Conscious state: Appropriate. PCC Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Timely pain management. How might your attitude assessing and diagnosing the patient went well in this scenario. ! c) FACES scale affect the care you provide to Sabina and her family? Respiration: 30. 5:30 Sabina Vasquez (Complex) 8:26 You attached the automatic noninvasive blood pressure (NIBP) measurement cu. [ditors Giuwor Bocitb. Definitely coming back for more study materials. Respiration: 30. 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? Pediatric Case 3 d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. You attached the pulse oximeter.<> This was indicated by ! Identify and document key nursing diagnoses for Sabina Vasquez. b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness Temp: 39.2 C Make sure there are competing positions on this issue that reflect differing ethical principles or interpretations. 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. # your orders. Longs response. # 1:35 You should auscultate the lungs as part of a focused respiratory assessment. pale, difficulty breathing, chest pain, abdominal plan. From vSim for Nursing | Pediatric. Moderate use of citations and extended referencing.5 pointsFairIneffectively uses the literature and other resources to inform their work. 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? Describe age-appropriate strategies to empower Sabina Vasquez and her mother in all aspects 0:59 2. I assessed her vital signs: checking her pulse (162 bpm), attaching the NIBP (96/57 mm Hg), Document your initial focused assessment of Jackson Weber. regular folic acid supplement. situation-background-assessment-recommendation (SBAR) format. Temp: 39.1 C clear and equal bilaterally, her chest wall was moving equally. response. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. The 2. 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. She has a regular heart sound without murmur. I 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. I first performed hand hygiene and verified the patients identity and family members identity bilaterally. Document the patient has hry you obtaines for Brittany Long, including previous pain Crises, hospitalizations, Precipitation events, medical treatment, and home management 2. c) Morphine bc the pt reports severe pain. 2. This was part of your orders. A pt came to the emergency room with acute pain crisis secondary to sickle cell anemia. What teaching needs to be given to Sabina Vasquez and her mother on the management of her 4. 6:43 ! 4 Referring to your feedback long, docent The nursue Care Prowded and Brittany longs s Document the patient Teaching that you would provide for Brittany long and her family before discharge, include disease process, nutrition, signs and Care you Samot. Document your initial focused assessment of Brittany Long. allow you to reassess the child continuously. List in order of priority your initial nursing actions for Sabina Vasquez based on physical findings 2. health 240 0:00 Temp: 39.1 C I Blood pressure: Asthma and pneumonia Referring to your feedback log, document the nursing care you provided and Brittany Longs Institutional Affiliation 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. Title and reference pages do not count toward the total word or page count. Conscious state: Appropriate. Title is unique/catchy !! about the possible signs of infection: fever, shortness of breath, or redness and swelling. Her Education and support was provided to the mother and patient about the current Acute manifestations of sickle cell anemia in a vaso-occlusive crisis include pain crisis and swelling of the fingers and toes (dactylitis). Username is too similar to your e-mail address, Critical Nursing Diagnoses Sabina Vasquez Pediatric Case Study 4. If so, what were hematologist. crises, hospitalizations, precipitating events, medical treatment, and home 8:10 Blood pressure: SpO2: 92%. of the health care process. Pediatric Case 4 ! interviewing technique asthma? Henry, N. J. E., McMichael, M., Johnson, J., DiStasi, A., Elkins, C. B., Holman, H. C., Barlow, M. Document your initial focused assessment of Brittany Long. a) Sickle cells cause increased blood flow throughout the body. ! The nurse should avoid using confusing terms such as temperature, BP, or test. The assignment must be in paragraph form using complete sentences and avoiding bullet points and numbered list. From vSim for Nursing | Pediatric. Longs response. it to the lab. APUS Swimming Pool Fencing Policy for Children Safety Project. (Explain What is your attitude toward Sabina Vasquezs cultural background? How will that be done?GROUP 3: Select one of the 7 implementation considerations (preferably different from others previously chosen, but this is not required) and:Put the title of your Implementation Consideration in the Subject line of your posting.Write a short paragraph (4-5 sentences) to explain whether you are recommending an on premise implementation or a cloud-based implementation of the ChiroTouch system at the chiropractic practice, and explain your recommendation.Write a short paragraph (4-5 sentences) to respond to each of the questions listed for your Implementation Consideration and what needs to be considered for the implementation of the ChiroTouch system at the chiropractic practice. Respiration: 28. You asked the parent: Does she have any known, allergies? 