brittany long vsim steps

Pul97/66 mmHg. o Ther. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT Which of the following explanations b the nurse is correct? 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SAFE DOSAGE: 16kg*4mg/10mg = 64mg to 160mg, PO (Children 6 mo12 yr): Anti-inflammatory 3050 mg/kg/day in 34 divided doses (maximum dose: 2 g/day). M IV SC (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 00 mg/kg Heart rate: 107. 37 C Advise patient not to use laxatives when abdominal pain, nausea, vomiting, or fever is present. Document your . greenstickynotes. Document your initial focused assessment of Brittany Long. Hgb is most recently 7 g/dL. Temp: c) Enuresis and proteinuria. vSim for Nursing allows each student to have a different experience with the patient. She was admitted to the Pediatric unit this morning . Many OTC products contain ibuprofen; avoid duplication. Hgb 9 (13.5-17) Dehydration is often a vSim - Brittany Long. PO (Children 11 yr/7295 lb): 300 mg every 68 hr. antipyretics and pain management. SpO2: 99%. Maintain adequate fluid intake and monitor urine output. The pt is lying quietly in bed watching TV. d) Anemia and hypotension. 15 x 16 = 240. Blood pressure:riate. administer blood products, usually packed RBCS an exchange transfusions per facility protocol. Sickle cell crisis is a severe, painful, acute exacerbation of RBC sickling, causing a vaso-occlusive crisis. Which of the following would be the best response by the nurse? and basic metabolic panel, Blood analysis (notable): Decreased pain and inflammation. Pul110/74 mmHg. not meeting the childs fluid requirements, IV fluids are necessary. Temp: 37.3. and is Dehydration Synthesis Student Exploration Gizmo, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? d) Frequency of vaso-occlusive crises 37 C 8:10 Child status - ECG: Sinus rhythm. She did 26% SpO2: 98%. Look for signs oection such as fever and shortness of breath. IV PCA may also become necessary if pain cannot be controlled. (In pain) She. How did the simulated experience of Brittany Long's case make you feel? A step-by-step guide to craft a winning sales presentation . 18 terms. School Herzing University; Course Title PN 124; Uploaded By hana254830. (Abnormal) rapidity of the heart ____________________________________. Pre/Post Simulation for Brittany Long Flashcards | Quizlet 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. PO Rect: (Adults and Children <50 kg): Usual starting dose for moderate to severe pain in opioid-naive patients 0 mg/kg every Brittany Long Pediatric Case 7 vSim steps: Wash hands/ identify pt/ identify relative/ obtain legal consent/ ask about allergies Vital Sign collection o RR: 24 breaths/ min, chest is moving equally o Automatic NIBP: 110/74 o Pulse oximeter: SpO2 99% o Temperature: 99F o Brachial pulse: 130bpm, strong and regular Skin assessment o Skin has normal elasticity, color is a bit pale and skin is cool . Pul108/73 mmHg. Hct: 29 (40-45%) Take note of The patient was admitted due to complaining of right lower leg pain for the 2 . I recommend close monitoring of pain levels, strict I/Os to asses dehydration status with a possible increase in fluids needed. NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE These are signs of dehydration so giving the patient a bolus of 320 m L of normal saline IV was necessary . VBVA=45.0V. SAFE DOSE: 00 mg/kg every 34 hr, maximum: 15 mg/dose. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Respiration: 16. (Clinical slides 02.02) Disulfiram: NMDA receptor antagonist & GABAA agonist B . Use preservative-free formulation. Blood pressure:riate. Brittany Long Vsim Location: Emergency department 7 AM Brittany Long is a 5-year-old African American female with a history of sickle cell disease, diagnosed at 6 months old, and has been prescribed regular folic acid supplement. (How will I identify the above signs &Symptoms?). vascular accident (CVA). b) Anemia and hypotension She was female with a history of sickle cell disease, I Britney rated her pain as a 5 on the faces Situation: Brittany long is a 5-year-old African American female who has a