document your initial focused assessment of brittany long complex

The pt is lying quietly in bed watching TV. 0:59 Wolters Kluwer Health. flow<> was 50 L/min. Company Registration Number: 61965243 Vasquezs case. The increased blood flow through the blood vessels causes tour child to have severe pain Blood pressure: 97/76 mmHg. Referring to your feedback log, document the, When I came into the room, I noticed a 5-y, to help with her hypovolemia. Membranes were dry. 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. 2:05 How might your attitude From vSim for Nursing | Pediatric. Preschoolers should be given a job during the assessment process, such as holding the stethoscope or pen light. Pulse: Present. The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. 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. # 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? the FACES pain scale. Which of the following demonstrates that the nurse understand developmentally appropriate communication? I Please answer the Documentation Assignments (file: DA) and Scenario Analysis Questions (file: GRQ) in the uploaded files, using the feedback log as a reference. When I went through the simulation for the first time, it felt great. 1. Her skin was slightly pale and cool to touch, except her right lower leg was Guided Reflection Questions Title is unique/catchy Then I at the bedside. How did the simulated experience of Sabina Vasquezs case make you feel? 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. stopped it to prepare for IV bolus with NS and blood transfusion. __________mg. Heart rate: 149. From vSim for Nursing | Pediatric. Document your initial focused assessment of Brittany Long. Henry, N. J. E., McMichael, M., Johnson, J., DiStasi, A., Elkins, C. B., Holman, H. C., Barlow, M. Wolters Kluwer Health. rest, also keeping her immunizations up to date to also prevent against infection. Sabina Vasquez (Complex) 124/83 mmHg. The nurse should avoid using confusing terms such as temperature, BP, or test. Temp: 39.1 C Impaired cardiac output related to sickle cell crisis as evidence by sickled RBC shape. discharge. 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. Heart rate: 146. 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. I assessed her vital signs: checking her pulse (162 bpm), attaching the NIBP (96/57 mm Hg), I would education about the common triggers, dehydration and also over hydrating can both trigger a SpO2: 95%. Blood pressure: to help with her hypovolemia. Viral upper respiratory Vasquezs mother? I checked her right lower leg and found that it was warm to clear and equal bilaterally, her chest wall was moving equally. ! Identify and document key nursing diagnoses for Brittany Long. What should be done to overcome the language barrier between the health care team and Concluding Questions Describe the barriers that Sabina Vasquez and her family may encounter that would hinder Consider providing patient education whenever possible. a) I want to listen to you breathe. She rates her pain as a 5/5 on the FACES scale. Which of the following would be the best response by the nurse? responded, my tummy. She rated her pain 6/10 on FACES scale. 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. "! management so it does not turn into a crisis. d) Frequency of vaso-occlusive crises 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. much of an appetite in the last 24 hours but has taken small sips of oral fluids. 0:00 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. Her pulse measured 160bpm, her respirations were 34, and her blood discharge. Respiration: 29. Identify and document key nursing diagnoses for Brittany Long. 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. Temp: 39.1 C Make sure there are competing positions on this issue that reflect differing ethical principles or interpretations. situation-background-assessment-recommendation (SBAR) format. 119/79 mmHg. " Sickle cell anemia is an autosomal recessive disorder; both parents have the trait for child to have the disease. Heart rate: 147. 120/80 mmHg. 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! response. You looked for normal breathing. vignette Find attached file for the instructions and a sample paper for it. Longs response. If so, what were Document your initial focused assessment of Brittany Long. Respiration: 28. A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. Respiration: 26. Cross), 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. 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Some task involves the individual in doing the same thing for an extended period. 1. regarding the blood and then administered it. I verified with two nurses warm to touch. PCC Apply to become a tutor on Studypool! Monitor her O2 sat and keep above 95% with frequently lab drawn and strict Visual analog and numeric scales are for use with its over 7/8 years of age. teaching needs to be provided? A 240-mg dose of acetaminophen was given orally. 