tailieunhanh - Ebook NCLEX-RN® EXCEL - Test success Trough unfolding case study review: Part 2

Part 2 book “NCLEX-RN® EXCEL - Test success T rough unfolding case study review” has contents: Pediatric nursing, pharmacology, community health nursing, leadership and management in nursing. Invite to references. | Chapter 5 Pediatric Nursing Maryann Godshall Nurses—one of the few blessings of being ill. —Sara Moss-Wolfe Unfolding Case Study 1 Justin ▶ Justin is 2 weeks old and has a temperature of °F. He has not been eating well for the past 2 days and is lethargic. He is also irritable. His mother says that “all he wants to do is sleep.” She takes him to visit the pediatrician, who determines that he should be admitted to the hospital. They arrive on the inpatient pediatric unit and are taken to the treatment room. History ▶ There is no significant medical history. After a normal vaginal delivery at term, Justin’s birth weight was 8 pounds, 13 ounces. He has no known allergies. Assessment ■ Respiratory (RESP): His lung sounds are clear and equal, his respiratory rate is 54 with no signs of respiratory distress. 285 286 Chapter 5: Pediatric Nursing ■ Cardiovascular (CV): His heart rate (HR) is 168 and regular. No murmur is ■ ■ ■ ■ auscultated. Gastrointestinal (GI): His abdomen is soft and nondistended. Genitourinary (GU): Circumcised male. He has wet only one diaper in the last 24 hours. Skin: No rashes, jaundice, or petechiae noted. Vital signs (VS): His temperature on admission is °F axillary. Normal respiratory rate by pediatric age Newborn—30 to 60 breaths per minute 2 years—30 breaths per minute 4 years—25 breaths per minute 10 years—20 breaths per minute Normal heart rate by pediatric age Age Newborn 1 year 2–10 years Awake 100–180 80–150 70–110 Sleeping 80–160 70–120 60–100 Exercise Multiple-choice question: Which of the following assessments is a priority nursing concern? A. B. C. D. Heart rate of 168 Respiratory rate of 54 Irritability One wet diaper in 24 hours The answer can be found on page 324 ▶ The physician orders a complete blood count (CBC) as well as electrolytes and blood cultures; the physician also does a lumbar puncture. The physician orders an intravenous line (IV line) started and IV antibiotics to be given stat. The

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• Test success Trough unfolding case study review
• Pediatric nursing
• Community health nursing
• Leadership and management in nursing
• Health care abbreviations
• Test success T rough unfolding case study review
• Taking standardized tests
• Surgical nursing
• Womens health nursing
• Mental health nursing