Older Adult 35.9-36 60-100 15-25 Systolic: < there are Superior Essays. Medical malpractice claims may be asserted against any healthcare practitioner, including nurses. Look for a Mllerian anomaly as well. It is important oxygen is increased. I always say I "grew up" as a nurse in pediatric oncology. Which patient (Charlie of Cindy) would you be most concerned about and why? scheduled for an emergency bronchoscopy. family to add some extra support. made to admit JV to an inpatient unit with the diagnosis of bronchiolitis. Patient A is 20 months of age and refuses to be restrained in a car seat. This is an emergency situation. What's the diagnosis? sick? A 14-year-old previously healthy white boy transferred to our institution for treatment of hepatic failure and hypotension. factors have caused one to be sicker than the other? A hypertonic saline nebulizer treatment SETTING: Emergency room -Check skin turgor on the abdomen (should not stay tended up should return to normal Case Study 5. Common symptoms of type A infection but can be confused with other conditions. Congenital hypopigmented macules on a healthy child. GENDER: M First, the nurse should prepare the medication out of the childs sight as not to palpable shaped)(normal close at 2 months, triangle, Nasal mucosa and throat are both red (red) Nasal mucosa and throat are both red (red) A 2-Year-Old With Intracranial Hemorrhage, Six-Week-Old Female With Bulging Anterior Fontanel, A 6-Year-Old Girl With Fever and Abdominal Pain, Respiratory Failure in a 22-Month-Old Boy, Unusual Physical Finding in 2 Vietnamese Girls, Case #10 - Respiratory Failure in a 7-Month-Old Black Female, Infant With Intestines Outside of Abdominal Wall, A 13-Year-Old With Facial Rash, Fever, and Recurrent Infections, A 7-Year-Old Girl With Fever, Vomiting, and Abdominal Pain, Case #5 -- A 4-Year-Old Boy With an Abdominal Mass, Interactive Case #4 - A Child With Painless Wounds, Case #3 - Acute Respiratory Distress in a 3-Year-Old at Daycare, Acute Illness in a Patient With a Chronic Cough Since Birth. Listed below are real case studies of clients we have assisted to overcome their issues, concerns or learning difficulties. He responded to the nebulized hypertonic Following the bronchoscopy, the nurse should prioritize doing a focused heart because he is in distress. they let yo do an invasive procedure without resisting) would also educate them to keep small objects and balloons out of the childs -If lethargic, not crying, decreased cap refill abnormal could be an emergency epinephrine nebulizer treatment is given instead, with limited improvement of his condition. A previously healthy 11-year-old white boy presents to the emergency department with a 3-day history of nausea, anorexia, weakness, abdominal pain, and an episode of vomiting. 1. 2009;124:1694-1701. Based on the examination findings, the PNP orders oxygen 2 L per nasal cannula to treat the desaturation, placement of a peripheral develops an increased oxygen requirement and is transitioned to face mask oxygen at a fraction of inspired oxygen of 0.35. worsening symptoms. Students demonstrate skills using Sim-baby. Following each question, please write your answers down before clicking the answer button. You are asked to evaluate a healthy 1.5-day-old girl who has a congenital red patch with coarse telangiectasias and a surrounding ring of pallor on the right shoulder. Read the details and test your diagnostic acumen. A 6-month-old male with solitary mastocytoma. although his grandparents speak only Chinese. in infants with bronchiolitis. appearance, work of breathing, circulation of skin). The nurses assessment -history of asthma (higher rates of asthma in boys), Cindy is less sick Nursing Health Assessment: The Foundation of Clinical his supportive therapies and was transitioned to a standard nasal cannula on PICU day 4. department? programming on medscape.org. As the nurse prepares Gina for her examination, Kris asks to speak to the nurse outside the examination room. The case reviewed in this article focuses on viral meningitis in a pediatric patient that may be unrecognized or underreported because of indistinct symptoms. equipment, Cindy - 4 months old (this applies for Neonates (first month) to infants (first 12 months) threatening. be to delegate to a CNA to call pastoral care and have them consult with the Your saved activities will show here so that you can easily access them whenever you're ready. 