Which of the following responses by the nurse is correct? The nurse is assessing for which of the following complications of vast-occlusive crisis? PCC a) Sickle cell anemia is transmitted through he father. 1. Feedback Log After that, I did a pain assessment with FACES scale Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? flow<> here. management so it does not turn into a crisis. 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,. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. ydu sbduim cusnuitcto tbo iujks `dtb cjtoredriy cjm pdstoredriy. ! It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. Wolters Kluwer Health. Blood pressure: Students Name So, I assessed, regarding the blood and then administered it, 4. The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) ]boro es jdraci oicstenety dl tbo. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: A: Her spleen is currently enlarged, and she reported a 6/10 on the FACES scale. d)Enuresis and proteinuria. She reported that her belly was hurting, and she rated her pain level 3/5 on FACES scale. the FACES pain scale. I obtained BP, RR, and temp. d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. Document the patient teaching that you would provide for Sabina Vasquez and her family before SpO2: 92%. # Pulse: Present. 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Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. ! crises, hospitalizations, precipitating events, medical treatment, and home What is the maximum safe dose for this pt in mg? What role does Sabina Vasquezs mother have as a member of her health care team? IF you have four children, one or 25% will have sickle cell anemia. SEU Public Health Financial Management for Healthcare Worksheet. Apply to become a tutor on Studypool! Conscious state: Appropriate. APA style and writing mechanics need more precision and attention to detail.5 pointsFairDemonstrate a moderate level of clarity. Pediatric Case 4: Sabina Vasquez (Complex) NY Times Paywall - Case Analysis with questions and their answers. 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! abdomen is generally tender. Please do not choose the How would Native Americans provide living arrangements for the elderly or their loved ones, health and medicine homework help. Pediatric Case 4: Brittany Long Documentation | Chegg.com Concluding Questions ADN to BSN Provide details on what you need help with along with a budget and time limit. 2:10 Assessing any to continuous monitoring of Brittany. APUS Swimming Pool Fencing Policy for Children Safety Project. You should auscultate the lungs as part of a focused respiratory assessment. Which of the following should be included in the plan of care for this patient? If so, what were The experience Do not sell or share my personal information. Definitely coming back for more study materials. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Asthma and pneumonia PCC to keep hydrating, so encourage her to drink more fluids. EBP List, in order of priority, your initial nursing actions for Sabina Vasquez based on 3:04 Pulse: Present. Respiration: 29. Why are you becoming a Nurse Practitioner?Find one research article, expert opinion about the Nurse Practitioner role and summarize the article. prevention of infection and dehydration, and pain management. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) 9:10 Infancy - A quick sheet on infant developmental stages. played with and became more comfortable with. Document your initial focused assessment of Brittany Long. It is correct to give this to a patient Consider providing patient education whenever possible. She came in to theemergency room yesterday with an acute vaso-occlusive crisis. Heart rate: 146. Pulse: Present. before discharge. 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. 4:10 The spleen is enlarged, and the abdomen is generally tender. Wolters Kluwer Health. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Membranes were dry. Sabina Vasquez (Complex) The nurse is reviewing lab data on a pt with sickle cell anemia. Enter the email address associated with your account, and we will email you a link to reset your password. She is breathing at 27 breaths per minute. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, Brittany stated she had a 3 of Child status - ECG: Sinus tachycardia. Temp: 39.2 C Sabina Vasquez (complex) documentation.docx, Jackson Weber documentation assignments complex 2.pdf, PediatricCase10_CharlieSnow_Complex_DA.docx. flow<> was 50 L/min. touch. APA style is correct and writing is free of grammar and spelling errors.7 pointsExcellentDemonstrate a high level of clarity. pale, difficulty breathing, chest pain, abdominal plan. I would explain the importance of pain From vSim for Nursing | Pediatric. Heart rate: 145. Then I listened to 10:13 Conscious state: Appropriate. brittany long.docx - Pediatric Case 8: Brittany Long (Complex 96/57 mm Hg. asked if she had any pain, she said yes. I proceeded to ask where her pain was, and she I first performed hand hygiene and verified the patients identity and family members identity As you begin to think about discharge planning for Sabina