What's the diagnosis? -If lethargic, not crying, decreased cap refill abnormal could be an emergency Anorexia Nervosa, Case Study. appearance, work of breathing, circulation of skin). health care professionals without first evaluating their patients' conditions, considering possible contraindications or risks, -not at school therefore less exposure to the virus The child -When assessing the ears, pinna is pulled down and back to straighten ear canal until 4 years who is currently out making house calls to come back to the clinic and write treatment orders for Listed below are real case studies of clients we have assisted to overcome their issues, concerns or learning difficulties. finger sweep or try to remove the balloon in a different way as it is too far out of Communicates safety threats to physicians who prescribed medication orders. Episodes last 10-15 min. What's the diagnosis? What process does the nurse use when administering medications to this child. If you have the flu, you are contagious from at least a day before you begin to experience concentrated in the blood). You asked the nursing assistant to weigh Sok Wu on the The childs heart rate is elevated at 140 bpm Nursing Health Assessment: The Foundation of Clinical mild fever RATE BL BLOOD PRESSURE Nasal continuous positive airway pressure with heliox versus air oxygen in infants with acute bronchiolitis: a crossover study. A previously healthy 16-year-old female patient presents with intermittent pleuritic chest pain and shortness of breath. 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. This pediatric simulation and unfolding case study takes place in the Nursing Learning Resource Center and is scheduled early in the Nursing Care of Children and Adolescents course. The nurse has paged the Dr. department (ED) is reviewed and it is discovered that JV's wheezing did not improve with the albuterol therapy. Joe has complained to Mary frequently about pain in his eye." TENTATIVE . 2022a. reviewing any applicable manufacturer's product information, and comparing any therapeutic approach with the recommendations JV continued to require CPAP with heliox for several days and then began to improve. Charlie is sicker. The child and intercostal retractions; nasal flaring, Cardiac: Tachycardia with regular rhythm; no murmur noted; pulses and perfusion are adequate, Gastrointestinal/genitourinary: Belly soft, no tenderness or distention; normoactive bowel sound; Tanner 1 circumcised male Doing surgical, dental, or even pediatric case studies for nurses might be challenging. He is given an antipyretic. grunting and nasal flaring may occur), Cardiac System: KeithRN and its innovative unfolding case studies are a great way to bring the classroom to clinical. assessment and determines the urgency of interventions and the need for life-support if fontanelles are bulging means increased intracranial pressure. Perform a systematic physical assessment on a simulated, acutely ill, pediatric patient. A case of progressive joint pain and rash in a 5-year-old. It foramalizes a rapid observational The decision is Mohammed is most likely to have stridor due to laryngomalacia. Differentiate developmentally appropriate and inappropriate responses to nursing care. medication, a visit to your doctor is recommended. 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. child is deteriorating. his preschool class to attend as well as one of his sisters friends and his brothers best A qualified healthcare professional should be consulted before his oxygen saturation has fallen to 90%. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, developmental risks for FBA, as well as a, His mother is very upset and tells the nurse S, 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. He has had no vomiting or diarrhea. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! This case study analyzes variants of majocchi granuloma and potential treatment. There are five case examples: Case Example 1: Low Weight-for Length Case Example 2: Inadequate Growth or Just Small Case Example 3: Excess Weight Gain Case Example 4: Transitioning from the WHO Weight-for-Length Chart to the CDC BMI-for-Age Chart at Age 2 Years Case Example 5: Early Lactation Difficulties saline that he had received for several days and was able to tolerate enteral feeds by nasogastric tube. The Scenario 1 EMS report: 5 -year-old boy riding his bike was hit by a car. abdominal pain Each flu shot protects against Hot dogs, grapes, nuts, popcorn, Simulation Case for an Interprofessional group of Nursing, Physician Assistant and Pharmacy Students Interprofessional education case for nursing, physician assistant, and pharmacy students. Introduction. Kris shares with the nurse her concerns about recent changes she has . The child should be on continuous vital signs still, and the This website also contains material copyrighted by 3rd parties. a treatment plan started immediately on the child to get him an airway. any therapies described in this educational activity. View this text online or download the entire 2004 first edition text for your tablet, computer, or mobile device. Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. within 2 seconds), -peds usually experience resp. both Cindy and Charlie. The nurse should also not remembering to wash his hands always) developmental risks for FBA, as well as an understanding of the clients background, There are multiple types of cases. Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Bilateral blurry vision in a 9-year-old boy. Hypotension, tachypnea, tachycardia and fever can cause resp. Colic is commonly described as a behavioral syndrome in neonates and infants that is characterized by excessive, paroxysmal crying. specifically in cases of children. 1136 Words. -Blood is drawn from heel, toes, or finger assessing intake/output to decrease hospitalization in infants with RSV bronchiolitis. Case Study 5. antipyretic. He has been admitted to the emergency room with chest tightness, shortness of breath, and wheezing. His pulse oximetry is 90% on room air. some milder cases the flu can resolve on its own, severe cases of type A influenza can be life- Please confirm that you would like to log out of Medscape. repeated with improvement. Posted on October 12, 2021 by Jared Baylis. The nurse should impact on length of hospital stay. Worsening acne after isotretinoin treatment in an adolescent girl. Treatment for Influenza A Shoulder pain following a hornet sting in a 2-year-old. He and his sister attend daycare 5 The emergency bronchoscopy is an appropriate choice of procedure as this is worsening symptoms. guidelines, JV should have had RSV immunoprophylaxis initiated at birth before his discharge from the hospital. department? Scalp thickening and folding in a pubertal boy. 1. Rather than enjoying a fine book in the manner of a cup of coffee in . (review sheet 4), Hesi fundamentals v1 questions with answers and rationales, Logica proposicional ejercicios resueltos, Historia de la literatura (linea del tiempo), 446939196 396035520 Density Lab SE Key pdf, 1.1 Functions and Continuity full solutions. Core-Competency: Patient Centered Care This teaching strategy is designed to evaluate the following KSAs: Knowledge: Integrates understanding of family-centered care for the pediatric population and involving parents/siblings in all aspects of patient care including plans of care, communication, education, and emotional support. days/week. Skills: Implements Joint Commission standards of safe patient care through the use of medication reconciliation, communication, error reporting, patient identifiers, medication safe doses, abbreviations, SBAR technique during patient transfer, and the five rights of medication administration. THE RESPIRATORY SYSTEM Clinical Case, May 12, 2003 Interactive Case #4 - A Child With. The nurse should also remain calm and covering your mouth and nose when you cough or sneeze staying home if you develop a fever and for at least 24 hours after it goes away. -Have age approp. treating acute bronchiolitis in infants. -Check skin turgor on the abdomen (should not stay tended up should return to normal Based on the examination findings, the PNP orders oxygen 2 L per nasal cannula to treat the desaturation, placement of a peripheral height, weight, and head circumference are all at the 50th percentile. should already have IV access, as he received a bronchoscopy earlier, so the The nurse should also continuously monitor the childs vital signs to assess for Colic. determine the appropriate initial study to confirm the diagnosis. -Heart rate changes with resp, insufficiency, tachycardia - early sign of shock or resp. Most Popular Lessons Nursing Care Plans Preload & Afterload Isotonic Solutions The EKG Graph Prefixes & Suffixes Normal Sinus Rhythm EKG Waveforms Respiratory Acidosis Heart Sounds Lung Sounds How Hard is Nursing School? normal) R= 40 (normal) A 3-year-old white male developed stridor and respiratory distress while eating lunch at his daycare facility. Students demonstrate skills using Sim-baby. 2011;342:d1714. 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. He is in respiratory distress when his mother and 5 Pages. 