a) call the provider and request an order for a med for the itching as needed. S. (2016). 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. Document your initial focused assessment of Jackson Weber. Vasquezs case. c) FACES scale Documentation Assignments 1. APA style and writing mechanics need serious attention.8 points. Use a Level 1 heading to separate your sections (Page 62 of the APA Publication Manual). Wolters Kluwer Health. Which of the following responses by the nurse is correct? of hydration with patients who have sickle cell anemia. 2. B: She came in with right lower leg pain, and it has been stabilized, but she has had a sudden Wolters Kluwer Health. situation-background-assessment-recommendation (SBAR) format. Conscious state: Appropriate. 1. pain at home with acetaminophen and let her drink plenty of fluids. Brittany stated she had a 3 of orders. Question 1 Relate the patient history and circumstances of the injury and the signs and symptoms related to the pathophysiology of this condition. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. (Explain A 240-mg dose of acetaminophen was given orally. ! Temp: 39.1 C # reduce the risk of an infection occurring. SpO2: 92%. Then I listened to ]boro es jdraci oicstenety dl tbo. I would explain the importance of pain 3:04 I first performed hand hygiene and verified the patients identity and family members identity From vSim for Nursing | Pediatric. I obtained BP, RR, and temp. You assessed the child's IV. Document the patient teaching that you would provide for Sabina Vasquez and her family before 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. tbengor, provojtejk `iddm lidw tbrdukb saciior vossois. diagnosis and management of care. "! Respiration: 30. hello buddy, for Pediatric Case 4: Sabina Vasquez (Complex).grqconsider the file attached below as the final answer 7:53 SpO2: 93%. Child status - ECG: Sinus tachycardia. The You have been asked to make recommendations. Scenario Analysis Questions* From vSim for Nursing | Pediatric. Why are you becoming a Nurse Practitioner?Find one research article, expert opinion about the Nurse Practitioner role and summarize the article. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. Heart rate: 147. The child still had The patient's problems with coordination and cognition result from alcohol penetrating the \rule{4cm}{0.15mm}. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy I obtained BP, RR, and temp. " Longs response. The pipe assembly is mounted vertically. 119/79 mmHg. dj tbo lcnos pcej sncio td bor rekbt, aoa`rcjos, sujgoj ldjtcjoiios, cjm moicyom ncp roleii. How much will it cost to use the system?Hardware and telecommunicationsWhat hardware will the chiropractic practice need to have in order to implement and use the solution? 9:50 You identified the relatives. Research the role of the Nurse Practitioner.Select and describe an Advanced Nurse Practitioner role. Document the patient teaching that you would provide for Sabina Vasquez and her family before ! Pediatric Case 3 assessed her IV site for patency then administered the 2mg of morphine IV as ordered. 1. " I auscultate lung sounds, Children should never be force to change into a gown. The patient denies any pain, during the neuro assessment everything was normal and within defined limits. * The nurse is teaching Brittany how to use the FACES scale to rate pain. Blood pressure: 97/76 mmHg. A womens health clinic has recognized the need to segment its market. to help with her hypovolemia. 5. 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. Reflecting on Sabina Vasquezs case, were there any actions you would do differently? Child status - ECG: Sinus tachycardia. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. I checked her right lower leg and found that it was warm to PCC Our best tutors earn over $7,500 each month! height 115 to 120 are 175 to 203 L/min for males and 181 to 205 L/min for females. You don't have to be crying to be hurting a lot. Identify and document key nursing diagnoses for Brittany Long. cannula and was on D5NS 0% fluids, but I stopped the infusion and started IV bolus with A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. ! Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. T&C/I What key elements would you include in the handoff report for this patient? Brittany stated she had a 3 of out 5 on Blood pressure: Needs Document the patient teaching that you would provide for Brittany Long and her family pneumoniae, Chlamydia pneumoniae, or Streptococcus pneumoniae; therefore, her lungs (clear and equal bilaterally) and her heart (regular heart sound with no murmur). What complications might Sabina Vasquez face if her symptoms are not recognized and if care is The mother stated she has been hospitalized twice before, one for Document the patient history you obtained for Brittany Long, including previous pain After that, I gave favorite 124/83 mmHg. Heart rate: 150. (SBAR) format to communicate what further care Brittany Long needs. active participation in Sabinas care. SpO2: 94%. Document your initial focused assessment of Brittany Long. Reflect on ways to improve safety and quality of care based on your experience with Sabina 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. Blood pressure: much of an appetite in the last 24 hours but has taken small sips of oral fluids. Guided Reflection Questions Opening Questions regular folic acid supplement. Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. animal for comfort. PRBCS. You introduced yourself. So, I assessed her IV, and she was having D5NS 0%, so I Document your initial focused assessment of Brittany Long. From vSim for Nursing | Pediatric. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. We're available through e-mail, live chat and Facebook. Heart rate: 148. Referring to your feedback log, document the nursing care you provided and Sabina Vasquezs A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. 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What is the maximum safe dose for this pt in mg? In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? most recent Hgb and Hct are 7/dL and 26%. Documentation Assignments Describe the actions you felt went well in this scenario. 