Pediatric Case Study 1.docx - Practical Nurse Program Maternal Child Clinical Pediatric Case Study 1 Patient Report Location Pediatric Unit Patient name

Pediatric Case Study 1.docx - Practical Nurse Program...

This preview shows page 1 - 3 out of 11 pages.

Practical Nurse Program Maternal Child Clinical Pediatric Case Study 1 Patient Report: Location: Pediatric Unit Patient name: Pedro Gomez Medical record #: 1872213 Date of birth: April 10 Age: 5 years Sex: Male Admitting provider: Jon Ivey, MD Scenario start day: Day 2, Saturday Scenario start time: 0730 Chief complaint upon admission: Broken arm Primary diagnosis: Traumatic compound fracture, left forearm Overview Pedro Gomez, a 5-year-old Hispanic male, was admitted Friday afternoon for an open reduction and internal fixation of a left forearm compound fracture. Following an uneventful surgery, cast placement was planned for the following day. Overnight, Pedro developed early signs and symptoms of varicella that went undetected by the night nurse. Pedro speaks adequate English, but neither of his parents speak English. A postoperative IV antibiotic is due right after report. 1. As the nurse caring for this client, what are the two focused assessments that should be completed throughout the shift and what should be assessed during the focused assessments? Our first priority assessment for Pedro would be a neurovascular assessment at regular intervals. The nurse would check peripheral pulse rate and quality, color, capillary refill time, warmth, movement, and sensation, and pain in his left forearm. Tissue perfusion is to be performed on fingers distal to injury and cast. (Leifer, 2019, p. 577) The next priority would be watching for developing signs of varicella. So assessing his skin frequently for macules, papules, vesicles, pustules, and scabs. All stages of the lesions are present on the body at the same time. Scabs appear in approximately one week. Expected findings prior to the outbreak on the skin are pink or red sclera of the eye, swelling of the conjunctiva, excessive tearing, yellow/green purulent drainage from the eye, and crusting eyelids in the morning. (PN Nursing Care Of Children, ATI, p. 238)
Image of page 1

Subscribe to view the full document.

2. What patient teaching should be completed with this client and his parents, and what special considerations or interventions should be initiated to accomplish this successfully? First, there needs to be an interpreter present so that the parents can understand the teaching. The patient and his parents should be taught proper precautions to prevent the spread of the infection. Airborne precautions are in place to prevent the transmission of infectious agents to staff and patients that remain suspended in the air (Centers for Disease Control and Prevention, 2019). Healthcare providers and parents entering the room are required to wear an N95 mask or respirator prior to entering the room and should be removed once you have exited the room (Centers for Disease Control and Prevention, 2019). The N95 mask should be properly fitted (Leifer,2019, pg. 743). Demonstrate to the parents how to properly put on the N95 mask or respirator (Centers for Disease Control and Prevention, 2019). It is important to perform hand hygiene before entering the room and before removing the N95 mask when exiting the room (Leifer, 2019, pg. 744). Pedro is
Image of page 2
Image of page 3
  • Fall '16

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Ask Expert Tutors You can ask 0 bonus questions You can ask 0 questions (0 expire soon) You can ask 0 questions (will expire )
Answers in as fast as 15 minutes