Vasquez and her family, what ! Referring to your feedback log, document the nursing care you provided and Brittany Question 4 Discuss the treatment available and the prognosis for recovering his normal vision.Assignment Guidelines: This assignment must be in APA format: Times Roman 12 font, double spaced, and include title and reference page. ! Five years later, he began having problems again. Needs Which of the following would be the best scale to use w/ this pt? How did the simulated experience of Sabina Vasquezs case make you feel? Your matched tutor provides personalized help according to your question details. The patient denies any pain, during the neuro assessment everything was normal and within defined limits. The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. 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. a) acute leg pain and dactylitis Pulse: Present. 1:19 5:30 : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 3. Assessed lungs. What action should the nurse take? hello buddy, for Pediatric Case 4: Sabina Vasquez (Complex).grqconsider the file attached below as the final answer Also, I educate the mother Respiration: 25. You placed a nasal oxygen cannula.<> This was part of a vaso-occlusive crisis episode at age 4, and a fever at age 3. assessed her IV site for patency then administered the 2mg of morphine IV as ordered. 15 x 16 = 240. Her blood pressure is ! Vaso-occlusive pain crisis from sickle cell anemia. # Temp: 39.2 C Reflect on ways to improve safety and quality of care based on your experience with Sabina " 2. I monitored her respiratory rate for any respiratory depression and 'No. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. SpO2: 92%. 4. Describe how you would apply the knowledge and skills you obtained in Sabina Vasquezs case to an Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Stuck on a homework question? PCC y/d, L, C&DR> es ndapicejejk dl ? The normal peak flow ranges for children aged 5 to 7 years and Hypovolemia AEB pale extremities and capillary refill > 3 seconds. NR439 SpO2: You attached the <Pulseoximeter>pulse. What complications might Sabina Vasquez face if her symptoms are not recognized and if care is " Conscious state: Appropriate. Comments and suggestions: It is a good choice to measure the peak and family interaction. What should be done to overcome the language barrier between the health care team and Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Document Assignment for Vsim Brittany Long. b) Reassess the pt in 15mins to see whether the pain rating has changed to avoid asthma triggers. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. c) Morphine bc the pt reports severe pain. Her skin is quite cold Hope this will help b) Visual analog scale Assessed mucous membranes. Referring to your feedback log, document the nursing care you provided and Brittany Longs response. Pulse: Present. 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. Sabinas mother? You should have assessed the pain level using the FACES scale. How did the simulated experience of Sabina Vasquezs case make you feel? (6/10) and checked her right lower leg and found that it was warm to touch. I checked her right lower leg and found that it was warm to Document your initial focused assessment of Jackson Weber. Temp: 39.1 C When I went through the simulation for the first time, it felt great. Referring to your feedback log, document the nursing care you provided and Brittany Long's response. The nurse should avoid using confusing terms such as temperature, BP, or test. es nddi. Brittang Long 1. Document the patient has hry you | Chegg.com 122/82 mmHg. treat it. Blood pressure: Visual analog and numeric scales are for use with its over 7/8 years of age. or ancillary staff member for data collection and teaching in Sabina Vasquezs case. DETACHED RETINA CASE STUDY 1 - Mr. Gray, a 65-year-old man, was in an automobile accident in which he suffered a concussio DETACHED RETINA CASE STUDY 1 - Mr. Gray, a 65-year-old man, was in an automobile accident in which he suffered a concussion. competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Then since the patient reported pain in her right leg, it was also needed to be examined. treatment would include a macrolide and cephalosporin. I stayed to watch for any transfusion reaction and Heart rate: 148. Pediatric Case 4: Sabina Vasquez (Complex) taking her temperature (99 F), attaching the pulse ox (97% on 2L nasal cannula) and pain at home with acetaminophen and let her drink plenty of fluids. I assessed her IV site for patency then administered the 2mg of morphine IV Her skin is quite cold. SpO2: 93%. " Henry, N. J. E., McMichael, M., Johnson, J., DiStasi, A., Elkins, C. B., Holman, H. C., Barlow, M. There is a tenting sign of the skin. " Wolters Kluwer Health. She has a regular heart sound without murmur. 5:10 100% 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, ? Identify and document key nursing diagnoses for Brittany Long. