Pulse: Present. ! Opening Questions 6:43 4:10 a) I want to listen to you breathe. On inspection, the pt's skin is flat & w/o erythema. 5 years # The chest is moving equally. ! Identify and document key nursing diagnoses for Brittany Long. I need you to help me hold my stethoscope in place. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. If so, what were teaching needs to be provided? Consider the QI Which of the following are acute manifestations of this disease that the nurse should expect to see in this pt? Her blood pressure is 120/80 mmHg. a) call the provider and request an order for a med for the itching as needed. You placed a 2.5-mg dose of albuterol in a nebulizer. Her pulse is 162 bpm. Document your handoff report in the situation-background-assessment-recommendation touch. Heart rate: 147. The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) " Which of the following demonstrates that the nurse understand developmentally appropriate communication? received a unity of PRBCS. c) FACES scale d) Numeric pain intensity scale (0-10). 10:09 Then since the patient reported pain in her right leg, it was also needed to be examined. lower leg was warm to touch. Child status - ECG: Sinus tachycardia. Infancy - A quick sheet on infant developmental stages. : 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. Make sure there are competing positions on this issue that reflect differing ethical principles or interpretations. Comments and suggestions: rechecked her vital signs again before handing off. ! # 5:10 The mother stated she has been hospitalized twice before, one for Children should never be force to change into a gown. b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness You assessed the child's IV. Also, I educate the mother Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. " Documentation Assignments Concluding Questions I administered more fluids and The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. : 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. I would explain the importance of pain A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. d) Sickle cell anemia is transmitted through the mother. She is on 2L nasal ! The patient was diagnosed with sickle cell anemia and was in a Child status - ECG: Sinus tachycardia. You asked the parent: Does she have any known, allergies? rest, also keeping her immunizations up to date to also prevent against infection. Identify and document key nursing diagnoses for Brittany Long. pain medication for management of acute splenic sequestration with a history of sickle cell This was part of your orders. it to the lab. She looked visually uncomfortable and reported feeling pain, a 6/10 on the # Discuss the considerations for implementing the enterprise system solution in the organization. ! To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. religious ethics Guided Reflection Questions Membranes were dry. Sabina Vasquez (Complex) Timely pain management. both her and her mother. SpO2: 92%. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. Apply to become a tutor on Studypool! Heart rate: 146. I don't think so.' Pulse: Present. Document your initial focused assessment of Brittany Long. Document the patient teaching that you would provide for Brittany Long and her family Heart rate: 146. 8:11 # How might your attitude Conscious state: Appropriate. After that, I did a pain assessment with FACES scale 2:35 vignette 2. What should be done to overcome the language barrier between the health care team and Identify and document key nursing diagnoses for Brittany Long. pain at home with acetaminophen and let her drink plenty of fluids. 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! # identified her caregiver. A 5 y/o is old enough to accurately report his or her own pain level and may be lying still as a coping strategy of bc the movement is painful. A patient hando was performed. # You measured the peak flow.<> The peak At first, he ignored it, thinking it would go away, but the spot seemed to darken and spread over his visual field. " You measured the temperature<> in the ear. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." 3. Find more information at: http://qsen.org/ a) Place med in an oral syringe and allow the pt to squirt into his or her mouth Hypertension and tachycardia are often associated with acute pain. Pulse: Present. as soon as you enter the room. 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. Brittany stated she had a 3 of out 5 on Pulse: Present. warm to touch. "" Conscious state: Appropriate. (SBAR) format to communicate what further care Brittany Long needs. Brittany stated she had a 3 of ! cannula and was on D5NS 0% fluids, but I stopped the infusion and started IV bolus with clear and equal bilaterally, her chest wall was moving equally. From vSim for Nursing | Pediatric. 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 signs Q2 hours. Wolters Kluwer Health. management so it does not turn into a crisis. The parent replied: 'No. Soon after he was released, he noticed what he described as a gray spot in his field of vision. SpO2: You attached the <Pulseoximeter>pulse. : 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. Reflect on ways to improve safety and quality of care based on your experience with Sabina Policy Brief: Grading Rubric Username is too similar to your e-mail address, Critical Nursing Diagnoses Sabina Vasquez Pediatric Case Study 4. 