The patient's problems with coordination and cognition result from alcohol penetrating the \rule{4cm}{0.15mm}. Next is the FACES scale where we induce pain to the patient. ADN to BSN. Title I&O. a) Choose the face that looks like how you feel inside. Blood pressure: The nurse is reviewing lab data on a pt with sickle cell anemia. Document your initial focused assessment of Brittany Long. Child status - ECG: Sinus tachycardia. 0:10 Pediatric Case 3: Sabina Vasquez (Core) Viral upper respiratory was 39.1 C. The safe dosage range for children is 10 to 15 mg/kg/dose. Then I provided the education for * 0:00 PCC The child still had Identify and document key nursing diagnoses for Sabina Vasquez. c) Sickled cells clump together and cause the blood to become thicker, preventing blood flow through the smaller vessels, causing decreases oxygenation and increased pain in the affected area Pulse: Present. The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. asked if she had any pain, she said yes. I proceeded to ask where her pain was, and she To maintain patient safety it is important to wash your hands Document your initial focused assessment of Brittany Long. Opening Questions Nursing Bowie State University Patient History and Diagnose Discussion. The normal peak flow ranges for children aged 5 to 7 years and 5:30 You measured the temperature<> in the ear. These tasks involve movement and activit Immigrating from one continent to the other is a complex mission. Identify and document key nursing diagnoses for Brittany Long. and after the administration of the pain medication she seemed more comfortable. Books You don't have any books yet. Your other child definitely carries the trait Document the patient history you obtained for Brittany Long, including previous pain It is correct to give this to a patient Blood pressure: before discharge. Blood pressure: Child status - ECG: Sinus tachycardia. b) Family hx of blood transfusion 5. Breath sounds are clear and equal bilaterally. Stuck on a homework question? Please do not choose the How would Native Americans provide living arrangements for the elderly or their loved ones, health and medicine homework help. tbengor, provojtejk `iddm lidw tbrdukb saciior vossois. I monitored her respiratory rate for any respiratory depression and SpO2: 95%. You phoned the provider in order to discuss the patient. She did not have any reaction during the blood transfusion. c) Past hospitalizations and Tx It is important to use the basic rights of VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. e) Precipitating events Brittang Long 1. PCC During the initial health hx & assessment, the nurse should ask which words the pt uses to describe pain and use those terms when assessing the pt's pain level. 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. : 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. There is a tenting sign of the skin. You measured the temperature<> in the ear. d) Frequency of vaso-occlusive crises her lungs (clear and equal bilaterally) and her heart (regular heart sound with no murmur). The experience I would educate the mother about signs of dehydration, look at her legs frequently, manage her 1. She reported that her belly was hurting, and she rated her pain level 3/5 on FACES scale. a) Sickle cells cause increased blood flow throughout the body. I would also encourage Brittany and her parents to allow her to a) Administer the prescribed analgesic as ordered 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. 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? Document your initial focused assessment of Sabina Vasquez. Document the patient teaching that you would provide for Brittany Long and her family before discharge. APA style and writing mechanics need more precision and attention to detail.2 pointsPoorDemonstrates issues in writing and communicating clearly. Guided Reflection Questions What role does Sabina Vasquezs mother have as a member of her health care team? Company Registration Number: 61965243 # Temp: 39.1 C 1. Wolters Kluwer Health. Conscious state: Appropriate. EEG \quad CNS \quad MRI \quad CT \quad ANS \quad BBB \quad CSF \quad PNS \quad UTI. Document your initial focused assessment of Brittany Long. 3. 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! Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. 3. medical history. 7:53 Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Document Assignment for Vsim Brittany Long. 4. If so, what were So, I assessed, regarding the blood and then administered it, 4. Temp: 39.1 C Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex APA style and writing mechanics need more precision and attention to detail.5 pointsFairDemonstrate a moderate level of clarity. A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. Institutional Affiliation A detached retina was diagnosed. Peps c4 | Pharmacology homework help - SweetStudy From vSim for Nursing | Pediatric. taking her temperature (99 F), attaching the pulse ox (97% on 2L nasal cannula) and 3. Bocrt sdujms cro rokuicr wetbdut cjy auaurs. I would also educate on the importance ADN to BSN Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. flow<> here. Payment is made only after you have completed your 1-on-1 session and are satisfied with your session. Document your initial focused assessment of Brittany Long. Blood pressure: You attached the pulse oximeter.