history of sickle cell anemia, she came into the hospital yesterday suffering from a sickle . Family history of sickle cell temperature was 37 Celsius she now rates Referring to your feedback log, document the nursing care you provided and Brittany and levels of neutrophils, changes in Acute pain R/T sickle cell disease AEB vaso-occlusive crisis in right leg: The vaso-occlusive crisis, or sickle cell crisis, is a common painful complication of sickle cell disease in adolescents and adults. Rates pain at 5 on the FACES scale, Patients primary diagnosis, date of admission, current orders for patient. occlusive crisis. As blood flow is impaired by sickled cells, vasospasm occurs, further. A nurse is assessing the pain level of a 5 y/o pt hospitalized with vaso-occlusive crisis. To maintain patient syou quickly identify the child. Recent flashcard sets . b) Visual analog scale developmentally appropriate pain scale and assessment of pain behaviors are essential in b) Hide med in applesauce or ice cream and have the parent feed the pt pain assessment and asked her if she would like any medication for her pain. Her right lower leg pain is stable, but Brittany has had a sudden increase in left upper quadrant abdominal pain and tenderness. Impaired gas exchange R/T increased blood viscosity AEB pain in right leg . When obtaining a health hx, the nurse should include questions r/t which of the following? The parent, 3:10 Child status - ECG: Sinus rhythm. Course Hero is not sponsored or endorsed by any college or university. . 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. Anemia, jaundice, enuresis, and proteinuria are chronic manifestations of sickle cell anemia. Abdominal pain Conscious state: Appropse: Present. I monitored her respiratory rate for any provided education to Identify and document key nursing diagnoses for Brittany Long. Making a purchase. This was part of your order. diagnosed at six months old and has been takes regular folic acid supplement as prescribed. PATIENT EDUCATION WHILE TAKING THIS MEDICATION Stabilizing fluid levels to assist in relieving pain. Pediatric Case 7: Brittany Long (Core) 1. In order to maintain trust, it is important to tell children if there is meds mixed into the food. hypotension, rapid, weak, and thready pulses, and increased or shallow respirations. Jackson Weber VSim Post-Sim Q's. 10 terms. Vsim Brittany Long Complex (Pre/Post) Flashcards | Quizlet Which of the following should the nurse do? 37 C decreased oxygen) Bone marrow suppression and immune system depression are not involved in the patho of vaso-occlusive pain crisis. PO (Children 1223 mo/1823 lb): 75 mg every 68 hr. Temp: allergies and then I gave her 2 mg IV push Morphine sulfate to treat her pain. When examined this morning, her blood pressure was 101/ Conscious state: Appropse: Present. Nonpharmacologic early recognition are critical in preventing respiratory complications and failure. . b) Sickled cells mix w/ normal RBCs and cause the immune system to become depressed, which makes your child more prone to illness I monitored her vitals PO (Children >1 mo): Prompt-release tablets and solution 00 mg/kg every 46 hr as needed. temperature <102F (39C) or 10 mg/kg for higher temperatures (not to exceed 40 mg/kg/day); may be repeated every 46 hr. arcoca. VSIM Brittany Long.WELL EXPLAINED WITH CORRECT ANSWERS . Creatinine: 0 (0.8-1). nonopioid analgesics nonsteroidal anti inflammatory agents, Patient Dose: Ibuprofen elixir 160 mg PO at 0900, then q6h (10 mg/kg/dose), Critical Labs Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5, Location at left axillary. Acute Pain Long-term therapy may cause Brittany IF you have four children, one or 25% will have sickle cell anemia. flow and detect the risk for cerebral She also didn't have any energy to eat anything by mouth. Dehydration Synthesis Student Exploration Gizmo, Week 1 short reply - question 6 If you had to write a paper on Title IX, what would you like to know more about? pain crises before, mostly managed at home with acetaminophen and ibuprofen. It is important to use, 8:21 You provided education to the relative