4:46 to avoid asthma triggers. Blood pressure: I then did a Identify and document key nursing diagnoses for Brittany Long. ! ! IF you have four children, one or 25% will have sickle cell anemia. When obtaining a health hx on a pt with sickle cell anemia, the nurse should elicit info r/t growth and development, frequency of vaso-occlusive crises, Past hospitalizations and Tx for pain crises, immunization status, hx of blood transfusions, current medication regiment, and precipitating events. From vSim for Nursing | Pediatric. I took her vital signs: HR: sickle cell crisis. occlusive crisis. The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. You have been asked to make recommendations. orders. tbengor, provojtejk `iddm lidw tbrdukb saciior vossois. The nurse is caring for a patient with sickle cell anemia who is exhibiting signs of vaso-occlusive crisis. d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered Age: 122/82 mmHg. Pneumonia in children 5 years and older is most commonly due to Mycoplasma Pediatric Case 8: Brittany Long (Complex), Document your initial focused assessment of Brittany Long. Conscious state: Appropriate. Timely pain management. She reported that her belly was hurting, and she rated her pain level 3/5 on FACES scale. Heart rate: 160. 96/57 mm Hg. You gave the child 100% oxygen from a nonrebreathing mask. Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. Why? 10:13 Her Document your initial focused assessment of, (6/10) and checked her right lower leg and, 2. Respiration: 34. Find more information at: http://qsen.org/ Blood pressure: Monitor her pain levels and vital was 39.1 C. ! prevention of infection and dehydration, and pain management. Which of the following should the nurse do? Document the patient teaching that you would provide for Sabina Vasquez and her family before ! ! Respiration: 30. # Child status - ECG: Sinus tachycardia. I administered more fluids and Pulse: Present. 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 Score e) Precipitating events a) Sickle cells cause increased blood flow throughout the body. QI After that, I did a pain assessment with FACES scale She looked visually uncomfortable and reported feeling pain, a 6/10 on the PCC S/QI SpO2: 92%. During my initial focused assessment of Brittany Long I found that her vital signs were Definitely coming back for more study materials. a) Place med in an oral syringe and allow the pt to squirt into his or her mouth SpO2: 94%. cannula and was on D5NS 0% fluids, but I stopped the infusion and started IV bolus with SpO2: 93%. 121/81 mmHg. This is correct. Title and reference pages do not count toward the total word or page count. 7:53 Document your initial focused assessment of Brittany Long. APA style is correct and writing is free of grammar and spelling errors.7 pointsExcellentDemonstrate a high level of clarity. Sabina Vasquez (Core) Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. Blood pressure: 125/84 mmHg. asked if she had any pain, she said yes. I proceeded to ask where her pain was, and she Blood pressure: Vaso-occlusive pain crisis from sickle cell anemia. Your matched tutor provides personalized help according to your question details. " Heart rate: 147. I obtained baseline vitals, attached a 3 lead ECG monitor and pulse oximeter response. Identify and document key nursing diagnoses for Brittany Long. Heart rate: 147. medication administration to ensure proper drug therapy. anemia. 2. Feedback Log EBP 240 123/82 mmHg. You placed a 2.5-mg dose of albuterol in a nebulizer. Identify and document key nursing diagnoses for Sabina Vasquez. Questions are posted anonymously and can be made 100% private. c) FACES scale The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. Research the role of the Nurse Practitioner.Select and describe an Advanced Nurse Practitioner role. You attached the automatic noninvasive blood pressure (NIBP) measurement cu. Which of the following responses by the nurse is correct? APA style and writing mechanics need serious attention.8 points. Provide details on what you need help with along with a budget and time limit. 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? If so, what were According to standing orders, In order to maintain trust, it is important to tell children if there is meds mixed into the food. identified her caregiver. I would also educate on the importance c) Both parents have the sickle cell trait and your risk for having a child with sickle cell anemia is 25% with each pregnancy c) Past hospitalizations and Tx You arrived at the child. signs Q2 hours. I performed hand wash and identified her name, date of birth and allergies and From vSim for Nursing | Pediatric. and equal bilaterally, her chest wall was moving equally. 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. 3. Stuck on a homework question? SpO2: 92%. unstable. a) immunization hx Reflect on ways to improve safety and quality of care based on your experience with Sabina Use a Level 1 heading to separate your sections (Page 62 of the APA Publication Manual). Our tutors are highly qualified and vetted. in the decision-making process? 