The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. ! I obtained BP, RR, and temp. File name: patient_protection_and_affordable_care_act_of_2010_1.docx (21.82K) Our tutors provide high quality explanations & answers. touch. Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. She came in to theemergency room yesterday with an acute vaso-occlusive crisis. The nurse is teaching Brittany how to use the FACES scale to rate pain. ! You attached the pulse oximeter.<> This was indicated by # Respiration: 30. From vSim for Nursing | Pediatric. Feedback Log Which of the following would be the best response by the nurse? From vSim for Nursing | Pediatric. Describe the barriers that Sabina Vasquez and her family may encounter that would hinder medication administration to ensure proper drug therapy. I first performed hand hygiene and verified the patients identity and family members identity Title is descriptive University of Southern California Clinic Segmentation Paper. It is correct to give this to a patient 2. 1:10 Pediatric Case 3: Sabina Vasquez (Core) 2. health policy I performed hand wash and identified her name, date of birth and allergies and Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. In particular, I felt that infections and bacteria can increase airway responsiveness and inflammation in 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. # "" c) Drinking to much water can trigger another crisis. ! Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. called her provider to see what else I should do. Consider the # Acute pain R/T tissue ischemia. SpO2: 94%. actual patient care situation. 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. Blood pressure: 97/76 mmHg. From vSim for Nursing | Pediatric. 2. Company Registration Number: 61965243 # When I went through the simulation for the first time, it felt great. Comments and suggestions: The patient's problems with coordination and cognition result from alcohol penetrating the \rule{4cm}{0.15mm}. identified her caregiver. S: Brittany Long is a 5-year-old female patient receiving a blood transfusion, IV fluids, and I verified allergies and asked the mother about Brittanys d) Frequency of vaso-occlusive crises Henry, N. J. E., McMichael, M., Johnson, J., DiStasi, A., Elkins, C. B., Holman, H. C., Barlow, M. Course Hero is not sponsored or endorsed by any college or university. 0 You looked for normal breathing. What is your attitude toward Sabina Vasquezs cultural background? Respiration: 28. Wolters Kluwer Health. An initial eye examination revealed neovascularization in both eyes. 4. Conscious state: Appropriate. Document the patient teaching that you would provide for Brittany Long and her family before Assessed mucous membranes. Child status - ECG: Sinus tachycardia. The pipe assembly is mounted vertically. I d) decreased hgb, increased platelet, greatly elevated reticulocyte. avoid a sickle cell crisis in the future. Blood pressure: flow<> here. affect the care you provide to Sabina and her family? about the possible signs of infection: fever, shortness of breath, or redness and swelling. Guided Reflection Questions in a timely manner? The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. Heart rate: 147. ! # PCC 4 Referring to your feedback long, docent. Heart rate: 146. I verified with two nurses The nurse is performing a physical assessment on a 5 y/o pt. , Correlating files are indicated by # and core or complex (ex: PediatricCase04_xx_Complex_) & (4_FeedbackLog). EBP From vSim for Nursing | Pediatric. We're available through e-mail, live chat and Facebook. these actions, and why would you do them differently? Pediatric Case 3 a) Sickle cell anemia is transmitted through he father. 7:10 d) Sickle cell anemia is transmitted through the mother. recommendation (SBAR) format to communicate what further care Brittany Long needs. If so, what were What would be the most appropriate med for the nurse to administer? She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. The nurse should avoid using confusing terms such as temperature, BP, or test. Our verified tutors can answer all questions, from basicmathto advanced rocket science! Vasquezs case. Describe the actions you felt went well in this scenario. Hypertension and tachycardia are often associated with acute pain. 4 Referring to your feedback long, docent assessing and diagnosing the patient went well in this scenario. Brittany stated she had a 3 of out 5 on Exceptional use of citations and extended referencing.7 pointsExcellentEffectively uses the literature and other resources to inform their work. These are the countries currently available for verification, with more to come! pain medication for management of acute splenic sequestration with a history of sickle cell Find more information at: http://qsen.org/ b) Family hx of blood transfusion You placed an oxygen mask on the child. Pulse: Present. as soon as you enter the room. [newline][newline]When working with a real patient, students Document your initial focused assessment of Brittany Long. c) tachycardia and jaundice # Describe the actions you felt went well in this scenario. Policy Brief: Grading Rubric b) Hide med in applesauce or ice cream and have the parent feed the pt Conscious state: Appropriate. children with asthma. Wolters Kluwer Health. IF you have four children, one or 25% will have sickle cell anemia. The spleen is enlarged, and the abdomen is generally tender. 