NURSING RN 228-AD Nursing Pediatric Nursing Case Study 1,2,3

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AD Nursing Pediatric Nursing Case Study 1: Respiratory 20 Points
Directions: Read the case study and answer the questions. Your answers should be in full sentences, organized, flow logically and evidence critical thinking and nursing judgment. Use at least two evidence­based or peer reviewed resources to support your work. Follow APA guidelines. Submit your completed case study to the Drop Box in the Quad by the due date posted by your instructor. Case Study:
Gary, a 4­month­old boy, presents to the pediatric office with a 3­day history of worsening cough, fever 101, tachypnea and retractions. Gary’s 3­year­old sibling attends preschool and had upper respiratory symptoms one week ago. Gary’s mother reports he is listless and has not been eating well for at least the last two days, and that he just pushes the bottle away and she has had to change very few diapers. 

1. What assessment finding from this description is the most concerning? Why? 
2. What questions do you need to ask to gain more information? List the first three questions you would ask this mother, with rationale. 
3. List the two priority nursing assessments/interventions you will perform, with rationale. 
4. List the diagnoses you feel are most likely based on the provided information. If more than one, explain the relationship between them. 
5. Discuss the teaching needs you identify for this mother. 6. Describe the diagnostic tests you anticipate being ordered and the associated nursing implications. 

AD Nursing Pediatric Nursing Case Study 2: GI 20 Points
Directions: Read the case study and answer the questions. Your answers should be in full sentences, organized, flow logically and evidence critical thinking and nursing judgment. Use at least two evidence­based or peer reviewed resources to support your work. Follow APA guidelines. Submit your completed case study to the Drop Box in the Quad by the due date posted by your instructor. Case Study:
A mother brings her 8­month­old infant, Mary, to the primary care clinic. The mother reports that Mary has had a cold for about 2 days, and this morning she began to vomit and has had diarrhea for
the past 8 hours. The mother states that Mary is still breastfeeding, but that she is not taking as much fluid as usual, and she is having three times as many stools as usual (the stools are watery in consistency). When the nurse examines Mary, she notes that her temperature is 100.4° F, her pulse
and blood pressure are in the normal range, her mucous membranes are moist, and she has tears when she cries. The nurse also notes that Mary’s weight has not changed from what it was when she was seen in the clinic 2 weeks ago for her well­child visit.
1. What is the most likely diagnosis for this patient? Why? 

2. List the three priority assessments the nurse should perform. Provide a rationale. 
3. Discuss the key points the nurse will use in clinical decision making for each of these areas: Clinical manifestations of various levels of dehydration Management of acute diarrhea Breastfeeding and the management of acute diarrhea Use of antidiarrheal medications for acute diarrhea 
4. Explain two oral rehydration strategies for this patient, including pros and cons of each. 
5. Describe the diagnostic tests the nurse anticipates and the associated nursing implications. 
6. Discuss factors that impact dehydration risk for this patient. 
AD Nursing Pediatric Nursing Case Study 3: Neurology 20 Points
Directions: Read the case study and answer the questions. Your answers should be in full sentences, organized, flow logically and evidence critical thinking and nursing judgment. Use at least two evidence­based or peer reviewed resources to support your work. Follow APA guidelines. Submit your completed case study to the Drop Box in the Quad by the due date posted by your instructor. Case Study:
K.G. is a 5 year old kindergarten student that is brought to the ER by his mother after she witnessed apparent seizure activity. His mother describes it as jerking of both arms and legs, and that he wouldn’t answer when she called his name. She doesn’t remember much else, thinks it might have lasted a few minutes, but she is not sure “it seemed like forever”. She doesn’t know any family history, K.G. is adopted and health records were not provided. He has never had an episode like this before. Upon examination K.G. appears lethargic, makes eye contact when his name is called, but quickly drifts back to sleep. Vital Signs are unremarkable, shorts are damp and there is a urine smell. K.G.’s right arm is in a cast and there is ecchymosis on his right chest and abdomen. Upon questioning his mother reports he fell off the jungle gym at school last week.
1. What is the most likely diagnosis for this patient? Why? 
2. What is the first assessment the nurse should perform? Provide rationale. 
3. Discuss the key points the nurse will use in clinical decision making for each of these areas: Types of Seizures and Impact on Nursing Interventions Patient Safety and Seizures Patient Age and Seizures 
4. Describe the diagnostic tests the nurse anticipates and the associated nursing implications. Include the impact of the patient’s age and nursing strategies to address this.
How should the nurse explain what a seizure is to K.G.?
Explanation & Answer

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