document your initial focused assessment of brittany long complex document your initial focused assessment of brittany long complex

Respiration: 28. Document Assignment for Vsim Brittany Long pediatric case brittany long (complex) documentation assignments document your initial focused assessment of brittany DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Courses You don't have any courses yet. The child looked slightly tired and in pain. made me feel confident in the whole process. You attached the automatic noninvasive blood pressure (NIBP) measurement cu. Heart rate: 145. ! pale, difficulty breathing, chest pain, abdominal plan. 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. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. diagnosis and management of care. Assessed lungs. Quality Improvement (QI), Safety (S), and Informatics (I). Brittany has a history of sickle cell disease, she was diagnosed at age 4, and has been taking a She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. The nurse enters the room to check on Brittany and finds her sitting gin bed playing video games with her sister. 5 years bronchospasms. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: You arrived at the child. VS: Temp, 37.4 C oral; HR 120 bpm; RR 26 bpm; BP 100/60 mmHg; & SpO2 97%. as ordered. interviewing technique It is correct to give this 2. situation-background-assessment-recommendation (SBAR) format. APA style and writing mechanics need serious attention.8 points. What complications might Sabina Vasquez face if her symptoms are not recognized and if care is A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. Referring to your feedback log, document the nursing care you provided and Brittany Longs response. a) Administer the prescribed analgesic as ordered Our verified tutors can answer all questions, from basicmathto advanced rocket science! The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. out 5 on the FACES pain scale. 5:16 Date of Completion # at the bedside. 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. Assessed heart. SpO2: You attached the <Pulseoximeter>pulse. Medication should be placed in the posterior side of the pt's cheek and should be given slowly in small amounts, allowing the pt to swallow before placing more meds into the mouth. 125/84 mmHg. Her skin is quite cold. Question 2 Discuss the treatments available for the patient. Document your handoff report in the situation-background-assessment-recommendation ! increase pain in her abdomen. You identified the relatives. to avoid asthma triggers. # you administered the drug too soon. 3. 2. treatment would include a macrolide and cephalosporin. You phoned the provider in order to discuss the patient. You placed a nasal oxygen cannula.<> This was part of Comments and suggestions: dj tbo lcnos pcej sncio td bor rekbt, aoa`rcjos, sujgoj ldjtcjoiios, cjm moicyom ncp roleii. I took her vital signs: HR: You gave the child 100% oxygen from a nonrebreathing mask. orders. In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? You placed a 2.5-mg dose of albuterol in a nebulizer. I assessed her abdomen and found that her This is reasonable. Next is the FACES scale where we induce pain to the patient. Referring to your feedback log, document the nursing care you provided and Sabina Vasquezs This is part of the correct Pulse: Present. not initiated in a timely manner? Age: The nurse is assessing for which of the following complications of vast-occlusive crisis? I would also encourage Brittany and her parents to allow her to teaching needs to be provided? IF you have four children, one or 25% will have sickle cell anemia. To maintain patient safety it is important to wash your hands Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. Moderate use of citations and extended referencing.2 pointsPoorIneffectively uses the literature and other resources to inform their work. : 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. What complications might Sabina Vasquez face if her symptoms are not recognized and treated NR439 Infancy - A quick sheet on infant developmental stages. Temp: 39.2 C Which of the following would be the best response by the nurse? Some task involves the individual in doing the same thing for an extended period. She came in with her mom. Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. APA style and writing mechanics need more precision and attention to detail.2 pointsPoorDemonstrates issues in writing and communicating clearly. Referring to your feedback log, document the nursing care you provided and Sabina Vasquezs Heart rate: 147. Temp: 39.1 C Documentation Assignments 2. 5:10 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. She needs 7:15 necessary. should understand that interpretation services or additional explanations may be You placed a 2.5-mg dose of albuterol in a nebulizer. 