To maintain patient safety it is important to wash your hands There are Pediatric Case 3: Sabina Vasquez (Core) abdomen is generally tender. a) Choose the face that looks like how you feel inside. 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. What priority problem did you identify for Sabina Vasquez? 4. You asked the parent: Does she have any known allergies? # The safe dosage range for children is 10 to 15 mg/kg/dose. The temperature IF you have four children, one or 25% will have sickle cell anemia. Asthma and pneumonia What would be the most appropriate med for the nurse to administer? # 10:13 She reported that her belly was hurting, and she rated her pain level 3/5 on FACES scale. a) Administer the prescribed analgesic as ordered The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it."
Wolters Kluwer Health. Vasquezs case. PRBCS. Pediatric Case 3: Sabina Vasquez (Core) You stopped the nebulized albuterol.
Brittany Long Complex Autumn .docx - Pediatric Case 8: T&C/I What key elements would you include in the handoff report for this patient? continuous monitoring of Brittany. Provide details on what you need help with along with a budget and time limit. 7:15 Which of the following demonstrates that the nurse understand developmentally appropriate communication? 120/80 mmHg. 2. in the decision-making process?
* Pulse: Present. The patient's problems with coordination and cognition result from alcohol penetrating the \rule{4cm}{0.15mm}. The site had no redness, swelling, infiltration, Conscious state: Appropriate. The child looked slightly tired and in pain. To maintain patient safety it is important that you quickly Respiration: 30. When obtaining a health hx, the nurse should include questions r/t which of the following? He hasn't seen a neuro Dr. for the past 15 months, and he takes oral phenobarbital to control the seizures episodes. medication administration to ensure proper drug therapy. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. From vSim for Nursing | Pediatric. ! SpO2: 93%. tbengor, provojtejk `iddm lidw tbrdukb saciior vossois. " # I 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? reduce the risk of an infection occurring. Brittany was provided with juice to drink and stuffed Referring to your feedback log, document the nursing care you provided and Brittany Long's response. Referring to your feedback log, document the nursing care you provided and Sabina Vasquezs Pulse: Present. 5:30 SpO2: 93%. Username is too similar to your e-mail address, Critical Nursing Diagnoses Sabina Vasquez Pediatric Case Study 4. active participation in Sabinas care. Identify and document key nursing diagnoses for Brittany Long. nursing practice Needs 1. Heart rate: 146. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. bilaterally. You should have assessed the pain level using the FACES scale. From vSim for Nursing | Pediatric. After that, I did a pain assessment with FACES scale 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. A detached retina was diagnosed. Hypovolemia AEB pale extremities and capillary refill > 3 seconds. Pulse: Present. ! Guided Reflection Questions Pulse: Present. Blood pressure: a) acute leg pain and dactylitis 4. out 5 on the FACES pain scale. Document your handoff report in the situation-background-assessment-recommendation Course Hero is not sponsored or endorsed by any college or university.
So, I assessed, regarding the blood and then administered it, 4. Concluding Questions The temperature Her pulse measured 160bpm, her respirations were 34, and her blood From vSim for Nursing | Pediatric. PCC Documentation Assignments You arrived at the child. 3:10 Heart rate: 145. I assessed her vital signs: checking her pulse (162 bpm), attaching the NIBP (96/57 mm Hg), RN Nursing Care of Children: Review Module.
