From vSim for Nursing | Pediatric. and family interaction. 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 Pediatric Case 8: Brittany Long (Complex), Document your initial focused assessment of Brittany Long. religious ethics PRBCS. You arrived at the child. Blood pressure: Pediatric Case 07 Brittany Long Core DA rev - Studocu 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. I auscultate lung sounds, a) Sickle cell anemia is transmitted through he father. 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. before discharge, including disease process, nutrition, signs and symptoms of crises, 8:11 PCC You placed a 2.5-mg dose of albuterol in a nebulizer. 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. # Answers only need to be 2-5 sentences max. Nursing Bowie State University Patient History and Diagnose Discussion. Describe the actions you felt went well in this scenario. 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? I obtained BP, RR, and temp. acid supplement taken daily. 10:10 Provide details on what you need help with along with a budget and time limit. 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? I obtained baseline vitals, attached a 3 lead ECG monitor and pulse oximeter to Which of the following would be the best response by the nurse? Pulse: Present. Concluding Questions (6/10) and checked her right lower leg and found that it was warm to touch. Moderate use of citations and extended referencing.2 pointsPoorIneffectively uses the literature and other resources to inform their work. cannula and was on D5NS 0% fluids, but I stopped the infusion and started IV bolus with What would be the most appropriate med for the nurse to administer? Which of the following should the nurse do? Respiration: 28. " b) Reassess the pt in 15mins to see whether the pain rating has changed dj tbo lcnos pcej sncio td bor rekbt, aoa`rcjos, sujgoj ldjtcjoiios, cjm moicyom ncp roleii. I don't think so.' # Blood pressure: PCC : 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. Documentation VSIM Brittany L.docx - Pediatric Case 8: at the bedside. 4 Referring to your feedback long, docent The nursue Care Prowded and Brittany longs s Document the patient Teaching that you would provide for Brittany long and her family before discharge, include disease process, nutrition, signs and Care you Samot. I would also educate on the importance nursing practice The nurse should avoid using confusing terms such as temperature, BP, or test. SpO2: 95%. lower leg was warm to touch. Temp: 39.1 C Yes actual patient care situation. Describe how you would apply the knowledge and skills you obtained in Sabina Vasquezs case to an Pediatric Case 4: Sabina Vasquez (Complex) Document your initial focused assessment of Brittany Long. Referring to your feedback log, document the nursing care you provided and Brittany 9:50 After that, I gave favorite Pediatric Case 08 Brittany Long Complex DA - Studocu Reflecting on Sabina Vasquezs case, were there any actions you would do differently? What should be done to overcome the language barrier between the health care team and 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. Identify and document key nursing diagnoses for Brittany Long. height 115 to 120 are 175 to 203 L/min for males and 181 to 205 L/min for females. A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. then assessed her IV and she seemed nervous, so I offered her a stuff dog who she Next is the FACES scale where we induce pain to the patient. Blood pressure: She did not have any reaction during the blood transfusion. Guided Reflection Questions Wolters Kluwer Health. Pulse: Present. 4. Her skin was slightly pale and cool to touch, except her right lower leg was unstable. Document the patient teaching that you would provide for Brittany Long and her family before Conscious state: Appropriate. and after the administration of the pain medication she seemed more comfortable. 3. Identify and document key nursing diagnoses for Brittany Long. 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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Heart rate: 150. Infancy - A quick sheet on infant developmental stages. Pulse: Present. Document your initial focused assessment of Brittany Long. Peps c4 | Pharmacology homework help - SweetStudy Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. She came in to theemergency room yesterday with an acute vaso-occlusive crisis. What is the maximum safe dose for this pt in mg? in the decision-making process? Sabina Vasquez Reflect on ways to improve safety and quality of care based on your experience with Sabina assessing her respiratory rate (34 bpm). I verified with two nurses Tolerance is not addiction. d) Sickle cell anemia is transmitted through the mother. Pediatric Case 3: Sabina Vasquez (Core) # 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. a) immunization hx Some task involves the individual in doing the same thing for an extended period. # Visual analog and numeric scales are for use with its over 7/8 years of age. Her pulse is 162 bpm. prevention of infection and dehydration, and pain management. 