Question

CLINICAL CASE SCENARIO

Kodjo, 15 years old boy, is admitted to the medical ward with burns on the trunk and arms by Dr. Edinam Insoko. Kodjo came with the history of wound on the trunk, dizziness, painful arms and trunk, fever (38˚C) and insomnia. His folder number is 102/06-2020. Kodjo is a Catholic with allergy of ripped plantain. Kodjo was at home for social distance as a student of the L/A Basic School at Fiayase. Kodjo was nurse in bed M7. The physician ordered the following; diagnostic investigation; Blood for full blood count, fasting blood sugar, liver function test. Urine for urinalysis, BUE, ESR, medications prescribed included Tab Amoxiclav 312.5mg daily x 7, Suppository Paracetamol 1g PRN x 72 hours, Iv Normal Saline 500mls start, Ringer Lactate 500mls start. Dr Edinam Insoko scheduled her for nutritionist specialist review on Mondays and Wednesdays for a month then physiotherapy Tuesdays and Thursdays for three (3) months as well as the plastic surgeon every Friday for three (3) weeks. You are the student nurse in the male ward working for 24 hour period work scheduled due to the COVID-19. Demonstrate your care within the 24 hour care of Kodjo on the ward using the nursing process as a guide and follow all the MOH/GHS/WHO protocol for COVID-19 complete the Nursing Care Plan for Kodjo.

As student nurse in the male ward working for 24 hour period due to the COVID-19. Demonstrate your care within the 24 hours of Kodjo on the ward using the nursing process as a guide complete your Nursing care plan for Kodjo. Also follow all the MOH/GHS/WHO protocol for COVID-19 in your care.

SECTION A   

1. Complete the personal data of the Kodjo
2. Clearly detail the medical orders for Kodjo
3. State five (5) patient problem   
4. State the patient allergies
5. State the patient strength in-line with the stated problems
6. State the nursing diagnosis for each patient problem   
7. Explain in detail objective/outcome criteria for each problem in (6) above
8. Give your nursing orders to manage Kodjo   
9. Write your nursing intervention provided for Kodjo with evidence-based
10. Evaluate each objective set   

SECTION B

I. How would you prepare and keep an accurate account of Kodjo’s intravenous replacement (Recording fluid Intake and Output Chart)?

1. Indicate three (3) purpose for the tasks above
2. List the requirements with rationale for the tasks.
3. Write the steps and rationale in carrying out each procedure   
4. Write the nurses’ note for the procedures carried out.   

Answer 1

#. Clearly detail the medical orders for Kodjo :-

Tab Amoxiclav 312.5mg daily x 7,

Suppository Paracetamol 1g PRN x 72 hours,

Iv Normal Saline 500mls stat, Ringer Lactate 500mls stat.

#. State five (5) patient problem   

- Came with the complaints of wound on the trunk, dizziness, painful arms and trunk, fever (38˚C) and insomnia.

#. State the patient allergies

- Allergic to ripped plantain

#. Nursing diagnosis :-

- Risk for infection related to burns as evidenced by wound on his trunk

- Pain related to burn as evidenced by pain score

- Fever related to infection as evidenced by temperature of 38° C

- Insomnia related to pain as evidenced by not sleeping at night

- Dizziness related to hemodynamic instability