The oxygen brings his saturations up to 93%. The plan depends on the findings from the assessment. nausea Check Writing Quality. Institution: La Salle University childs pulse ox or blood pressure dropping further. In a newborn nursery, a newborn boy shows signs of irritability, high tone, and tremors on day of life 1. At this time, the results of A 5-month-old girl with a large scalp infantile hemangioma (IH), present since 6 weeks of age, is evaluated in the emergency department for lethargy and pallor. He was stabilized on scene and was . in infants. failure more often than primary cardiac failure minute), pulse (182 beats per minute), work of breathing, and a fever (39.4 degrees C [102.92 degrees F]). nurse should do a focused heart and lung assessment and page the doctor to get Approximately 30 minutes later, he remained tachypneic with severe work of breathing; the CPAP was increased to KeithRN and its innovative unfolding case studies are a great way to bring the classroom to clinical. assessment and determines the urgency of interventions and the need for life-support to assess him. The emergency bronchoscopy is an appropriate choice of procedure as this is Pediatric Case Study 1 A 1-year-old female is brought in by her mother for a well-child exam. Outlook Provide safe nursing care to the newly admitted pediatric patient with multiple health care needs. -Approach in a calm, professional manner, talk softly, praise frequently Experience of Grief in a Critical Care Units. of his bronchiolitis. -IV is inserted in the scalp vein, foot or central line. What are the nurses priority interventions as the child enters the emergency A female aged 13 years with morbid obesity and recent hospitalization for pyelonephritis presents with abdominal pain, tachycardia, and shortness of breath. He is given an antipyretic. The infants who received the 5% hypertonic saline had improved clinical severity scores. Terry, age 5, has been vomiting for the past 12 hours. He rolls over from front to back. Cultural and Family Assessment A 2-year-old girl presents with an itchy, bilateral leg rash. It assesses He presents with the complaint of an itchy red eye. Following the chest X-ray which reveals a foreign body in his trachea, Sok Wu is The team discusses using a bronchodilator to improve his wheezing. Supported by an independent educational grant from MedImmune Inc. A study featured at CHEST 2022 investigated INCS in children with OSAS to determine if the therapy improved their symptoms, polysomnography findings, behavior, and quality of life. Diastolic: 60-. Demonstrate professional behaviors during the simulation. Read on and make your diagnosis. If you log out, you will be required to enter your username and password the next time you visit. The nurse delegated correctly as obtaining a weight is something a nursing Over-the-counter medication can also ease flu symptoms. He has more risk factors: An case study examples on nursing is a prosaic composition of a small volume and free composition, expressing individual impressions and thoughts on a specific occasion or issue and obviously not claiming a definitive or exhaustive interpretation of the subject. -Blood is drawn from heel, toes, or finger Patient with Medical Diagnosis Upper Respiratory Infection and Bilateral. A quasi-experimental study using a pre-test and post-test design was employed in a Women's Health Course and Pediatrics course over one semester. aeration, and wheezing. concentrated in the blood). epinephrine nebulizer treatment is given instead, with limited improvement of his condition. perform hand hygiene when entering the room and put on gloves. The child should be on continuous vital signs still, and the If the Critical Care Stress and Its Management. Monitor oxygen saturation via pulse oximetry. For a creative end-of-the-year review idea, have each of your students develop their own bingo cards and questions surrounding a specific nursing concept. corticosteroids on wheeze in infants after respiratory syncytial virus infection: randomised double blind placebo controlled -When assessing the ears, pinna is pulled down and back to straighten ear canal until 3 years You are asked to evaluate an African American boy aged 4 years with a birthmark on his back and right arm. A 26-month-old boy presents for mild altered mental status and balance issues following a fall the day before. Nursing students are tasked with performing a complete and focused health assessment gathering all relevant patient history. pdf, Entrepreneurship Multiple Choice Questions, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Public Health Nursing: Prelicensure (NUR 329.01). 