Exam (elaborations) NURS 267 Med-Surg Jackson Weber Feedback Log & Sco

Exam (elaborations) NURS 267 Med-Surg Jackson Weber Feedback Log & Sco You arrived at the child. 0:00 You introduced yourself. 0:10 Child status - ECG: Sinus rhythm. Heart rate: 100. Pulse: Present. Blood pressure: 120/81 mmHg. Respiration: 13. Conscious state: Somnolent. SpO2: 99%. Temp: 36.8 C 0:13 You washed your hands. To maintain patient safety it is important to wash your This study source was downloaded by from CourseH on :05:19 GMT -05:00 This study resource was shared via CourseH 4/4/2020 Feedback Log & Score — Jackson Weber Apr 04, 2020 2:55 PM hands as soon as you enter the room. 1:10 Child status - ECG: Sinus rhythm. Heart rate: 100. Pulse: Present. Blood pressure: 119/80 mmHg. Respiration: 14. Conscious state: Somnolent. SpO2: 99%. Temp: 36.7 C 1:21 You identified the child. To maintain patient safety it is important that you quickly identify the child. 2:10 Child status - ECG: Sinus rhythm. Heart rate: 100. Pulse: Present. Blood pressure: 118/79 mmHg. Respiration: 14. Conscious state: Somnolent. SpO2: 99%. Temp: 36.7 C 2:29 You identified the relatives. This is important, as the patient is below 18 years of age. 3:10 Child status - ECG: Sinus rhythm. Heart rate: 100. Pulse: Present. Blood pressure: 118/80 mmHg. Respiration: 14. Conscious state: Somnolent. SpO2: 98%. Temp: 36.7 C 3:48 You obtained legal consent from the child's relative. This was reasonable. 4:10 Child status - ECG: Sinus rhythm. Heart rate: 100. Pulse: Present. Blood pressure: 118/80 mmHg. Respiration: 14. Conscious state: Somnolent. SpO2: 98%. Temp: 36.7 C 4:53 You asked the parent: Does he have any known allergies? The parent replied: 'No. I don't think so.' 5:09 You secured the patient to avoid injuries during seizures 5:10 Child status - ECG: Sinus rhythm. Heart rate: 100. Pulse: Present. Blood pressure: 118/79 mmHg. Respiration: 14. Conscious state: Somnolent. SpO2: 98%. Temp: 36.7 C 5:20 You provided education to the relative regarding the child's condition. This is correct. It is important to use every opportunity to provide education. 5:38 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. This will allow you to reassess the child continuously. 5:48 You measured the Temperaturetemperature in the ear. The temperature was 36.7 C. 5:57 You looked for normal breathing. He is breathing at 14 breaths per minute. The chest is moving equally. 6:10 Child status - ECG: Sinus rhythm. Heart rate: 100. Pulse: Present. Blood pressure: 120/80 mmHg. Respiration: 14. Conscious state: Somnolent. SpO2: 98%. Temp: 36.7 C 6:16 You checked the pulse at the brachial artery. The pulse is strong, 100 per minute and regular. It is correct to assess the child's vital signs. 6:34 You examined the child's head. There is no obvious airway obstruction. There is normal elasticity of the skin. His color is normal and he is not sweating. 7:10 Child status - ECG: Sinus rhythm. Heart rate: 101. Pulse: Present. Blood pressure: 117/79 mmHg. Respiration: 14. Conscious state: Somnolent. SpO2: 98%. Temp: 36.7 C 7:19 The child had a seizure. n n n n n n n n n n  This study source was downloaded by from CourseH on :05:19 GMT -05:00 This study resource was shared via CourseH 4/4/2020 Feedback Log & Score — Jackson Weber Apr 04, 2020 2:55 PM 7:20 Child status - ECG: Sinus rhythm. Heart rate: 104. Pulse: Present. Blood pressure: 119/80 mmHg. Respiration: 8. Conscious state: Unconscious. SpO2: 98%. Temp: 38.1 C 7:23 You put the child in the recovery position. Placing the child in the recovery position will help to remove the airway obstruction. 7:30 You phoned the provider in order to discuss the patient. 8:20 Child status - ECG: Sinus rhythm. Heart rate: 113. Pulse: Present. Blood pressure: 133/90 mmHg. Respiration: 7. Conscious state: Unconscious. SpO2: 97%. Temp: 38 C 8:43 You flushed the cannula. 8:47 You administered 2 mg of lorazepam IV. It is important to use the basic rights of medication administration to ensure proper drug therapy. It is correct to give lorazepam to a patient with seizures. It was correct to administer a benzodiazepine here. This child was having convulsions. 8:56 The child's seizure stopped. 8:57 Child status - ECG: Sinus rhythm. Heart rate: 115. Pulse: Present. Blood pressure: 131/89 mmHg. Respiration: 19. Conscious state: Unconscious. SpO2: 97%. Temp: 38 C 9:07 Child status - ECG: Sinus rhythm. Heart rate: 109. Pulse: Present. Blood pressure: 124/84 mmHg. Respiration: 29. Conscious state: Somnolent. SpO2: 97%. Temp: 38 C 9:18 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. 9:39 Child status - ECG: Sinus rhythm. Heart rate: 105. Pulse: Present. Blood pressure: 117/79 mmHg. Respiration: 24. Conscious state: Somnolent. SpO2: 97%. Temp: 38 C 10:34 You provided education to the relative regarding the child's condition. This is correct. It is important to use every opportunity to provide education. 10:39 Child status - ECG: Sinus rhythm. Heart rate: 105. Pulse: Present. Blood pressure: 119/80 mmHg. Respiration: 20. Conscious state: Somnolent. SpO2: 97%. Temp: 38 C 11:04 You checked the child's pupils and they were 4 mm and reactive. It is reasonable to check the pupils here. 11:16 You performed a tap and shout. The child was barely responsive. 11:29 You flushed the cannula. 11:32 You administered 300 mg of phenobarbital IV. It is reasonable to give this drug to a patient with seizures. 11:39 Child status - ECG: Sinus rhythm. Heart rate: 105. Pulse: Present. Blood pressure: 115/78 mmHg. Respiration: 19. Conscious state: Somnolent. SpO2: 97%. Temp: 38 C 11:43 You looked for normal breathing. He is breathing at 19 breaths per minute. The chest is moving equally. 12:15 You listened to the lungs of the child. There are obstructed breath sounds. In the n n n  n n n n n This study source was downloaded by from CourseH on :05:19 GMT -05:00 This study resource was shared via CourseH 4/4/2020 Feedback Log & Score — Jackson Weber Apr 04, 2020 2:55 PM clinical situation you should auscultate the lungs both anteriorly and posteriorly. 12:34 You started suctioning. Suctioning is part of the correct treatment here. 12:34 Child status - ECG: Sinus rhythm. Heart rate: 119. Pulse: Present. Blood pressure: 119/79 mmHg. Respiration: 0. Conscious state: Somnolent. SpO2: 96%. Temp: 38 C 12:43 You stopped suctioning. Fine! You cleared the material from the airway. 12:44 Child status - ECG: Sinus tachycardia. Heart rate: 142. Pulse: Present. Blood pressure: 117/79 mmHg. Respiration: 24. Conscious state: Somnolent. SpO2: 96%. Temp: 38 C 12:56 You assessed the pain level using the FACES scale. The child was unable to answer the question. 13:12 You listened