Analyzing Cues Nurses’ Notes 4/6/20XX 09:00 A caregiver brings a…
Question Answered step-by-step Analyzing Cues Nurses’ Notes 4/6/20XX 09:00 A caregiver brings a… Analyzing CuesNurses’ Notes4/6/20XX09:00A caregiver brings a 5-month-old into the emergency department (ED) because she is anxious and concerned about the number of bruises on the infant’s body and does not know where they are coming from. She has noticed that the bruises have been getting bigger over the last week. The caregiver states that the infant only sleeps 20 minutes at a time, even during the night. The caregiver states that the infant does not go to daycare. The infant lives with the caregiver, the caregiver’s boyfriend who is not the father of the infant, and 2 other small children ages 2 and 5. ————- L. Lopez, RN 4/6/20XX09:30Initial physical assessment reveals: General Appearance: Fussy, irritable, not consoled by caregiverResp: Breath sounds equal and with good aeration bilaterally. No stridor or nasal flaring. CV: Heart rate regular-S1S2. Pulses palpable and equal bilaterally. Capillary refill less than 3 seconds.Neuro: Extreme sleepiness and difficulty waking.GI: Abdomen soft, non-tender with active bowel sounds all four quads. GU: Voiding per diaper. Integumentary: Skin is warm and dry-normal for color of skin. Visible bruises at different stages of healing along the arms. Bruises that are the size of half dollars that protrude along the rib cage.VS: T 97.9ᵒ F (36.6°C), P 118, RR 38, BP 100/76, oxygen saturation 98% on room air, Pain 0/10 FLACCWeight: 6.5 kg For each client finding below, click to specify if the finding is consistent with hemophilia or abuse. Each finding may support more than one disease process. Each column must have at least one response option selected. HemophiliaAbuseBone Fractures Bruising to the body Difficulty waking Elevated Partial Prothrombin time (PTT) Extreme sleepiness Fussy, irritable Pain Sudden behavioral changes Health Science Science Nursing NUR NR 328 Share QuestionEmailCopy link Comments (0)
