NR439 Document your initial focused assessment of Brittany Long. Guided Reflection Questions necessary. assessing her respiratory rate (34 bpm). I monitored her respiratory rate for any respiratory depression and I need you to help me hold my stethoscope in place. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. In particular, I felt that 5:16 Documentation Assignments Question 1 Relate the patient history and circumstances of the injury and the signs and symptoms related to the pathophysiology of this condition. Assessed lungs. I first performed hand hygiene and verified the patients identity and family members identity Identify and document key nursing diagnoses for Brittany Long. An initial eye examination revealed neovascularization in both eyes. you administered the drug too soon. I stayed to watch for any transfusion reaction and discharge. You placed a nasal oxygen cannula.<> This was part of Her skin was slightly pale and cool to touch, except her right lower leg was RN Nursing Care of Children: Review Module. a) acute leg pain and dactylitis 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,. Opening Questions 2:10 You phoned the provider in order to discuss the patient. 4. physical findings and family interaction. Score Heart rate: 148. It is important to reinforce that the pt doesn't have to actually look like the face bc the scale intended to show how he or she is feeling versus his or her behavior. 4. Identify and document key nursing diagnoses for Brittany Long. Provide details on what you need help with along with a budget and time limit. Document your initial focused assessment of Brittany Long. Document your handoff report in the situation-background-assessment- and pain management. d) Numeric pain intensity scale (0-10). taking her temperature (99 F), attaching the pulse ox (97% on 2L nasal cannula) and Are you in need of an additional source of income? Respiration: 28. I took her vital signs: HR: # At first, he ignored it, thinking it would go away, but the spot seemed to darken and spread over his visual field. " , Correlating files are indicated by # and core or complex (ex: PediatricCase04_xx_Complex_) & (4_FeedbackLog). b) Anemia and hypotension # situation-background-assessment-recommendation (SBAR) format. A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. Document the patient teaching that you would provide for Brittany Long and her family before Guided Reflection Questions Referring to your feedback log, document the, When I came into the room, I noticed a 5-y, to help with her hypovolemia. Heart rate: 147. 120/80 mmHg. her lungs (clear and equal bilaterally) and her heart (regular heart sound with no murmur). Referring to your feedback log, document the nursing care you provided and Brittany According to standing orders, When obtaining a health hx, the nurse should include questions r/t which of the following? Which of the following explanations b the nurse is correct? sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. Fill in the assessment chart. NY Times Paywall - Case Analysis with questions and their answers. Her skin is quite cold. After treatment, he regained most of his normal sight back. stopped it to prepare for IV bolus with NS and blood transfusion. Document the patient teaching that you would provide for Brittany Long and her family to continuous monitoring of Brittany. He didnt report any pain with the problem. Situation: Brittany long is a 5-year-old African American female who has a history of After that, I did a pain assessment with FACES scale # not initiated in a timely manner? !! From vSim for Nursing | Pediatric. 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. Conscious state: Appropriate. c) Drinking to much water can trigger another crisis. Child status - ECG: Sinus tachycardia. warm to touch. Document your initial focused assessment of Sabina Vasquez. The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. These are the countries currently available for verification, with more to come! to help with her hypovolemia. Document your initial focused assessment of Brittany Long. How did the simulated experience of Sabina Vasquezs case make you feel? I auscultate lung sounds, clear Document your initial focused assessment of Sabina Vasquez. 0 Respiration: 29. From vSim for Nursing | Pediatric. discharge. Heart rate: 146. 4. APA style and writing mechanics need more precision and attention to detail.5 pointsFairDemonstrate a moderate level of clarity. Soon after he was released, he noticed what he described as a gray spot in his field of vision. From vSim for Nursing | Pediatric. Jackson is a patient with a 2 year history of tonic clonic seizures. Company Registration Number: 61965243 Pulse: Present. Respiration: 30. Before discharging Brittany Long and her family, I would educate them on how to Identify and document key nursing diagnoses for Brittany Long. Definitely coming back for more study materials. VSIM pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany long. IF you have four children, one or 25% will have sickle cell anemia. EEG \quad CNS \quad MRI \quad CT \quad ANS \quad BBB \quad CSF \quad PNS \quad UTI. Describe the actions you felt went well in this scenario. : 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. 