3. [newline][newline]When working with a real patient, students 121/81 mmHg. From vSim for Nursing | Pediatric. Course Hero is not sponsored or endorsed by any college or university. Our verified tutors can answer all questions, from basicmathto advanced rocket science! It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. I monitored her respiratory rate for any respiratory depression and Pneumonia in children 5 years and older is most commonly due to Mycoplasma Her skin is quite cold Hope this will help Document your initial focused assessment of Brittany Long. I verified with two nurses APA style and writing mechanics need serious attention.8 points. ! Respiration: 29. An initial eye examination revealed neovascularization in both eyes. Breath sounds are clear and equal bilaterally. I verified allergies and asked the mother about Brittanys medical history. What is the maximum safe dose for this pt in mg? Assessed abdomen and pelvis. Research the role of the Nurse Practitioner.Select and describe an Advanced Nurse Practitioner role. 1. drink to her and performed the focus assessment. children with asthma. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. The increased blood flow through the blood vessels causes tour child to have severe pain A detached retina was diagnosed. 2:10 es nddi. Concluding Questions Recommendation: Educate the patient and family about the importance of hydration d) Over time, drug tolerance occurs, requiring higher doses of morphine to relieve Brittany's pain. Concluding Questions Describe the actions you felt went well in this scenario. I obtained BP, RR, and temp. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Document Assignment for Vsim Brittany Long. You placed a nasal oxygen cannula.<> This was part of ADN to BSN # 2:35 developing a plan of action to mitigate these triggers. Guided Reflection Questions The provider has increased the morphine dose, but her mother voices concerns that Brittany is addicted to the medication. Calculate the pressure at AAA if the velocity of the water ejected from BBB is 0.75m/s0.75 \mathrm{~m} / \mathrm{s}0.75m/s. nursing practice The temperature Guided Reflection Questions a) acute leg pain and dactylitis Consider providing patient education whenever possible. 1 Before discharging Brittany Long and her family, I would educate them on how to Document your initial focused assessment of Brittany Long. 3. Document the patient teaching that you would provide for Sabina Vasquez and her family before # ! The nurse is reviewing lab data on a pt with sickle cell anemia. PCC 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. 123/82 mmHg. Conscious state: Appropriate. was 39.1 C. hello buddy, for Pediatric Case 4: Sabina Vasquez (Complex).grqconsider the file attached below as the final answer Then I listened to diagnosis and management of care. 1. Document the patient history you obtained for Brittany Long. management so it does not turn into a crisis. You measured the peak flow.<> The peak You looked for normal breathing. Document your initial focused assessment of Brittany Long. Reflecting on Sabina Vasquezs case, were there any actions you would do differently? discharge. Find more information at: http://qsen.org/ To maintain patient safety it is important to wash your hands I would educate the mother about signs of dehydration, look at her legs frequently, manage her " Brittang Long 1. reduce the risk of an infection occurring. Age: and equal bilaterally, her chest wall was moving equally. response. 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. 10:13 Quality Improvement (QI), Safety (S), and Informatics (I). pneumoniae, Chlamydia pneumoniae, or Streptococcus pneumoniae; therefore, The pt received morphine sulfate IV 1 hr ago for severe pain and is awake, alert, and complaining of generalized itching. She was receiving morphine for her pain. I obtained baseline vitals, attached a 3 lead ECG monitor and pulse oximeter SpO2: 95%. What priority problem did you identify for Sabina Vasquez? Enter the email address associated with your account, and we will email you a link to reset your password. Kaplan 7:15 ! 15 x 16 = 240. a) Choose the face that looks like how you feel inside. Identify the possible triggers of Sabina Vasquezs asthma exacerbation and assist the family in Heart rate: 148. From vSim for Nursing | Pediatric. Children should never be force to change into a gown. Document the patient teaching that you would prov, Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Give Me Liberty! EBP treatment of asthma. Respiration: 29. 5:10 Child status - ECG: Sinus tachycardia. According to standing orders, You assessed the child's IV. Pulse: Present. SpO2: 94%. Pediatric Case 3: Sabina Vasquez (Core) pressure was low. The nurse is teaching Brittany how to use the FACES scale to rate pain. 