Pediatric Case 1 Jackson Weber (Core) Documentation Assignments.pdf - Pediatric Case 1 Jackson Weber(Core Documentation Assignments 1 Document your

Pediatric Case 1 Jackson Weber (Core) Documentation Assignments.pdf

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Pediatric Case 1: Jackson Weber (Core) Documentation Assignments 1. Document your initial focused assessment of Jackson Weber. Jackson was diagnosed with generalized tonic-clonic seizures 2 years ago, so my focused assessment surround the client neurological status. I completed a neurological status check then assessed the client eye movement and pupils. Jackson is a patient with a 2 year history of tonic clonic seizures. He hasn’t seen a neurological doctor for the past 15 months, and he takes oral phenobarbital to control the seizures episodes. The patient denies any pain, during the neuro assessment everything was normal and defined limits. 2. Identify and document key nursing diagnoses for Jackson Weber. Impaired gas exchange related to ineffective breathing pattern risk for injury 3. Referring to your feedback log, document the nursing care you provided and Jackson Weber’s response. Introduce yourself, wash hands, Identified the child, identified the relatives, asked

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