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. The temperature Her The child still had There is tenting of the skin. 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. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. : 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. Consider the ]boro es jdraci oicstenety dl tbo. Concluding Questions 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. ydu sbduim cusnuitcto tbo iujks `dtb cjtoredriy cjm pdstoredriy. Respiration: 29. Which of the following demonstrates that the nurse understand developmentally appropriate communication? Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Give Me Liberty! c) Past hospitalizations and Tx Document your initial focused assessment of Brittany Long. 2. treatment of asthma. Identify and document key nursing diagnoses for Sabina Vasquez. Brittany was provided with juice to drink and stuffed The safe dosage range for children is 10 to 15 mg/kg/dose. lower leg was warm to touch. a) Sickle cells cause increased blood flow throughout the body. Document the patient teaching that you would provide for Brittany Long and her family before discharge. your orders. Journal articles and books should be referenced according to current APA style.Grading Rubric Your assignment will be graded according to the grading rubric.Essay/Paper RubricCriteriaRatingsPointsIdentification of Main Issues/Problems8 pointsDistinguishedIdentify and demonstrate a sophisticated understanding of the issues/problems.7 pointsExcellentIdentifies and demonstrate an accomplished understanding of most of issues/problems.5 pointsFairIdentifies and demonstrate an acceptable understanding of most of issues/problems.2 pointsPoorIdentifies and demonstrate an unacceptable understanding of most of issues/problems.8 pointsAnalysis and Evaluation of Issues/Problems8 pointsDistinguishedPresents an insightful, thorough analysis and evaluation of issues/problems.7 pointsExcellentPresents a thorough analysis and evaluation of most of the issues/problems.5 pointsFairPresents a superficial or incomplete analysis and evaluation of issues/problems.2 pointsPoorPresents unacceptable analysis and evaluation of issues/problems.8 pointsDemonstrates a Conceptual Understanding8 pointsDistinguishedProvides a thorough, competent and interpretive responses to all issues/problems, and shows a high level of conceptual understanding.7 pointsExcellentProvides a competent and interpretive responses to all issues/problems, and shows a moderate level of conceptual understanding.5 pointsFairProvides a competent responses to all issues/problems, but lacks interpretation and a moderate level of conceptual understanding.2 pointsPoorProvides an unacceptable response to all issues/problems, and lacks interpretation and a moderate level of conceptual understanding.8 pointsUse of Citations to Course Readings and Additional Research/Literature8 pointsDistinguishedEffectively uses the literature and other resources to inform their work. I performed a heart and lung assessment. A dropper is appropriate for use w/ infants and younger children; older children can take oral meds from a medicine cup or measured medicine spoon. Guided Reflection Questions The patient was diagnosed with sickle cell anemia and was in a rechecked her vital signs again before handing off. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). Jun 21, 2020 7:42 PM Heart rate: 149. Blood pressure: 125/84 mmHg. You washed your hands. Scenario Analysis Questions* Pediatric Case 4: Sabina Vasquez (Complex) ! She did Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. I administered more fluids and 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. Identify and document key nursing diagnoses for Brittany Long. Which of the following explanations by the nurse correctly describes how to use the scale? # Document your initial focused assessment of Brittany Long. Then since the patient reported pain in her right leg, it was also needed to be examined. * assessed her IV site for patency then administered the 2mg of morphine IV as ordered. # of the health care process. From vSim for Nursing | Pediatric. 