CASE STUDIES
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.
Subjective Data
Objective Data
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?
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.
Subjective Data
Objective Data
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.
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
Objective Data
What risk factors does Will have for contracting bronchiolitis?
What is the first priority for Will’s treatment?
What should the nurse do in this clinical situation? Prioritize actions.
Lucy is a 44-day-old formula-fed infant who presents with a 4-day history of vomiting.
Subjective Data
Objective Data
What test will be used to diagnose pyloric stenosis?
What should the nurse do in this clinical situation? Using the case study above, the first prioritization step the nurse would take is ____.
The second prioritization step the nurse would take is ____.
The third prioritization step the nurse would take is ____.
The fourth prioritization step the nurse would take is ____.
The fifth prioritization step the nurse would take is ____.
The sixth prioritization step the nurse would take is ____.
The seventh prioritization step the nurse would take is ____.
The eighth prioritization step the nurse would take is ____.
Michael is a 7-week-old breastfed infant who presents with a 2-day history of irritability and poor feeding.
Subjective Data
Objective Data
What is the treatment for an unstable patient with SVT?
Decreased cardiac output from prolonged SVT will produce what complication?
In this clinical situation what should the nurse do? Prioritize actions.
Liam is an 8-year-old male with a history of hemophilia. Liam presents today with a 1-day history of right elbow pain.
Subjective Data
Objective Data
How should the nurse respond when Liam’s father explains that they watched and waited to see if Liam needed treatment after his injury?
Why are neuro checks an important part of Liam’s physical exam?
What should the nurse do in this clinical situation? Prioritize actions.
Susan is a 26-year-old G1P0 at 6 weeks of gestation with type 2 diabetes. Her BMI is 32. Her hemoglobin A1C is 9. She uses glyburide 10 mg PO daily. The physician has switched her to insulin at this time.
What is the nursing priority at this time?
What should Susan be taught about insulin needs during pregnancy?
What additional risk factor does Susan have?
How should Susan be counseled regarding weight gain in pregnancy?
What advice can be given to Susan regarding exercise?
Lilly is a 3-year-old female who presents with complaints of abdominal pain and fever since yesterday.
Subjective Data
Objective Data
What risk factors does Lilly have for UTI?
What might prevent Lilly from a recurring UTI?
What should the nurse do in this situation? Prioritize actions.
Abby is a 1-year-old female who presents after a reported seizure at day care.
Subjective Data
Objective Data
How should the nurse respond to Abby’s mother when she asks if Abby has epilepsy?
How should the nurse respond to Abby’s mothers question about brain damage?
In this clinical situation what should the nurse do?
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