Janeya Stone ped ALL ANSWERS FALL-2021 SOLUTION 100% CORRECT GUARANTEED GRADE A+

Janeya Stone, nine-month-old infant brought to the children’s hospital by her parents as a direct admit from the pediatrician’s office. About two-weeks ago, Janeya started having periods when she was very “fussy” and inconsolable, long periods of irritability and vomiting not in response to feedings. At first Janeya’s father thought it was the “flu.” Last week the childcare provider noted an increase in irritability and vomiting, especially after being moved. The parents and childcare provider noted that Janeya was calmer, although still irritable, when left alone. When picked up or when Janeya’s position was changed, Janeya cried vigorously. Today, at the pediatrician’s office, Janeya’s symptoms continued, she is more lethargic, and her head circumference was noted to be markedly increased from her six-month-checkup. Janeya’s father described her as “floppy.” Janeya is crying tears and her mucus membranes are pink or moist. Janeya is to be admitted to the children’s hospital for a full work-up for increased intracranial pressure, potentially due to hydrocephalus. Janeya is accompanied by her two fathers on admission and they provide a health history that reflects a normal spontaneous vaginal delivery via a surrogate, no significant health issues except one otitis media at 7 months of age, and an allergy to amoxicillin (reaction included a rash, increased drooling, and irritability). You responded correctly to 4 out of 6 evaluations: Category Your response Explanation Educational Increased acuity Health Increased acuity Janeya’s fathers will need teaching about the illness and management. Janeya has experienced a health change that may require surgery and lifelong Category Your response Explanation LOC Increased acuity Janeya has sustained a change in LOC. Irritability, lethargy, and floppiness may Pain level Increased Infants express pain with non-specific responses such as irritability and fussines Psychological Needs acuity Increased acuity also indicate pain. There is no information that there are increased needs is this area. Safety Normal acuity All infants have safety risks. In addition, increased intracranial pressure puts Ja Physiological Description Your Response Explana Acute bleeding False There is no evidence of acute bleeding. Acute Pain True Janeya is demonstrating signs of acute pain with irrit movement. Chronic Pain False Janeya is not in chronic pain. By definition, chronic pa Fluid volume deficit True There is no evidence that Janeya has reduced fluids, ventricles of the brain. Despite the vomiting, Janeya Ineffective breathing pattern Ineffective Cerebral Tissue Perfusion Peripheral Neurovascular Dysfunction True There is no evidence of ineffective breathing pattern True Janeya has signs of poor cerebral perfusion secondar True There is no evidence of peripheral neurovascular dys Risk for Infection True Janeya is at risk for infection. Collected cerebrospinal places him at risk. Safety Your Description Response Explanatio Knowledge deficit True Janeya, at her developmental level, and her fathers have management. Risk for Injury True All infants are at risk for injury. Janeya’s IICP may increase Scenario 1 Janeya is admitted to the infant/toddler unit and is scheduled for an MRI later in the day. The nurse conducts Janeya’s admission health assessment and vital signs. In which order should this assessment be carried out? You correctly ordered 2 out of 5 actions: Your Correct order order Step Ex 5 1 Visually inspect Janeya’s appearance, posture, and behavior. 1 2 Auscultate heart, bowel, and Atraumatic assessments should begin begins with inspection of appearance, consciousness, and other parameters. It is best to auscultate sounds when th breath sounds and assess heart attempts to manipulate Janeya, especia and respiratory rates. 3 3 Take Janeya’s temporal artery temperature. The temporal artery thermometry is no thermometer over the client’s tempora 4 4 Measure Janeya’s head Due to her apparent pain with moveme circumference. the client’s head. The head circumferen an accurate measurement, this may ag 2 5 Take Janeya’s blood pressure using the electronic blood pressure machine. Scenario 2 Infants often find the squeeze of the bl cry and react violently from this assess Janeya’s MRI reveals significant hydrocephalus and Janeya is scheduled fo