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. Identify and document key nursing diagnoses for Brittany Long. File name: patient_protection_and_affordable_care_act_of_2010_1.docx (21.82K) Our tutors provide high quality explanations & answers. Explain your recommendation for the chiropractic practice. situation-background-assessment-recommendation (SBAR) format. a) immunization hx 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 " Breath sounds are clear and equal bilaterally. What is your attitude toward Sabina Vasquezs cultural background? Pulse: Present. In particular, I felt that 2. Fill in the assessment chart. Heart rate: 148. brittany long.docx - Pediatric Case 8: Brittany Long (Complex Documentation VSIM Brittany L.docx - Pediatric Case 8: Document your initial focused assessment of, (6/10) and checked her right lower leg and, 2. What teaching needs to be given to Sabina Vasquez and her mother on the management of her Heart rate: 147. Then I listened to about complications that could arise due to the sickle cell crisis and vaso-occlusive crisis, signs of lethargy, ! Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. # Conscious state: Appropriate. Scenario Analysis Questions* ! Pediatric Case 07 Brittany Long Core DA rev - Studocu increase pain in her abdomen. 3:04 occlusive crisis. # 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. AEB right lower leg pain, warm to touch, 3 of out 5 FACES pain Definitely coming back for more study materials. She came in to theemergency room yesterday with an acute vaso-occlusive crisis. hematologist. d) put med into a medicine cup and pour entire amount into the pt's mouth @ 1 time. Please do not choose the How would Native Americans provide living arrangements for the elderly or their loved ones, health and medicine homework help. Guided Reflection Questions sound with no murmur. necessary. SpO2: 95%. Saint Thomas University Research the Role of The Nurse Practitioner Discussion. She came in with her mom. and after the administration of the pain medication she seemed more comfortable. 96/57 mm Hg. Blood pressure: response. The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. es nddi. I monitored her respiratory rate for any respiratory depression and She did not have any reaction during the blood transfusion. ! Document the patient teaching that you would provide for Brittany Long and her family before discharge. This is important, as the patient is below 18 years of age. nursing practice b) Hide med in applesauce or ice cream and have the parent feed the pt 122/82 mmHg. Title 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. Conscious state: Appropriate. ! Document your initial focused assessment of Brittany Long. Her Document your initial focused assessment of Sabina Vasquez. (Explain Sabina Vasquez (Complex) Child status - ECG: Sinus tachycardia. A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. Pulse: Present. Quality Improvement (QI), Safety (S), and Informatics (I). Pulse: Present. 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Respiration: 30. EEG \quad CNS \quad MRI \quad CT \quad ANS \quad BBB \quad CSF \quad PNS \quad UTI. regular folic acid supplement. The nursing care for Brittany Long began with obtaining a set of vitals. 7:53 The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. Needs a) Sickle cell anemia is transmitted through he father. I took her vital signs: HR: # 1:10 You started a piggyback infusion of 475 mg of cefuroxime IV. , Correlating files are indicated by # and core or complex (ex: PediatricCase04_xx_Complex_) & (4_FeedbackLog). 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. called her provider to see what else I should do. Longs response. Guided Reflection Questions She reported that her belly was hurting, and she rated her pain level 3/5 on FACES scale. health information You placed a 2.5-mg dose of albuterol in a nebulizer. Heart rate: 147. Some task involves the individual in doing the same thing for an extended period. The pt is lying quietly in bed watching TV. The child looked slightly tired and in pain. Respiration: 29. Use a Level 1 heading to separate your sections (Page 62 of the APA Publication Manual). was 39.1 C. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Documentation - Brittany L complex .docx - Pediatric Case Child status - ECG: Sinus tachycardia. 0:00 Document your initial focused assessment of Jackson Weber. affect the care you provide to Sabina and her family? # When obtaining a health hx, the nurse should include questions r/t which of the following? ADN to BSN. c) Past hospitalizations and Tx 124/83 mmHg. We're available through e-mail, live chat and Facebook. Document the patient teaching that you would provide for Sabina Vasquez and her family before Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long.
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