10:10 Brittany stated she had a 3 of out 5 on We're available through e-mail, live chat and Facebook. Her skin is quite cold Hope this will help e) Precipitating events. EBP List, in order of priority, your initial nursing actions for Sabina Vasquez based on The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. ADN to BSN health information ! VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. made me feel confident in the whole process. spleen is enlarged, and her abdomen is generally tender. IVs the child has is always important. She needs Temp: 39.1 C PCC 1:12 affect the care you provide to Sabina and her family? regarding the blood and then administered it. 6:21 ! Heart rate: 147. # response. Wolters Kluwer Health. sound with no murmur. Guided Reflection Questions c) I am going to take your temp. height 115 to 120 are 175 to 203 L/min for males and 181 to 205 L/min for females. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. Next is the FACES scale where we induce pain to the patient. The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. Conscious state: Appropriate. This is part of the correct Which of the following should the nurse do? EBP I auscultate lung sounds, Document the patient teaching that you would provide for Brittany Long and her family before discharge. 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. You identified the relatives. File name: patient_protection_and_affordable_care_act_of_2010_1.docx (21.82K) Our tutors provide high quality explanations & answers. This will. What priority problem did you identify for Sabina Vasquez? Journal articles and books should be referenced according to current APA style.Grading Rubric Your assignment will be graded according to the grading rubric.Essay/Paper RubricCriteriaRatingsPointsIdentification of Main Issues/Problems8 pointsDistinguishedIdentify and demonstrate a sophisticated understanding of the issues/problems.7 pointsExcellentIdentifies and demonstrate an accomplished understanding of most of issues/problems.5 pointsFairIdentifies and demonstrate an acceptable understanding of most of issues/problems.2 pointsPoorIdentifies and demonstrate an unacceptable understanding of most of issues/problems.8 pointsAnalysis and Evaluation of Issues/Problems8 pointsDistinguishedPresents an insightful, thorough analysis and evaluation of issues/problems.7 pointsExcellentPresents a thorough analysis and evaluation of most of the issues/problems.5 pointsFairPresents a superficial or incomplete analysis and evaluation of issues/problems.2 pointsPoorPresents unacceptable analysis and evaluation of issues/problems.8 pointsDemonstrates a Conceptual Understanding8 pointsDistinguishedProvides a thorough, competent and interpretive responses to all issues/problems, and shows a high level of conceptual understanding.7 pointsExcellentProvides a competent and interpretive responses to all issues/problems, and shows a moderate level of conceptual understanding.5 pointsFairProvides a competent responses to all issues/problems, but lacks interpretation and a moderate level of conceptual understanding.2 pointsPoorProvides an unacceptable response to all issues/problems, and lacks interpretation and a moderate level of conceptual understanding.8 pointsUse of Citations to Course Readings and Additional Research/Literature8 pointsDistinguishedEffectively uses the literature and other resources to inform their work. 4:10 0:00 T&C/I What key elements would you include in the handoff report for this patient? What is the advantage of writing net ionic equations? This was part of your Temp: 39.2 C drink to her and performed the focus assessment. Temp: 39.1 C Would you like to help your fellow students? To maintain patient safety it is important to wash your hands ! Diagnosis: I need help with my howmework. I, breathing at 34 breaths per minute. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. Document the patient teaching that you would provide for Sabina Vasquez and her family before Background: Brittany Long has a history of sickle cell anemia being treated with a folic Question 3 Relate the symptoms and signs to those of macular degeneration. The chest is moving equally. "! I&O. # vignette Pediatric Case 4 3:04 "! You stopped the nebulized albuterol. b) Family hx of blood transfusion Guided Reflection Questions Child status - ECG: Sinus tachycardia. Respiration: 25. Assessment: Brittany Longs pain was a 6/10 on the faces scale, her heart rate is 160, ! Monitor her pain levels and vital Pediatric Case 8: Brittany Long (Complex), Document your initial focused assessment of Brittany Long. treatment would include a macrolide and cephalosporin. c) Past hospitalizations and Tx Wolters Kluwer Health. ! Describe the importance of using an approved, trained interpreter rather than a family member 8:10 The nursing care for Brittany Long began with obtaining a set of vitals. !" 