Exam (elaborations) Swift River Peds Multiple Scenarios by B.wender(Prof Kytoon) (NURS307)

Swift River Peds Multiple Scenarios by B.wender(Prof
Kytoon)




Swift River Peds Multiple Scenarios by
B.wender(Prof Kytoon)
Patients include; Hayden Clark; Hannah
Johnson; Amanda Blaire; Baby Harris; Paul
Windsor; Paula Smith; Baby Strickland; Maria
Hernandez; Mark Quinn and Jonathan Gibbons

,Swift River Peds Multiple Scenarios by B.wender(Prof
Kytoon)
Hayden Clark Room 305
Hayden Clark, 6-year-old male, weighing 44 lbs., comes to
school looking disheveled, and not wearing a coat with the
outside temperature in the low 40’s.




You responded correctly to 6 out of 6 evaluations:

Your
Categor response Explanation
y
Education Increase Education needed for child and parents
al Needs d acuity relating to clothing, hygiene, and
physiological needs.
Health Increase Status assessment reports patient not
d acuity wearing coat in 40-degree weather.
LOC Norm Status assessment reports no indication
al of increased LOC acuity
acuity
Pain Norm Status assessment reports no indication
al of increased Pain acuity
acuity
Psych Norm Status assessment reports does not give
al clear indication to increased Psych acuity
acuity
Safety Increase Status assessment reports not wearing
d acuity coat which places patient at risk for
hypothermia




Hannah Johnson Room 304
Hannah Johnson, 10-year-old female presented to the ED 45

,Swift River Peds Multiple Scenarios by B.wender(Prof
Kytoon)
minutes ago with dehydration, dysuria, and significant
weight loss of 18 pounds over the last 2 months. Both
parents are with the child, the father is insisting that he be
notified of all interventions before they are initiated. Initial
assessment reveals: Skin dry and warm to touch, B/P 90/58,
T 99.2 F, 37.3 C, HR 110, RR

, Swift River Peds Multiple Scenarios by B.wender(Prof
Kytoon)
30. Child appears thin. Breathing is fast and deep. Noted
fruity odor to breath. Initial labs: CBC WNL, K+ 2.89, BG 459,
Urinalysis: Positive for ketones, glucose, and bacteria.
Orders: IV 0.9% normal Saline at 150 ml/hour, Add 20 mEq
K+ after first liter, Ampicillin 250 mg PO q 6 hours, finger
stick blood glucose (FSBG) q 1 hour.




You responded correctly to 4 out of 6 evaluations:

Your
Categor response Explanation
y
Education Increase Status assessment reports abnormal and
al Needs d acuity possible newly diagnosis of type 1
diabetes.
Health Increase Status assessment reports abnormal
d acuity labs and weight loss.
LOC Norm Status assessment reports no indication
al of increased LOC
acuity
Pain Increase Status assessment reports dysuria.
d acuity
Psych Norm Status assessment reports no indication
al of Psychiatric deficits
acuity
Safety Increase Status assessment reports IV's and High
d acuity Blood Glucose.