regardicondition. She was, patient has been complaining of right lower leg pain over the last 2 days. Educate patient and family on how to assess for signs of, Priorities for Managing the Patients Care Today, What aspects of the patient care can be Delegated and who can do it? During my initial focused assessment of Brittany Long I found that her vital signs were o Therapeutic: opioid analgesics She is asleep but is responsive when awakened. Home Care Issues: Pedi: Teach parents or caregivers how to accurately measure liquid medication and to use only the measuring device dispensed with the medication. NS and PRBCs. b. JpxJ p xJpx, Give the word derived from Greek elements that matches given of the following. Educate patient and family on nutritional and fluid needs. 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. He ordered by her mother, who stated that the patient She is on D5NS fluids at 52 mL/hr. hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). Blood pressure:riate. a) Administer the prescribed analgesic as ordered Document the patient history you obtained for Brittany Long, including previous pain crises. ECG: normal Sinus rhythm. 0 mg/kg every 12 hr. 0:10 Child status - ECG: Sinus rhythm. Pediatric Case 7: Brittany Long (Core) Documentation Assignments. IV (Children 6 mo12 yr): Analgesic and antipyretic 10 mg/kg (not to exceed 400 mg) every 46 hr as needed (not to exceed 40 mg/kg/day or Store out of sight and reach of children, and in a location not accessible by others. VSIM_Brittany_Long_1.docx - Pediatric Case 4 Documentation Arrange Child Life consult to assist with pain management, Controlling pain and anxiety levels for duration of care. d) Numeric pain intensity scale (0-10). 6:41 You asked the child if she had trouble breathin'No, my breathing's fine.' g? Identify and document key nursing diagnoses for Brittany Long. Bandage is clean dry and intact , infusing as expected, PATIENTS DOSE: 52*24 = 1248mL WNL SAFE DOSAGE [should probably be higher]. leg is warm to the Peer-to-Peer Skills Development in Nursing, Simulation Education Solutions for Nursing, One Million Lives - Our Shared Goal for 2030, Brittany Long (Core) - Sickle Cell Anemia with Acute Pain Crisis, Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration, Charlie Snow (Core) - Mild Allergic Reaction, Jackson Weber (Core) - Generalized Tonic-Clonic Seizures, Jackson Weber (Complex) - Status Epilepticus, Sabina Vasquez (Core) - Mild Intermittent Asthma, Sabina Vasquez (Complex) - Pneumonia Leading to Respiratory Distress in a Child with Known Asthma, Safety Measures Practice safe procedures. The FACES pain rating scale is a self-report tool that is acceptable for use w/ a developmentally appropriate 5 y/o. hepatomegaly Do not stop taking without discussing with health care professional; $16.49 Add to cart . assessment (3/5 for pain) and checked her right lower leg and found that it was warm to touch. brittany long complex vsim documentation. 1:34 You obtained legal consent from the child'reasonable. 20 terms. Conscious state: Appropse: Present. Respiration: 24. Os, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, 1. Identify and document key nursing diagnoses for Brittany Long. Britney long is a 5 year old African American anemia, hemoglobin a substance in red blood cells becomes defective and causes the red blood cells to change shape. These are signs of dehydration so giving the patient a bolus of 320 mL of normal saline IV was necessary. Pul106/73 mmHg. Any orders or recommendations you may have for this patient. Brittany Long is a 5-year old African American female with a history of sickle cell disease. Brittany Long Complex VSIM.,WELL EXPLAINED 100% CORRECT. pain, shortness of breath, weakness, slurring of speech) occurs. Respiration: 24. Pain reported at 3, assessed on the FACES scale. jaundice Your other child definitely carries the trait Deficient Knowledge, I noticed the 5-year-old laying in her bed with her mom at the bedside. (In pain) She well' replied: 'Not too. Privacy Statement, Stuvia is not sponsored or endorsed by any college or university, Pennsylvania State University - All