Case Study: History of Worsening Cough
Case Study: History of Worsening Cough

Read the case study and answer the questions.

Case Study:Gary, a 4-month-old boy, presents to the pediatric office with a 3-day history of worsening cough, fever 101, tachypnea and retractions. Garys 3-year-old sibling attends preschool and had upper respiratory symptoms one week ago. Garys mother reports he is listless and has not been eating well for at least the last two days, and that he just pushes the bottle away and she has had to change very few diapers. 1.What assessment finding from this description is the most concerning? Why?2.What questions do you need to ask to gain more information? List the first three questions you would ask this mother, with rationale.3.List the two priority nursing assessments/interventions you will perform, with rationale.4.List the diagnoses you feel are most likely based on the provided information. If more than one, explain the relationship between them.5.Discuss the teaching needs you identify for this mother.6.Describe the diagnostic tests you anticipate being ordered and the associated nursing implications.

Management of acute diarrheaBreastfeeding and the management of acute diarrheaUse of antidiarrheal medications for acute diarrhea4.Explain two oral rehydration strategies for this patient, including pros and cons of each.5.Describe the diagnostic tests the nurse anticipates and the associated nursing implications.6.Discuss factors that impact dehydration risk for this patient.AD Nursing Pediatric Nursing Case Study 3: Neurology 20 PointsDirections:Read the case study and answer the questions.

Case Study:K.G. is a 5 year old kindergarten student that is brought to the ER by his mother after she witnessed apparent seizure activity. His mother describes it as jerking of both arms and legs, and that he wouldnt answer when she called his name. She doesnt remember much else, thinks it might have lasted a few minutes, but she is not sure “it seemed like forever”. She doesnt know any family history, K.G. is adopted and health records were not provided. He has never had an episode like this
before. Upon examination K.G. appears lethargic, makes eye contact when his name is called, but quickly drifts back to sleep. Vital Signs are unremarkable, shorts are damp and there is a urine smell. K.G.s right arm is in a cast and there is ecchymosis on his right chest and abdomen. Upon questioning his mother reports he fell off the jungle gym at school last week.1.What is the most likely diagnosis for this patient? Why?2.What is the first assessment the nurse should perform? Provide rationale.3.Discuss the key points the nurse will use in clinical decision making for each of these areas:Types of Seizures and Impact on Nursing InterventionsPatient Safety and SeizuresPatient Age and Seizures4.Describe the diagnostic tests the nurse anticipates and the associated nursing implications. Include the impact of the patients age and nursing strategies to address this.5.How should the nurse explain what a seizure is to K.G.?

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