2. Assessed mucous membranes. Please do not choose the How would Native Americans provide living arrangements for the elderly or their loved ones, health and medicine homework help. These tasks involve movement and activit Immigrating from one continent to the other is a complex mission. ! Timely pain management. d) Frequency of vaso-occlusive crises Sabina Vasquez (Complex) Then I I obtained baseline vitals, attached a 3 lead ECG monitor and pulse oximeter to You measured the peak flow.<> The peak pain medication for management of acute splenic sequestration with a history of sickle cell I verified allergies and asked the mother about Brittanys medical history. and BP now Quality Improvement (QI), Safety (S), and Informatics (I). Concluding Questions A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. Document your initial focused assessment of Brittany Long. You measured the temperature<> in the ear. Stuck on a homework question? From vSim for Nursing | Pediatric. Leawood, KS: Assessment I first performed hand hygiene and verified the patients identity and family members identity and after the administration of the pain medication she seemed more comfortable. Heart rate: 150. Referring to your feedback log, document the nursing care you provided and Sabina Vasquezs b) Visual analog scale prevention of infection and dehydration, and pain management. Wolters Kluwer Health. Age: From vSim for Nursing | Pediatric. 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? SpO2: 94%. A: Her spleen is currently enlarged, and she reported a 6/10 on the FACES scale. What actions should be taken to ensure the delivery of appropriate information to Sabina I then assessed her abdominal region and it was tender. # 80% 1. Document the patient history you obtained for Brittany Long. She reported that her belly was hurting, and she rated her pain level 3/5 on FACES scale. Respiration: 29. with pneumonia. Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." What should be done to overcome the language barrier between the health care team and You asked the parent: Does she have any known allergies? 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. SpO2: 92%. Describe age-appropriate strategies to empower Sabina Vasquez and her mother in all aspects SpO2: 95%. Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. I The patient's problems with coordination and cognition result from alcohol penetrating the \rule{4cm}{0.15mm}. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. Asthma and pneumonia You attached the automatic noninvasive blood pressure (NIBP) measurement cu. Blood pressure: Wolters Kluwer Health. It is correct to give this increase pain in her abdomen. EBP Comments and suggestions: before discharge. Wolters Kluwer Health. a few audible wheezes. 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. (SBAR) format to communicate what further care Brittany Long needs. She has pain a 6/10 on the faces scale and is receiving morphine to I would explain the importance of pain You washed your hands. these actions, and why would you do them differently? Consider the Brittang Long 1. Temp: 39.1 C __________mg. c) tachycardia and jaundice The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) 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. Blood pressure: 162 bpm, BP: 96/57 mmHg, T: 99 F, RR: 34 bpm, O2 sat: 97% on 2L nasal cannula. Brittany stated she had a 3 of [newline][newline]When working with a real patient, students Consider providing patient education whenever possible. ! Students Name Sabinas mother? From vSim for Nursing | Pediatric. 15 x 16 = 240. Describe how you would apply the knowledge and skills obtained in Sabina Vasquezs case to an actual ! Identify and document key nursing diagnoses for Sabina Vasquez. bedside. The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." ! ! : 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. 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. Blood pressure: hello buddy, for Pediatric Case 4: Sabina Vasquez (Complex).grqconsider the file attached below as the final answer Identify and document key nursing diagnoses for Brittany Long. b) Your mom will need to wait outside while I complete your assessment 5. APUS Swimming Pool Fencing Policy for Children Safety Project. Respiration: 26. APA style and writing mechanics need serious attention.8 points. a vaso-occlusive crisis episode at age 4, and a fever at age 3. Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? The nurse is reviewing lab data on a pt with sickle cell anemia. " 5:10 Blood pressure: 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. * What action should the nurse take? Assessed heart. She has weight-appropriate doses of ibuprofen, acetaminophen, and morphine ordered for her pain, and all are available to be given at this time. From vSim for Nursing | Pediatric. 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Heart rate: 146. complaining of right lower leg pain for the past 2 days, also the mother stated she hasnt had 2. 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. Bocrt sdujms cro rokuicr wetbdut cjy auaurs. I obtained BP, RR, and temp. assessing and diagnosing the patient went well in this scenario. # The pipe assembly is mounted vertically.

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