PediatricCase02_JacksonWeber_Complex_DA.docx - Gaelle...

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Gaelle Larose Vsim Pediatric Case 2: Jackson Weber (Complex) Documentation Assignments 1. Document your initial focused assessment of Jackson Weber.
2. Identify and document key nursing diagnoses for Jackson Weber.
3. Referring to your feedback log, document the nursing care you provided and Jackson Weber’s response
From vSim for Nursing | Pediatric. © Wolters Kluwer Health.
Gaelle Larose Vsim 1:37 You identified the relatives. This is important, as the patient is below 18 years of age. 1:58 You obtained legal consent from the child's relative. This was reasonable. 2:10 Child status - ECG: Sinus rhythm. Heart rate: 100. Pulse: Present. Blood pressure: 117/79 mmHg. Respiration: 14. Conscious state: Somnolent. SpO2: 99%. Temp: 36.7 C 3:03 You asked the parent: Does he have any known allergies? The parent replied: 'No. I don't think so.' 3:10 Child status - ECG: Sinus rhythm. Heart rate: 100. Pulse: Present. Blood pressure: 117/79 mmHg. Respiration: 14. Conscious state: Somnolent. SpO2: 98%. Temp: 36.7 C 3:22 You secured the patient to avoid injuries during seizures 3:42 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. This will allow you to reassess the child continuously. 3:46 You looked for normal breathing. He is breathing at 14 breaths per minute. The chest is moving equally. 4:09 You measured the <Temperature>temperature<> in the ear. The temperature was 36.7 C. 4:10 Child status - ECG: Sinus rhythm. Heart rate: 100. Pulse: Present. Blood pressure: 120/81 mmHg. Respiration: 14. Conscious state: Somnolent. SpO2: 98%. Temp: 36.7 C 4:22 You checked the pulse at the brachial artery. The pulse is strong, 100 per minute and regular. It is correct to assess the child's vital signs. 4:46 You examined the child's skin. There is normal elasticity of the skin. His color is normal and he is not sweating.

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