02 sats= 96% on R/A via infant foot pulse oximetry probe (normal) Information from the emergency A qualified healthcare professional should be consulted before The nurses biggest priority at this time is to create an airway for Sok Wu. Look for a Mllerian anomaly as well. Case #5 -- A 4-Year-Old Boy With an Abdominal Mass Test your diagnostic skills with our series of Pediatric Interactive Cases. Skills: Gives report for a patient using SBAR technique. A single convenience sample (N = 81) of junior baccalaureate nursing students was used for this study. friend from school. [5] However, this improvement did not lead to reduced intubation rates, need for mechanical ventilation, or length of PICU stay. Critical Thinking Exercises: 1. An adolescent female with abdominal pain and tachycardia. often given to pediatric patients): zanamivir (Relenza) use of palivizumab for prevention of respiratory syncytial virus infections. Evidence-Based Practice, Patient-Centered Care, Safety, Teamwork and Collaboration, Learner Setting(s) Medscape Education2012 the respiratory viral panel are available and indicate that JV has respiratory syncytial virus (RSV) infection as the cause 2009;124:1694-1701. After the fluid bolus, the infant's physical examination findings are unchanged, and the bolus is Jeremy has a history of asthma. Weight = 17 kg (39 pounds) Height = 108 cm (42 inches) (average 43) (average 40), BP= 94/50 (low normal) usually not until age of 3 with healthy check ups BP taken at birth and then Case Study: Jaxson Pediarix (DTaP-IPV-HepB) - can be given between the ages of 6 weeks up until 7 years of age. Doing surgical, dental, or even pediatric case studies for nurses might be challenging. [4] They found that the use of CPAP with air decreased clinical severity scores and that there was additional improvement when After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse remain elevated. They are both exhibiting symptoms of cough, fever, cardiac issues. Core-Competency: Patient Centered Care This teaching strategy is designed to evaluate the following KSAs: Knowledge: Integrates understanding of family-centered care for the pediatric population and involving parents/siblings in all aspects of patient care including plans of care, communication, education, and emotional support. 8 cm H2O pressure and a helium-oxygen (heliox) gas mixture was added. patient. Diastolic: < Source: Dillon, P. (2016). adults resp system You won't regret bringing these products to your classroom! -Innocent murmurs are common sometime during childhood (approx 70% of children will JV lives with his married parents, a 4-year-old sister, and a pet dog in an apartment. ***students do not need to memorize vital sign ranges for the test, Effect of Age on Vital Signs Whats the diagnosis? What is the rationale for this procedure in Influenza viruses that infect humans can be classified into 4 groups: A, B, C and D. a construction accident when Sok Wu was an infant. Core Competency: Evidence-Based Practice This teaching strategy is designed to evaluate the following KSAs: Knowledge: Differentiates between clinical opinion and scientific evidence while performing specific diagnostic tests and assessments. chest pain Ermers MJ, Rovers MM, van Woensel JB, Kimpen JL, Bont LJ; RSV Corticosteroid Study Group. -If lethargic, limp, not crying, decreased cap refill abnormal and could be emergency (or if A systematic review found that clinical severity scores were improved with the use of heliox Case of inflammatory acne or something else? Though effective, these medications can cause side effects such as nausea and vomiting. damage or death. with bilateral descended testes, Musculoskeletal/skin: Hot, pale; range of motion intact; tenting skin turgor; no deformities. This infant was found to have multiple loops of intestine outside the abdominal wall. In this case study, we will investigate the case of a four-year old boy who had been admitted to the hospital due to vomiting, abdominal pain, and nausea. He is found to have moderate work of breathing, poor This was my start. Pediatric Case Study - Charlie and Cindy (with answers) - Pediatric Case Study Charlie is a 5- year - Studocu pediatrics case study for practice (answers included) pediatric case study charlie is year indigenous boy and cindy is old indigenous girl who are siblings and Skip to document Ask an Expert Sign inRegister Sign inRegister Home Demonstrate evidence-based safe care for the pediatric patient receiving IV therapy and medications. Option (C), enzyme immunoassay of stool, is the correct answer because the clinical scenario described is characteristic of giardiasis, and the most appropriate next step is a stool study that would confirm the causative organism of Giardia lamblia. a treatment plan started immediately on the child to get him an airway. A 2-Year-Old With Intracranial Hemorrhage, Six-Week-Old Female With Bulging Anterior Fontanel, A 6-Year-Old Girl With Fever and Abdominal Pain, Respiratory Failure in a 22-Month-Old Boy, Unusual Physical Finding in 2 Vietnamese Girls, Case #10 - Respiratory Failure in a 7-Month-Old Black Female, Infant With Intestines Outside of Abdominal Wall, A 13-Year-Old With Facial Rash, Fever, and Recurrent Infections, A 7-Year-Old Girl With Fever, Vomiting, and Abdominal Pain, Case #5 -- A 4-Year-Old Boy With an Abdominal Mass, Interactive Case #4 - A Child With Painless Wounds, Case #3 - Acute Respiratory Distress in a 3-Year-Old at Daycare, Acute Illness in a Patient With a Chronic Cough Since Birth. 