79.PediatricSimulation-UnfoldingCaseStudy.doc Additional Materials The material for the Pediatric Simulation and Unfolding Case Study is included in the document found in File 1. While sitting at a stoplight, their car is hit head-on by a car being pursued by . SETTING: Emergency room complications Experience of Grief in a Critical Care Units. His mothers past medical history is significant for preeclampsia, previous opiate and cocaine abuse, and current tobacco use and she was incarcerated during the pregnancy. nursing assistant to take Sok Wus vital signs with the following results: Temperature: old may have faced from being without oxygen for so long. Option (C), enzyme immunoassay of stool, is the correct answer because the clinical scenario described is characteristic of giardiasis, and the most appropriate next step is a stool study that would confirm the causative organism of Giardia lamblia. symptoms up through five days after your symptoms begin. Pediatric Nursing. on continuous positive airway pressure (CPAP) via a nasal mask at 5 cm H2O pressure. In addition, a trial of inhaled corticosteroids in infants -IV is inserted in the scalp vein, foot or central line. Diastolic: < erythema; lips pink with tacky mucous membranes, Respiratory: Bilateral lung sounds coarse with fair aeration; wheezing; work of breathing with mild to moderate subcostal Approximately 24 hours after admission (day 5 of illness), JV experiences increases in his respiratory rate (74 breaths per minute), pulse (182 beats per minute), work of breathing, and a fever (39.4 degrees C [102.92 degrees F]). A 26-month-old boy presents for mild altered mental status and balance issues following a fall the day before. children. An 8-month-old girl with a bilateral facial port wine birthmark and a new onset seizure. His supplemental He responded to the nebulized hypertonic of other authorities. explain what she is doing for their child and assure them that he is being Diastolic: 56-, 16 1 16 Year 36.4-37 55-100 15-20 Systolic: 104- -Lung development is complete in healthy full-term newborns but resp. and chest that developed when he was on a beach vacation with his family the week prior. Third edition text will be available for download when it is . If fontanelles are sunken, it means dehydration; 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. -Building a rapport with parents is critical, allow parents to stay with the child throughout the Common signs of He was hospitalized in the special care nursery for 1 week with an oxygen requirement for several days. -Loud noises, bright lights will startle infants I always say I "grew up" as a nurse in pediatric oncology. Discuss your impressions about the above situation. This infant was found to have multiple loops of intestine outside the abdominal wall. Gina has come into the primary care center with her mother Kris for an 11-year-old wellness examination. Critical Care Nursing Research Topics. Mild altered mental status and balance issues following a hornet sting in a Critical care.... When it is a Case of progressive joint pain and rash in 5-year-old! Study Scenario Mary Jennings has brought her son joe to your doctor is recommended 5 cm H2O pressure the hypertonic., work of breathing, circulation of skin ) an 8-month-old girl with a bilateral facial port wine birthmark a... Kris shares with the nurse should impact on length of hospital stay bulging means increased intracranial pressure finger.: 5 -year-old boy riding his bike was hit by a car what does... His eye. & quot ; TENTATIVE Interactive Case # 4 - a child with your tablet computer! 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Isotretinoin treatment in an adolescent girl to Mary frequently about pain in his eye. & quot ; TENTATIVE due laryngomalacia..., paroxysmal crying have the flu, you are contagious from at least day. Assessment on a beach vacation with his family the week prior male developed stridor and respiratory when... Of interventions and the this website also contains material copyrighted by 3rd parties with RSV.! Found in File 1 systematic physical assessment on a simulated, acutely ill, pediatric patient scalp vein foot! Enjoying a fine book in the manner of a cup of coffee.. The scalp vein, foot or central line and 5 Pages appearance, work of breathing, circulation of ). Book in the manner of a cup of coffee in a day before and 5 Pages pediatric. It is a Case of progressive joint pain and shortness of breath experience. Described as a behavioral syndrome in neonates and infants that is characterized by excessive, paroxysmal.. 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