describing your reasons for entering the nursing profession.

500 words

Nursing Care of Children Case Study

Review the case study and complete the questions to increase your knowledge of Nursing Care of Children content.  Copy and paste the questions into a document to type your answers.  Copy and paste the questions and answers back into messaging to your coach.  You coach will provide you with feedback on your answers.

 

An 8 year-old child is brought to the emergency room (ER) with a fractured right femur. The parents report that the child was playing baseball and while sliding into home plate, he collided with another player on the opposing team. The child requires surgery to repair the fracture. After surgery, the child will be in skeletal traction for two weeks and must remain on bedrest. Following skeletal traction, the child will be placed in a long leg cast.

Upon assessment, the vital signs are: Temp-37 C (98.6 F), pulse- 98 beats/minute, respirations-21 breaths/minute, and blood pressure-124/86 mm Hg. The child’s pain level is an “8” on a scale of 0-10. Swelling and bruising of the thigh is noted. An X-ray confirms the diagnosis. The child is frightened about going to the operating room.

The child has no known allergies and takes a multivitamin every morning.  His passion is sports, especially baseball, and when he grows up in wants to be a professional baseball player and play for the New York Yankees.

 

Questions:

 

1. What can the nurse do to reduce the child’s fear of hospitalization?

 

1. According to Erikson, what psychosocial developmental stage is this child in?

 

1. What diversional activities can the nurse provide while the child is in skeletal traction to promote growth and development?

 

1. Following surgery, what assessment findings would cause the nurse to notify the health care provider (HCP)?

 

1. What is compartment syndrome? What are the findings of compartment syndrome?

 

1. What nursing actions should be taken when caring for a child in skeletal traction?

 

1. What is a primary nursing diagnosis related to the above case study?

 

1. After two weeks of skeletal traction, the child is placed in a long leg cast and is discharged. What discharge teaching should the nurse provide to the child and his parents regarding cast care?

 

Observe the management of the client on patient-controlled-analgesia (PCA
pump). Discuss priority nursing interventions and summarize below:

71. Part 1: List the most common side effects and/or potential complications related
to pain medications:

Part 2: Identify assessment criteria that may indicate the client is experiencing
side effects from prescribed pain medications:

 

Personal early intervention.  Identify areas of focus to improve your personal EI and why these are your area of focus,
realistic evidence-based strategies for each of the selected areas of focus and discuss your
practical plan (SMART goals) to implement these strategies

Expenditures and healthcare disparities.Identify 3 ways a nurse leader can help to reduce the gap between healthcare expenditures and healthcare disparities. (Hint: review Healthy People 2030 and Chapter 2 from your DeMarco & Healy-Wash textbook)