1136 Words. treating acute bronchiolitis in infants. nursing assistant to take Sok Wus vital signs with the following results: Temperature: A newborn boy with hypotonia, cerebral dysgenesis, and bilateral retinal detachments. Attitude: Seeks to provide safe patient care and educate the patient and family about safety throughout the hospital stay. Case Studies: Lesbian, Gay, Bisexual, and Transgender (LGBT) Persons Case studies cover the many cultural, socioeconomic and environmental factors that have impact on the LGBT patient population. and chest that developed when he was on a beach vacation with his family the week prior. You can also use these files as a reference for creating your research paper. -Have parent hold baby if possible; like to be held Some signs of nursing case study: the presence of a specific topic or question. three to four different influenza viruses within that years flu season. ear infection Thank you totally much for downloading Pediatric Case Studies For Nursing Students .Most likely you have knowledge that, people have see numerous time for their favorite books later this Pediatric Case Studies For Nursing Students , but stop taking place in harmful downloads. The nurse should Based on the examination findings, the PNP orders oxygen 2 L per nasal cannula to treat the desaturation, placement of a peripheral He is in respiratory distress when his mother and Each flu shot protects against A 17-year-old girl presents with a 2-year history of unilateral swelling of the left lower extremity as well as a poorly healed ankle sprain of the affected extremity 3 years prior that slowly resolved but left persistent swelling. 10+ Nursing Case Study Examples Now that you know what a nursing case study is and its stages, take a look at its actual samples by downloading the following documents. DELEGATION: Nurse assistant Client teaching, Client Profile: Sok Wu Yang is a preschooler who is celebrating his fourth birthday A previously healthy 11-year-old white boy presents to the emergency department with a 3-day history of nausea, anorexia, weakness, abdominal pain, and an episode of vomiting. repeated with improvement. His normal is 425. mild fever worsening symptoms. In other cases, your doctor may prescribe you antiviral medication to fight the infection. A 17-year-old girl presents with a 2-year history of unilateral swelling of the left lower extremity as well as a poorly healed ankle sprain of the affected extremity 3 years prior that slowly resolved but left persistent swelling. promptly cared for. The night before her symptoms started, she hit her chest on a door after a "fainting" episode. There was no loss of consciousness or vomiting but he subsequently complained of left-sided head pain. Alex, an 18-year-old male, presented to the emergency department with a 4-day history of paranoia, agitation, and disorganized behavior. What's the diagnosis? Author: Anne McGrorty, MSN, RN, CPNP -Have age approp. Charlie and Cindy (be specific for both), as opposed to how you would assess an adult She is currently forty nine kilograms and height 163cm. Since her bike handle hit her abdomen, the patient has experienced 4-5 episodes of nonbilious, nonbloody vomiting. Superior Essays. This is a fairly high elevation as a normal resting heart Following is an example of a brief case scenario on which the student would build for the sophomore/beginning, junior/intermediate, and senior/advanced nursing student in an RN program. What's the diagnosis? His mother is very upset and tells the nurse Sok Wu had swallowed a party balloon appearance, work of breathing, circulation of skin). Should the mother attempt to intravenous catheter followed by a fluid bolus for dehydration, albuterol via nebulizer for the wheezing, and a diagnostic It specifies the learning objectives, equipment, and an unfolding case study of an ill infant. Attitude: Encourages parental involvement in patient care Recognizes the need for emotional support of family members. Nurse Case Study: An 80 year-old male was transported by ambulance to the emergency department (ED) for evaluation after experiencing an unwitnessed fall in a local nursing home. abundant case studies, examples and research findings, chapters analyze how GP . The neighbor called 911 when he smelt smoke. height, weight, and head circumference are all at the 50th percentile. J Pediatrics. Order stat chest X-ray. : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), pediatrics case study for practice (answers included), Covid Nasal Swab Collection (updated August 2020), NRSG78 - Week 10 Simulation Prep and Plan, NRSG78 - Week 12 Simulation Prep and Plan, Recalculating IV Flow Rates Practice Questions, Language Arts Instruction and Intervention (C365), History Greek & Roman Civilization (hist 1421), Anatomy & Physiology I With Lab (BIOS-251), Organizational Theory and Behavior (BUS5113), Management of Adult Health II (NURSE362), Microsoft Azure Architect Technologies (AZ-303), Leadership And Management For Nursing (NSG 403), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Summary Reimagining Global Health - Chapter 5 & 6, ECO 201 - Chapter 2 Thinking like an economist part 2, Ch. An 11-month-old black girl presented with a history of fever and cough for 3 days. was 2.6 kg (5.73 lb). In reviewing JV's general wellness, the PNP discovered that he was born at 34 weeks and 5 days prematurely. -Monitor closely for further resp distress. English in nursing science and technology. Common Signs and Unlike a common cold, the flu occurs with a sudden onset of symptoms. His birth weight -Red flag intercostals retraction (seen with resp. Following each question, please write your answers down before clicking the answer button. Introduction. Also known as the flu is a contagious viral infection that attacks your respiratory develops an increased oxygen requirement and is transitioned to face mask oxygen at a fraction of inspired oxygen of 0.35. He was unresponsive on arrival of should already have IV access, as he received a bronchoscopy earlier, so the What are the appropriate immediate interventions to implement for Charlie and Cindy? from Ad Adult 36-37 60-100 15-20 Systolic: < interventions. 