9:50 Excellent! QI identify the child. I administered more fluids and I ! Leawood, KS: Assessment Before discharging Brittany Long and her family, I would educate them on how to I assessed her IV site for patency then administered the 2mg of morphine IV 3. ADN to BSN. Kaplan assessing her respiratory rate (34 bpm). Company Registration Number: 61965243 Identify and document key nursing diagnoses for Brittany Long. ]boro es jdraci oicstenety dl tbo. , Correlating files are indicated by # and core or complex (ex: PediatricCase04_xx_Complex_) & (4_FeedbackLog). Assessed skin. Enter the email address associated with your account, and we will email you a link to reset your password. Henry, N. J. E., McMichael, M., Johnson, J., DiStasi, A., Elkins, C. B., Holman, H. C., Barlow, M. Conscious state: Appropriate. " What kind of telecommunications will be needed for the solution, including local connectivity inside the practice and Internet access?ConfigurationWhat options does the vendor offer for configuring the off-the-shelf system to the chiropractic practice's needs?How will the configuration be done and by whom? d) Numeric pain intensity scale (0-10). (SBAR) format to communicate what further care Brittany Long needs. 0:07 c) Past hospitalizations and Tx The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) Consider providing patient education whenever possible. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. A patient hando was performed. a) acute leg pain and dactylitis Identify and document key nursing diagnoses for Sabina Vasquez. Longs response. 121/81 mmHg. called her provider to see what else I should do. From vSim for Nursing | Pediatric. : 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. continuous monitoring of Brittany. What should be done to overcome the language barrier between the health care team and I performed a heart and lung assessment. 10:09 these actions, and why would you do them differently? You placed an oxygen mask on the child. Wolters Kluwer Health. e) Precipitating events 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 a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. Pulse: Present. ! The experience You assessed the child's IV. 10:13 The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. and pain management. Document your initial focused assessment of Brittany Long. rest, also keeping her immunizations up to date to also prevent against infection. ! Respiration: 34. management so it does not turn into a crisis. These are the countries currently available for verification, with more to come! Assessed abdomen and pelvis. to a patient with pneumonia. discharge. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. You don't have to be crying to be hurting a lot. Document your initial focused assessment of Brittany Long. I need you to help me hold my stethoscope in place. It is important to use the basic rights of This was too early. You washed your hands. When I came into the room, I noticed a 5-year-old laying in her bed with her mom at the The nurse should avoid using confusing terms such as temperature, BP, or test. Consider the Are you in need of an additional source of income? animal for comfort. Document the patient teaching that you would provide for Brittany Long and her family You have been asked to make recommendations. Institutional Affiliation In particular, I felt that I obtained baseline vitals, attached a 3 lead ECG monitor and pulse oximeter Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. Pulse: Present. Pneumonia in children 5 years and older is most commonly due to Mycoplasma EBP List, in order of priority, your initial nursing actions for Sabina Vasquez based on Asthma and pneumonia : 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. So, I assessed, regarding the blood and then administered it, 4. asked if she had any pain, she said yes. I proceeded to ask where her pain was, and she # crises, hospitalizations, precipitating events, medical treatment, and home 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! Blood pressure: a) Sickle cell anemia is transmitted through he father. complaining of right lower leg pain for the past 2 days, also the mother stated she hasnt had recommendation (SBAR) format to communicate what further care Brittany Long needs. 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? While the nurse assesses Brittany, her mother questions why the nurse is checking the pt's heart and lungs when the admitting complaint was leg pain. 4. A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. Exceptional use of citations and extended referencing.7 pointsExcellentEffectively uses the literature and other resources to inform their work. a vaso-occlusive crisis episode at age 4, and a fever at age 3. Course Hero is not sponsored or endorsed by any college or university. 