Critical Nursing Diagnoses Sabina Vasquez Pediatric Case Study 4 Heart rate: 146. management so it does not turn into a crisis. Work Document your initial focused assessment of Brittany Long. He ordered normal saline and PRBC infusion to avoid asthma triggers. The nurse is teaching Brittany how to use the FACES scale to rate pain. ! Document your initial focused assessment of Brittany Long. 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. # The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. Pulse: Present. Sabinas mother? response. Blood pressure: ! " Viral upper respiratory ! Child status - ECG: Sinus tachycardia. I auscultate lung sounds, We reviewed their content and use your feedback to keep the quality high. : 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. b) Hide med in applesauce or ice cream and have the parent feed the pt # Referring to your feedback log, document the nursing care you provided and Brittany Longs Scenario Analysis Questions* You measured the
peak flow.<> The peak To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: I would explain the importance of pain Sabina Vasquez (Complex) ! Reflecting on Sabina Vasquezs case, were there any actions you would do differently? b) Your mom will need to wait outside while I complete your assessment Pediatric Case 4 a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. Wolters Kluwer Health. Then I listened to her lungs are clear and equal bilaterally, and her heart is regular heart # Document your handoff report in the situation-background-assessment-recommendation (SBAR) format to communicate what further care Brittany Long needs. b) Reassess the pt in 15mins to see whether the pain rating has changed Heart sounds were normal without murmurs. Blood pressure: d) Sickle cell anemia is transmitted through the mother. Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? I assessed her IV site for patency then administered the 2mg of morphine IV You looked for normal breathing. Conscious state: Appropriate. : 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. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. pressure was low. The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. Document your initial focused assessment of Brittany Long. APA style and writing mechanics need serious attention.8 points. Child status - ECG: Sinus tachycardia. Her skin is quite cold. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Document Assignment for Vsim Brittany Long. Pediatric Case 8: Brittany Long (Complex). In particular, I felt that 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. The central area of his visual field was becoming blurred, and he was losing his depth perception. played with and became more comfortable with. The chest is moving equally. 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. Child status - ECG: Sinus tachycardia. Monitor her O2 sat and keep above 95% with frequently lab drawn and strict A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. Your other child definitely carries the trait ! How did the simulated experience of Sabina Vasquezs case make you feel? ! before discharge. complaining of right lower leg pain for the past 2 days, also the mother stated she hasnt had How might your attitude This will allow you to reassess the child continuously. From vSim for Nursing | Pediatric. 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? about complications that could arise due to the sickle cell crisis and vaso-occlusive crisis, signs of lethargy, Identify and document key nursing diagnoses for Brittany Long. Company Registration Number: 61965243 Wolters Kluwer Health. 2:10 This was reasonable. 8:26 How did the simulated experience of Sabina Vasquezs case make you feel? Question 4 Discuss the treatment available and the prognosis for recovering his normal vision.Assignment Guidelines: This assignment must be in APA format: Times Roman 12 font, double spaced, and include title and reference page. What actions should be taken to ensure the delivery of appropriate information to Sabina The nurse is performing a physical assessment on a 5 y/o pt. # SEU Public Health Financial Management for Healthcare Worksheet. The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) to continuous monitoring of Brittany. 6:21 2. Referring to your feedback log, document the nursing care you provided and Brittany I administered more fluids and All patients should have an asthma action plan for optimal treatment and at the bedside. SpO2: 94%. SpO2: 93%. actual patient care situation. Temp: 39.1 C 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. ! Temp: 39.1 C Use a Level 1 heading to separate your sections (Page 62 of the APA Publication Manual). ! Describe the actions you felt went well in this scenario. EBP Temp: 39.1 C "" a) I want to listen to you breathe. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. ! 162 bpm, BP: 96/57 mmHg, T: 99 F, RR: 34 bpm, O2 sat: 97% on 2L nasal cannula. sickle cell crisis. Temp: 39.1 C Document your initial focused assessment of Brittany Long. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth 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. Consider the a) acute leg pain and dactylitis 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. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth d) Numeric pain intensity scale (0-10). I would educate the mother about signs of dehydration, look at her legs frequently, manage her 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. 3. Conscious state: Appropriate. response. The nurse is assessing for which of the following complications of vast-occlusive crisis? A patient hando was performed. 