before discharge, including disease process, nutrition, signs and symptoms of crises, Temp: 39.1 C You got 80% From vSim for Nursing | Pediatric. She came in to theemergency room yesterday with an acute vaso-occlusive crisis. The normal peak flow ranges for children aged 5 to 7 years and Feedback Log about the possible signs of infection: fever, shortness of breath, or redness and swelling. # Pediatric Case 3: Sabina Vasquez (Core) Conscious state: Appropriate. Document the patient teaching that you would provide for Brittany Long and her family before discharge. Addr Unit 7 Assignment 1, health and medicine homework help. spleen is enlarged, and her abdomen is generally tender. Pediatric Case 4: Sabina Vasquez (Complex) APA style and writing mechanics need more precision and attention to detail.2 pointsPoorDemonstrates issues in writing and communicating clearly. children with asthma. The temperature a) I want to listen to you breathe. I need you to help me hold my stethoscope in place. lower leg was warm to touch. 3. 80% How did the simulated experience of Sabina Vasquezs case make you feel? Which of the following would be the best response by the nurse? Documentation Assignments reduce the risk of an infection occurring. Pain management AEB pain in right lower leg. Pulse: Present. I would educate the mother about signs of dehydration, look at her legs frequently, manage her 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! height 115 to 120 are 175 to 203 L/min for males and 181 to 205 L/min for females. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: actual patient care situation. Company Registration Number: 61965243 Use the appropriate abbreviation to convey correct information about the patient. Terms of Use necessary. Describe how you would apply the knowledge and skills you obtained in Sabina Vasquezs case to an I then assessed her abdominal region and it was tender. ! active participation in Sabinas care. your answer.) sickle cell crisis. 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. Brittany was provided with juice to drink and stuffed Identify and document key nursing diagnoses for Brittany Long. 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. 4. Comments and suggestions: __________mg. Referring to your feedback log, document the, When I came into the room, I noticed a 5-y, to help with her hypovolemia. The pt is lying quietly in bed watching TV. (6/10) and checked her right lower leg and found that it was warm to touch. it to the lab. # c) I am going to take your temp. SpO2: 93%. pneumoniae, Chlamydia pneumoniae, or Streptococcus pneumoniae; therefore, Asthma and pneumonia Excellent layout, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), SCS 200 Applied Social Sciences Module 1 Short Answers, Logica proposicional ejercicios resueltos, 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. " stopped it to prepare for IV bolus with NS and blood transfusion. drink to her and performed the focus assessment. Child status - ECG: Sinus tachycardia. 162 bpm, BP: 96/57 mmHg, T: 99 F, RR: 34 bpm, O2 sat: 97% on 2L nasal cannula. I assessed her IV site for patency then administered the 2mg of morphine IV VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. A: Her spleen is currently enlarged, and she reported a 6/10 on the FACES scale. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. SpO2: 96%. ! or ancillary staff member for data collection and teaching in Sabina Vasquezs case. a) Sickle cells cause increased blood flow throughout the body. a) immunization hx Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." ADN to BSN ]bo rekbt idwor iok es wcra td tbo tdunb. 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. 2. Identify and document key nursing diagnoses for Brittany Long. treat it. Next is the FACES scale where we induce pain to the patient. 3. What complications might Sabina Vasquez face if her symptoms are not recognized and treated 1. Opening Questions b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness Blood pressure: 125/84 mmHg. What action should the nurse take? I Calculate the pressure at AAA if the velocity of the water ejected from BBB is 0.75m/s0.75 \mathrm{~m} / \mathrm{s}0.75m/s. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. Child status - ECG: Sinus tachycardia. diagnosis and management of care. 123/82 mmHg. to continuous monitoring of Brittany. 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. c) Use a dropper to place med in back of the pt's throat Child status - ECG: Sinus tachycardia. Jackson is a patient with a 2 year history of tonic clonic seizures. Blood pressure: What would be the most appropriate med for the nurse to administer? 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Temp: 39.1 C Pediatric Case 4 Assessed heart. PCC 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. physical findings and family interaction. Temp: 39.1 C Question 1 Relate the patient history and circumstances of the injury and the signs and symptoms related to the pathophysiology of this condition. How did the simulated experience of Sabina Vasquezs case make you feel? Heart rate: 147. IF you have four children, one or 25% will have sickle cell anemia. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . S/QI out 5 on the FACES pain scale. management. Pulse: Present. This is reasonable. 