How to Answer Client Will Caring Questions (Complete Guide)
This question tests key academic concepts commonly covered in coursework.
What This Question Is About
This question relates to client will caring and requires a structured academic response.
How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
This topic involves client will caring. A strong answer should include explanation, application, and examples.
Original Question
Client 1 You will be caring for, Chi Hu, a 12-year-old female. She is fluent in Chinese, speaks some English. She recently moved to the USA with her parents from China. She had a partial colon resection with colostomy formation and is now recovering on the pediatric unit. Over the last day, she has an NG tube connected to LIS with minimal green/brown output. She has IV fluids of D5 ½ NS with 20 mEq/L KCl at 60 ml/hr. She has been fairly immobile due to fatigue, the presence of the NG tube and IV tubing. She weighs 80 lbs. Diagnosis: Colitis Allergies: Sulfa Code status: Full Diet: NPO Activity: As tolerated Medical history: none Social history: Lives with both parents, no siblings. Explain the pathophysiology of colitis (explain to the cellular level) and complete the following chart regarding normal vital signs for pediatric clients. Newborn Infant Preschooler School age Teenager Blood Pressure Pulse Respirations Complete the following growth and development chart for a 12-year-old. Developmental stage Physical Development Cognitive Development Psychosocial Development Age-Appropriate Activities Health Promotion Immunizations Health Screening Nutrition Injury Prevention What changes could occur in the patient’s labs (from surgery and NG tube attached to suction)? What complications could occur in this post-operative patient? What are the priorities of care in order to prevent complications? Discuss cultural considerations that will impact how you care for pediatric clients. Discuss some therapeutic approaches in working with pediatric clients. Client 2 You will be caring for, Lori Thompson, a 7-year-old female with Down Syndrome. She presented to the ER with fever, vomiting, lower abdomen pain, and bilateral flank pain. She has suspected pyelonephritis and has just been admitted to the pediatric unit. She has an IV infusing of D5 ½ NS with 10 mEq/L KCL running at 25 ml/hr. She weighs 44 lbs. Diagnosis: suspected pyelonephritis, vomiting Allergies: NKA Code status: Full Diet: Advance diet as tolerated to regular Activity: As tolerated Medical history: Several episodes of UTI’s (last one 3 months ago), asthma Social history: Lives with both parents, one older sister. Explain the pathophysiology of pyelonephritis (explain to the cellular level). Discuss the complications that may occur with pyelonephritis. How can these complications be prevented? Research the following meds: Medication Drug classification Safe dose for this patient Nursing considerations 5 common side effects Acetaminophen (Tylenol) PO/PR Ibuprofen (Motrin) PO Discuss what education you would perform with this patient and family about preventing UTIs and pyelonephritis in the future. Discuss the management of asthma in this patient. Complete the following growth and development chart for a 7-year-old with down syndrome. Developmental stage Physical Development Cognitive Development Psychosocial Development Age-Appropriate Activities Health Promotion Immunizations Health Screening Nutrition Injury Prevention Client 3 You will be caring for Sarah Johnson, a 4-month-old Native American female. She currently weighs 19.8 pounds and is 68 cm in length. Weight at last check-up was 23 pounds. Mother brought infant into clinic because of yellow drainage in eyes, increased need for feeding and extra heavy diapers. An IV access in her foot has already been started with an infusion of NS at 10 ml/hr. She has been admitted to the pediatric unit. Diagnosis: Conjunctivitis, Dehydration Allergies: NKA Code status: Full Diet: Formula by bottle Medical history: None Social history: lives with parents, is first born child Discuss possible causes of dehydration in infants. Review how to use an insulin pen and list 5 important considerations here: Discuss some cultural considerations for this client. Research the following meds: Medication Drug classification Safe dose for this patient Nursing considerations 5 common side effects Novolog Insulin subcut Erythromycin eye ointment Glucagon IM
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