6:43 Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. !! Implementation Considerations:Vendor agreementWhat does the chiropractic practice need to do to be able to start using the system? The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) She has a regular heart sound without murmur. Pulse: Present. I would education about the common triggers, dehydration and also over hydrating can both trigger a ! Her Referring to your feedback log, document the nursing care you provided and Brittany Long's response. I administered more fluids and d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. The dressing was dry and intact. From vSim for Nursing | Pediatric. T&C/I What key elements would you include in the handoff report for this patient? 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, ? sound with no murmur. ydu sbduim cusnuitcto tbo iujks `dtb cjtoredriy cjm pdstoredriy. NR439 Asthma and pneumonia # Assessing any Comments and suggestions: c) Past hospitalizations and Tx Scenario Analysis Questions* Consider providing patient education whenever possible. Heart rate: 146. Do your children have different fathers? The patient was diagnosed with sickle cell anemia and was in a Guided Reflection Questions Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. 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. flow<> was 50 L/min. Background: Brittany Long has a history of sickle cell anemia being treated with a folic The nurse is performing a physical assessment on a 5 y/o pt. Then I provided the education for !" Pulse: Present. Monitor her pain levels and vital Identify and document key nursing diagnoses for Sabina Vasquez. Feedback Log medical history. Document your initial focused assessment of Brittany Long. There is tenting of the skin. 5 years I a) acute leg pain and dactylitis Provide details on what you need help with along with a budget and time limit. Pediatric Case 3: Sabina Vasquez (Core) What complications might Sabina Vasquez face if her symptoms are not recognized and treated PCC Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. affect the care you provide to Sabina and her family? There is a tenting sign of the skin. The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." received a unity of PRBCS. Brittany has a history of sickle cell disease, she was diagnosed at age 4, and has been taking a Heart rate: 146. ! I monitored her respiratory rate for any respiratory depression and The safe dosage range for children is 10 to 15 mg/kg/dose. 1:10 5 Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Brittany was provided with juice to drink and stuffed Heart rate: 149. Her lungs are clear and equal and equal bilaterally, her chest wall was moving equally. Breath sounds are clear and equal bilaterally. I also drew a blood test and sent Leawood, KS: Assessment Document the patient teaching that you would provide for Brittany Long and her family before discharge. Concluding Questions ! a) I want to listen to you breathe. 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. With these assessments, you can actually get the patient's condition just so. Conscious state: Appropriate. Identify and document key nursing diagnoses for, 3. Students Name I then did a Make sure there are competing positions on this issue that reflect differing ethical principles or interpretations. Hypertension and tachycardia are often associated with acute pain. 2. Title is descriptive University of Southern California Clinic Segmentation Paper. If so, what were Brittang Long 1. to keep hydrating, so encourage her to drink more fluids. A 190-mg dose of azithromycin was given orally. 10:10 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. Her Document your initial focused assessment of Sabina Vasquez. d) decreased hgb, increased platelet, greatly elevated reticulocyte. Terms of Use Then I listened to her lungs are clear and equal bilaterally, and her heart is regular heart health policy NY Times Paywall - Case Analysis with questions and their answers. SpO2: 95%. "! SpO2: 95%. # Sabina Vasquez ! You identified the child. She came in with her mom. EBP c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy 3. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). b) Your mom will need to wait outside while I complete your assessment b) Family hx of blood transfusion Do not sell or share my personal information. She did not have any reaction during the blood transfusion. b) Anemia and hypotension Desired Outcome of the Action Plan: Promote greater convenience in the treatment of, West Coast University Physician Assisted Suicide Worksheet. This will. flow<> here. 3. I need you to help me hold my stethoscope in place. Quality Improvement (QI), Safety (S), and Informatics (I). How did the simulated experience of Sabina Vasquezs case make you feel? Opening Questions 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,. asked if she had any pain, she said yes. I proceeded to ask where her pain was, and she These tasks involve movement and activit Immigrating from one continent to the other is a complex mission. Document your initial focused assessment of Brittany Long. Also encourage the mother to follow up with a QI Fill in the assessment chart below. Definitely coming back for more study materials. Wolters Kluwer Health. d)Enuresis and proteinuria. ! 9:54 " 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. Pediatric Case 8: Brittany Long (Complex), Document your initial focused assessment of Brittany Long. competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), She needs It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. c) FACES scale acid supplement taken daily. We reviewed their content and use your feedback to keep the quality high. I obtained baseline vitals, attached a 3 lead ECG monitor and pulse oximeter Describe age-appropriate strategies to empower Sabina Vasquez and her mother in all aspects ! Monitor her O2 sat and keep above 95% with frequently lab drawn and strict to continuous monitoring of Brittany. I would also educate Vasquezs case. " Referring to your feedback log, document the, When I came into the room, I noticed a 5-y, to help with her hypovolemia. ! 7:10 a) Place med in an oral syringe and allow the pt to squirt into his or her mouth The FLACC behavioral scale is appropriate for hone the pt can't accurately report his or her own level of pain due to age or developmental level. d) Numeric pain intensity scale (0-10). Which of the following methods is appropriate for the nurse to employ to administer the medication? Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Describe how you would apply the knowledge and skills you obtained in Sabina Vasquezs case to an
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