Question

Jordan is a 9-year-old boy who is a direct admit for observation. He has had a history of vomiting and diarrhea for 48 hours.

Subjective Data

Has a history of nausea and vomiting for 24 hours.

Has not voided today.

Is unable to tolerate oral fluids.

Objective Data

Vital signs: temp, 37.8º C; pulse, 120 bpm; resp, 24 breaths/min; blood pressure, 110/60 mm Hg

Weight: 34 kg

Hyperactive bowel sounds to auscultation

Questions:

When should the discharge teaching begin for Jordan and his family?

What is the best way to approach Jordan regarding the intravenous (IV) line that has been ordered?

What would be good distractions for a child of Jordan’s age?

Case Study #2

Susan is a 4-year-old girl with a 7-day history of fever and lethargy. Susan’s physician has ordered laboratory work that includes a blood culture.

Subjective Data

Susan has had fever for 1 week.

Her mother has noticed a decreased activity level.

Susan states she is “afraid” of needles.

Objective Data

Weight: 26.1 kg

Vital signs: temp, 39.3º C; pulse, 110 bpm; resp, 40 breaths/min; blood pressure, 108/54 mm Hg; oxygen saturation (O₂ sat) 100%

No abnormal findings on physical examination

Questions:

When should Susan’s nurse explain the procedure to her?

To give Susan some control over this situation, what choices could be given to her?

What actions should the nurse take in this clinical situation? Prioritize the actions.

Answer 1

CASE STUDY ##1

1. Even doctor understand patient condition is good for discharge that time doctor discharged patient to the hospital. Your discharge plan should include information about where you will be discharged to, the types of care you need ,and who will provide that care. It should be written in simple language and include a complete list of your medication with dose and usage information.

2. During IV line keep calm and calm to the children. Approach to the child provide colorful toys, give chocolate, and videogames. Understand the child that it is good for you, don't harm for you. And parents also guide during IV line.

3. Distracted to give toys, videogame,phone and child wanted things.

CASE SRUDY ## 2

1. Before physical examination nurse explain to the procedure to the Susan .procedure of physical examination and important of this .

2. Keep calm to the Susan and helped to manage the condition with nurse.

3. Some action is require during physical examination-------

• Explain to the patient about procedure.

• Prepare article.

• Prepare environment.

• Patient preparation done.

• Start to doing procedure.

• Than documentation done.

• Terminate the article.