Exam (elaborations) Suzanne Williams Room 301 solved

Suzanne Williams Room 301

Suzanne Williams Room 301
Suzanne Williams, 5-year-old female, weight 35.2 lbs., recently diagnosed with leukemia.
CBC results: neutrophil count 1.7, white blood count 30,000. She is reporting gradual
arm and leg pain at a 6/10 over the last 4 weeks. Parents attributed pain to “growing
pains”.
Patient experiencing n/v/d and loss of appetite. Vital Signs Temperature 100.8, HR 115,
BP 100/65, RR 23, PaO2 95%. The patient is beginning a second round of chemotherapy.




You responded correctly to 6 out of 6 evaluations:


Category Your response Explanation

Educational Increased Status assessment reports patient possible diagnosis of Leukemia
Needs acuity

Health Increased Status assessment reports risk for infection, abnormal labs, and vital signs.
acuity

LOC Normal acuity Status assessment reports no indication of increased LOC acuity


Pain Increased Status assessment reports gradual arm and leg pain.
acuity

Psych Normal acuity Status assessment reports no indication of increased Psych acuity.


Safety Increased High risk for infection due to Leukemia. Infection control is of most
acuity importance.


Hayden Clark Room 302
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.

, Suzanne Williams Room 301




You responded correctly to 5 out of 6 evaluations:

Your
Categor response Explanation
y

Educational Increased Education needed for child and parents relating to clothing,
Needs acuity hygiene, and physiological needs.

Health Increased Status assessment reports patient not wearing coat in 40-
acuity degree weather.

LOC Norm Status assessment reports no indication of increased LOC acuity
al
acuity

Pain Norm Status assessment reports no indication of increased Pain
al acuity
acuity

Psych Increased Status assessment reports does not give clear indication to
acuity increased Psych acuity

Safety Increased Status assessment reports not wearing coat which places
acuity patient at risk for hypothermia


Suzanne Williams
5- year-old female, weight 35.2 lbs., recently diagnosed with leukemia.
CBC results:
neutrophil count 1.7, white blood count 30,000. She is reporting gradual
arm and leg pain at a 6/10 over the last 4 weeks. Parents attributed pain
to “growing pains”. Patient experiencing n/v/d and loss of appetite. Vital
Signs Temperature 100.8, HR 115, BP 100/65, RR 23, PaO2 95%. The
patient is beginning a second round of chemotherapy.

, Suzanne Williams Room 301
You correctly diagnosed 3 out of 6 options:

Physiological

Your
Respo
Description ns e Explanati
on
Fluid volume deficit True Status assessment reports patient
experiencing n/v/d and loss of
appetite.
Imbalanced nutrition, True Status assessment reports patient
less than body experiencing n/v/d and loss of
requirements appetite.
Risk for infection True Elevated white blood count
indicate infection already
present
Urinary Retention Fals Status assessment reports no
e indication of Urinary Retention.
Love and Belonging

Your
Descriptio Response Explanation
n

Grieving, at risk for False Status assessment reports
diagnosis of leukemia.

Interrupted True Patient has been diagnosed with
family leukemia which places family at risk
processes for

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.