Exam (elaborations) NURS 267 Med-Surg Sabrina Vasquez Feedback Log & S

Exam (elaborations) NURS 267 Med-Surg Sabrina Vasquez Feedback Log & S You arrived at the child. 0:00 You introduced yourself. 0:10 Child status - ECG: Sinus tachycardia. Heart rate: 146. Pulse: Present. Blood pressure: 118/80 mmHg. Respiration: 25. Conscious state: Appropriate. SpO2: 94%. Temp: 39.2 C 0:12 You washed your hands. To maintain patient safety it is important to wash your This study source was downloaded by from CourseH on :28:24 GMT -05:00 This study resource was shared via CourseH 4/11/2020 Feedback Log & Score — Sabina Vasquez Apr 11, 2020 11:21 AM hands as soon as you enter the room. 0:48 You identified the child. To maintain patient safety it is important that you quickly identify the child. 1:03 You identified the relatives. This is important, as the patient is below 18 years of age. 1:10 Child status - ECG: Sinus tachycardia. Heart rate: 146. Pulse: Present. Blood pressure: 118/80 mmHg. Respiration: 26. Conscious state: Appropriate. SpO2: 93%. Temp: 39.2 C 1:23 You obtained legal consent from the child's relative. This was reasonable. 2:10 Child status - ECG: Sinus tachycardia. Heart rate: 146. Pulse: Present. Blood pressure: 119/81 mmHg. Respiration: 27. Conscious state: Appropriate. SpO2: 93%. Temp: 39.1 C 2:27 You asked the parent: Does she have any known allergies? The parent replied: 'No. I don't think so.' 3:00 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. This will allow you to reassess the child continuously. 3:10 Child status - ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 126/84 mmHg. Respiration: 28. Conscious state: Appropriate. SpO2: 92%. Temp: 39.1 C 3:16 You attached the Pulseoximeterpulse oximeter. This was indicated by order. 3:30 You measured the Temperaturetemperature in the ear. The temperature was 39.1 C. 4:10 Child status - ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 127/85 mmHg. Respiration: 29. Conscious state: Appropriate. SpO2: 92%. Temp: 39.1 C 4:38 You looked for normal breathing. She is breathing at 29 breaths per minute. There are a few audible wheezes. The chest is moving equally. 5:02 You checked the pulse at the brachial artery. The pulse is strong, 145 per minute and regular. It is correct to assess the child's vital signs. 5:10 Child status - ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 126/85 mmHg. Respiration: 29. Conscious state: Appropriate. SpO2: 92%. Temp: 39.1 C 5:30 You assessed the pain level using the FACES scale. The child answered 1 on the FACES pain scale with a range of 0 to 5. 6:06 You listened to the lungs of the child. There are reduced breath sounds at the right lung base. There are a few audible wheezes. In the clinical situation you should auscultate the lungs both anteriorly and posteriorly. 6:10 Child status - ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 128/86 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 92%. Temp: 39.1 C 6:23 You examined the child's chest. She is breathing at 30 breaths per minute. There are a few audible wheezes. The chest is moving equally. There is normal n n n n n n n n n n n This study source was downloaded by from CourseH on :28:24 GMT -05:00 This study resource was shared via CourseH 4/11/2020 Feedback Log & Score — Sabina Vasquez Apr 11, 2020 11:21 AM elasticity of the skin. She is sweating and her skin is warm. 7:10 Child status - ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 124/84 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 91%. Temp: 39.1 C 7:46 You assessed the mucous membranes. This was reasonable. 8:10 Child status - ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 126/85 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 91%. Temp: 39.1 C 9:07 You phoned the provider in order to discuss the patient. 9:10 Child status - ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 124/84 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 91%. Temp: 39.1 C 10:10 Child status - ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 128/85 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 91%. Temp: 39.1 C 11:10 Child status - ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 129/86 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 91%. Temp: 39.1 C 11:56 You placed a 2.5-mg dose of albuterol in a nebulizer. It is important to use the basic rights of medication administration to ensure proper drug therapy. This is part of the correct treatment of asthma. 12:10 Child status - ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 126/84 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 92%. Temp: 39.1 C 12:31 A 240-mg dose of acetaminophen was given orally. This was not part of your orders. 