AnswerstoClinicalReasoninginActionScenariosandQuestions,in1Ball,BindlerandCowen:PrinciplesofPediatricNursing:CaringforChildren,6thEditionAnswers to Clinical Reasoning in Action Scenarios and Questions inBall, Bindler and Cowen:Principles of Pediatric Nursing: Caring for Children, 6th EditionChapter 1: Nurse's Role in Care of the Child: Hospital, Community, and HomeRecall 3-year-old Manny, at the beginning of the chapter, who has a seizure disorder. He receiveshis care in a mobile van sent to his community by the local children’s hospital. Manny has aregular source of care because his family income qualifies him for the state’s Child HealthInsurance Program (CHIP).1.Explain the standards of pediatric nursing care as they relate to caring for Manny andhis family.Answer: The nurse is responsible for collecting patient health data, analyzing assessment data todevelop nursing diagnoses, identifying expected outcome for Manny and his family, developinga plan of care that will help the Manny and his family achieve the expected outcomes, andimplementing the nursing interventions listed in the care plan in a safe maner in collaborationwith the family. The nurse should also maintain current knowledge in the care of children withseizures, and to evaluate the quality and effectiveness of care provided.2.Identify at least four different settings in which a child with a seizure disorder couldreceive health care.Answer: The child may receive care in a physician’s office, community health center, a hospitalpediatric outpatient clinic, or school health center. The child may also receive care in the hospital,usually when being treated for a different condition other than seizures.3.List three specific injury prevention messages for a child of Manny’s age that should beprovided to Manny’s parents to reduce his risk for morbidity and mortality.Answer: Manny is a 3 year-old boy. The education to the parents to decrease the risk formorbidity and mortality should include, but may not be limited to the following: Morbidity:unintentional injury and disease prevention, specifically injuries related to children with a seizuredisorder. The child with a seizure disorder is at increased risk for drowning. The child should notbe left unattended in a bathtub, wading pool or while swimming. The caregivers need educationto know how to protect the child during the seizure event. The care givers should be aware of theneed to ease the child to the floor, move away hard objects that the child could strike during thetonic and clonic movements of seizure, and provide a general safe environment during theseizure activity. Other considerations for children of all ages should include information onwearing helmet with tricycle, bicycle, or skating; car seat safety, general safety concerns in thehome such as baby locks for cabinets, drawers; safety equipment such as gates to prevent fallsdown stairs; and other home safety tools such as smoke detectors and family plans for evacuationin the event of a fire.4.List specific steps that should be used in the healthcare setting to ensure that an error isavoided when prescribing Manny's seizure medication.Answer: The healthcare setting should have specific guidelines for administration of pediatricPreview Mode
This document has 33 pages. Sign in to access the full document!