I- Case Study: Care of the Child in Inpatient and Outpatient Settings
Jordan is 9-year-old male who is a direct admit for observation. He has a history of vomiting and diarrhea for 48 hours.
· Nausea and vomiting for 24 hours
· Has not voided today
· Unable to tolerate oral fluids
· Vital signs: T 37.8° C, P 120, R24, BP 110/60
· Weight: 34 kg
· Hyperactive bowel sounds to auscultation
When should the discharge teaching begin for Jordan and his family?
What is the best way to approach Jordan regarding the IV that has been ordered.
What would be good distractions for a child of Jordan’s age?
II- Case Study: Pediatric Cancer
Mario is a 7-year-old male who presents with a 1-week history of body aches and pallor. He has a 2-day history of fever to 103° F and a 1-day history of bruising and lethargy.
· Complains of hurting all over
· States he feels very tired
· States he feels dizzy when he stands up
· Weight 26.1 kg
· Vital signs: T 38.9° C, P 140, R 40, BP 108/54, O2 sat 100%
· Purpural rash on extremities
· WBC 0.7
· HGB 3.1
· Hct 8.5
· Plt .08
· ANC 0.1
Which of Mario’s presenting symptoms must be treated and stabilized before chemotherapy induction?
What testing is required for a definitive diagnosis of meningitis?
What should the nurse do in this clinical situation? Prioritize actions.