Swift River Paul Windsor Room 301 Scenario 1-5 NEW 2022
373 views 1 purchase
Course
BSN 346
Institution
BSN 346
Swift River Paul Windsor Room 301 Scenario 1-5 NEW 2022/Swift River Paul Windsor Room 301 Scenario 1-5 NEW 2022/Swift River Paul Windsor Room 301 Scenario 1-5 NEW 2022/Swift River Paul Windsor Room 301 Scenario 1-5 NEW 2022/Swift River Paul Windsor Room 301 Scenario 1-5 NEW 2022/Swift River Paul Wi...
swift river paul windsor room 301 scenario 1 5 new 2022swift river paul windsor room 301 scenario 1 5 new 2022swift river paul windsor room 301 scenario 1 5 new 2022swift river paul windsor room 30
Paul Windsor Room 301
Paul Windsor, 4-year-old male admitted yesterday from the clinic with a
diagnosis of Nephrotic Syndrome. Vital signs: Temperature 99.0, HR 88, BP
104/76, RR 22, PaO2 95%. He presented yesterday with his parents reporting
a gradual increase in pain and “swelling” around his eyes and ankles, and
now his stomach is getting “bigger". Paul has little to no appetite. Current
weight is 56 pounds compared to a usual weight of 43 pounds. Urinalysis:
Thick, frothy appearance. Specific gravity: 1.025. Protein 3+. Blood 2+. Other
labs: Triglycerides 180 mg/dl. Cholesterol 190 mg/dl. Group B strep culture
negative in office.
You responded correctly to 6 out of 6 evaluations:
Your
Category response Explanation
Educational Increased Mother and patient need renal diet and fluid
Needs acuity restriction education.
Health Increased Status assessment reports weight gain and recent
acuity abnormal labs.
LOC Normal Status assessment reports no indication of
acuity increased LOC acuity
Pain Increased Status assessment reports gradual increase pain
acuity and “swelling” around his eyes and ankles
Psych Normal Status assessment reports no indication of
acuity increased Psychiatric acuity
Safety Increased Status assessment reports pain around ankle
acuity making patient a fall risk.
Physiological
Your
Description Response Explanation
Fluid volume True Patient is at risk for Fluid
deficit volume deficit.
Impaired skin True Status assessment reports would
integrity, risk for be at risk for impaired skin
, Your
Description Response Explanation
integrity
Risk for True Status assessment reports high
Thrombus triglycerides and cholesterol.
formation
Safety
Your
Description Response Explanation
Deficient True Status assessment reports new
Knowledge diagnosis of Nephrotic
Infection, risk Syndrome.
for True Patient is at risk for Infection
Scenario 1
CBC from last night shows the following: Hgb -18g/dl, and Hct 43%. Paul’s
skin is dry to touch.
You correctly ordered 5 out of 5 actions:
Your Correct
order order Step Explanation
1 1 Obtain order and Treat dehydration
initiate IV fluids of D5
½ NS at 75 ml/hour
2 2 Request low sodium Support nutrition
diet
3 3 Explain to parents Education needed for
and Paul the need for child and parents related
sodium restriction to diagnosis
4 4 Encourage Paul to Further prevent
drink appropriate dehydration
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Millenialnurse. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.99. You're not tied to anything after your purchase.