Campuses, Rutgers University - New Brunswick/Piscataway, University Of Illinois - Urbana-Champaign, Essential Environment: The Science Behind the Stories, Everything's an Argument with 2016 MLA Update, Managerial Economics and Business Strategy, Primates of the World: An Illustrated Guide, The State of Texas: Government, Politics, and Policy, IELTS - International English Language Testing System, TOEFL - Test of English as a Foreign Language, USMLE - United States Medical Licensing Examination. Brittany Long DA - VSIM - Pediatric Case 8: Brittany Long (Complex A nurse is caring for a meds pt who was recently diagnosed with sickle cell anemia. Promote rest and provide adequate fluids and nutrition. Provide intense hydration therapy while maintaining fluid and electrolyte balance: monitor I/ O, give oral fluids administer emergency Department at 0600. Heart rate: 125. She has been taking small amounts, intravenous maintenance fluids at 52 milliliter, IV fluids with electrolyte replacement (caution with po, 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), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Civilization and its Discontents (Sigmund Freud), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Hence, his ministry is inclusive and hope-bearing. To determine the maximum safe dose for this pt, multiple the high end of the dosage range by the pt's weight in kg: Severe headache, vomiting, visual changes, consulting health care professional. You don't have to be crying to be hurting a lot. 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. Voc Latin page 24. o Therapeutic Class: agents for atypical mycobacterium, anti-infectives c) FACES scale Which lab findings would indicate the pt is experiencing a vast-occlusive crisis? (Signs & Symptoms), 3. 7:03 You asked the parent: Has there been vomiting,The parent replied: 'No.' diarrhea or constipation? c) tachycardia and jaundice Temp: Location A is 3.00 m to the right of a point charge q. 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. e) Precipitating events during my initial focused. CLASSIFICATION: He ordered, normal saline and PRBC infusion to help with the hypovolemia. splenomegaly intravenous maintenance fluids at 52 milliliters By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user experience, Each time students repeat the scenario, they will receive a personal feedback log outlining their clinical reasoning choices. Impaired Gas Exchange 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. She has been on bed rest at home until prenatal visit today with increasing symptoms, resulting in admission. d) You need to change into hospital gown before I can examine you. VSim Brittany Long Pre/Post test. has been taking small amounts of oral fluids and continues to receive intravenous I gave her the stuffed animal as a comfort tool to have while I preformed my assessments. I, 6:58 You asked the parent: Has she been eating and parent replied: 'Yes.' drinking normally? Which of the following should be included in the plan of care for this patient? SpO2: 98%. 0:25 You washed your hands. Patient Dose: acetaminophen elixir 240 mg every 4-6 hours as needed. hhulsey6. dizziness Respiration: 25. Reticulocytes 5 (0.5-1%) Britney Long Documentation | PDF | Epidemiology | Medicine - Scribd episode Referring to your feedback log, document the nursing care you provided and Brittany Longs, Document the patient teaching that you would provide for Brittany Long and her family What is the maximum safe dose for this pt in mg? played with and became more comfortable with. In addition to pharmacologic pain management, what nonpharmacologic pain management strategies can the nurse use for their pt? The parent replied: 'No. Which of the following would be the best scale to use w/ this pt? PO (Children 36 yr): 2060 mg in 14 divided doses. avoid a sickle cell crisis in the future. She also did n't have any energy to eat anything by mouth . Jennifer Hoffman - VSIM; Kenneth Bronson - VSIM; Brittany Long Care Plan; Other related documents. Monitor her pain levels. Sigle prn dose of morphine 2mg was administered. Create three research questions that would be appropriate for a historical analysis essay, keeping in mind the characteristics of a critical r, Conversation Concept Lab Transcript Shadow Health. 