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Pediatric Case 4: Sabina Vasquez (Complex)
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Pediatric Case 2 – Sabina Vasquez Guided Reflection – Chegg
Opening questions 1. I felt positive and confent about the case. I was able to able assess the client’s need and understand the clinical manifestation of …
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Date Published: 10/13/2022
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Sabina Vasquez | PDF | Asthma | Patient – Scribd
From vSim for Nursing | Pediatric. © Wolters Kluwer Health. Pediatric Case 3. Sabina Vasquez (Core) Gued Reflection Questions. PCC Describe age-appropriate …
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Pediatric Case 4 Sabina Vasquez (Complex) Guided … – Stuvia
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Critical Nursing Diagnoses Sabina Vasquez Pediatric Case …
Pediatric Case 4: Sabina Vasquez (Complex) Gued Reflection Questions … Find more information at: http://qsen.org/ From vSim for Nursing | Pediatric.
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NUR 307: VSim Sabina Vasquez Pre/Post test – Quizlet
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Pediatric Case 4 Sabina Vasquez (Complex) Guided Reflection Questions
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Critical Nursing Diagnoses Sabina Vasquez Pediatric Case Study 4
Pediatric Case 4: Sabina Vasquez (Complex) Documentation Assignments 1. Document your initial focused assessment of Sabina Vasquez. 2. Identify and document key nursing diagnoses for Sabina Vasquez. 3. Referring to your feedback log, document the nursing care you provided and Sabina Vasquez’s response. 4. Document the patient teaching that you would provide for Sabina Vasquez and her family before discharge. From vSim for Nursing | Pediatric. © Wolters Kluwer Health. Pediatric Case 4: Sabina Vasquez (Complex) Guided Reflection Questions Opening Questions How did the simulated experience of Sabina Vasquez’s case make you feel? Describe the actions you felt went well in this scenario. Scenario Analysis Questions* EBP List in order of priority your initial nursing actions for Sabina Vasquez based on physical findings and family interaction. EBP What complications might Sabina Vasquez face if her symptoms are not recognized and if care is not initiated in a timely manner? PCC What actions should be taken to ensure the delivery of appropriate information to Sabina Vasquez’s mother? PCC Recognizing the acuity of the situation, how would you include Sabina Vasquez and her mother in the decision-making process? S/QI Reflect on ways to improve safety and quality of care based on your experience with Sabina Vasquez’s case. T&C/I What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format. QI As you begin to think about discharge planning for Sabina Vasquez and her family, what teaching needs to be provided? * The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/ From vSim for Nursing | Pediatric. © Wolters Kluwer Health. Pediatric Case 4 Sabina Vasquez (Complex) Guided Reflection Questions Concluding Questions Reflecting on Sabina Vasquez’s case, were there any actions you would do differently? If so, what were these actions, and why would you do them differently? Describe how you would apply the knowledge and skills obtained in Sabina Vasquez’s case to an actual patient care situation. From vSim for Nursing | Pediatric. © Wolters Kluwer Health. Date of Completion Feedback Log 0:00 You arrived at the child. 0:00 You introduced yourself. 0:07 You washed your hands. To maintain patient safety it is important to wash your hands as soon as you enter the room. 0:10 Child status – ECG: Sinus tachycardia. Heart rate: 145. Pulse: Present. Blood pressure: 120/80 mmHg. Respiration: 25. Conscious state: Appropriate. SpO2: 94%. Temp: 39.2 C # ! 0:49 You identified the child. To maintain patient safety it is important that you quickly identify the child. # ! 0:59 You identified the relatives. This is important, as the patient is below 18 years of age. 1:10 Child status – ECG: Sinus tachycardia. Heart rate: 146. Pulse: Present. Blood pressure: 123/82 mmHg. Respiration: 26. Conscious state: Appropriate. SpO2: 93%. Temp: 39.2 C # ! 1:12 You asked the parent: Does she have any known allergies? The parent replied: ‘No. I don’t think so.’ # ! 1:19 You offered the child a toy. This is reasonable. # ! 1:35 You looked for normal breathing. She is breathing at 27 breaths per minute. There are a few audible wheezes. The chest is moving equally. # ! 2:05 You attached the pulse oximeter.<> This was indicated by order. 2:10 Child status – ECG: Sinus tachycardia. Heart rate: 146. Pulse: Present. Blood pressure: 122/82 mmHg. Respiration: 27. Conscious state: Appropriate. SpO2: 93%. Temp: 39.1 C 2:35 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. This will allow you to reassess the child continuously. 3:04 You measured the temperature<> in the ear. The temperature was 39.1 C. 3:10 Child status – ECG: Sinus tachycardia. Heart rate: 146. Pulse: Present. Blood pressure: 124/83 mmHg. Respiration: 28. Conscious state: Appropriate. SpO2: 92%. Temp: 39.1 C 4:10 Child status – ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 126/84 mmHg. Respiration: 29. Conscious state: Appropriate. SpO2: 92%. Temp: 39.1 C 4:46 You measured the peak flow.<> The peak flow<> was 50 L/min. It is a good choice to measure the peak flow<> here. 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. This was indicated and the correct response to the child’s condition. 5:10 Child status – ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 125/84 mmHg. Respiration: 29. Conscious state: Appropriate. SpO2: 92%. Temp: 39.1 C # ! 5:16 You assessed the child’s IV. The site had no redness, swelling, infiltration, bleeding, or drainage. The dressing was dry and intact. This is correct. Assessing any IVs the child has is always important. ” ! 