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. The mother stated Brittany began and pain management. treatment would include a macrolide and cephalosporin. with pneumonia. 5 Do your children have different fathers? SpO2: 92%. to continuous monitoring of Brittany. tbengor, provojtejk `iddm lidw tbrdukb saciior vossois. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Referring to your feedback log, document the nursing care you provided and Brittany Child status - ECG: Sinus tachycardia. (SBAR) format to communicate what further care Brittany Long needs. Consider providing patient education whenever possible. Blood pressure: : 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. She looked visually uncomfortable and reported feeling pain, a 6/10 on the ! I obtained BP, RR, and temp. I don't think so.' S. (2016). Excellent! She rates her pain as a 5/5 on the FACES scale. Sabina Vasquez (Core) ! SpO2: 95%. a) FLACC scale Which of the following responses by the nurse is correct? Identify and document key nursing diagnoses for Brittany Long. Pediatric Case 4 0:00 PCC 9:54 b) Your mom will need to wait outside while I complete your assessment 3. How might your attitude order. 0:10 Payment is made only after you have completed your 1-on-1 session and are satisfied with your session. With each pregnancy, there is a 25% chance the child will have sickle cell anemia, a 50% chance the child will be a carrier of the trait and 25% chance the child will be unaffected. Blood pressure: Saint Thomas University Research the Role of The Nurse Practitioner Discussion. Studypool matches you to the best tutor to help you with your question. 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. regular folic acid supplement. increase pain in her abdomen. An unacceptable use of citations and extended referencing.8 pointsWriting Mechanics and APA Formatting Guidelines8 pointsDistinguishedDemonstrate a high level of clarity, precision, and attention to detail. At first, he ignored it, thinking it would go away, but the spot seemed to darken and spread over his visual field. Scenario Analysis Questions* You phoned the provider in order to discuss the patient. This is important, as the patient is below 18 years of age. Make sure there are competing positions on this issue that reflect differing ethical principles or interpretations. Child status - ECG: Sinus tachycardia. AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain it to the lab. made me feel confident in the whole process. The SpO2: You attached the <Pulseoximeter>pulse. Child status - ECG: Sinus tachycardia. hello buddy, for Pediatric Case 4: Sabina Vasquez (Complex).grqconsider the file attached below as the final answer Pediatric Case 4: Sabina Vasquez (Complex) Opening Questions # Nursing Bowie State University Patient History and Diagnose Discussion. complaining of right lower leg pain for the past 2 days, also the mother stated she hasnt had Conscious state: Appropriate. Breath sounds are clear and equal bilaterally. Books You don't have any books yet. Tolerance is not addiction. Identify the possible triggers of Sabina Vasquezs asthma exacerbation and assist the family in 2:10 I, breathing at 34 breaths per minute. He ordered normal saline and PRBC infusion d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered 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. to a patient with pneumonia. ADN to BSN. Use the appropriate abbreviation to convey correct information about the patient. 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. A patient hando was performed. Wolters Kluwer Health. Your matched tutor provides personalized help according to your question details. You oered the child a toy. ADN to BSN Explain your recommendation for the chiropractic practice. You placed a 2.5-mg dose of albuterol in a nebulizer. Vts rekbt idwor iok, es wcra td tdunb, jdraci oicstenety dl tbo sgej, iddgs. b) Reassess the pt in 15mins to see whether the pain rating has changed Pulse: Present. "! " Cross), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. 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This was indicated and the correct response to the child's condition. 2:05 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 4. before discharge, including disease process, nutrition, signs and symptoms of crises, How did the simulated experience of Sabina Vasquezs case make you feel? I took her vital signs: HR: c) Ask the parent whether the pt is hurting The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) Answers only need to be 2-5 sentences max. bedside. pressure was low. in the decision-making process? Bp is trending low, she has normal saline running at 320 ml/hr and has recently Wolters Kluwer Health. A detached retina was diagnosed. bleeding, or drainage. Conscious state: Appropriate. Hypovolemia AEB pale extremities and capillary refill > 3 seconds. crises, hospitalizations, precipitating events, medical treatment, and home You measured the temperature<> in the ear. 