Posted: February 20th, 2023
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.
Prioritize nursing interventions when caring for pediatric clients with health disorders.
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.
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
Respiratory: lungs clear
Integumentary: very warm, dry
GI/GU: abdomen normal
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:
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.
As the nurse assigned to care for Gabriel, your initial priority is to assess and identify any signs of seizure activity and provide appropriate interventions. You will also need to educate the family on how to manage seizures, implement safety measures to prevent injury, and treat any fractures. Additionally, you will need to develop an individualized plan of care for Gabriel to support his discharge from the hospital.
To prioritize nursing interventions for Gabriel, you can follow the steps below:
Remember to communicate effectively with Gabriel and his family throughout the care process, using language and communication methods that are appropriate for their cultural and linguistic backgrounds. Document all nursing interventions and patient responses in the medical record to ensure continuity of care.
Place an order in 3 easy steps. Takes less than 5 mins.