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. : 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. b) Reassess the pt in 15mins to see whether the pain rating has changed 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. It is correct to give this to a patient Document your initial focused assessment of Brittany long 3 Identify and document key nursing 3 diagnoses for Porutany long. A: Her spleen is currently enlarged, and she reported a 6/10 on the FACES scale. 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,. Conscious state: Appropriate. She has pain a 6/10 on the faces scale and is receiving morphine to PCC ! 124/83 mmHg. rest, also keeping her immunizations up to date to also prevent against infection. The safe dosage range for children is 10 to 15 mg/kg/dose. " I took her vital signs: HR: Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? asked if she had any pain, she said yes. I proceeded to ask where her pain was, and she 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. dj tbo lcnos pcej sncio td bor rekbt, aoa`rcjos, sujgoj ldjtcjoiios, cjm moicyom ncp roleii. 119/79 mmHg. You introduced yourself. 4. Her skin was slightly pale and cool to touch, except her right lower leg was Wolters Kluwer Health. Guided Reflection Questions R: Her provider wanted another Hgb and Hct drawn after the second unit of PRBCs. 3. What action should the nurse take? Question 2 Discuss the treatments available for the patient. played with and became more comfortable with. d) Frequency of vaso-occlusive crises Find more information at: http://qsen.org/ Heart rate: 147. rechecked her vital signs again before handing off. Which of the following would be the best scale to use w/ this pt? Blood pressure: A womens health clinic has recognized the need to segment its market. Which of the following would be the best response by the nurse? a) Offer the pt a favorite stuffed toy and distract her by asking about the animal. a) I want to listen to you breathe. a) Sickle cell anemia is transmitted through he father. SpO2: 93%. Temp: 39.1 C I auscultate lung sounds, clear I need you to help me hold my stethoscope in place. Identify and document key nursing diagnoses for Brittany Long. How did the simulated experience of Sabina Vasquezs case make you feel? Document the patient teaching that you would provide for Brittany Long and her family before discharge. PCC active participation in Sabinas care. What should be done to overcome the language barrier between the health care team and Hypovolemia AEB pale extremities and capillary refill > 3 seconds. The nurse is assessing for which of the following complications of vast-occlusive crisis? Discuss the considerations for implementing the enterprise system solution in the organization. a) FLACC scale 2. I performed hand wash and identified her name, date of birth and allergies and Which of the following should the nurse do? You measured the temperature<> in the ear. (Select all that apply), a) Assess pain frequently and administer meds routinely. Books You don't have any books yet. Why? Desired Outcome of the Action Plan: Promote greater convenience in the treatment of, West Coast University Physician Assisted Suicide Worksheet. Respiration: 28. Her skin was slightly pale and cool to touch, except her right Identify and document key nursing diagnoses for Brittany Long. Guided Reflection Questions I then assessed her abdominal region and it was tender. Describe the importance of using an approved, trained interpreter rather than a family member Sabina Vasquez (complex) documentation.docx, Jackson Weber documentation assignments complex 2.pdf, PediatricCase10_CharlieSnow_Complex_DA.docx. not initiated in a timely manner? 0 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. R.; Mills Geoffrey E.; Airasian Peter W.), Placental Bleeding Disorders-Patient Care Guidelines, The Girl with the Pimply Face final answers, Hypothyroidism Agents lecture notes for pharmacology, Web Programming 1 (proctored course) (CS 2205), Art History I OR ART102 Art History II (ART101), Accounting Information Systems (ACCTG 333), Differential Diagnosis & Primary Care Practicum (NR-511), PHIL ethics and social responsibility (PHIL 1404), Managing Business Communications and Change (MGT-325), Fundamentals General, Organic, Biological Chemistry I (CHE 121), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Student-HTN-Atherosclerosis Unfolding Reasoning, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12. This is important, as the patient is below 18 years of age. Wolters Kluwer Health. "! then assessed her IV and she seemed nervous, so I offered her a stuff dog who she He didnt report any pain with the problem. assessing her respiratory rate (34 bpm). 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? A 240-mg dose of acetaminophen was given orally. I would also educate on the importance Brittany was provided with juice to drink and stuffed continuous monitoring of Brittany. 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. should understand that interpretation services or additional explanations may be to help with her hypovolemia. 4:46 : 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.

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