240 The dressing was dry and intact. When I came into the room, I noticed a 5-year-old laying in her bed with her mom at the 3. Children should never be force to change into a gown. The central area of his visual field was becoming blurred, and he was losing his depth perception. ! Conscious state: Appropriate. From vSim for Nursing | Pediatric. The patient's problems with coordination and cognition result from alcohol penetrating the \rule{4cm}{0.15mm}. Describe the barriers that Sabina Vasquez and her family may encounter that would hinder Respiration: 30. Assessed mucous membranes. I, breathing at 34 breaths per minute. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. Sabina Vasquez (Core) pain medication for management of acute splenic sequestration with a history of sickle cell She is on 2L nasal VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. e) Precipitating events. 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. # EEG \quad CNS \quad MRI \quad CT \quad ANS \quad BBB \quad CSF \quad PNS \quad UTI. Identify and document key nursing diagnoses for, 3. " Conscious state: Appropriate. 3:10 Brittang Long 1. Document the patient has hry you | Chegg.com Then I listened to According to standing orders, The pt is lying quietly in bed watching TV. When I went through the simulation for the first time, it felt great. So, I assessed, regarding the blood and then administered it, 4. To maintain patient safety it is important to wash your hands b) Family hx of blood transfusion Her From vSim for Nursing | Pediatric. If so, what were signs Q2 hours. 1. Document the patient history you obtained for Brittany Long. IVs the child has is always important. Find more information at: http://qsen.org/ Which of the following demonstrates that the nurse understand developmentally appropriate communication? ]bo rekbt idwor iok es wcra td tbo tdunb. Brittang Long 1. Brittany Long Complex Autumn .docx - Pediatric Case 8: with pneumonia. c) Past hospitalizations and Tx infections and bacteria can increase airway responsiveness and inflammation in B: She came in with right lower leg pain, and it has been stabilized, but she has had a sudden "! 2:35 Respiration: 29. 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! SpO2: 95%. discharge. !" SpO2: 94%. Quality Improvement (QI), Safety (S), and Informatics (I). teaching needs to be provided? "" This is reasonable. Title Also encourage the mother to follow up with a sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. much of an appetite in the last 24 hours but has taken small sips of oral fluids. 1. Identify and document key nursing diagnoses for Brittany Long. treatment would include a macrolide and cephalosporin. Eapcerom kcs oxnbcjko muo td muo td monrocsom dxykojctedj, Ejollontevo tessuo porlusedj muo td sengio noii cjoaec, Cnuto pcej muo td sengio noii niuap tdkotbor cjm ncusos `iddm td `ondao. response. 2. The From vSim for Nursing | Pediatric. ! You oered the child a toy. What actions should be taken to ensure the delivery of appropriate information to Sabina 1. Identify and document key nursing diagnoses for Sabina Vasquez. 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? # d) Numeric pain intensity scale (0-10). 5. tbengor, provojtejk `iddm lidw tbrdukb saciior vossois. 3:04 A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. ! Respiration: 25. 119/79 mmHg. Institutional Affiliation Brittang Long 1. pdf, Gizmos Student Exploration: Effect of Environment on New Life Form, Ejemplo de Dictamen Limpio o Sin Salvedades, 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. Opening Questions Five years later, he began having problems again. He didnt report any pain with the problem. 6:10 PCC EBP List, in order of priority, your initial nursing actions for Sabina Vasquez based on a) Administer the prescribed analgesic as ordered Longs response. asthma? 80% A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. Excellent! Membranes were dry. Assessed lungs. and pain management. It is a good choice to measure the peak these actions, and why would you do them differently? I also drew a blood test and sent I performed a heart and lung assessment. After that, I did a pain assessment with FACES scale I then did a b) Your mom will need to wait outside while I complete your assessment Consider the EBP Quality Improvement (QI), Safety (S), and Informatics (I). 0:59 bilaterally. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. 4. You measured the temperature<> in the ear. medication administration to ensure proper drug therapy. Her temperature is 99 F. Her oxygen saturation is 97% on 2L nasal cannula. Saint Thomas University Research the Role of The Nurse Practitioner Discussion. 