NP III Pediatric Case Study Grading Sheet Each question is worth 1 point 1.__________ 2.__________ 3.__________ 4.__________ 5.__________ 6. __________ 7.__________ 8.__________ 9.__________ 10._________ Student Name: __________________________________ Date ______ Hillsborough Community College NPIII: Pediatric Unit 1 Case Study INSTRUCTIONS: Complete case study individually. Show work with all math problems.
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School of Nursing Care Plan Student’s Name: Joie Ferreiro________________________________ Date: 9/5/14 Client’s Initials: R.S. Admission Date: 7/30/14 Age: 96 Sex: f___ Race: __w____ Religion: Jewish Allergies: Phenobarbital Diet: NPO Activity: Bed rest Admitting Medical Diagnosis (es): Sacral decubitus ulcer‚ polymicrobic sacral osteomyelitis Past Medical History (including past surgical history): Illnesses include: 1) Renal insufficiency 2) Anemia 3) hyperthyroidism
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liters a minute: Previous history of Asthma: X-ray on day one PM: Exercise deep breathing & coughing: Note Pre-Medication Gabapentin Orally 600 mg: Temazepam Orally 10 mg: Fentanyl IV 10 mg 4 times in PACU: Oxycontin PO 20 mg BD withheld on day one. b) AEB(as evidenced by): A side effect of all anesthetics is to decrease ventilation‚ decrease metabolism and hence CO2 production(Ahrens et al‚ 2009) 2. Diagnosis: Impaired balance of fluid volume related to losses secondary to surgical procedures with recent
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Appendix B Mother’s Care Plan # 2 Knowledge Deficient Knowledge deficient related to circumcision care AEB verbal expression of unfamiliarity. Overall goal- The patient will feel confident and be able to perform correct circumcision care on the baby. Expected outcomes – The mother will express understanding of the importance of proper circumcision care after teaching. The mother will demonstrate the
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Knee Arthroplasty (Total Knee Replacement) What is it? During knee replacement‚ a surgeon cuts away damaged bone and cartilage from femur‚ tibia and kneecap and replaces it with an artificial joint made of metal alloys‚ high-grade plastics and polymers. Why it’s done? It is most commonly done to repair joint damage caused by osteoarthritis and rheumatoid arthritis. You may be a candidate for knee replacement if: Your pain is disabling- People who need knee replacement surgery usually
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- Patient is colonized with Klebsiella in urine.- Has a swelling lesion on palate. | 1. Ineffective airway clearance related to excessive thick mucous secretions. AEB: The patient’s inability to cough up and remove secretions. Also by the adventitious rhonchi lung sounds present. | 1. The patient will maintain a patent airway AEB clear lung sounds for 48 hours. | 1. Assess respiratory rate‚ depth‚ rhythm‚ effort‚ and breath sounds Q4H and PRN.2a. Suction Q4H and PRN. Note color and consistency
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Philadelphia) Imbalanced Nutrition: Less than body requirements R/T inability to ingest nutrients (Gulanick & Myers‚ 2007) AEB vomiting three times per day after each meal‚ 35lb weight loss in past 60 days‚ height of patient is 5’8” weight of 110lbs (Demme‚ 1993). Impaired Skin Integrity – AIDS‚ R/T immune deficiency; AIDS related dermatitis (Gulanick & Myers‚ 2007) AEB Approximately 10‚ 3 x 2 cm reddened lesions to face and torso‚ lesions are spreading to other extretemeties ‚ and client concerned
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Bucher‚ L. (2011). Medical-surgical nursing: assessment and management of clinical problems (9th ed.) (2012). Acute diverticulitis: demographic‚ clinical and laboratory features associated with surgery for complicated diverticular disease: a single-centre experience. Colorectal Disease‚ 14(10)‚ 1248-1254
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EVALUATION | O: 61 year old post op pt has gone cholecystectomy. Pt is nonverbal and immobile. Pt has stage 2 breakdown on scrotum and stage 1‚ 2x2 redness around anus Nursing Diagnosis:Impaired skin integrity related to physical immobilization AEB Stage 2 skin breakdown on scrotum‚ and stage 5 skin impairment on anus Theoretical Knowledge:Targeting variables can focus assessment on particular factors and help guide the plan of care and prevention | 1. 1 pt will not have breakdown of skin around
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The Harris Family Assessment Dana Grand Canyon University: NRS-429V November 16‚ 2013 The Harris Family Assessment Health practices are activities performed by individuals or families as a whole to promote health and prevent disease. Health practices vary from family to family and nurses play a pivotal role in promoting health for the family. Families identify and perform health-maintenance activities based on their perceptions about their health because their choices are
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