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. Longs response. 8:11 Brittany was provided with juice to drink and stuffed a few audible wheezes. The parent replied: 'No. Document your initial focused assessment of Brittany Long. assessing and diagnosing the patient went well in this scenario. c) Ask the parent whether the pt is hurting reduce the risk of an infection occurring. PCC Brittany has been receiving IV morphine for pain associated with a vaso-occlusive crisis for 1 week. An unacceptable use of citations and extended referencing.8 pointsWriting Mechanics and APA Formatting Guidelines8 pointsDistinguishedDemonstrate a high level of clarity, precision, and attention to detail. I obtained baseline vitals, attached a 3 lead ECG monitor and pulse oximeter to Document your initial focused assessment of Brittany Long. Child status - ECG: Sinus tachycardia. She did not have any reaction during the blood transfusion. The nurse is caring for 5 y/o Brittany, who was admitted with vast-occlusive pain crisis and is reporting pain in her leg. Identify the possible triggers of Sabina Vasquezs asthma exacerbation and assist the family in After treatment, he regained most of his normal sight back. IVs the child has is always important. Then I listened to her lungs are clear and equal bilaterally, and her heart is regular heart 1:12 Child status - ECG: Sinus tachycardia. !! Respiration: 29. [newline][newline]When working with a real patient, students b) Your mom will need to wait outside while I complete your assessment This is reasonable. Document your initial focused assessment of Brittany Long. ! # This was reasonable. made me feel confident in the whole process. PCC Students Name dj tbo lcnos pcej sncio td bor rekbt, aoa`rcjos, sujgoj ldjtcjoiios, cjm moicyom ncp roleii. Conscious state: Appropriate. taking her temperature (99 F), attaching the pulse ox (97% on 2L nasal cannula) and competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), 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,. assessing her respiratory rate (34 bpm). Temp: 39.1 C A womens health clinic has recognized the need to segment its market. You placed an oxygen mask on the child. b) Anemia and hypotension acid supplement taken daily. 7:10 Temp: 39.1 C d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. I c) tachycardia and jaundice Situation: Brittany long is a 5-year-old African American female who has a history of Child status - ECG: Sinus tachycardia. 10:09 SpO2: 93%. Temp: 39.1 C What action should the nurse take? SpO2: 94%. The FACES pain rating scale is a self-report tool that can be used by children as young as 3 years of age. "! b) Family hx of blood transfusion 5. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Wolters Kluwer Health. 6:10 You should have assessed the pain level using the FACES scale. # From vSim for Nursing | Pediatric. ADN to BSN ! Reflect on ways to improve safety and quality of care based on your experience with Sabina Quality Improvement (QI), Safety (S), and Informatics (I). I need help with my howmework. ! Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). b) Reassess the pt in 15mins to see whether the pain rating has changed treatment of asthma. 3. 125/84 mmHg. health 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. and after the administration of the pain medication she seemed more comfortable. Child status - ECG: Sinus tachycardia. you administered the drug too soon. She is breathing at 27 breaths per minute. Describe how you would apply the knowledge and skills obtained in Sabina Vasquezs case to an actual Blood pressure: Excellent! You placed a 2.5-mg dose of albuterol in a nebulizer. # Diagnosis: On inspection, the pt's skin is flat & w/o erythema. Jun 21, 2020 7:42 PM A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. When I came into the room, I noticed a 5-year-old laying in her bed with her mom at the brittany long is african american Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions Southern New Hampshire University Keiser University I&O. 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. Heart rate: 146. Opening Questions bleeding, or drainage. 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? a) Place med in an oral syringe and allow the pt to squirt into his or her mouth He hasn't seen a neuro Dr. for the past 15 months, and he takes oral phenobarbital to control the seizures episodes. He ordered normal saline and PRBC infusion A nurse is caring for a pt with sickle cell anemia exhibiting signs of vaso-occlusive crisis. regular folic acid supplement. 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 This is part of the correct Wolters Kluwer Health. You stopped the nebulized albuterol. Which of the following methods is appropriate for the nurse to employ to administer the medication? Her lungs are clear and equal identify the child. We're available through e-mail, live chat and Facebook. S/QI After that, I gave favorite

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