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! Temp: 39.1 C ! __________mg. a) acute leg pain and dactylitis She has a regular heart sound without murmur. SpO2: 93%. If so, what were Her skin is quite cold Hope this will help # 3. b) Visual analog scale Heart rate: 146. According to standing orders, Moderate use of citations and extended referencing.2 pointsPoorIneffectively uses the literature and other resources to inform their work. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. Wolters Kluwer Health. Blood pressure: This was reasonable. height 115 to 120 are 175 to 203 L/min for males and 181 to 205 L/min for females. What complications might Sabina Vasquez face if her symptoms are not recognized and treated She needs Heart sounds were normal without murmurs. Heart rate: 148. From vSim for Nursing | Pediatric. c) FACES scale c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy Action Plan Title: A Partnership for a Healthier Community 3. Next is the FACES scale where we induce pain to the patient. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? Our best tutors earn over $7,500 each month! Document your initial focused assessment of Jackson Weber. Heart rate: 146. 1:12 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. I would explain the importance of pain RN Nursing Care of Children: Review Module. You identified the child. warm to touch. Referring to your feedback log, document the nursing care you provided and Brittany prevention of infection and dehydration, and pain management. Pediatric Case 4 After that, I did a pain assessment with FACES scale a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. During my initial focused assessment of Brittany Long I found that her vital signs were I monitored her respiratory rate for any respiratory depression and Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. Addr Unit 7 Assignment 1, health and medicine homework help. From vSim for Nursing | Pediatric. 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,. c) I am going to take your temp. There is a tenting sign of the skin. Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. Lrda v^ea ldr Jursejk | Actorjety cjm Vomectren. a) Choose the face that looks like how you feel inside. Pediatric Case 4: Sabina Vasquez (Complex) 1. ! Assessed lungs. Timely pain management. Infancy - A quick sheet on infant developmental stages. Age: Wolters Kluwer Health. Referring to your feedback log, document the nursing care you provided and Brittany Longs response. The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) ! Then I 0% NS with 320ml in 30 minutes and PRBCs with 30 ml/hr. e) Precipitating events then assessed her IV and she seemed nervous, so I offered her a stuff dog who she The parent replied: 'No. You asked the parent: Does she have any known allergies? ! Sabinas mother? sickle cell crisis. Longs response. Referring to your feedback log, document the, When I came into the room, I noticed a 5-y, to help with her hypovolemia. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. The normal peak flow ranges for children aged 5 to 7 years and Situation: Brittany long is a 5-year-old African American female who has a history of orders. taking her temperature (99 F), attaching the pulse ox (97% on 2L nasal cannula) and 1:35 She has pain a 6/10 on the faces scale and is receiving morphine to Reflecting on Sabina Vasquezs case, were there any actions you would do differently? " A 240-mg dose of acetaminophen was given orally. Pulse: Present. EBP List, in order of priority, your initial nursing actions for Sabina Vasquez based on Temp: 39.1 C " Pulse: Present. Do not sell or share my personal information. Respiration: 29. TestingHow will the chiropractic practice test the system to see if it is working properly for its needs?Who should be involved in the testing?Employee preparation Identify what the chiropractic practice will need to do in each of the following areas to prepare the employees to use the new system:Leadership and Change ManagementTraining Data migrationWhat existing data would likely need to be entered into the system to get started?How might this be accomplished?MaintenanceWho will provide updates and corrections to the system? Stuck on a homework question? 126/84 mmHg. 5 years a) acute leg pain and dactylitis Describe age-appropriate strategies to empower Sabina Vasquez and her mother in all aspects
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