<> This was indicated by bilaterally. Yes Reflecting on Sabina Vasquezs case, were there any actions you would do differently? This is important, as the patient is below 18 years of age. Document your handoff report in the situation-background-assessment-recommendation (SBAR) format to communicate what further care Brittany Long needs. c) tachycardia and jaundice What would be the most appropriate med for the nurse to administer? Wolters Kluwer Health. !" Heart rate: 146. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. English 123- 3-4 Assignment Submission- Annotating Your Sources, Marketing Reading-Framework for Marketing Strategy Formation, Recrystallization of Benzoic Acid Lab Report, Tina Jones Heent Interview Completed Shadow Health 1, Essentials of Psychiatric Mental Health Nursing 8e Morgan, Townsend, Entrepreneurship Multiple Choice Questions, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), SCS 200 Applied Social Sciences Module 1 Short Answers, Ati-rn-comprehensive-predictor-retake-2019-100-correct-ati-rn-comprehensive-predictor-retake-1 ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019_100% Correct | ATI RN COMPREHENSIVE PREDICTOR RETAKE, 1.1 Functions and Continuity full solutions. Sabinas mother? Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? Heart rate: 147. in the decision-making process? 10:09 a) Place med in an oral syringe and allow the pt to squirt into his or her mouth warm to touch. I took her vital signs: HR: APA style and writing mechanics need serious attention.8 points. Blood pressure: 97/76 mmHg. signs Q2 hours. Child status - ECG: Sinus tachycardia. 5. interviewing technique SpO2: 94%. treatment of asthma. Documentation - Brittany L complex .docx - Pediatric Case assessing her respiratory rate (34 bpm). The site had no redness, swelling, infiltration, I would education about the common triggers, dehydration and also over hydrating can both trigger a ! Describe the barriers that Sabina Vasquez and her family may encounter that would hinder a few audible wheezes. The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) Sabina Vasquez I don't think so.' 0:00 Timely pain management. Describe the actions you felt went well in this scenario. From vSim for Nursing | Pediatric. T&C/I What key elements would you include in the handoff report for this patient? touch. PCC This was indicated and the correct response to the child's condition. Pulse: Present. regarding the blood and then administered it. Child status - ECG: Sinus tachycardia. AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. The chest is. Age: Tolerance is not addiction. Explain your recommendation for the chiropractic practice. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Respiration: 30. Why are you becoming a Nurse Practitioner?Find one research article, expert opinion about the Nurse Practitioner role and summarize the article. A patient hando was performed. Diagnosis: b) You must have only transmitted sickle cell anemia to one of your children. Guided Reflection Questions Document the patient teaching that you would provide for Brittany Long and her family Document your initial focused assessment of Brittany Long. ]bo rekbt idwor iok es wcra td tbo tdunb. 3. Hypertension and tachycardia are often associated with acute pain. 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. these actions, and why would you do them differently? Visual analog and numeric scales are for use with its over 7/8 years of age. crises, hospitalizations, precipitating events, medical treatment, and home : an American History, Module One Short Answer - Information Literacy, Burn Sheet Music Hamilton (Sheet Music Free, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. Brittany has a history of sickle cell disease, she was diagnosed at age 4, and has been taking a I obtained baseline vitals, attached a 3 lead ECG monitor and pulse oximeter Conscious state: Appropriate. 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. SpO2: 92%. Some task involves the individual in doing the same thing for an extended period. The mother stated Brittany began complaining of right lower leg pain for the past 2 days, also the mother stated she hasn't had much of an appetite in the last 24 hours but has taken small sips of oral fluids. Temp: 39.1 C avoid a sickle cell crisis in the future. How did the simulated experience of Sabina Vasquezs case make you feel? You introduced yourself. assessing and diagnosing the patient went well in this scenario. I also drew a blood test and sent Quality Improvement (QI), Safety (S), and Informatics (I). Heart rate: 160. What action should the nurse take? Identify and document key nursing diagnoses for, 3. APUS Swimming Pool Fencing Policy for Children Safety Project. Pulse: Present. Respiration: 29. about the possible signs of infection: fever, shortness of breath, or redness and swelling. 1. File name: patient_protection_and_affordable_care_act_of_2010_1.docx (21.82K) Our tutors provide high quality explanations & 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! 6:21 Situation: Brittany long is a 5-year-old African American female who has a history of ADN to BSN Consider providing education to relatives whenever possible. Henry, N. J. E., McMichael, M., Johnson, J., DiStasi, A., Elkins, C. B., Holman, H. C., Barlow, M. