NURS 1211C

Part 1: Recognizing RELEVANT Clinical Data History of Present Problem: April Peters is a 10-year-old female with acute lymphoblastic leukemia (ALL) who presents to the emergency department with a temperature of 38.4 degrees C. (101.2 F.) and a complaint of a sore throat. She has been receiving chemotherapy since her diagnosis three months ago. April's mother reports that her fever has been unresponsive to acetaminophen and she is two days out from her most recent chemotherapy treatment. No...

Part 1: Recognizing RELEVANT Clinical Data History of Present Problem: April Peters is a 10-year-old female with acute lymphoblastic leukemia (ALL) who presents to the emergency department with a temperature of 38.4 degrees C. (101.2 F.) and a complaint of a sore throat. She has been receiving chemotherapy since her diagnosis three months ago. April's mother reports that her fever has been unresponsive to acetaminophen and she is two days out from her most recent chemotherapy treatment. No...

Is pain always what the patient says it is? Though the patient’s rating of pain is always relevant, the nurse must collect and cluster additional clinical data to make correct clinical judgments regarding pain control. In this dilemma, a post-operative patient with a history of narcotic tolerance and chemical dependency continues to require increasing amounts of narcotics for pain control. How to guide clinical decision making without being judgmental is the essence of this patient dilemma