5:30 You placed a 2.5-mg dose of albuterol in a nebulizer. According to standing orders, you administered the drug too soon. It is important to use the basic rights of medication administration to ensure proper drug therapy. 6:10 Child status – ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 125/84 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 93%. Temp: 39.1 C # ! 6:21 You started a piggyback infusion of 475 mg of cefuroxime IV. It is correct to give this to a patient with pneumonia. # ! 6:43 A 190-mg dose of azithromycin was given orally. It is correct to give this to a patient with pneumonia. 7:10 Child status – ECG: Sinus tachycardia. Heart rate: 150. Pulse: Present. Blood pressure: 121/81 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 94%. Temp: 39.1 C 7:15 You measured the temperature<> in the ear. The temperature was 39.1 C. 7:53 A 240-mg dose of acetaminophen was given orally. This was reasonable. 8:10 Child status – ECG: Sinus tachycardia. Heart rate: 149. Pulse: Present. Blood pressure: 119/79 mmHg. Respiration: 29. Conscious state: Appropriate. SpO2: 95%. Temp: 39.1 C 8:11 You measured the temperature<> in the ear. The temperature was 39.1 C. Jun 21, 2020 7:42 PM # ! Sabina Vasquez Age: 5 years Diagnosis: Asthma and pneumonia Score 5 1 0 !” ” !! ” “! ! “” ! “! ! “! ” 80% # ! # ! # ! “! ! ” You should auscultate the lungs as part of a focused respiratory assessment. ” ! # ! You should have assessed the pain level using the FACES scale. 8:26 You phoned the provider in order to discuss the patient. 9:10 Child status – ECG: Sinus tachycardia. Heart rate: 148. Pulse: Present. Blood pressure: 120/80 mmHg. Respiration: 29. Conscious state: Appropriate. SpO2: 95%. Temp: 39.1 C ” ! 9:45 You stopped the nebulized albuterol. This was too early. The child still had bronchospasms. # ! 9:47 You gave the child 100% oxygen from a nonrebreathing mask. This was part of your orders. # ! 9:50 You placed an oxygen mask on the child. This was part of your orders. # ! 9:54 You placed a nasal oxygen cannula.<> This was part of your orders. # ! 10:09 You placed a 2.5-mg dose of albuterol in a nebulizer. This is part of the correct treatment of asthma. ” ! Consider providing patient education whenever possible. ” ! Consider providing education to relatives whenever possible. # ! 10:10 Child status – ECG: Sinus tachycardia. Heart rate: 146. Pulse: Present. Blood pressure: 119/79 mmHg. Respiration: 28. Conscious state: Appropriate. SpO2: 96%. Temp: 39.1 C 10:13 A patient handoff was performed. Pneumonia in children 5 years and older is most commonly due to Mycoplasma pneumoniae, Chlamydia pneumoniae, or Streptococcus pneumoniae; therefore, treatment would include a macrolide and cephalosporin. Viral upper respiratory infections and bacteria can increase airway responsiveness and inflammation in children with asthma.[newline][newline]When working with a real patient, students should understand that interpretation services or additional explanations may be necessary. All patients should have an asthma action plan for optimal treatment and to avoid asthma triggers. You got 80% Pediatric Case 3: Sabina Vasquez (Core) Documentation Assignments 1. Document your initial focused assessment of Sabina Vasquez. 2. Identify and document key nursing diagnoses for Sabina Vasquez. 3. Referring to your feedback log, document the nursing care you provided and Sabina Vasquez’s response. 4. Document the patient teaching that you would provide for Sabina Vasquez and her family before discharge. From vSim for Nursing | Pediatric. © Wolters Kluwer Health. Pediatric Case 3: Sabina Vasquez (Core) Guided Reflection Questions Opening Questions How did the simulated experience of Sabina Vasquez’s case make you feel? Describe the actions you felt went well in this scenario. Scenario Analysis Questions* EBP What priority problem did you identify for Sabina Vasquez? EBP What complications might Sabina Vasquez face if her symptoms are not recognized and treated in a timely manner? PCC Describe the barriers that Sabina Vasquez and her family may encounter that would hinder active participation in Sabina’s care. PCC What should be done to overcome the language barrier between the health care team and Sabina’s mother? PCC Describe age-appropriate strategies to empower Sabina Vasquez and her mother in all aspects of the health care process. PCC What is your attitude toward Sabina Vasquez’s cultural background? How might your attitude affect the care you provide to Sabina and her family? PCC What teaching needs to be given to Sabina Vasquez and her mother on the management of her asthma? PCC Identify the possible triggers of Sabina Vasquez’s asthma exacerbation and assist the family in developing a plan of action to mitigate these triggers. S/QI Reflect on ways to improve safety and quality of care based on your experience with Sabina Vasquez’s case. T&C What role does Sabina Vasquez’s mother have as a member of her health care team? (Explain your answer.) * The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/ From vSim for Nursing | Pediatric. © Wolters Kluwer Health. Pediatric Case 3 Sabina Vasquez (Core) Guided Reflection Questions T&C/I What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format. I Describe the importance of using an approved, trained interpreter rather than a family member or ancillary staff member for data collection and teaching in Sabina Vasquez’s case. Concluding Questions Reflecting on Sabina Vasquez’s case, were there any actions you would do differently? If so, what were these actions, and why would you do them differently? Describe how you would apply the knowledge and skills you obtained in Sabina Vasquez’s case to an actual patient care situation. From vSim for Nursing | Pediatric. © Wolters Kluwer Health.
