Case Overview: Kevin Bales is a 4-year-old Asian boy with a 4-day…
Question Answered step-by-step Case Overview: Kevin Bales is a 4-year-old Asian boy with a 4-day… Case Overview:Kevin Bales is a 4-year-old Asian boy with a 4-day history of low-grade fevers (101-102) for 4 days, c/o sore throat eye discharge and irritability. He lives with his dad and his mother visits a few times a year. DocuCare Activity/Assignment Prep:Review the Clinical Decision Support Tool (green Lippincott Advisor links) provided throughout your patient’s chart:Kawasaki’s diseaseAspirinMotrinIVIGRicci, S., Kyle, T., & Carman, S. Nursing Care of the Child with an Alteration in Gas Exchange/Respiratory Disorder. Maternity and Pediatric Nursing. Philadelphia, Pa.: Wolters Kluwer Health/Lippincott Williams & Wilkins.Ricci, S., Kyle, T., & Carman, S. Growth and Development of a Preschooler. Maternity and Pediatric Nursing. Philadelphia, Pa.: Wolters Kluwer Health/Lippincott Williams & Wilkins. Activities/Assignments:Part One: Clinical Judgment Activity Review Kevin Bales’ chart including Patient Information, Notes, Diagnostics, Vital Signs, Orders and assessment findings and the growth and development of the preschooler.You are the pediatric nurse caring for Kevin Bales. After receiving report and reviewing Kevin’s chart, you complete a focused assessment while talking with Kevin and his father. Kevin keeps turning into his father, as you ask questions. You notice Kevin has medications due at this time. You let Kevin know that you have some medications for him to take. Kevin’s father stops you saying, “You are not supposed to give aspirin to kids. It is dangerous.” Assignment 1.1:How do you respond? Document your answer in the Notes section>Nursing Note-Progress Note.How would you administer these medications to Kevin, a 4-year-old? Document your answer in the Notes section>Nursing Note-Progress Note. Assignment 1.2:In the medication administration record (MAR), document medication administration.In the Patient Teaching tab, document the developmentally appropriate patient education. Part Two: Clinical Judgment Activity Review Kevin Bales’ chart including Patient Information, Notes, Diagnostics, Vital Signs, Orders and assessment findings. Compare with current focused assessment findings: “My name is Kevin Bales, I’m 4-year-old.” Points to his throat, “hurts”. He chooses 4 on the Wong-Baker faces scale. Kevin shakes his head when you offer him something to drink. VS: BP 82/60, HR 100, 22, SpO2 99%, T 102.3 F tympanic.Flushed face, eyes heavy, withdrawn, 2-3-word sentences.Opens his mouth and shows you a deep red tongue, palms and the bottom of both feet are red, but he pulls away before you can touch.Breath sounds are clear, no coughing, torso redHeart tones are clear, rhythm is slightly irregular.Abdomen is soft, positive bowel sounds.PIV R arm, dressing clean dry and intact, no redness or swelling Assignment 2.1:Document this new assessment as 4 hours after admission in this patient’s chart. Assignment 2.2:Answer the following questions in the Notes section>Nursing Note-Progress Note.What findings are of immediate concern? (Recognize Cues/Assessing)Are there any findings that indicate Kevin is developing a complication of Kawasaki’s Disease? (Analyze Cues/Assessing)What signs point to improving or declining status? (Evaluate Outcomes/Evaluating)What additional interventions/assessments need to be considered? (Generate Solutions/Planning) Health Science Science Nursing NURSING 226 Share QuestionEmailCopy link Comments (0)