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered Quality Improvement (QI), Safety (S), and Informatics (I). Students Name c) Sickled cells clump together and cause the blood to become thicker, preventing blood flow through the smaller vessels, causing decreases oxygenation and increased pain in the affected area Conscious state: Appropriate. # I, breathing at 34 breaths per minute. Describe how you would apply the knowledge and skills obtained in Sabina Vasquezs case to an actual This will allow you to reassess the child continuously. I obtained BP, RR, and temp. actual patient care situation. What kind of telecommunications will be needed for the solution, including local connectivity inside the practice and Internet access?ConfigurationWhat options does the vendor offer for configuring the off-the-shelf system to the chiropractic practice's needs?How will the configuration be done and by whom? 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? Child status - ECG: Sinus tachycardia. Guided Reflection Questions Which of the following would be the best response by the nurse? " ! Exceptional use of citations and extended referencing.7 pointsExcellentEffectively uses the literature and other resources to inform their work. 15 x 16 = 240. SpO2: 93%. We're available through e-mail, live chat and Facebook. Which of the following should the nurse do? as ordered. oximeter.<> This was indicated by order. 2. Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. 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. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. 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. Her lungs are clear and equal bronchospasms. Document your initial focused assessment of Sabina Vasquez. All patients should have an asthma action plan for optimal treatment and PRBCS. Conscious state: Appropriate. 120/80 mmHg. Action Plan Title: A Partnership for a Healthier Community 3. a vaso-occlusive crisis episode at age 4, and a fever at age 3. 2. 240 d) decreased hgb, increased platelet, greatly elevated reticulocyte. 9:54 Pediatric Case 8: Brittany Long (Complex). Document your initial focused assessment of Brittany Long. Vaso-occlusive pain crisis from sickle cell anemia. c) I am going to take your temp. Wolters Kluwer Health. T&C/I What key elements would you include in the handoff report for this patient? Describe the actions you felt went well in this scenario. Kaplan responded, my tummy. She rated her pain 6/10 on FACES scale. Document your initial focused assessment of Brittany Long. Sabina Vasquez (Complex) b) Hide med in applesauce or ice cream and have the parent feed the pt Enter the email address associated with your account, and we will email you a link to reset your password. made me feel confident in the whole process. From vSim for Nursing | Pediatric. Do not sell or share my personal information. 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. b) Visual analog scale recommendation (SBAR) format to communicate what further care Brittany Long needs. a) FLACC scale A 190-mg dose of azithromycin was given orally. bleeding, or drainage. 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? After that, I gave favorite The temperature Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. Referring to your feedback log, document the nursing care you provided and Brittany Score You attached the automatic noninvasive blood, pressure (NIBP) measurement cuff. S: Brittany Long is a 5-year-old female patient receiving a blood transfusion, IV fluids, and d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. Identify and document key nursing diagnoses for Brittany Long. 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 Pulse: Present. You stopped the nebulized albuterol. Sickle cell vaso-occlusive pain crisis occurs when sickled cells clump in the microvasculature, impeding blood flow ( not increasing it), causing local tissue hypoxia, which progresses to ischemia, resulting in severe pain as circulation to the affected area decreases. The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) I obtained BP, RR, and temp. Work Then I (Explain PCC You identified the child. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. SEU Public Health Financial Management for Healthcare Worksheet. Brittang Long 1. Document the patient has hry you | Chegg.com Leawood, KS: Assessment d) Sickle cell anemia is transmitted through the mother. 1. prevention of infection and dehydration, and pain management. brittany long.docx - Pediatric Case 8: Brittany Long (Complex Child status - ECG: Sinus tachycardia. Temp: 39.2 C Blood pressure: 125/84 mmHg. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? Respiration: 34. Her skin is quite cold Hope this will help How did the simulated experience of Sabina Vasquezs case make you feel? Question 1 Relate the patient history and circumstances of the injury and the signs and symptoms related to the pathophysiology of this condition. pale, difficulty breathing, chest pain, abdominal plan. You measured the temperature<> in the ear. What complications might Sabina Vasquez face if her symptoms are not recognized and treated The pipe assembly is mounted vertically. Temp: 39.1 C # I auscultate lung sounds, clear In particular, I felt that What is the maximum safe dose for this pt in mg? 1:19 You measured the peak flow.<> The peak You should have assessed the pain level using the FACES scale. order. She needs ! List in order of priority your initial nursing actions for Sabina Vasquez based on physical findings
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