1. There were 41 students in the control group and 40 in the experimental group. nursing assistant reports that Sok Wu weighs 16 kg (36 lb). Case Studies Case studies can be used as a replacement for clinical activities or as an exercise to improve the nursing student's ability to think critically. corticosteroids on wheeze in infants after respiratory syncytial virus infection: randomised double blind placebo controlled A 17-year-old girl presents with a 2-year history of unilateral swelling of the left lower extremity as well as a poorly healed ankle sprain of the affected extremity 3 years prior that slowly resolved but left persistent swelling. NAPNAP Disclaimer Institution: La Salle University The patient has a GCS of 11/15. Skills: Gives report for a patient using SBAR technique. Pediatric Case Study - Charlie and Cindy (with answers) - Pediatric Case Study Charlie is a 5- year - Studocu pediatrics case study for practice (answers included) pediatric case study charlie is year indigenous boy and cindy is old indigenous girl who are siblings and Skip to document Ask an Expert Sign inRegister Sign inRegister Home The nurse should also remain calm and Cultural and Family Assessment From stress management in nurses to practical technics and strategies applicable to adult and child care, knowledge of critical care nursing (CCN) is essential. interventions. -Ask parent if they have given any medicine (including complementary and or herbal The health care provider prescribes the following for Sok Wu: Following the successful bronchoscopy, what assessments should the nurse perform Drug Administration and off-label uses of approved products. no benefit, although some of the trials included in this analysis demonstrated an improvement in clinical severity scores. nares are blocked) friends there. A systematic review found that clinical severity scores were improved with the use of heliox The night before her symptoms started, she hit her chest on a door after a "fainting" episode. distress, bradycardia (later sign of hypoxia) order is to give the medication via IV push, the nurse should push this medication Case #5 -- A 4-Year-Old Boy With an Abdominal Mass Test your diagnostic skills with our series of Pediatric Interactive Cases. The entire house was engulfed in flames when the fire department arrived on scene. Discuss possible nursing diagnoses for the dehydrated child. Colic is commonly described as a behavioral syndrome in neonates and infants that is characterized by excessive, paroxysmal crying. "JV" is a previously healthy, 4-month-old boy who presented to the pediatric nurse practitioner (PNP) at the emergency department (ED) with rhinorrhea and tachypnea for the past 4 days. distress if the Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are s, and live in Northern Ontario on a remote Reserve. After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse remain elevated. Demonstrate evidence-based safe care for the pediatric patient receiving IV therapy and medications. His arterial carbon dioxide level was 54 mm Hg. this case? She had firmness and pain to the affected area, fussiness, increased sleeping, and poor feeding, preferring the bottle to breastfeeding. A 6-year-old boy presented to his pediatrician with clear drainage from his left eye for 1 to 2 days. View abbreviations used in this activity. length of stay. Sok Wu, nicknamed Scotty by his Patient with Medical Diagnosis Upper Respiratory Infection and Bilateral. Step 2: Un-gatch the knees to reduce intrathoracic pressure Step 3: Looks like she might be fighting the ventincrease sedation and pain medication Step 4: Check EVDmake sure there are no kinks in the tubing. ear infection Introduction Malabsorption and pediatric gastrointestinal morbidities are serious conditions that can negatively affect a child's quality of life. A fever that developed during the night prompted his mother to bring him to the ED. What's the diagnosis? The lesions were persistent but not symptomatic. his preschool class to attend as well as one of his sisters friends and his brothers best Anecdotal reports noted by students indicate that they enjoyed the first version of the Pediatric Simulation and Unfolding Case Study. He has a 6-year-old sister and an While sitting at a stoplight, their car is hit head-on by a car being pursued by . Lesson Transcript. He usually prescription and visit your doctor immediately. Gray Gorrila Syndrome. Charlie and Cindy have both been brought into, the local community clinic by their mother, usually not until age of 3 with healthy check ups, P=168 (Apical) *radial pulse is hard to palpate, Nasal flaring with suprasternal and intercostal, Chest has audible coarse wheezes throughout, Chest has decreased air entry to the bases, Unable to palpate anterior or posterior fontanelles, The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. I had daily exposure to the heroes and angels living among us. : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), pediatrics case study for practice (answers included), Covid Nasal Swab Collection (updated August 2020), NRSG78 - Week 10 Simulation Prep and Plan, NRSG78 - Week 12 Simulation Prep and Plan, Recalculating IV Flow Rates Practice Questions, Language Arts Instruction and Intervention (C365), History Greek & Roman Civilization (hist 1421), Anatomy & Physiology I With Lab (BIOS-251), Organizational Theory and Behavior (BUS5113), Management of Adult Health II (NURSE362), Microsoft Azure Architect Technologies (AZ-303), Leadership And Management For Nursing (NSG 403), 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), Summary Reimagining Global Health - Chapter 5 & 6, ECO 201 - Chapter 2 Thinking like an economist part 2, Ch. 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