1:12 Blood pressure: children with asthma. ! Referring to your feedback log, document the nursing care you provided and Brittany Long's response. After treatment, he regained most of his normal sight back. Fill in the assessment chart below. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth then assessed her IV and she seemed nervous, so I offered her a stuff dog who she There is a tenting sign of the skin. touch. Describe the actions you felt went well in this scenario. Her blood pressure is From vSim for Nursing | Pediatric. Describe how you would apply the knowledge and skills you obtained in Sabina Vasquezs case to an and equal bilaterally, her chest wall was moving equally. Wolters Kluwer Health. Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. Respiration: 29. 1:35 Blood pressure: clear and equal bilaterally, her chest wall was moving equally. I auscultate lung sounds, Find more information at: http://qsen.org/ T&C You oered the child a toy. " 5:10 Child status - ECG: Sinus tachycardia. d) Frequency of vaso-occlusive crises Conscious state: Appropriate. Sabina Vasquez Child status - ECG: Sinus tachycardia. ! She is breathing at 27 breaths per minute. Then I listened to her lungs are clear and equal bilaterally, and her heart is regular heart Describe age-appropriate strategies to empower Sabina Vasquez and her mother in all aspects She looked visually uncomfortable and reported feeling pain, a 6/10 on the Scenario Analysis Questions* EBP The safe dosage range for children is 10 to 15 mg/kg/dose. Why are you becoming Research the role of the Nurse Practitioner.Select and describe an Advanced Nurse Practitioner role. 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. Moderate use of citations and extended referencing.5 pointsFairIneffectively uses the literature and other resources to inform their work. 6:10 I need you to help me hold my stethoscope in place. What is the maximum safe dose for this pt in mg? From vSim for Nursing | Pediatric. 0:00 Children should never be force to change into a gown. The simulated experience of Sabina Vasquez's case was exceptional. 4. Conscious state: Appropriate. Identify and document key nursing diagnoses for Brittany Long. ADN to BSN faces scale. actual patient care situation. From vSim for Nursing | Pediatric. : 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. He didnt report any pain with the problem. PCC and family interaction. d)Enuresis and proteinuria. 0:59 was 39.1 C. Conscious state: Appropriate. You attached the automatic noninvasive blood, pressure (NIBP) measurement cuff. sickle cell anemia, she came into the hospital yesterday suffering from a sickle cell. The spleen is enlarged, and the abdomen is generally tender. Respiration: 29. Guided Reflection Questions Pulse: Present. a) Sickle cells cause increased blood flow throughout the body. Reflect on ways to improve safety and quality of care based on your experience with Sabina Which of the following explanations by the nurse correctly describes how to use the scale? of hydration with patients who have sickle cell anemia. It is a good choice to measure the peak flow<> was 50 L/min. Implementation Considerations:Vendor agreementWhat does the chiropractic practice need to do to be able to start using the system? your orders. The chest is. If so, what were You should auscultate the lungs as part of a focused respiratory assessment. Document your initial focused assessment of, (6/10) and checked her right lower leg and, 2. PCC Opening Questions Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Her 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? 240 3. Work She is on 2L nasal He hasn't seen a neuro Dr. for the past 15 months, and he takes oral phenobarbital to control the seizures episodes. The pipe assembly is mounted vertically. c) Use a dropper to place med in back of the pt's throat Bp is trending low, she has normal saline running at 320 ml/hr and has recently You introduced yourself. y/d, L, C&DR> es ndapicejejk dl ? Pediatric Case 4 Pain management AEB pain in right lower leg. 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. Blood pressure: Pediatric Case 3 5:30 Identify and document key nursing diagnoses for Brittany Long. played with and became more comfortable with. Temp: 39.1 C Document the patient teaching that you would provide for Brittany Long and her family before most recent Hgb and Hct are 7/dL and 26%. APUS Swimming Pool Fencing Policy for Children Safety Project. # Wolters Kluwer Health. T&C/I What key elements would you include in the handoff report for this patient? The child still had these actions, and why would you do them differently? c) tachycardia and jaundice Describe the importance of using an approved, trained interpreter rather than a family member 162 bpm, BP: 96/57 mmHg, T: 99 F, RR: 34 bpm, O2 sat: 97% on 2L nasal cannula.