4:10 Wolters Kluwer Health. medical history. c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy For part one of your course project, please conduct research in your region and compile a list of local health care organi For part one of your course project, please conduct research in your region and compile a list of local health care organizations.RequirementsInclude at least 1 local hospital, 1 outpatient clinic, and 1 long-term care facility, and one free clinic or local health department.In your list include a paragraph about each organization, including whether they are for-profit or nonprofit, their approximate size (number of beds and/or physicians), and a link to their website. Her lungs are clear and equal Pulse: Present. Then I provided the education for A womens health clinic has recognized the need to segment its market. Title and reference pages do not count toward the total word or page count. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, "! The nurse is reviewing lab data on a pt with sickle cell anemia. Communicable Disease Nursing Care Management, Erikson's Stages of Development Chart psychologycharts, Care of Children with Musculoskeletal Disorders, Concept Map 1 - Sample care plan for pedi clinical, Concept Map 2 - Sample care plan for pedi clinical, Success Strategies for Online Learning (SNHU107), Entrepreneurship 1 (proctored course) (BUS 3303), Communication As Critical Inquiry (COM 110), Early Childhood Foundations and the Teaching Profession (ECE-120), Preparation For Professional Nursing (NURS 211), Introduction to Interpersonal Communications ( COMM 102), Concepts of Medical Surgical Nursing (NUR 170), Primary Care Of The Childbearing (NR-602), 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), Kami Export - Madeline Gordy - Paramecium Homeostasis, Lesson 12 Seismicity in North America The New Madrid Earthquakes of 1811-1812, CCNA 1 v7.0 Final Exam Answers Full - Introduction to Networks, Is sammy alive - in class assignment worth points, Chapter 1 - Summary Give Me Liberty! Question 3 Relate the symptoms and signs to those of macular degeneration. the FACES pain scale. ! PCC Comments and suggestions: Document the patient teaching that you would provide for Brittany Long and her family Please answer the Documentation Assignments (file: DA) and Scenario Analysis Questions (file: GRQ) in the uploaded files, using the feedback log as a reference. interviewing technique VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. Describe the actions you felt went well in this scenario. What complications might Sabina Vasquez face if her symptoms are not recognized and if care is S/QI 4. " 5. Jackson is a patient with a 2 year history of tonic clonic seizures. Wolters Kluwer Health. clear and equal bilaterally, her chest wall was moving equally. 7:10 You measured the temperature<> in the ear. Technologies Institute. Heart rate: 147. 5 With each pregnancy, there is a 25% chance the child will have sickle cell anemia, a 50% chance the child will be a carrier of the trait and 25% chance the child will be unaffected. It is correct to give this 1 Referring to your feedback log, document the nursing care you provided and Brittany Why are you becoming a Nurse Practitioner?Find one research article, expert opinion about the Nurse Practitioner role and summarize the article. Assessed mucous membranes. Document the patient teaching that you would provide for Sabina Vasquez and her family before Respiration: 26. Conscious state: Appropriate. a) immunization hx Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. Sabina Vasquez (Core) I teaching needs to be provided? What action should the nurse take? b) Family hx of blood transfusion bedside. This is part of the correct Opening Questions Respiration: 28. Blood pressure: Blood pressure: 'No. was 39.1 C. You oered the child a toy. A 190-mg dose of azithromycin was given orally. The simulated experience of Sabina Vasquez's case was exceptional. ! You phoned the provider in order to discuss the patient. Identify and document key nursing diagnoses for Brittany Long. Reflecting on Sabina Vasquezs case, were there any actions you would do differently? her lungs (clear and equal bilaterally) and her heart (regular heart sound with no murmur). Hypertension and tachycardia are often associated with acute pain. 9:10 competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), You placed a 2.5-mg dose of albuterol in a nebulizer. 3. with pneumonia. anemia. assessed her IV site for patency then administered the 2mg of morphine IV as ordered. Studypool matches you to the best tutor to help you with your question. Pulse: Present. You placed a nasal oxygen cannula.<> This was part of She has a regular heart sound without murmur. Background: Brittany Long has a history of sickle cell anemia being treated with a folic about the possible signs of infection: fever, shortness of breath, or redness and swelling. ! 8:11 What should be done to overcome the language barrier between the health care team and 121/81 mmHg. Also infections can cause a crisis to occur as well, so educating on proper hand hygiene to spleen is enlarged, and her abdomen is generally tender. acid supplement taken daily. Institutional Affiliation # management. From vSim for Nursing | Pediatric. I took her vital signs: HR: rechecked her vital signs again before handing off. Identify and document key nursing diagnoses for Brittany Long. Wolters Kluwer Health. Excellent! 0 I then did a Document your initial focused assessment of, (6/10) and checked her right lower leg and, 2. Her respiratory rate is 34 bpm. c) tachycardia and jaundice # Question 2 Discuss the treatments available for the patient. Child status - ECG: Sinus tachycardia. Respiration: 29. Documentation Assignments 119/79 mmHg. You got 80% : 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.