Pediatric Gastrointestinal System

III- Case Study: Pediatric Respiratory System

Will is a 4-month-old infant born at 34 weeks of gestation. Will’s mother states that he has not been able to go to day care because he has been coughing with a fever for the past 3 days. She states today he is unable to feed well from the bottle because of nasal secretions.
Subjective Data
· Mother complains that infant has had cough for 3 days
· Mother states that infant is having trouble sleeping
· Not voided in past 6 hours
Objective Data
· Birth Weight: 1.9 kg
· Today’s Weight: 5.5 kg
· Vital Signs: T 38° C, P 186, R 60, BP 90/52, Pulse Oximetry 93%
· Thick yellow nasal secretions
· Nasal flaring with moderate intercostal retractions
· Breath sounds decreased with crackles bilaterally to auscultation

Question 1

What risk factors does Will have for contracting bronchiolitis?

Question 2

What is the first priority for Will’s treatment?

Question 3

What should the nurse do in this clinical situation? Prioritize actions.

IV- Case Study: Pediatric Gastrointestinal System

Lucy is a 44-day-old formula-fed infant who presents with a 4-day history of vomiting.
Subjective Data
1. Mother states infant has been vomiting undigested formula after feedings
2. Mother states that infant has not had fever or diarrhea
3. Mother states that infant has had 8 wet diapers in the past 24 hours
Objective Data
1. Weight 4.8 kg (birth weight 3.5 kg)
2. Vital signs: T 37.1° C (rectal), P 130, R 30, BP 92/52
3. Mucous membranes moist, anterior fontanel flat and soft
4. Awake and alert, lusty cry
5. Good muscle tone
6. Olive-sized mass palpated at epigastrium

Question 1

What test will be used to diagnose pyloric stenosis?

Question 2

What should the nurse do in this clinical situation? Using the case study above, the first prioritization step the nurse would take is ____.

Question 3

The second prioritization step the nurse would take is ____.

Question 4

The third prioritization step the nurse would take is ____.

Question 5

The fourth prioritization step the nurse would take is ____.

Question 6

The fifth prioritization step the nurse would take is ____.

Question 7

The sixth prioritization step the nurse would take is ____.

Question 8

The seventh prioritization step the nurse would take is ____.

Question 9

The eighth prioritization step the nurse would take is ____.

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