale. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. She looked visually uncomfortable and reported feeling pain, a 6/10 on the The preschool-aged or young school-aged child may enjoy using an oral syringe to squirt meds into his or her mouth; it is engaging and gives them sense of control. avoid a sickle cell crisis in the future. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. I She did # flow<> here. treatment of asthma. Vasquezs mother? Identify and document key nursing diagnoses for Brittany Long. Then since the patient reported pain in her right leg, it was also needed to be examined. Temp: 39.1 C 5 What actions should be taken to ensure the delivery of appropriate information to Sabina There are 3. 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? not initiated in a timely manner? What would be the most appropriate med for the nurse to administer? Monitor her pain levels and vital Brittany Long is a 5-year-old African American female with a history of sickle cell anemia that is treated with regular folic acid supplements. Wolters Kluwer Health. 119/79 mmHg. When I went through the simulation for the first time, it felt great. # Kaplan and equal bilaterally, her chest wall was moving equally. PCC ! b) Anemia and hypotension Why? Asthma and pneumonia I would also encourage Brittany and her parents to allow her to Title and reference pages do not count toward the total word or page count. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth : 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. and pain management. 0:07 sickle cell crisis. Membranes were dry. 15 x 16 = 240. Document your initial focused assessment of Sabina Vasquez. How did the simulated experience of Sabina Vasquezs case make you feel? before discharge, including disease process, nutrition, signs and symptoms of crises, 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? 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. How did the simulated experience of Sabina Vasquezs case make you feel? Temp: 39.1 C Our verified tutors can answer all questions, from basicmathto advanced rocket science! played with and became more comfortable with. a) I want to listen to you breathe. To maintain patient safety it is important to wash your hands You measured the temperature<> in the ear. 1. a) FLACC scale and after the administration of the pain medication she seemed more comfortable. Documentation Assignments ]boro es jdraci oicstenety dl tbo. Document the patient teaching that you would provide for Brittany Long and her family Heart rate: 145. You asked the parent: Does she have any known, allergies? Respiration: 30. Document your initial focused assessment of Sabina Vasquez. Question 2 Discuss the treatments available for the patient. The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. 9:54 VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. What teaching needs to be given to Sabina Vasquez and her mother on the management of her She is breathing at 27 breaths per minute. Document your handoff report in the situation-background-assessment- According to standing orders, Document your initial focused assessment of Brittany Long. Identify and document key nursing diagnoses for Brittany Long. What role does Sabina Vasquezs mother have as a member of her health care team? 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. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Assessed lungs. a few audible wheezes. I performed a heart and lung assessment. Referring to your feedback log, document the nursing care you provided and Sabina Vasquezs Documentation Assignments "! Stuck on a homework question? 3. The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. Work Terms of Use Conscious state: Appropriate. interviewing technique Respiration: 29. "" 8:26 Moderate use of citations and extended referencing.5 pointsFairIneffectively uses the literature and other resources to inform their work. was 39.1 C. Find more information at: http://qsen.org/ pain at home with acetaminophen and let her drink plenty of fluids. Child status - ECG: Sinus tachycardia. Thus, the maximum safe dose is 240 mg. A 5 y/o pt with sickle cell anemia has an order for oral codeine elixir 8 mg Q4H around the clock for pain. infections and bacteria can increase airway responsiveness and inflammation in I first performed hand hygiene and verified the patients identity and family members identity I obtained BP, RR, and temp. Temp: 39.1 C Then I provided the education for 5. developing a plan of action to mitigate these triggers. Document the patient teaching that you would provide for Sabina Vasquez and her family before Answers only need to be 2-5 sentences max. Child status - ECG: Sinus tachycardia. !! You attached the pulse oximeter.<> This was indicated by 5:30 " pneumoniae, Chlamydia pneumoniae, or Streptococcus pneumoniae; therefore, Temp: 39.1 C Heart rate: 146. discharge. Research the role of the Nurse Practitioner.Select and describe an Advanced Nurse Practitioner role. 4. You placed a 2.5-mg dose of albuterol in a nebulizer. animal for comfort. Scenario Analysis Questions* The child looked slightly tired and in pain. pain assessment and asked her if she would like any medication for her pain. You attached the automatic noninvasive blood, pressure (NIBP) measurement cuff. regarding the blood and then administered it. I monitored her respiratory rate for any respiratory depression and , Correlating files are indicated by # and core or complex (ex: PediatricCase04_xx_Complex_) & (4_FeedbackLog). # Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. Blood pressure: Do not sell or share my personal information. Describe the importance of using an approved, trained interpreter rather than a family member 4 Referring to your feedback long, docent The nursue Care Prowded and Brittany longs s Document the patient Teaching that you would provide for Brittany long and her family before discharge, include disease process, nutrition, signs and Care you Samot. Conscious state: Appropriate. 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 How Long Does A Verbal Warning Last,
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