For the case study section only: Please only provide short answers for the case study No more than 2 sentence response. Answer all the questions in all case study scenarios.
Case Study # 1
Jordan is a 9-year-old boy who is a direct admit for observation. He has had a history of vomiting and diarrhea for 48 hours.
Has a history of nausea and vomiting for 24 hours.
Has not voided today.
Is unable to tolerate oral fluids.
Vital signs: temp, 37.8º C; pulse, 120 bpm; resp, 24 breaths/min; blood pressure, 110/60 mm Hg
Weight: 34 kg
Hyperactive bowel sounds to auscultation
- When should the discharge teaching begin for Jordan and his family?
- What is the best way to approach Jordan regarding the intravenous (IV) line that has been ordered?
- What would be good distractions for a child of Jordan’s age?
Case Study #2
Susan is a 4-year-old girl with a 7-day history of fever and lethargy. Susan’s physician has ordered laboratory work that includes a blood culture.
Susan has had fever for 1 week.
Her mother has noticed a decreased activity level.
Susan states she is “afraid” of needles.
Weight: 26.1 kg
Vital signs: temp, 39.3º C; pulse, 110 bpm; resp, 40 breaths/min; blood pressure, 108/54 mm Hg; oxygen saturation (O2 sat) 100%
No abnormal findings on physical examination
- When should Susan’s nurse explain the procedure to her?
- To give Susan some control over this situation, what choices could be given to her?
- What actions should the nurse take in this clinical situation? Prioritize the actions.
Discussion Topic: What is the Perez reflex? Why is it important to know how to elicit it? Discuss the use of the Perez reflex in collecting urine specimens from infants.
- Post the initial response to each discussion by Wednesday11:59 pm, EST. A zero will be given for late submissions.
- Initial responses should be no less than 200 words and include citations from at least two credible sources, One being your textbook. ( Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2018). Maternal Child Nursing Care (6th ed.). St. Louis, Missouri: Elsevier.)
- Initial responses are to be original in content and demonstrate a thorough analysis of the topic