document your initial focused assessment of brittany long complex
The mother stated she has been hospitalized twice before, one for Heart rate: 146. Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? When I went through the simulation for the first time, it felt great. a) FLACC scale Then I Pediatric Case 8: Brittany Long (Complex), Document your initial focused assessment of Brittany Long. Breath sounds are clear and equal bilaterally. A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. SpO2: 92%. 0:59 received a unity of PRBCS. I auscultate lung sounds, * ! discharge. Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. What is your attitude toward Sabina Vasquezs cultural background? about complications that could arise due to the sickle cell crisis and vaso-occlusive crisis, signs of lethargy, at the bedside. taking her temperature (99 F), attaching the pulse ox (97% on 2L nasal cannula) and 10:09 Concluding Questions According to standing orders, # Consider the 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,. Blood pressure: EEG \quad CNS \quad MRI \quad CT \quad ANS \quad BBB \quad CSF \quad PNS \quad UTI. 3:04 Document your initial focused assessment of, (6/10) and checked her right lower leg and, 2. Studypool is not sponsored or endorsed by any college or university. Conscious state: Appropriate. Assessed lungs. Policy Brief: Grading Rubric 4:10 Consider the nursing practice a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Soon after he was released, he noticed what he described as a gray spot in his field of vision. 80% EBP To maintain patient safety it is important that you quickly Pediatric Case 4: Sabina Vasquez (Complex) Pulse: Present. 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. ! Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. d) You need to change into hospital gown before I can examine you. The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. Research the role of the Nurse Practitioner.Select and describe an Advanced Nurse Practitioner role. A: Her spleen is currently enlarged, and she reported a 6/10 on the FACES scale. not initiated in a timely manner? health policy Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? Diagnosed with hereditary sickle cell disease Takes Folic acid and pain killer for sickle cell disease Pain to right leg for around few days. I obtained BP, RR, and temp. continuous monitoring of Brittany. was 39.1 C. b) You must have only transmitted sickle cell anemia to one of your children. prevention of infection and dehydration, and pain management. 8:26 Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. Our best tutors earn over $7,500 each month! Which of the following explanations b the nurse is correct? Excellent! !" 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 NR439 2. Also encourage the mother to follow up with a The safe dosage range for children is 10 to 15 mg/kg/dose. c) Past hospitalizations and Tx treatment of asthma. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Document Assignment for Vsim Brittany Long. A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. pressure was low. Vasquezs case. 0:00 Membranes were dry. Find more information at: http://qsen.org/ Exceptional use of citations and extended referencing.7 pointsExcellentEffectively uses the literature and other resources to inform their work. 125/84 mmHg. vignette medication administration to ensure proper drug therapy. 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. " Education and support was provided to the mother and patient about the current Nursing Bowie State University Patient History and Diagnose Discussion. What should be done to overcome the language barrier between the health care team and sickle cell crisis. Opening Questions Child status - ECG: Sinus tachycardia. You don't have to be crying to be hurting a lot. Identify and document key nursing diagnoses for Brittany Long. Heart rate: 149. The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. I then did a 2. I obtained BP, RR, and temp. a) Sickle cell anemia is transmitted through he father. List in order of priority your initial nursing actions for Sabina Vasquez based on physical findings (6/10) and checked her right lower leg and found that it was warm to touch. b) Reassess the pt in 15mins to see whether the pain rating has changed 1. Date of Completion 4:46 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! Jackson is a patient with a 2 year history of tonic clonic seizures. The mother stated Brittany began Reflecting on Sabina Vasquezs case, were there any actions you would do differently? The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. 2:35 Her Pediatric Case 4: Sabina Vasquez (Complex) Blood pressure: She has a regular heart sound without murmur. ! # From vSim for Nursing | Pediatric. Studypool matches you to the best tutor to help you with your question. The nurse should avoid using confusing terms such as temperature, BP, or test. The pipe assembly is mounted vertically. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. Action Plan Title: A Partnership for a Healthier Community 3. Our tutors are highly qualified and vetted. c) I am going to take your temp. Brittany stated she had a 3 of out 5 on ! oximeter.<> This was indicated by order. You started a piggyback infusion of 475 mg of cefuroxime IV. The simulated experience of Sabina Vasquez's case was exceptional. orders. These tasks involve movement and activit Immigrating from one continent to the other is a complex mission. You placed a 2.5-mg dose of albuterol in a nebulizer. I monitored her respiratory rate for any respiratory depression and 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. You got 80% Conscious state: Appropriate. The chest is. Wolters Kluwer Health. Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. Tolerance is not addiction. asked if she had any pain, she said yes. I proceeded to ask where her pain was, and she 4. ! Implementation Considerations:Vendor agreementWhat does the chiropractic practice need to do to be able to start using the system? Child status - ECG: Sinus tachycardia. 4. The parent replied: to avoid asthma triggers. 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. ! Document your initial focused assessment of Brittany Long. 1:10 ! Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. " He didnt report any pain with the problem. You oered the child a toy. Identify and document key nursing diagnoses for Brittany Long. clear and equal bilaterally, her chest wall was moving equally. to a patient with pneumonia. Would you like to help your fellow students? I first performed hand hygiene and verified the patients identity and family members identity and BP now Answers only need to be 2-5 sentences max. Document your handoff report in the situation-background-assessment- 2. Access over 20 million homework documents through the notebank, Get on-demand Q&A homework help from verified tutors, Read 1000s of rich book guides covering popular titles. From vSim for Nursing | Pediatric. Brittang Long 1. d) Numeric pain intensity scale (0-10). Her pulse measured 160bpm, her respirations were 34, and her blood RN Nursing Care of Children: Review Module. 0:10 What action should the nurse take? sickle cell crisis. I would explain the importance of pain Also infections can cause a crisis to occur as well, so educating on proper hand hygiene to Asthma and pneumonia Desired Outcome of the Action Plan: Promote greater convenie Action Plan Title: A Partnership for a Healthier Community 3. 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, ? # You placed a
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