12:46 You provided patient education. This is correct. It is important to use every opportunity to provide patient education. 12:53 You provided education to the relative regarding the child's condition. This is correct. It is important to use every opportunity to provide education. 13:10 Child status - ECG: Sinus tachycardia. Heart rate: 151. Pulse: Present. Blood pressure: 119/80 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 93%. Temp: 39.1 C 13:25 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. 14:10 Child status - ECG: Sinus tachycardia. Heart rate: 152. Pulse: Present. Blood pressure: 120/81 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 94%. Temp: 39.1 C 14:37 You flushed the cannula. 15:04 You started a piggyback infusion of 475 mg of cefuroxime IV. It is correct to give this to a patient with pneumonia. 15:10 Child status - ECG: Sinus tachycardia. Heart rate: 151. Pulse: Present. Blood pressure: 119/80 mmHg. Respiration: 29. Conscious state: Appropriate. SpO2: 95%. Temp: 39.1 C 15:54 You assessed the pain level using the FACES scale. The child answered 1 on the FACES pain scale with a range of 0 to 5. n n n m m m n n n n n This study source was downloaded by from CourseH on :28:24 GMT -05:00 This study resource was shared via CourseH 4/11/2020 Feedback Log & Score — Sabina Vasquez Apr 11, 2020 11:21 AM 16:10 Child status - ECG: Sinus tachycardia. Heart rate: 150. Pulse: Present. Blood pressure: 117/79 mmHg. Respiration: 28. Conscious state: Appropriate. SpO2: 96%. Temp: 39.1 C 16:23 You asked the child if anything made the pain better. (Out of breath) She replied: 'No, not really.' 16:30 You asked the child if anything made the pain worse. (Out of breath) She replied: 'Yes, coughing.' 16:40 You asked the child how long she had pain for. (Out of breath) She replied: 'For a few days.' 17:10 Child status - ECG: Sinus tachycardia. Heart rate: 149. Pulse: Present. Blood pressure: 118/79 mmHg. Respiration: 28. Conscious state: Appropriate. SpO2: 96%. Temp: 39.1 C 17:16 You offered the child a toy. This is reasonable. 17:39 You provided education to the relative regarding the child's condition. This is correct. It is important to use every opportunity to provide education. 17:59 You provided patient education. 18:10 Child status - ECG: Sinus tachycardia. Heart rate: 148. Pulse: Present. Blood pressure: 116/78 mmHg. Respiration: 27. Conscious state: Appropriate. SpO2: 96%. Temp: 39.1 C 18:39 You examined the child's chest. She is breathing at 27 breaths per minute. There are a few audible wheezes. The chest is moving equally. There is normal elasticity of the skin. She is sweating and her skin is warm. 19:10 Child status - ECG: Sinus tachycardia. Heart rate: 148. Pulse: Present. Blood pressure: 118/79 mmHg. Respiration: 27. Conscious state: Appropriate. SpO2: 96%. Temp: 39.1 C 19:16 You listened to the lungs of the child. There are reduced breath sounds at the right lung base. There are a few audible wheezes. In the clinical situation you should auscultate the lungs both anteriorly and posteriorly. 20:10 Child status - ECG: Sinus tachycardia. Heart rate: 148. Pulse: Present. Blood pressure: 117/79 mmHg. Respiration: 27. Conscious state: Appropriate. SpO2: 96%. Temp: 39.1 C 20:36 You listened to the heart of the child. There were regular heart sounds without murmurs. 21:10 Child status - ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 116/79 mmHg. Respiration: 27. Conscious state: Appropriate. SpO2: 97%. Temp: 39.1 C 21:50 You examined the child's arms. There is normal elasticity of the skin. She is sweating and her skin is warm. There is nothing else to find on examination of the arms. 21:56 The nebulized albuterol stopped. 22:05 You examined the child's legs. There is nothing to find on examination of the legs. 22:10 Child status - ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 119/80 mmHg. Respiration: 27. Conscious state: Appropriate. SpO2: 97%. Temp: 39.1 C n n n n n n n n This study source was downloaded by from CourseH on :28:24 GMT -05:00 This study resource was shared via CourseH 4/11/2020 Feedback Log & Score — Sabina Vasquez Apr 11, 2020 11:21 AM 22:16 You examined the child's abdomen and pelvis. There is nothing to find on examination of the abdomen and pelvis. You should always use the look, listen, and feel approach in the clinical situation. 22:28 You examined the child's head. There is no obvious airway obstruction. There are a few audible wheezes. It's appropriate to perform a physical head-to-toe examination. 23:10 Child status - ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 118/79 mmHg. Respiration: 27. Conscious state: Appropriate. SpO2: 97%. Temp: 39.1 C 24:10 Child status - ECG: Sinus tachycardia. Heart rate: 147. Pulse: Present. Blood pressure: 118/79 mmHg. Respiration: 27. Conscious state: Appropriate. SpO2: 9