NUR 307: VSim Sabina Vasquez Pre/Post test Flashcards
1) after you take your medicine, would you like a puppy sticker or a heart sticker?
2) Which do you want to take first: the pink medicine or the yellow medicine?
3) Do you want to drink water or apple juice with your medicine?
4) Who do you want to squirt the medicine in your mouth, you or me
Vsim for nursing answers
Pediatric Case 4: Sabina Vasquez (Complex) Documentation Assignments 1. Document your initial focused assessment of Sabina Vasquez. 2. Identify and document key nursing diagnoses for Sabina Vasquez. 3. Referring to your feedback log, document the nursing care you provided and Sabina Vasquez’s response. 4. Document the patient teaching that you would provide for Sabina Vasquez and her family before discharge. From vSim for Nursing | Pediatric. © Wolters Kluwer Health. Pediatric Case 4: Sabina Vasquez (Complex) Guided Reflection Questions Opening Questions How did the simulated experience of Sabina Vasquez’s case make you feel? Describe the actions you felt went well in this scenario. Scenario Analysis Questions* EBP List in order of priority your initial nursing actions for Sabina Vasquez based on physical findings and family …
Pediatric Case 4: Sabina Vasquez (Complex) Documentation Assignments 1. Document your initial focused assessment of Sabina Vasquez. 2. Identify and document key nursing diagnoses for Sabina Vasquez. 3. Referring to your feedback log, document the nursing care you provided and Sabina Vasquez’s response. 4. Document the patient teaching that you would provide for Sabina Vasquez and her family before discharge. From vSim for Nursing | Pediatric. © Wolters Kluwer Health. Pediatric Case 4: Sabina Vasquez (Complex) Guided Reflection Questions Opening Questions How did the simulated experience of Sabina Vasquez’s case make you feel? Describe the actions you felt went well in this scenario. Scenario Analysis Questions* EBP List in order of priority your initial nursing actions for Sabina Vasquez based on physical findings and family interaction. EBP What complications might Sabina Vasquez face if her symptoms are not recognized and if care is not initiated in a timely manner? PCC What actions should be taken to ensure the delivery of appropriate information to Sabina Vasquez’s mother? PCC Recognizing the acuity of the situation, how would you include Sabina Vasquez and her mother in the decision-making process? S/QI Reflect on ways to improve safety and quality of care based on your experience with Sabina Vasquez’s case. T&C/I What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format. QI As you begin to think about discharge planning for Sabina Vasquez and her family, what teaching needs to be provided? * The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/ From vSim for Nursing | Pediatric. © Wolters Kluwer Health. Pediatric Case 4 Sabina Vasquez (Complex) Guided Reflection Questions Concluding Questions Reflecting on Sabina Vasquez’s case, were there any actions you would do differently? If so, what were these actions, and why would you do them differently? Describe how you would apply the knowledge and skills obtained in Sabina Vasquez’s case to an actual patient care situation. From vSim for Nursing | Pediatric. © Wolters Kluwer Health. Date of Completion Feedback Log 0:00 You arrived at the child. 0:00 You introduced yourself. 0:07 You washed your hands. To maintain patient safety it is important to wash your hands as soon as you enter the room. 0:10 Child status – ECG: Sinus tachycardia. Heart rate: 145. Pulse: Present. Blood pressure: 120/80 mmHg. Respiration: 25. Conscious state: Appropriate. SpO2: 94%. Temp: 39.2 C # ! 0:49 You identified the child. To maintain patient safety it is important that you quickly identify the child. # ! 0:59 You identified the relatives. This is important, as the patient is below 18 years of age. 1:10 Child status – ECG: Sinus tachycardia. Heart rate: 146. Pulse: Present. Blood pressure: 123/82 mmHg. Respiration: 26. Conscious state: Appropriate. SpO2: 93%. Temp: 39.2 C # ! 1:12 You asked the parent: Does she have any known allergies? The parent replied: ‘No. I don’t think so.’ # ! 1:19 You offered the child a toy. This is reasonable. # ! 1:35 You looked for normal breathing. She is breathing at 27 breaths per minute. There are a few audible wheezes. The chest is moving equally. # ! 2:05 You attached the pulse oximeter.<> This was indicated by order. 2:10 Child status – ECG: Sinus tachycardia. Heart rate: 146.
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