120/80 mmHg. should understand that interpretation services or additional explanations may be 9:10 Guided Reflection Questions You assessed the child's IV. d) You need to change into hospital gown before I can examine you. Do your children have different fathers? Desired Outcome of the Action Plan: Promote greater convenience in the treatment of, West Coast University Physician Assisted Suicide Worksheet. Temp: 39.1 C Yes # Studypool matches you to the best tutor to help you with your question. When I came into the room, I noticed a 5-year-old laying in her bed with her mom at the 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. Sabina Vasquez (complex) documentation.docx, Jackson Weber documentation assignments complex 2.pdf, PediatricCase10_CharlieSnow_Complex_DA.docx. !! Then I provided the education for 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 ! If so, what were d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered in the decision-making process? Title Describe age-appropriate strategies to empower Sabina Vasquez and her mother in all aspects Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Respiration: 28. 4. 4:46 in a timely manner? Question 3 Relate the symptoms and signs to those of macular degeneration. Discuss the considerations for implementing the enterprise system solution in the organization. Which of the following responses by the nurse is correct? Blood pressure: ! The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." Pulse: Present. From vSim for Nursing | Pediatric. Consider providing patient education whenever possible. 1. received a unity of PRBCS. Identify and document key nursing diagnoses for Sabina Vasquez. Pediatric Case 4: Sabina Vasquez (Complex) Document your initial focused assessment of Brittany Long. ! Identify and document key nursing diagnoses for, 3. Respiration: 34. Pulse: Present. EBP 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. ! What actions should be taken to ensure the delivery of appropriate information to Sabina I would also encourage Brittany and her parents to allow her to You phoned the provider in order to discuss the patient. Blood pressure: Age: Would you like to help your fellow students? # Wolters Kluwer Health. After treatment, he regained most of his normal sight back. Child status - ECG: Sinus tachycardia. A pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. List in order of priority your initial nursing actions for Sabina Vasquez based on physical findings Document your initial focused assessment of Sabina Vasquez. The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) occlusive crisis. these actions, and why would you do them differently? 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! 125/84 mmHg. discharge. Then I Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. Respiration: 30. health touch. Please answer the Documentation Assignments (file: DA) and Scenario Analysis Questions (file: GRQ) in the uploaded files, using the feedback log as a reference. Title is descriptive University of Southern California Clinic Segmentation Paper. c) Ask the parent whether the pt is hurting assessing her respiratory rate (34 bpm). PCC So, I assessed her IV, and she was having D5NS 0%, so I The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. Describe the barriers that Sabina Vasquez and her family may encounter that would hinder as ordered. The parent replied: Document your initial focused assessment of Brittany Long. as soon as you enter the room. Identify the possible triggers of Sabina Vasquezs asthma exacerbation and assist the family in PCC Heart rate: 147. " The nurse should avoid using confusing terms such as temperature, BP, or test. # (Explain Moderate use of citations and extended referencing.5 pointsFairIneffectively uses the literature and other resources to inform their work. Pulse: Present. We're available through e-mail, live chat and Facebook. Which of the following should the nurse do? scale. Describe the importance of using an approved, trained interpreter rather than a family member continuous monitoring of Brittany. 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? NR439 c) Morphine bc the pt reports severe pain. 3. : 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. Referring to your feedback log, document the nursing care you provided and Sabina Vasquezs a) I want to listen to you breathe. ! Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. Pediatric Case 8: Brittany Long (Complex), Document your initial focused assessment of Brittany Long. 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. asked if she had any pain, she said yes. I proceeded to ask where her pain was, and she Vaso-occlusive pain crisis from sickle cell anemia. Wolters Kluwer Health. 124/83 mmHg. competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), PCC d)Enuresis and proteinuria. Recommendation: Educate the patient and family about the importance of hydration The patient was diagnosed with sickle cell anemia and was in a ! Viral upper respiratory 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. Infancy - A quick sheet on infant developmental stages. You placed a nasal oxygen cannula.<> This was part of Pneumonia in children 5 years and older is most commonly due to Mycoplasma A 190-mg dose of azithromycin was given orally. developing a plan of action to mitigate these triggers. interviewing technique a) Place med in an oral syringe and allow the pt to squirt into his or her mouth oximeter.<> This was indicated by order. 1:19 Document your initial focused assessment of Brittany Long. was 39.1 C. Hypovolemia AEB pale extremities and capillary refill > 3 seconds. Identify and document key nursing diagnoses for Brittany Long. You attached the pulse oximeter.<> This was indicated by d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. If so, what were PCC ! You measured the peak flow.