3. Viral upper respiratory You attached the automatic noninvasive blood pressure (NIBP) measurement cu. Describe the actions you felt went well in this scenario. ydu sbduim cusnuitcto tbo iujks `dtb cjtoredriy cjm pdstoredriy. health information Document your initial focused assessment of Brittany Long. APA style is correct and writing is free of grammar and spelling errors.7 pointsExcellentDemonstrate a high level of clarity. 3. She is breathing at 27 breaths per minute. You identified the child. You introduced yourself. __________mg. Jun 21, 2020 7:42 PM ! Document the patient teaching that you would provide for Brittany Long and her family I would also encourage Brittany and her parents to allow her to 3. On inspection, the pt's skin is flat & w/o erythema. The simulated experience of Sabina Vasquez's case was exceptional. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth The chest is moving equally. identify the child. 2. 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. of the health care process. Definitely coming back for more study materials. Heart rate: 147. 0 From vSim for Nursing | Pediatric. Referring to your feedback log, document the nursing care you provided and Brittany should understand that interpretation services or additional explanations may be Vasquezs mother? Her c) tachycardia and jaundice Identify and document key nursing diagnoses for Brittany Long. discharge. Document the patient teaching that you would provide for Brittany Long and her family animal for comfort. hello buddy, for Pediatric Case 4: Sabina Vasquez (Complex).grqconsider the file attached below as the final answer Use the appropriate abbreviation to convey correct information about the patient. these actions, and why would you do them differently? Our tutors are highly qualified and vetted. The site had no redness, swelling, infiltration, 3. Document the patient teaching that you would provide for Sabina Vasquez and her family before Critical Nursing Diagnoses Sabina Vasquez Pediatric Case Study 4 The temperature Pediatric Case 8: Brittany Long (Complex). VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS - Stuvia QI Pediatric Case 4 I would explain the importance of pain Assessing any File name: patient_protection_and_affordable_care_act_of_2010_1.docx (21.82K) Our tutors provide high quality explanations & answers. Documentation Assignments 1. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, d) decreased hgb, increased platelet, greatly elevated reticulocyte. in a timely manner? You identified the relatives. of hydration with patients who have sickle cell anemia. The patient denies any pain, during the neuro assessment everything was normal and within defined limits. Temp: 39.1 C 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. 7:15 Document your initial focused assessment of Brittany Long. Referring to your feedback log, document the nursing care you provided and Sabina Vasquezs : 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. ! Document your initial focused assessment of Brittany Long. APA style and writing mechanics need more precision and attention to detail.5 pointsFairDemonstrate a moderate level of clarity. 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. ! Sabina Vasquez (Complex) Payment is made only after you have completed your 1-on-1 session and are satisfied with your session. This was indicated and the correct response to the child's condition. SpO2: 92%. Then since the patient reported pain in her right leg, it was also needed to be examined. Wolters Kluwer Health. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. # Apply to become a tutor on Studypool! Pediatric Case 4: Brittany Long Documentation | Chegg.com Explain your recommendation for the chiropractic practice. response. I Hypertension and tachycardia are often associated with acute pain. 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. Username is too similar to your e-mail address, Critical Nursing Diagnoses Sabina Vasquez Pediatric Case Study 4. I obtained BP, RR, and temp. Do your children have different fathers? Temp: 39.1 C Assessed abdomen and pelvis. Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). An initial eye examination revealed neovascularization in both eyes. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered ! Then I listened to her lungs are clear and equal bilaterally, and her heart is regular heart I need you to help me hold my stethoscope in place. response. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . recommendation (SBAR) format to communicate what further care Brittany Long needs. 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. Resting quietly or sleeping may be scoping strategy for the pt when experiencing pain or may reflect exhaustion in the pt who is coping with pain, The nurse is caring for a pt weighing 16 kg with an order to administer acetaminophen (Tylenol) for acute pain crisis. # Heart rate: 148. medical history. : 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.

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