Case Study:
For the case study section only: Please only provide short answers for the case study No more than 2 sentence response. Answer all the questions in all case study scenarios.
Case Study # 1
Jordan is a 9-year-old boy who is a direct admit for observation. He has had a history of vomiting and diarrhea for 48 hours.
Subjective Data
Has a history of nausea and vomiting for 24 hours.
Has not voided today.
Is unable to tolerate oral fluids.
Objective Data
Vital signs: temp, 37.8º C; pulse, 120 bpm; resp, 24 breaths/min; blood pressure, 110/60 mm Hg
Weight: 34 kg
Hyperactive bowel sounds to auscultation
Questions:
Case Study #2
Susan is a 4-year-old girl with a 7-day history of fever and lethargy. Susan’s physician has ordered laboratory work that includes a blood culture.
Subjective Data
Susan has had fever for 1 week.
Her mother has noticed a decreased activity level.
Susan states she is “afraid” of needles.
Objective Data
Weight: 26.1 kg
Vital signs: temp, 39.3º C; pulse, 110 bpm; resp, 40 breaths/min; blood pressure, 108/54 mm Hg; oxygen saturation (O2 sat) 100%
No abnormal findings on physical examination
Questions:
Discussion Topic: What is the Perez reflex? Why is it important to know how to elicit it? Discuss the use of the Perez reflex in collecting urine specimens from infants.
Case study 1
The discharge teaching should include how to prevent the episodes of diarrhoea like drinking of clean and safe water, avoid eating from outside, handwahing before and after eating. The parents should be educated regarding this.
The best way to approach for iv line is by using eutechtic mixture to alleviate pain during cannulation.
The good distraction for him will be showing a car toy or pictures of Spiderman etc.
Case study 2
The nurse can explain about the procedure by showing some toys or toffees to her just prior to the procedure
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