NUR 2460C Week Three Clinical Swift RiverAmanda Blaire Room 301
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Course
NUR 2460C
Institution
Chamberlain College Of Nursing
NUR 2460C Week Three Clinical Swift
RiverAmanda Blaire Room 301
Amanda Blaire, 14-year-old female, who was in an ATV accident and now has a fractured tibia and fibula. Her vital signs are Temperature 98.6, HR 87, BP 111/72, RR 18, PaO2 97%. She is post-op day 1 with continuous traction and skelet...
nur 2460c week three clinical swift riveramanda blaire room 301
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Chamberlain College Of Nursing
NUR 2460C
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NUR 2460C Week Three Clinical Swift
RiverAmanda Blaire Room 301
Amanda Blaire, 14-year-old female, who was in an ATV accident and now has
a fractured tibia and fibula. Her vital signs are Temperature 98.6, HR 87, BP
111/72, RR 18, PaO2 97%. She is post-op day 1 with continuous traction and
skeletal pins to immobilize leg.
You responded correctly to 4 out of 6 evaluations:
Your
Categor respon Explanati
y se on
Education Increase Status Assessment reports
al Needs d acuity fracture and surgery and
rehabilitation needs.
Health Increased Status Assessment reports fractures,
acuity major
surgery, and rehabilitation needs.
LOC Increased Status assessment reports no
acuity indication of
increased LOC acuity
Pain Increase Status Assessment reports fractures,
d acuity major surgery, and rehabilitation
needs.
Psych Increase Status assessment reports no
d acuity indication of increased Psychiatric
acuity
Safety Increased Status Assessment reports fractures,
acuity major
surgery, and rehabilitation needs.
Baby Harris Room 302
,Baby Harris, 4-hour-old newborn male, weight 6.6 lbs. with a length of 18”
and approximate gestational age of 36 weeks. Late prenatal care. Mom has
history of methamphetamine and heroin addiction. In addition, the mom
admits to smoking 1 pack per day through pregnancy. Urine drug test on
baby positive for heroin and methamphetamine. VS: T 98.1, HR 178, R 70,
PaO2 96%.
,You responded correctly to 4 out of 6 evaluations:
Your
Categor respon Explanati
y se on
Educational Increased Mother needs to be taught to
Needs acuity recognize
signs of drug withdrawal.
Health Increase All body systems are affected by
d acuity drug withdrawal.
LOC Increase Status assessment reports baby
d acuity tested positive for drugs which
affect LOC.
Pain Increase Drug withdrawal increases irritability
d acuity and pain.
Psych Norma Drug withdrawal affects levels of
l well- being.
acuity
Safety Increased Incr
acuity
Hannah Johnson Room 303
Hannah Johnson, 10-year-old female presented to the ED 45 minutes ago
with dehydration, dysuria, and significant weight loss of 18 pounds over the
last 2 months. Both parents are with the child, the father is insisting that he
be notified of all interventions before they are initiated. Initial assessment
reveals: Skin dry and warm to touch, B/P 90/58, T 99.2, HR 110, RR 30. Child
appears thin. Breathing is fast and deep. Noted fruity odor to breath. Initial
labs: CBC WNL, K+ 2.89, BG 459, Urinalysis: Positive for ketones, glucose,
and bacteria. Orders: IV 0.9% normal Saline at 150 ml/hour, Add 20 mEq K+
after first liter, Ampicillin 250 mg PO q 6 hours, finger stick blood glucose
(FSBG) q 1 hour.
, You responded correctly to 6 out of 6 evaluations:
Your
Categor respon Explanati
y se on
Education Increase Status assessment reports abnormal
al Needs d acuity and possible newly diagnosis of type 1
diabetes.
Health Increase Status assessment reports
d acuity abnormal labs and weight loss.
LOC Normal Status assessment reports no
acuity indication of
increased LOC
Pain Increased Status assessment reports dysuria.
acuity
Psych Normal Status assessment reports no
acuity indication of
Psychiatric deficits
Safety Increase Status assessment reports IV's
d acuity and High Blood Glucose.
Jonathan Gibbons Room 304
Jonathan Gibbons, 13-year-old male diagnosed with asthma since he was 3
years old. He uses a rescue albuterol inhaler (PRN) on an "as needed" basis.
Jonathan presents to the clinic with what his mother calls a “bad cold and
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