Get Answer: Brief Description Client Question Guide
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Original Question
Brief Description of Client Name: Eva Madison Gender: Female Age: 5 Race: Caucasian Weight: 45 lbs. / 20.5 kg Height: 47 in / 120 cm Religion: Baptist Major support: Mother and father Allergies: NKDA Immunizations: Up-to-date Primary Care Provider/Team: Dr. Annie Phillips Past Medical History: No pertinent past medical history. Patient has been healthy and had a normal birth history. She was last seen in the office 1 month ago for her 5-year, well-child checkup. She had no health problems at that time. Recent Medical History: Eva started vomiting 3 days ago and developed diarrhea within 6 hours. There are no ill contacts at home, although there have been several children in her kindergarten class who have had the “stomach bug.” She has vomited twice since her arrival to the floor, just a small amount of clear fluid. There is no blood in her emesis or stool. Her last urine output was 8 p.m. (2000) yesterday, and it was a small amount. She has had 4 loose stools in the past 12 hours. She has had no new foods, no fever, and no medications at home. Surgeries/Procedures & Dates: None 1. (a) What is dehydration? (b) What are the signs and symptoms of dehydration? (c) What are the most severe complications of dehydration in a pediatric patient? 2. (a) What is gastroenteritis? (b) What are the s/s and most common complications of gastroenteritis in children? 3. What potential fluid and electrolyte problems should the nurse assess for? 4. Complete the following related to medications: Medication Drug Class How is this med given? If given IV, over what period of time? Mechanism of Action (How does it work in the body?) Side Effects Why would this med be prescribed for this patient? Patient education needed (in Layman’s terms) Pedialyte Tylenol Zofran 5. What labs are most important to monitor? Provide rationale. 6. Describe the procedure for administering a rectal suppository. 7. What discharge instructions would you anticipate providing to this family? 8. Potential Problems: a. Identify 3 potential problems that the patient is at risk for. b. What objective or subjective data might your assessment reveal? c. How would you manage each of these problems (interventions)? Problem List Supportive data Interventions 1. 2. 3.
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