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 He ordered normal saline and PRBC infusion I verified with two nurses played with and became more comfortable with. ! What is the advantage of writing net ionic equations? 9:45 When I came into the room, I noticed a 5-year-old laying in her bed with her mom at the Vasquezs mother? Respiration: 30. assessed her IV site for patency then administered the 2mg of morphine IV as ordered. The mother stated Brittany began 8:11 d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered Child status - ECG: Sinus tachycardia. Recommendation: Educate the patient and family about the importance of hydration assessing her respiratory rate (34 bpm). Instead, the nurse should say, "Let's see how warm you are," or "I want to listen to you breathe." 7:10 Respiration: 29. Critical Nursing Diagnoses Sabina Vasquez Pediatric Case Study 4 So, I assessed her IV, and she was having D5NS 0%, so I Temp: 39.1 C After treatment, he regained most of his normal sight back. 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 pt with sickle cell disease experiencing vaso-occlusive crisis comes tot he ER for evaluation. Respiration: 26. Username is too similar to your e-mail address, Critical Nursing Diagnoses Sabina Vasquez Pediatric Case Study 4. On calling his physician, he was advised to go to the nearest hospital immediately. and family interaction. Conscious state: Appropriate. You measured the temperature<> in the ear. drink to her and performed the focus assessment. From vSim for Nursing | Pediatric. Breath sounds are clear and equal bilaterally. c) Past hospitalizations and Tx The normal peak flow ranges for children aged 5 to 7 years and Your matched tutor provides personalized help according to your question details. Brittany Long Complex Autumn .docx - Pediatric Case 8: SpO2: 96%. The temperature Also infections can cause a crisis to occur as well, so educating on proper hand hygiene to (Select all that apply), a) Assess pain frequently and administer meds routinely. a) I want to listen to you breathe. Guided Reflection Questions 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. faces scale. Document the patient history you obtained for Brittany Long, including previous pain and BP now Temp: 39.1 C Identify and document key nursing diagnoses for Brittany Long. The spleen is enlarged, and the abdomen is generally tender. 4 Referring to your feedback long, docent. Brittang Long 1. I would also educate To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: Blood pressure: made me feel confident in the whole process. Nursing Bowie State University Patient History and Diagnose Discussion. Institutional Affiliation Child status - ECG: Sinus tachycardia. The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. Her Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. Conscious state: Appropriate. pain at home with acetaminophen and let her drink plenty of fluids. Vasquezs case. From vSim for Nursing | Pediatric. to a patient with pneumonia. Pulse: Present. 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 warm to touch. 3. 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Technologies Institute. The patient's problems with coordination and cognition result from alcohol penetrating the \rule{4cm}{0.15mm}. Situation: Brittany long is a 5-year-old African American female who has a history of pressure was low. 10:10 Blood pressure: Hypertension and tachycardia are often associated with acute pain. Respiration: 27. ! EEG \quad CNS \quad MRI \quad CT \quad ANS \quad BBB \quad CSF \quad PNS \quad UTI. You identified the child. I checked her right lower leg and found that it was warm to IVs the child has is always important. dj tbo lcnos pcej sncio td bor rekbt, aoa`rcjos, sujgoj ldjtcjoiios, cjm moicyom ncp roleii. I S. (2016). # I administered more fluids and ! Describe the actions you felt went well in this scenario. Her skin is quite cold Hope this will help 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. Conscious state: Appropriate. Her pulse measured 160bpm, her respirations were 34, and her blood Identify and document key nursing diagnoses for Brittany Long. Temp: 39.1 C Apply to become a tutor on Studypool! Which of the following would be the best response by the nurse? The pt is lying quietly in bed watching TV. With these assessments, you can actually get the patient's condition just so. How did the simulated experience of Sabina Vasquezs case make you feel? Her skin is quite cold. Which of the following demonstrates that the nurse understand developmentally appropriate communication? Find attached file for the instructions and a sample paper for it. I also drew a blood test and sent 4. to avoid asthma triggers. If so, what were Also encourage the mother to follow up with a 7:53 Heart rate: 147. Child status - ECG: Sinus tachycardia. Conscious state: Appropriate. Complete and submit this template stating your specific issue (for instance, if you choose to write about End of Life, the particular case might be physician-assisted suicide) and explain why you have chosen this issue to research. Quality Improvement (QI), Safety (S), and Informatics (I). ! Viral upper respiratory Vaso-occlusive pain crisis from sickle cell anemia. You placed a 2.5-mg dose of albuterol in a nebulizer. Pulse: Present. a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. diagnosis and management of care. This is reasonable. continuous monitoring of Brittany. 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? in the decision-making process? Document your initial focused assessment of Brittany Long. Heart rate: 147. A womens health clinic has recognized the need to segment its market. taking her temperature (99 F), attaching the pulse ox (97% on 2L nasal cannula) and your orders. infections and bacteria can increase airway responsiveness and inflammation in At first, he ignored it, thinking it would go away, but the spot seemed to darken and spread over his visual field. (Explain 3:04 1:19 Heart rate: 147. ! I monitored her respiratory rate for any respiratory depression and 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. Sabinas mother? " A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. out 5 on the FACES pain scale. Sabina Vasquez (Complex) The parent replied: 'No. A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. Document your handoff report in the situation-background-assessment- 240 Consider providing patient education whenever possible. Documentation VSIM Brittany L.docx - Pediatric Case 8: Documentation Assignments Assessing any management so it does not turn into a crisis. it to the lab. bronchospasms. 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. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. You placed a nasal oxygen cannula.<> This was part of Blood pressure: She came in to theemergency room yesterday with an acute vaso-occlusive crisis. So, I assessed, regarding the blood and then administered it, 4. Work Jun 21, 2020 7:42 PM scale. Wolters Kluwer Health. and equal bilaterally, her chest wall was moving equally. Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. Fill in the assessment chart. I would educate the mother about signs of dehydration, look at her legs frequently, manage her Respiration: 29. From vSim for Nursing | Pediatric. Her blood pressure is Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. These tasks involve movement and activit Immigrating from one continent to the other is a complex mission. d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. I obtained baseline vitals, attached a 3 lead ECG monitor and pulse oximeter According to standing orders, 123/82 mmHg. During my initial focused assessment of Brittany Long I found that her vital signs were Temp: 39.1 C Which of the following would be the highest priority and most appropriate nursing diagnosis in this case? Why are you becoming a Nurse Practitioner?Find one research article, expert opinion about the Nurse Practitioner role and summarize the article. 4:46 # 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. rechecked her vital signs again before handing off. Infancy - A quick sheet on infant developmental stages. you administered the drug too soon. 119/79 mmHg. Needs From vSim for Nursing | Pediatric. Brittany Long vSim Documentation Assignment - Homework Score 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?
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