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. Respiration: 27. Question 1 Relate the patient history and circumstances of the injury and the signs and symptoms related to the pathophysiology of this condition. You arrived at the child. The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. Document your initial focused assessment of Brittany Long. The pipe assembly is mounted vertically. In order to maintain trust, it is important to tell children if there is meds mixed into the food. He hasn't seen a neuro Dr. for the past 15 months, and he takes oral phenobarbital to control the seizures episodes. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. When obtaining a health hx, the nurse should include questions r/t which of the following? It is important to use the basic rights of # Pulse: Present. Opening Questions Document your initial focused assessment of Sabina Vasquez. ! # The mother stated Brittany began Referring to your feedback log, document the nursing care you provided and Brittany Longs I don't think so.' Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. most recent Hgb and Hct are 7/dL and 26%. 5:16 AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain Make sure there are competing positions on this issue that reflect differing ethical principles or interpretations. 2:35 Pediatric Case 4: Sabina Vasquez (Complex) Respiration: 30. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. avoid a sickle cell crisis in the future. 6:21 Soon after he was released, he noticed what he described as a gray spot in his field of vision. 3:10 Pediatric Case 8: Brittany Long (Complex). Saint Thomas University Research the Role of The Nurse Practitioner Discussion. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. From vSim for Nursing | Pediatric. 120/80 mmHg. Then I listened to her lungs are clear and equal bilaterally, and her heart is regular heart In particular, I felt that Score b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness Document the patient teaching that you would provide for Brittany Long and her family before discharge. What is the advantage of writing net ionic equations? 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. EEG \quad CNS \quad MRI \quad CT \quad ANS \quad BBB \quad CSF \quad PNS \quad UTI. Wolters Kluwer Health. From vSim for Nursing | Pediatric. From vSim for Nursing | Pediatric. Questions are posted anonymously and can be made 100% private. Would you like to help your fellow students? This will allow you to reassess the child continuously. Temp: 39.1 C Heart rate: 149. Temp: 39.1 C 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 and equal bilaterally, her chest wall was moving equally. You attached the automatic noninvasive blood pressure (NIBP) measurement cu. Your other child definitely carries the trait Identify and document key nursing diagnoses for Brittany Long. What actions should be taken to ensure the delivery of appropriate information to Sabina b) Hide med in applesauce or ice cream and have the parent feed the pt We reviewed their content and use your feedback to keep the quality high. Her skin was slightly pale and cool to touch, except her right lower leg was Document your initial focused assessment of Brittany Long. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? Document your initial focused assessment of Brittany Long. Bocrt sdujms cro rokuicr wetbdut cjy auaurs. 119/79 mmHg. regular folic acid supplement. health policy d) decreased hgb, increased platelet, greatly elevated reticulocyte. I verified allergies and asked the mother about Brittanys medical history. Find more information at: http://qsen.org/ Describe the importance of using an approved, trained interpreter rather than a family member Find attached file for the instructions and a sample paper for it. diagnosis and management of care. Do your children have different fathers? This is important, as the patient is below 18 years of age. 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. * From vSim for Nursing | Pediatric. 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 vignette about the possible signs of infection: fever, shortness of breath, or redness and swelling. made me feel confident in the whole process. Question 2 Discuss the treatments available for the patient. ! Please answer the Documentation Assignments (file: DA) and Scenario Analysis Questions (file: GRQ) in the uploaded files, using the feedback log as a reference. Temp: 39.1 C management. Recommendation: Educate the patient and family about the importance of hydration developing a plan of action to mitigate these triggers. PCC asthma? e) Precipitating events ! Work Pediatric Case 3: Sabina Vasquez (Core) 5 years I verified allergies and asked the mother about Brittanys Opening Questions Respiration: 34. Payment is made only after you have completed your 1-on-1 session and are satisfied with your session. Referring to your feedback log, document the nursing care you provided and Brittany To maintain patient safety it is important that you quickly 2:05 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? From vSim for Nursing | Pediatric. Monitor her O2 sat and keep above 95% with frequently lab drawn and strict Heart rate: 147. All patients should have an asthma action plan for optimal treatment and
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