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This question was created from Welcome to NUR 104---Health Safety.rtf


The community health FIN is caring for a family with a child who
has significant developmental delays. The child is 9-years-old an
exhibits the development of a 6—month old infant. She can move
her extremities spontaneously, hold her head up and cry out
occasionally. She has a gastrostomy tube for her medications an
she receives continuous tube feeding via pump. She was
discharged 2 days ago after a 5-day hospitalization for failure to
thrive. During the hospital stay, the child's tube feeding formula
was adjusted to meet her growing needs. The community health
RN is monitoring the child after discharge, following up on the
child's weight and the parent's knowledge of the new feeding
formula type, amount, and schedule. Today the child weighs 50
pounds. The child’s current weight represents a 2-pound weight
gain since hospital admission.
The RN has chosen the NANDA—l nursing diagnosis of Deficient
knowledge r/t change in growth and calorie requirements AEB
parent states, “I thought the same tube feeding would be enough
calories for a long time, I don’t know how to tell if the feeding
should be adjusted."
Initial Discussion Post:
- Create a narrative note to record this patient’s current health
- Discuss why accurate documentation is critical in healthcare.
- What information is crucial to include in a handoff report?
- Discuss the role of nursing informatics in this scenario.

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