NUR2310C Lecture Notes - Lecture 3: Primary Nursing, Magical Thinking, Hemoptysis

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nurseb2022

20 Oct 2021

School

Keiser University

Department

Nursing

Course

NUR2310C

Professor

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Document Summary

Protest phase cries, screams, clings to parents, rejects strangers. Daily routines huge in hospital because it messes with their schedules. Fears of bodily injury and pain result of hospitalization. Play is the most important aspect of a child"s life. Primary nursing goal is preventing or minimizing separation. Care of the child and family in special hospital situations. Preparation lots of prep work, prep work cuts down post care. *pediatric visit to ed top er visits=respiratory, poison, fall, drowning, skin conditions, and gi. *goal-nurse stabilize the patient, remain calm, help understand what the parents perception is of the visit and disease process. *participation in care to learn and understand; empowerment, give control to parents to keep them safe; explain what you are going to do. *perception of security resulting from constant monitoring and individualized care. *fifth disease (parvovirus 19) rash on face; hpv 19; onset of symptoms prior to rash; no specific treatment; soothing baths.

Related Questions

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following: Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

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1. The nurse working in a long-term care facility incorporates a focused assessment of
the immune system for all newly admitted patients over the age of 65. Older adults

are more likely to develop problems related to immune function than are middle-
aged people. The focused immune assessment includes a systemic approach based

on age-related changes in immunologic function. (Learning Objective 4)
a. What changes in the immune system in the older adult increase the incidence of
infection and cancer in this population?
b. Explain why older adults may have decreased inflammatory responses.
c. Why are older adults at increased risk of gastroenteritis and diarrhea secondary
to proliferation of intestinal organisms?

2. The nurse educator for an oncology unit is preparing an in-service presentation for
new nurses about the care of patients with immunodeficiencies. Patients with cancer
who are receiving chemotherapy, as well as those with bone marrow transplants, are
immunocompromised and require special attention to assess for signs of infection.
The nurse educator focuses on special care needs of this patient population.
a. What is the rationale for assessing the pulse and respiratory rates for 1 full
minute in a patient with immunodeficiency?
b. What special precautions about dietary restrictions and food preparation should
be included in the teaching for a patient with immunodeficiency?
c. What nursing actions should be implemented to decrease the risk of infection in
the patient with immunodeficiency?
3. Molly Baker, a 22-year-old patient, presents to the clinic with the diagnosis of
allergic rhinitis. She states that she develops paroxysmal sneezing, clear nasal
drainage and congestion, watery, red eyes, and nasal itching from the late spring
until the first frost in the fall. She states that she has a dry cough and voice
hoarseness. She complains of feeling extremely tired, unable to sleep at night, and
having difficulty concentrating on her collegiate course work.
a. What further assessment should the nurse provide?

Ellie Long, a 55-year-old patient, presents to the pain clinic with the diagnosis of
fibromyalgia syndrome. The nurse at the clinic obtains a history and physical
assessment of the patient. (Learning Objective 2)
a. On what areas should the nurse concentrate when interviewing the patient
during the history process?
b. On what areas should the nurse concentrate when assessing the patient?
c. What diagnostic tests are used with fibromyalgia syndrome?

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NUR2310C Lecture Notes - Lecture 3: Primary Nursing, Magical Thinking, Hemoptysis

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