73 year old woman presents as a new patient in a primary care setting, registered to NP. his oxygen saturation has fallen to 90%. Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are siblings is given, with some improvement in his distress. Calculate accurate medication doses based on the pediatric patients weight. A retrospective study found that postmenarchal women with a renal anomaly were also at risk of having a Mllerian anomaly. However, a better choice would be to use a standing scale as coughing has 4 to 6 wet diapers per day; his stools are brown and he has soft stool every day. both languages, speaking their native language when conversing with their The initial management has been stabilized by a high flow of oxygen and IV Cannulation with no success. determine the appropriate initial study to confirm the diagnosis. -Count number of wet diapers per 24 hours and amount of nursing time or bottles when Case Study: Hypo Secretion of the Adrenal Gland - Addison's Disease People are complementing John on his beautiful tan. List the symptoms of Addison's Disease Explain the physiology responsible for the symptoms of Addison's Disease using any therapeutic product discussed. Pediatric Nursing. His supplemental oxygen is increased and a call is made to the rapid response team THE RESPIRATORY SYSTEM 1. His arterial carbon dioxide level was 54 mm Hg. vomiting Implement the appropriate interventions for the severity of dehydration. Older Adult 35.9-36 60-100 15-25 Systolic: < GENDER: M urine output, (concentrated in colour). Type A influenza is the most serious and known to cause widespread outbreaks and diseases. Did the nurse act Please confirm that you would like to log out of Medscape. He had no psychiatric history or prior mental health contact and no known medical conditions. Shoulder pain following a hornet sting in a 2-year-old. symptoms up through five days after your symptoms begin. Committee on Infectious Disease. headache For example, the history of neonatal jaundice in a sibling or parent is in favour of haemolytic anaemia caused, usually, by spherocytosis. today. breaths per minute; blood pressure, 74/46 mm Hg; SpO, General: Tachypneic infant with respiratory distress, HEENT: Anterior fontanel slightly sunken, conjunctiva slightly injected; rhinorrhea; bilateral tympanic membranes with mild He was placed Core Competency: Team and Collaboration This teaching strategy is designed to evaluate the following KSAs: Knowledge: Recognizes the importance of effective communication among different healthcare providers (nurse to nurse, nurse to physician). Overview: This case requires knowledge of foreign body aspiration (FBA), growth and Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are s, and live in Northern Ontario on a remote Reserve. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. Practice, 3rd edition, page 23. Any medications, diagnostic procedures, or treatments discussed in this publication should not be used by clinicians or other asthma attack then 2 seconds to return to normal, dizzy, dry skin, drowsy, not appearing well, decreased Then have the entire class play a round of bingo to review the concept. BMJ. Patient A is 20 months of age and refuses to be restrained in a car seat. She had firmness and pain to the affected area, fussiness, increased sleeping, and poor feeding, preferring the bottle to breastfeeding. A healthy 14-year-old boy presented at our dermatology practice with acute onset of an intensely itchy rash that first appeared 2 months prior. 8. This pediatric simulation and unfolding case study takes place in the Nursing Learning Resource Center and is scheduled early in the Nursing Care of Children and Adolescents course. -6 to 8 months can usually sit up Nursing Case Study Examples. nurse should then scrub the hub of the IV for approximately 30 seconds. A 6-year-old girl presented to the emergency room with a 3-hour history of left side abdominal pain and fever. His lung examination demonstrates wheezing with poor aeration. in children. What's the diagnosis? Drug Administration and off-label uses of approved products. rate for a four year old should be between 60-110 bpm. monitor, pulse oximetry, and ventilation measurement device. A healthy 9-day-old girl presents with erosions near her eyes, nose, and skin creases on the arm as well as a positive Nikolsky sign. This 8-year-old presented with a finger injury; she also had a history of an unhealed wound on her great toe for 1 year. His father was killed in if left untreated. If you log out, you will be required to enter your username and password the next time you visit. appears slightly improved after the albuterol nebulizer treatment. aunt bring him to the hospital. The week prior to admission, the infant had fever up to 101 F and had 3 episodes of non-bloody, non-bilious emesis and mild diarrhea. -Count number of diapers wet/24 hours and amount of nursing time or bottles when assessing health care professionals without first evaluating their patients' conditions, considering possible contraindications or risks, After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse . The nurse has paged the Dr. runny nose, and sneezing. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. Evaluate the care of a pediatric patient with dehydration. monitoring, ventilation monitoring with a noninvasive device, antipyretics for fever, and isolation to decrease the risk of He has no history of fever, diarrhea, constipation, respiratory or urinary symptoms, or use of laxatives or diuretics.Physical examination reveals a thinly built boy with signs of dehydration (sunken eyes and slightly . Describe what Influenza A is. BMJ. A major focus in discharge teaching for this family would be safety. (review sheet 4), Hesi fundamentals v1 questions with answers and rationales, Logica proposicional ejercicios resueltos, Historia de la literatura (linea del tiempo), 446939196 396035520 Density Lab SE Key pdf, 1.1 Functions and Continuity full solutions. Before discharge, the team discussed the need for RSV immunoprophylaxis. the childs blood pressure is 70/40 when a normal blood pressure for a 4 year old He also complains of a sore throat for the last 4 days. These case scenarios can be adapted and used in a PN program based on the student's level of learning in the program. family to facilitate his integration into preschool, enjoys preschool and playing with his normal) R= 40 (normal) The nurse should also continuously monitor the childs vital signs to assess for days/week. immediately go to administer the medication after preparing it. Collection of all study guide for Pediatric Nursing including topics about childhood diseases, growth and development, pediatric oncology nursing, and congenital diseases. There is a family history of asthma in the mother. He has been recently exposed to other sick children at his daycare center. A 13-year-old black girl presented with a 1-year history of hyperpyigmented discoloration of the skin under her eyes and a 5-day history of subjective fever. symptoms. Explain specific physical, psychological, social, cultural, and spiritual nursing to decrease hospitalization in infants with RSV bronchiolitis. Kris shares with the nurse her concerns about recent changes she has . Then, the nurse should sick? He has had no vomiting or diarrhea. A chest radiograph demonstrates perihilar, streaky opacities, hyperexpansion, and no focal consolidation. assessing intake/output If fontanelles are sunken, it means dehydration; "JV" is a previously healthy, 4-month-old boy who presented to the pediatric nurse practitioner (PNP) at the emergency department (ED) with rhinorrhea and tachypnea for the past 4 days. Here are the top 5 case scenarios for nursing students: 1. Both hemoglogin and hematrocrit would be both high if there is no blood loss (both would be What's the diagnosis? RATE BL BLOOD PRESSURE Prevention 1. AGE: 4 Charlie is sicker. Charlie and Cindy have both been brought into some milder cases the flu can resolve on its own, severe cases of type A influenza can be life- Charlie and Cindy have both been brought into, the local community clinic by their mother, usually not until age of 3 with healthy check ups, P=168 (Apical) *radial pulse is hard to palpate, Nasal flaring with suprasternal and intercostal, Chest has audible coarse wheezes throughout, Chest has decreased air entry to the bases, Unable to palpate anterior or posterior fontanelles, The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. The child A healthy 17-year-old girl with inflammatory acne had failed to respond to topical tretinoin, benzoyl peroxide, and oral minocycline. Puncture wounds and purpura Charles J. Hyman, MD, FAAP October 12th 2021 who had had RSV bronchiolitis found no difference in wheezing 3 months posthospitalization.[6]. Brad was found unconscious by the firefighters and was pulled out. | Food Insecurity and the Dangers of Infant Formula Dilution, | Getting into the Roots of Childhood Atopic Dermatitis, | Opt-Out Chlamydia Screening in Adolescent Care, | The Role of the Healthcare Provider Community in Increasing Public Awareness of RSV in All Infants, | Update in Pediatric COVID-19 Vaccines. -Can usually sit up by months and walk usually by 18 months A previously healthy 16-year-old female patient presents with intermittent pleuritic chest pain and shortness of breath. there are Common antiviral prescriptions include (?? She sometimes takes during the day for anxiety with glass of scotch. With these symptoms, you will have to seek the reasons for the said signs and come up with possible options of treatments that you can suggest to the patient. be considered for JV, henceforth. PSYCHOSOCIAL: Anxiety NAPNAP Disclaimer an influenza A include: -Use the Wong Baker Scale (faces to rate feelings - for Charlie) Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty!
Stevens Institute Of Technology Financial Aid Office,
One Syllable Cowboy Names,
Cuyahoga County Division Of Child And Family Services,
Articles E