Exam (elaborations) NURS 267 Med-Surg Eva Madison Feedback Log & Score

Exam (elaborations) NURS 267 Med-Surg Eva Madison Feedback Log & Score You arrived at the child. 0:00 You introduced yourself. 0:10 Child status - ECG: Sinus tachycardia. Heart rate: 189. Pulse: Present. Blood pressure: 80/64 mmHg. Respiration: 29. Conscious state: Appropriate. SpO2: 97%. Temp: 37.3 C 0:13 You washed your hands. To maintain patient safety it is important to wash your hands as soon as you enter the room. 1:10 Child status - ECG: Sinus tachycardia. Heart rate: 188. Pulse: Present. Blood pressure: 81/65 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 97%. Temp: 37.3 C 1:27 You identified the child. To maintain patient safety it is important that you quickly identify the child. 1:36 You identified the relatives. This is important, as the patient is below 18 years of age. 1:47 You asked the parent: Does she have any known allergies? The parent replied: 'No. I don't think so.' 2:00 You offered the child a toy. This is reasonable. 2:10 Child status - ECG: Sinus tachycardia. Heart rate: 187. Pulse: Present. Blood pressure: 80/64 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 96%. Temp: 37.2 C 2:13 You sat the child up. 2:30 You assessed the pain level using the FACES scale. The child answered 2 on the FACES pain scale with a range of 0 to 5. 2:43 You asked the child if anything made the pain better. (In pain) She replied: 'No, nothing really makes me better.' 2:56 You asked the child: Where does it hurt? (In pain) She replied: 'In my tummy.'        This study source was downloaded by from CourseH on :43:30 GMT -05:00 This study resource was shared via CourseH 4/23/2020 Feedback Log & Score — Eva Madison Apr 22, 2020 2:34 PM 3:05 You asked the child if she needed anything for the pain. (In pain) She replied: 'Yes. That would be great.' 3:10 Child status - ECG: Sinus tachycardia. Heart rate: 187. Pulse: Present. Blood pressure: 82/65 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 96%. Temp: 37.2 C 3:17 You provided patient education. This is correct. It is important to use every opportunity to provide patient education. 3:26 You provided education to the relative regarding the child's condition. This is correct. It is important to use every opportunity to provide education. 3:53 You examined the child's skin. There is tenting sign of the skin. Her skin is quite cold. 4:10 Child status - ECG: Sinus tachycardia. Heart rate: 186. Pulse: Present. Blood pressure: 82/65 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 96%. Temp: 37.2 C 4:22 You assessed the mucous membranes. This was reasonable. 4:47 You listened to the lungs of the child. The breath sounds are clear and equal bilaterally. In the clinical situation you should auscultate the lungs both anteriorly and posteriorly. 5:09 You listened to the heart of the child. There were regular heart sounds without murmurs. 5:10 Child status - ECG: Sinus tachycardia. Heart rate: 186. Pulse: Present. Blood pressure: 80/64 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 95%. Temp: 37.2 C 5:30 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. This will allow you to reassess the child continuously. 5:47 You attached the Pulseoximeterpulse oximeter. This was indicated by order. 6:01 You measured the Temperaturetemperature in the ear. The temperature was 37.2 C. 6:10 You looked for normal breathing. She is breathing at 30 breaths per minute. The chest is moving equally. 6:10 Child status - ECG: Sinus tachycardia. Heart rate: 185. Pulse: Present. Blood pressure:          This study source was downloaded by from CourseH on :43:30 GMT -05:00 This study resource was shared via CourseH 4/23/2020 Feedback Log & Score — Eva Madison Apr 22, 2020 2:34 PM 83/66 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 95%. Temp: 37.2 C 6:31 You checked the pulse at the brachial artery. The pulse is strong, 185 per minute and regular. It is correct to assess the child's vital signs. 6:56 You obtained a urine dipstick and culture. 7:10 Child status - ECG: Sinus tachycardia. Heart rate: 185. Pulse: Present. Blood pressure: 81/64 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 95%. Temp: 37.2 C 7:25 You obtained a sample for stool culture. This was indicated by order. 7:31 You provided education to the relative regarding the child's condition. This is correct. It is important to use every opportunity to provide education. 7:52 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. 8:05 You flushed the cannula. 8:10 Child status - ECG: Sinus tachycardia. Heart rate: 185. Pulse: Present. Blood pressure: 82/65 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 95%. Temp: 37.2 C 8:28 You started infusing dextrose 5% in 0.45% normal saline at 62 mL/hr. It is important to use the basic rights of medication administration to ensure proper drug therapy. This was part of your order. 8:36 You provided patient education. 8:48 You looked for normal breathing. She is breathing at 30 breaths per minute. The chest is moving equally. 9:07 You asked the child if she felt better. (In pain) She replied: 'No, it's the same.' 9:10 Child status - ECG: Sinus tachycardia. Heart rate: 184. Pulse: Present. Blood pressure: 82/65 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 95%. Temp: 37.2 C 9:19 You looked for normal breathing. She is breathing at 31 breaths per minute. The chest is moving equally.        This study source was downloaded by from CourseH on :43:30 GMT -05:00 This study resource was shared via CourseH 4/23/2020 Feedback Log & Score — Eva Madison Apr 22, 2020 2:34 PM 9:56 You attached a 3-lead EcgECG. It is correct to attach the monito