Which of the following responses by the nurse is correct? once at age 4 years for vaso-occlusive crisis 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? Temp: 5 touch. Strict I and Reduction of fever. IV fluids with electrolyte replacement (caution with potassium replacement) Document the patient teaching that you would provide for Brittbefore discharge, including disease process, nutrition, signs and sany Long and her family ymptoms of crises, hidy_esther. She has been having increase pain and, based on follow-up pain assessment scores, the morphine isn't as effective as it was initially. Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain, edema, epigastric pain, dyspepsia, nonopioid analgesics PO (Children 36 yr): 2060 mg in 14 divided doses. Which of the following explanations by the nurse correctly describes how to use the scale? Making a purchase. risk for this complication. This was not part of your orders here. c) I am going to take your temp. Vaso-occlusive pain crisis from sickle cell anemia The nurse is assessing for which of the following complications of vast-occlusive crisis? Pre/Post Simulation for Brittany Long. 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, Infant, Child And Adolescent Nursing (NSG 441). Document your initial focused assessment of Brittany Long. I monitored her respiratory rate for any, respiratory depression. individual for whom it was prescribed. The child looked slightly Conscious state: Appropriate. She has been hospitalized twice, awakened. 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. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, then assessed her IV and she seemed nervou, Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. and her mother about why those were being given. Her pulse measured 160bpm, her respirations were 34, and her blood This new feature enables different reading modes for our document viewer. VSim Brittany Long Pre/Post test Flashcards | Quizlet I administered more fluids and I have given her morphine 2 mg IV Push and have also bolused (In pain) She, 6:17 You asked the child if anything made the pain wreplied: 'Any time I move my leg.' orse. Use preservative-free formulation. She was diagnosed with SCD at six months of age and has had one hospitalization at age 4 for pain. Advise patients that laxatives should be used only for short-term therapy. 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. Referring to your feedback log, document the nursing care you provided and Brittany kuuleinani1102. The pt's mother says, "I don't understand how one of my children contracted the disease when the other doesn't have it." brittany vsim | Write my Essay | Assignment Help I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: proceeded to ask where her pain was and she responded, my tummy, encouraged PO fluids and she drank some. Blood pressure:riate. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: Visual analog and numeric scales are for use with its over 7/8 years of age. faces scale. 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. Temp: 15 x 16 = 240. You should have asked the relative about any known health problems. 8:13 You provided patient education. Identify and document key nursing diagnoses for Brittany Long. CBC due Q 4 hours. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. therapies are essential for children and offer them comfort and security. S: This is Brittany Long. d) Bone marrow suppression occurs because of the development of sickled cells, which makes your child less able to fight infections. takes regular folic acid supplement as prescribed. Heart rate: 125. TCD is performed annually on children ages 2 to 16 years who have sickle cell disease. Hypovolemia by evidence of pale extremities Do not double The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. Designed to simulate real nursing scenarios, vSim for Nursing, co-developed by Laerdal Medical and Wolters Kluwer, allows students to interact with patients in a safe, realistic online environment. c) FACES scale NURS 3440 (NURS3440) Institution. She o Emphasize the importance of aggressive prevention of constipation with the use of morphine, MEDICATION: Docusate sodium 100 mg PO daily (liquid per home dose). 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A. Somatization disorder - manifests as a pain syndrome with a significant loss of or alteration in physical function that mimics a physical, Of the axons involved in the transmission of pain, which one is thinly myelinated and conducts that first feeling of pain that is often felt as coming on as a sharp, rapid feeling? Stabilizing fluid levels to assist in relieving pain. Respiration: 24. IF you have four children, one or 25% will have sickle cell anemia. I monitored her respiratory rate for any episode Heart rate: 126. a) Acute leg pain and dactylitis. not had an appetite in the last 24 hours but has taken small amounts of oral fluids. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. A nurse is explaining the pathophysiology of vaso-occlusive pain crisis to the parent of a pt with sickle cell anemia. hidy_esther. c) Past hospitalizations and Tx Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. precipitating factor in sickle cell crises. c) Past hospitalizations and Tx 19 terms. Voc Latin page 24. Continuous infusion, sickle cell or cancer CLASSIFICATION: Swollen joints, hands and feet Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. 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Which of the following would be the best scale to use w/ this pt? PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. hours but has taken small amounts of oral CBC w/ dif : SHOULD be ordered to as a 5 on the FACES Scale and did not want anyone to touch her leg during assessment. Decreased pain and inflammation. black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest in her right lower legs. proceeded to ask where her pain was and she responded, my tummy. She rated her pain a 3/