Throughout your interaction with Tom, how would you confirm that he is understanding your intended message?

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Question Throughout your interaction with Tom, how would you confirm that he is understanding your intended message? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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Question Sim Case Scenario      Caring for an Infant with a Congenital Heart Defect   Jake is an 8-wwek old male infant admitted with diagnosis of Tetralogy of Fallot (TOF).HPI: Jake was a full term, normal vaginal delivery without complications. He was seen this morning for a routine checkup by his pediatric nurse practitioner PCP. During the health interview Jake's mother verbalized concern that he was having difficulty sucking on the bottle during feedings and did not seem to be gaining weight as quickly as her first child.  On exam the nurse practitioner noted a murmur and mild pulmonary crackles. She referred him to the cardiologist for evaluation. He is being admitted to the pediatric unit with diagnosis of TOF and CHF.  You are the admitting nurse and have completed the intake physical assessment. The following findings were noted. Please explain if these findings are to be expected or unexpected findings given his age and diagnosis. What is the implication of the assessed findings? Based history of present illness is this an Expected or Unexpected finding and significance of finding?Apical pulse:165   Respiratory rate: 66    Respiratory status: accessory muscle use, nasal flaring, crackles, mild periorbital cyanosis  Capillary refill > 3   Weak suck: Weight 3.1 kg     You implement care to improve cardiac functioning. Provide rationales for the following interventions.A. Anticipate needs to limit crying    B. Cluster care    C. Semi fowler position. How can you      achieve this with an infant in a crib?       What safety precautions would be      needed?     D. Daily weight at 7am on scale #2        Oral feedings every 3 hours using large hole nipple. Any remaining formula that is not consumed in fifteen minutes administer via nasogastric tube over a 15 minute time span. Temperature assessment hourly: clothing to maintain baseline temperature    Digoxin 16 mcg po twice a day. Hold if HR <110  Drug reference:   What is the recommended range of Digoxin for a child?    Is the above order safe for Jake?   You enter Jake's room and find him with circumoral cyanosis, sweaty forehead, pulse 230 and he is limp. Describe your nursing actions beginning with the most important to ensure Jake's physical safety.     Another tool to help organize your thoughts and actionsUse the LATTE note taking template below to summarize your assessment and care of Jake in regards to his dxn of Tetralogy of Fallot and CHF.          LATTE TEMPLATE    www.straightanursingstudent.com                                                       LHow will your client LOOK?       AHow will you ASSESS this client?        TWhat TESTS will be ordered?        THow will this condition be TREATED?          EHow will you EDUCATE client and family?               Health Science Science Nursing NURSING 127 Share QuestionEmailCopy link Comments (0)
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