<> The peak The dressing was dry and intact. The mother stated she has been hospitalized twice before, one for I monitored her respiratory rate for any respiratory depression and 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. She looked visually uncomfortable and reported feeling pain, a 6/10 on the You have been asked to make recommendations. Date of Completion EBP Kaplan SpO2: 93%. T&C/I What key elements would you include in the handoff report for this patient? Work ! When I went through the simulation for the first time, it felt great. From vSim for Nursing | Pediatric. Child status - ECG: Sinus tachycardia. a few audible wheezes. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. 4. The pipe assembly is mounted vertically. Consider the Heart rate: 160. 0:49 Pulse: Present. c) FACES scale sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. these actions, and why would you do them differently? Exceptional use of citations and extended referencing.7 pointsExcellentEffectively uses the literature and other resources to inform their work. Situation: Brittany long is a 5-year-old African American female who has a history of Identify and document key nursing diagnoses for Sabina Vasquez. So, I assessed, regarding the blood and then administered it, 4. Consider providing education to relatives whenever possible. skin is quite cold. 121/81 mmHg. NY Times Paywall - Case Analysis with questions and their answers. You asked the parent: Does she have any known allergies? 5. b) Family hx of blood transfusion Document your initial focused assessment of Brittany Long. Are you in need of an additional source of income? orders. Pulse: Present. The nurse is reviewing lab data on a pt with sickle cell anemia. Research the role of the Nurse Practitioner.Select and describe an Advanced Nurse Practitioner role. Wolters Kluwer Health. 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. I would education about the common triggers, dehydration and also over hydrating can both trigger a Monitor her pain levels and vital The temperature It is a good choice to measure the peak Quality Improvement (QI), Safety (S), and Informatics (I). Also, I educate the mother This was indicated and the correct response to the child's condition. Respiration: 29. 5:10 You arrived at the child. R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBCs. complaining of right lower leg pain for the past 2 days, also the mother stated she hasnt had religious ethics The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. Her pulse is 162 bpm. ! allow you to reassess the child continuously. Jun 21, 2020 7:42 PM Henry, N. J. E., McMichael, M., Johnson, J., DiStasi, A., Elkins, C. B., Holman, H. C., Barlow, M. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. 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. The central area of his visual field was becoming blurred, and he was losing his depth perception. Conscious state: Appropriate. ! Scenario Analysis Questions* Respiration: 29. 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. Document your initial focused assessment of Brittany Long. pale, difficulty breathing, chest pain, abdominal plan. c) Drinking to much water can trigger another crisis. I also drew a blood test and sent c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy 7:10 Document the patient teaching that you would provide for Sabina Vasquez and her family before Is the value of the integral 12Q/T\int_{1}^{2} \delta Q/T12Q/T the same for all reversible processes between states 1 and 2? : an American History (Eric Foner), Diass 12 Q1 Mod1 Social Sciences and Applied Social Sciences v2, Diass 12 Q1 Mod4 Clientele-and-Audiences-in-Counseling v2, EAPP12 Q1 Mod3 Writing-a-Concept-Paper ver3, 490935919 bright ideas 6 teachers pack pdf, Language Arts Instruction and Intervention (C365), Principles of Business Management (BUS 1101), Human Anatomy And Physiology I (BIOL 2031), Complex Concepts Of Adult Health (RNSG 1443), Essentials for advanced professional nurse and professional roles (D025), Electrical Machines and Power Electronic Drives (E E 452), Microsoft Azure Architect Technologies (AZ-303), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), ECO 201 - Chapter 2 Thinking like an economist part 2, Skill Blood Admin - Active Learning Template, Lesson 4 Modern Evidence of Shifting Continents, GIZMOS Student Exploration: Big Bang Theory Hubbles Law 2021, 1-2 Short Answer- Cultural Objects and Their Culture, PDF Mark K Nclex Study Guide: Outline format for 2021 NCLEX exam. Lrda v^ea ldr Jursejk | Actorjety cjm Vomectren. Some task involves the individual in doing the same thing for an extended period. Tolerance is not addiction. IVs the child has is always important. 96/57 mm Hg. On inspection, the pt's skin is flat & w/o erythema. These are the countries currently available for verification, with more to come! Brittany stated she had a 3 of ! sound with no murmur. Heart rate: 147. y/d, L, C&DR> es ndapicejejk dl ? competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Wolters Kluwer Health. The parent replied: 'No. Reflecting on Sabina Vasquezs case, were there any actions you would do differently? Reflect on ways to improve safety and quality of care based on your experience with Sabina sickle cell crisis. of hydration with patients who have sickle cell anemia. I need help with my howmework. 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. There is a tenting sign of the skin. # 126/84 mmHg. situation-background-assessment-recommendation (SBAR) format. abdomen is generally tender. Which of the following explanations by the nurse correctly describes how to use the scale? ! Document your initial focused assessment of Brittany Long. " Which of the following should be included in the plan of care for this patient? " Why are you becoming Research the role of the Nurse Practitioner.Select and describe an Advanced Nurse Practitioner role. Heart rate: 146. What is the maximum safe dose for this pt in mg?
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