NP III: Pediatric Case Study Grading Sheet
NP III Pediatric Case Study Grading Sheet Each question is worth 1 point
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Student Name: __________________________________ Date ______
Hillsborough Community College
NPIII: Pediatric Unit 1
Case Study INSTRUCTIONS: Complete case study individually. Show work with all math problems.
CASE Ivana Alexandrovich, 8 yr old
Admitted 18 hours ago with fracture R femur & R clavicle, open wound on R foot, chest & abdominal bruising.
Presented in ER 24 hours ago after motor vehicle accident, restrained …show more content…
b) Assess for dry mucous membranes
c) Assess for decreased skin turgor
d) Monitor daily weights. Sudden weight loss/change.
5. What is this patients weight and height percentiles. What are the nursing implications for this data?
a) Weight- 3rd Height- less than 3rd
b) Nursing implications – Ivana’s percentiles indicate she is below the fifth percent which is suggesting she is failure to thrive. Continue to monitor Ivana’s daily weights, diet/ caloric intake, food preferences and any other changes related to growth and development that could potentially delay her growth.
6. How would you assess pain in Ivana and why utilize these measures?
a) Oucher pain scale - A poster 0-100 scale for school age children, such as Ivana, with no pain starting at 0 , maximum pain at 100
b) Wong-Baker FACES Pain Rating Scale -6 cartoon faces with neutral to gradually increasing painful expressions- Good for Ivana to express her pain.
7. After peripheral IV and IV fluids are started, the nurse is ready to start the Claforan IV. Is the ordered dose a safe dose? According to a pediatric drug book the safe dose range for Claforan is 100 mg – 200 mg/kg/24 …show more content…
As nurses, medical diversity is something that we will undoubtedly encounter and has a large influence on health management. Alternative medicine is not only prevalent for those outside of the medical profession but is a rising practice among health care professionals. In this case, a nurse should inquire about the substance and seek to identify its origins. This should also be discussed with physician. The nurse and the entire health care team should familiarize themselves with the family’s beliefs and practices. The health care team should then use this knowledge to design a comprehensive and inclusive health care plan. Culturally, the nurse must be sensitive to the family structure, religious values, and cultural preferences. In this case, the nurse should respect the families Russian cultural
1.__________
2.__________
3.__________
4.__________
5.__________
6. __________
7.__________
8.__________
9.__________
10._________
Student Name: __________________________________ Date ______
Hillsborough Community College
NPIII: Pediatric Unit 1
Case Study INSTRUCTIONS: Complete case study individually. Show work with all math problems.
CASE Ivana Alexandrovich, 8 yr old
Admitted 18 hours ago with fracture R femur & R clavicle, open wound on R foot, chest & abdominal bruising.
Presented in ER 24 hours ago after motor vehicle accident, restrained …show more content…
b) Assess for dry mucous membranes
c) Assess for decreased skin turgor
d) Monitor daily weights. Sudden weight loss/change.
5. What is this patients weight and height percentiles. What are the nursing implications for this data?
a) Weight- 3rd Height- less than 3rd
b) Nursing implications – Ivana’s percentiles indicate she is below the fifth percent which is suggesting she is failure to thrive. Continue to monitor Ivana’s daily weights, diet/ caloric intake, food preferences and any other changes related to growth and development that could potentially delay her growth.
6. How would you assess pain in Ivana and why utilize these measures?
a) Oucher pain scale - A poster 0-100 scale for school age children, such as Ivana, with no pain starting at 0 , maximum pain at 100
b) Wong-Baker FACES Pain Rating Scale -6 cartoon faces with neutral to gradually increasing painful expressions- Good for Ivana to express her pain.
7. After peripheral IV and IV fluids are started, the nurse is ready to start the Claforan IV. Is the ordered dose a safe dose? According to a pediatric drug book the safe dose range for Claforan is 100 mg – 200 mg/kg/24 …show more content…
As nurses, medical diversity is something that we will undoubtedly encounter and has a large influence on health management. Alternative medicine is not only prevalent for those outside of the medical profession but is a rising practice among health care professionals. In this case, a nurse should inquire about the substance and seek to identify its origins. This should also be discussed with physician. The nurse and the entire health care team should familiarize themselves with the family’s beliefs and practices. The health care team should then use this knowledge to design a comprehensive and inclusive health care plan. Culturally, the nurse must be sensitive to the family structure, religious values, and cultural preferences. In this case, the nurse should respect the families Russian cultural