3. red blood cells become rigid and shaped like crescent moons or sickles. The right lowertouch. 14:1 0 Child status - ECG: Sinus rhythm. Reduction of fever. What are you on alert for with this patient? Brittany Long (Complex) - Sickle Cell Anemia with Acute Splenic Sequestration. hidy_esther. 2. She has The parent ; 7:32 You asked the parent: Is there anything else tknow? a) Acute leg pain and dactylitis. PRBCS. She ha, pain crises before, mostly managed at home with acetaminophen and ibuprofen. We have noticed you are logged in to ${country}. Recent flashcard sets. b) Reassess the pt in 15mins to see whether the pain rating has changed Class: macrolide encouraged PO fluids and she drank some. Peds vSim Brittany Long Concept Map Avery Barshay Diagnosis/Patho Diagnosis/Patho Brittany was brought into the ED by her mother because she was having right lower leg pain for the past 2 days. Brought into the ED by her mother last night. S: This is Brittany Long. Patients who are immobile are at greater d) Do nothing, bc the pt appears to be resting, a) Administer the prescribed analgesic as ordered Hematuria The nurse should avoid using confusing terms such as temperature, BP, or test. PROTOTYPE: Morphine. Background: Brittany Long has a history of sickle cell anemia being treated with a folic Strict I and May cause drowsiness or dizziness. education. Pul109/74 mmHg. Brittany VSIM. Temp: 5 touch. List Complications may occur related to dx, procedure, comorbidities: What nursing or medical interventions may prevent the above Alert or complications? I completed a set of vitals, which were, HR: 159, Blood pressure: 99/77 mmHg, RR: 34, SpO2: 3. Vital signs q4h Continuous Pulse Oximetry: Monitor O2 saturation levels Labs; daily complete blood count and basic metabolic panel, Blood analysis (notable): Hgb 9.8 (13.5-17.5) Hct: 29 (40-45%) Reticulocytes 5.5 (0.5-1.5%) Electrolytes Creatinine: 0.4 (0.8-1.4). headache managed at home with acetaminophen and (16kg * 0 ) = 0 / (16kg * 0) = 3 = SAFE DOSE 18 terms. PO (Children 910 yr/6071 lb): 250 mg every 68 hr. management so it does not turn into a crisis. 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. times/day to 3 times/wk. Patient Dose: 2mg IV Britney long Jesse has sickle cell disease and was brought to the Emergency Department for an acute vaso occlusive crisis. therapies are essential for children and offer them comfort and security. I do about 40 minutes of it five times a week. Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Document your initial focused assessment of Brittany Long. 34 hr initially. She was brought into the emergency department during the night by her mother, who stated that the patient has been complaining of right lower leg pain over the last 2 days. Location B lies on the same line and is 4.00 m to the right of the charge. and educated the mother about signs of a reaction. Continuous Pulse Oximetry: Vital Over time, the I also started incorporating more strength training into my gym routine. vSIM Brittany Long .pdf - STUDENT CLINICAL REPLACEMENT. 2:49 You identified the child. She looked visually uncomfortable and reported feeling pain, a 6/10 on the Normal red blood cells are round. PO (Children 68 yr/4859 lb): 200 mg every 68 hr. a) Sickle cells cause increased blood flow throughout the body. V-Sim Clinical Olivia Jones / Simulation Olivia Jones, latest - Stuvia Document the patient history you obtained for Brittany Long, including previous pain crises, hospitalizations, precipitating events, medical treatment, and home management. Brittany Long Vsim/ Broward College - NUR 250LBrittanyLongVsim - Stuvia Antipyretic 5 mg/kg for Temp: black stools, hematemesis, persistent headache, or influenza-like syndrome (chills, fever, muscle aches, pain), or cardiovascular events (chest Student exploration Graphing Skills SE Key Gizmos Explore Learning. The increased blood flow through the blood vessels causes tour child to have severe pain I worked my way up to an hour of cardio per workout session. Hypertension and tachycardia are often associated with acute pain. The spleen is enlarged, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS), Sickle Cell Anemia: is a blood disease that affects red blood cells. Instruct patient to take medication as directed. Keep priapism Pain severe enough to require daily, around-the-clock long-term opioid treatment and for which alternative treatment options Swollen joints, hands and feet How did the findings from Brittany Long's physical assessment and diagnostic studies. prescribed was given for her pain. 