Homework – The nursing student should

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Homework
Purpose
The nursing student should be able to identify seizure activity, how to educate the family and or caregiver of the pediatric patient on what to do if a seizure occurs and what medications to administer, implement safety to prevent injury and treatment of fracture. Develop education to support discharge based on assessment of data.
Competency
Prioritize nursing interventions when caring for pediatric clients with health disorders.
Scenario
A 5-year-old Gabriel is a multiracial male weighing 48 lbs with an allergy to penicillin arrives in the emergency room, no cultural considerations identified. You are handed the following notes on the patient that read:
He arrived in ER with his mother after falling out of bed after jerking movement activity as witnessed by his older brother while sleeping. Right-upper extremity appears with deformity. Mother and child speak English. Child has no significant medical history. Mother reports incontinent of urine during episode.
Your Assessment
Vital Signs: T 102.9, P 135, R 24, BP 118/60, O2 sat 100% RA
General Appearance: appears drowsy; face flushed, quiet
Neuro: oriented X3
Cardiovascular: unremarkable
Respiratory: lungs clear
Integumentary: very warm, dry
GI/GU: abdomen normal
Physician Orders

Complete Blood Count (CBC)
Complete Metabolic Panel (CMP)
Urinalysis with culture and sensitivity (U/A C&S)
Blood Cultures x 2
X-rays kidneys,
Influenza screening
Acetaminophen 15 mg/kg PO now
Ibuprofen 10 mg/kg PO now
Pad side rails
Suction at bedside with seizure precautions
Radiographs of right arm
Cast to right arm
Start PO fluids and increase as tolerated

The physician discharges Gabriel from ER to home with a diagnosis of; Right ear infection, Acute Febrile Seizure and fracture of the right ulna.
Discharge orders include:

Follow up with pediatrician in 7 days
Follow up with pediatric orthopedics in 7-10 days
Cefuroxime 30mg/kg PO BID for 10 days not to exceed 1,000mg daily. What is the recommended dosage if cefuroxime is supplied as an oral suspension 125mg/5ml or 250mg/5ml?
Acetaminophen 15 mg/kg PO Q4 hours PRN fever or pain and ibuprofen 10 mg/kg PO Q6 hours PRN fever and pain for up to 3 days
Acetaminophen is available as 160 mg/5 mL. Ibuprofen is available as 100 mg/ 5 mL.
What is the amount of acetaminophen in mg and ml per dose? What is the amount of ibuprofen in mg and ml per dose?

Instructions
Develop a discharge plan with three goals listed in order of priority, prior to discharge from current orders. Provide rationale for why you listed the goals in a particular order. Also, list three nursing interventions to meet each of the goals (you should have nine interventions in total). Last, give the mother the exact dosage she will need to give the child for acetaminophen, ibuprofen, and the cefuroxime when she gets home and explain why the exact dosage is important.

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Homework Purpose The nursing student should be able to identify seizure activity, how to educate the family and or caregiver of the pediatric patient on what to do if a seizure occurs and what medications to administer, implement safety to prevent injury and treatment of fracture. Develop education to support discharge based on assessment of data. Competency Prioritize nursing interventions when caring for pediatric clients with health disorders. Scenario A 5-year-old Gabriel is a multiracial male weighing 48 lbs with an allergy to penicillin arrives in the emergency room, no cultural considerations identified. You are handed the following notes on the patient that read: He arrived in ER with his mother after falling out of bed after jerking movement activity as witnessed by his older brother while sleeping. Right-upper extremity appears with deformity. Mother and child speak English. Child has no significant medical history. Mother reports incontinent of urine during episode. Your Assessment Vital Signs: T 102.9, P 135, R 24, BP 118/60, O2 sat 100% RA General Appearance: appears drowsy; face flushed, quiet Neuro: oriented X3 Cardiovascular: unremarkable Respiratory: lungs clear Integumentary: very warm, dry GI/GU: abdomen normal Physician Orders Complete Blood Count (CBC) Complete Metabolic Panel (CMP) Urinalysis with culture and sensitivity (U/A C&S) Blood Cultures x 2 X-rays kidneys, Influenza screening Acetaminophen 15 mg/kg PO now Ibuprofen 10 mg/kg PO now Pad side rails Suction at bedside with seizure precautions Radiographs of right arm Cast to right arm Start PO fluids and increase as tolerated The physician discharges Gabriel from ER to home with a diagnosis of; Right ear infection, Acute Febrile Seizure and fracture of the right ulna. Discharge orders include: Follow up with pediatrician in 7 days Follow up with pediatric orthopedics in 7-10 days Cefuroxime 30mg/kg PO BID for 10 days not to exceed 1,000mg daily. What is the recommended dosage if cefuroxime is supplied as an oral suspension 125mg/5ml or 250mg/5ml? Acetaminophen 15 mg/kg PO Q4 hours PRN fever or pain and ibuprofen 10 mg/kg PO Q6 hours PRN fever and pain for up to 3 days Acetaminophen is available as 160 mg/5 mL. Ibuprofen is available as 100 mg/ 5 mL. What is the amount of acetaminophen in mg and ml per dose? What is the amount of ibuprofen in mg and ml per dose? Instructions Develop a discharge plan with three goals listed in order of priority, prior to discharge from current orders. Provide rationale for why you listed the goals in a particular order. Also, list three nursing interventions to meet each of the goals (you should have nine interventions in total). Last, give the mother the exact dosage she will need to give the child for acetaminophen, ibuprofen, and the cefuroxime when she gets home and explain why the exact dosage is important. Credencewriters.com writers use essay writing citations style such as APA, MLA Credencewriters.com’s team of writers are proficient in using various citation styles, including APA, MLA, and others, to ensure that their clients receive well-researched and correctly formatted essays. The following is a brief overview of how Credencewriters.com’s writers use each of the citation styles: APA (American Psychological Association): This citation style is commonly used in the social sciences, education, and psychology. In APA style, in-text citations include the author’s last name and the publication year, while the reference page includes a complete list of all sources used in the essay. For example: (Smith, 2020). MLA (Modern Language Association): This citation style is commonly used in the humanities, including literature, language, and cultural studies. In MLA style, in-text citations include the author’s last name and the page number, while the Works Cited page includes a complete list of all sources used in the essay. For example: (Smith 23). Credencewriters.com’s team of writers understands the importance of correct citation and formatting and uses these styles to ensure that their clients receive high-quality essays that meet academic standards. In conclusion, Credencewriters.com’s team of writers is knowledgeable in using various citation styles, including APA and MLA, to ensure that their clients receive well-researched and correctly formatted essays. Whether clients require essays in the social sciences, humanities, or any other field, Credencewriters.com’s team of writers has the expertise to deliver high- quality work that meets the highest academic standards.

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