JacksonWeberDoc.docx - Pediatric Case 1 Jackson Weber...

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Pediatric Case 1: Jackson Weber Documentation Assignments 1. Document your initial focused assessment of Jackson Weber. Jakson 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 2. Identify and document key nursing diagnoses for Jackson Weber. - Impaired gas exchange related to impaired breathing pattern - Risk for injury related to weakness, loss of hand-eye coordination, and reduced muscle coordination. - Deficient knowledge related to information misinterpretation 3. Referring to your feedback log, document the nursing care you provided and Jackson Weber’s response. I introduced myself, washed my hands and then verified my patient and the adult in the room. Asked about allergies, assessed vitals signs and pain level using the faces scale, and performed a neurological assessment. The patient had a seizure episode while I was

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