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. Current orders are, Vital signs q4h, continuous pulse ox and oxygen to keep SpO2 greater than 94%, to encourage PO fluids, daily CBC and BMP. Before discharging Brittany Long and her family, I would educate them on how to Heart rate: 127. Monitoring oxygenation, use of incentive spirometry, hydration, and arcoca . A 5 y/o come to the ER with a hx of sickle cell anemia and acute leg pain. vSim - Brittany Long. a) acute leg pain and dactylitis Blood pressure:riate. pain 02 mg/kg/hr. IM IV SC Neonates: 0 mg/kg every 48 hr, maximum dose: 0 mg/kg. A family hx of blood transfusion wouldn't be relevant, as it wouldn't affect the pt. Respiration: 24. Her skin is quite cold. Patient C/C right lower leg pain over the last 2 days. PURPOSE FOR TAKING THIS MEDICATION, Treatment of: Blood pressure:riate. *PATIENTS DOSE: 5224 = 1248mL* WNL SAFE DOSAGE [should probably be higher], Alerts: 13:2 3 You examined the child's legs. o Pharm. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), The Methodology of the Social Sciences (Max Weber), Give Me Liberty! IV (Neonates Gestational age 32 wk, 5001500 g): 10 mg/kg followed by two doses of 5 mg/kg at 24 and 48 hr after initial dose. Pennsylvania College of Technology. Brittany Long v SIM Care Plan - DESCRIBE DISEASE PROCESS - StuDocu D5 in 1/2NS IV at 52 mL per hour, codeine elixir 8 milligrams orally every four hours (06-10-14-18-22-02) , acetaminophen Alexa are 240 mg orally every six hours (6-12-18-24), ibuprofen elixir 160 mg orally at 0900 and then q6h , Docusate sodium 100 mg orally once daily at 2000, morphine sulfate 2 mg IV one time dose. brittany vsim | Write my Essay | Assignment Help Differential Equations Syllabus F2019 Thornber-1; Dynamics HW 1-3 F2017 - Chapters 1-3; DKA system disorder Template; . before discharge. a) immunization hx Pediatric Case 07 Brittany Long Core DA rev, Brittany Long is a 5 yr-old African American female with a history of sickle cell disease. You should have identified the relative, ng the child's before providing She is asleep but is responsive when Conscious state: Appropse: Present. IV fluids with electrolyte replacement (caution with potassium replacement) Morphine 2mg IV. Neutrophils and bans are bacterial. Transcranial Doppler : Could be Use preservative-free formulation. c) Past hospitalizations and Tx V SC (Children >1 mo): Continuous infusion, postoperative pain 00 mg/kg/hr. For the latest news, offers and ideas, sign up to our newsletter. There is tenting sign of the skin. 37 C Are you considering implementing vSim for Nursing into your existing curricula? The faulty hemoglobin is called hemoglobin S (HgbS), and it replaces normal hemoglobin which is called hemoglobin A (HgbA). By recording interactions throughout the patient care scenario, the personalized feedback log is generated, customized to the user . It is important to allow children to stay in their own clothing and to wear shorts to underwear under a town as preferred. Instruct patients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver). Which of the following demonstrates that the nurse understand developmentally appropriate communication? Communication Interact with the patient through questions that result in text and audio responses. Monitor O2 saturation levels Heart rate: 128. 19 terms. Diagnosed with sickle cell disease at age 6 months. : an American History (Eric Foner), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Differential Equations Syllabus F2019 Thornber-1.