Assignment: Pediatric Case study (Version A) Revised AUG 2020
Learning Outcomes
Please refer to Course Outline
Learning Objectives
Please review objectives in Modules 1-6
Directions
- Review the pediatric assessment, fluid and electrolytes and the child’s experience of hospitalization in the current course textbook.
- You may use your textbook as a resource, but you must also include a minimum of 2 scholarly articles. Please refer to https://bowvalleycollege.libanswers.com/faq/202217 to understand what a scholarly resource is.
- Read the following case study and reply to the questions.
**Please note that while your responses do not need to be in the form of a formal essay, it is expected that all responses contain your rationale and are supported by credible sources referenced using APA 7th edition**.
- Submit your assignment via Dropbox in Brightspace by 2359hr of the assigned due
Case Study:
Yasmin is a 20-month-old female who was brought to the Emergency Department by her aunt. Yasmin’s aunt anxiously reports that the child has been having diarrhea for the past two days and “is not her usual self”. She adds that the child is fussy, and has not been sleeping, eating, or drinking well. Yasmin is spitting out the acetaminophen that her aunt has been trying to give her. Yasmin’s aunt reports that her parents are out of town, but she does have the phone number of the hotel in which they are staying.
Assessment:
Weight: 11 kg
Vital Signs:
Heart Rate: 115
Blood pressure: 92/57
Respiratory rate: 30 per minute, no cyanosis or use of accessory muscles noted
Oxygen saturation: 95% on room air
Temperature: 39.0 degrees Celsius
General Appearance: Appears stated age. Height and weight proportional
Cardiovascular: Tachycardic, pulse – regular and strong. Capillary refill <2 seconds.
Respiratory: Clear breath sounds
Gastrointestinal: Hypoactive bowel sounds, is refusing fluids
Urinary: Aunt has not noticed fewer wet diapers in the last day
Integumentary: Skin warm and dry to touch. Sticky mucous membranes. Dark circles under eyes. Skin recoils in < 3 seconds.
Neurological: Awake, but fussy. Pupils equal, round, and reactive to light
Connecting your research to the case study, summarize the information that you have found. Each idea must be supported by a reference. Block citations are not acceptable. Refer to Bow Valley College library resources.
- Identify three appropriate therapeutic communication techniques and how they would be used to help the nurse build a therapeutic relationship with the child and her aunt. (3 marks)
- Discuss three safety concerns related to Yasmin’s hospital admission and developmental stage. (3 marks)
- Describe and provide rationale explaining what findings in Yasmin’s assessment are of concern. (4 marks)
- Identify two early and two late signs and symptoms of dehydration in pediatric patients. (4 marks)
- Describe the differences between mild, moderate, and severe dehydration in the pediatric patient. (3 marks)
- Outline four priority nursing actions based upon your assessment of Yasmin. (4 marks)
- Explains the pathophysiological relationship between diarrhea, fluid and electrolyte imbalance and dehydration. (4 marks)
- Describe 3 common methods of treatment for dehydration in young children. (3 marks)
- Describe the proper administration technique that should be taught to the aunt to help her to administer an oral antipyretic to Yasmin on discharge to prevent her from spitting it out. (2 marks)
- Identify 3 assessment findings that indicate improvement in the dehydrated child. (3 marks)
Rubric/Marking Criteria
| Criteria | Weight/Rating |
| Identify three appropriate therapeutic communication techniques and how they would be used to help the nurse build a therapeutic relationship with the child and her aunt. | 3 |
| Discuss three safety concerns related to Yasmin’s hospital admission and developmental stage. | 3 |
| Describe and provide rationale explaining what findings in Yasmin’s assessment are of concern. | 4 |
| Identifies 2 early and 2 late signs and symptoms of dehydration in pediatric patients | 4 |
| Describe the differences between mild, moderate, and severe dehydration in the pediatric patient. | 3 |
| Outline four priority nursing actions based upon your assessment of Yasmin. | 4 |
| Explains the pathophysiological relationship between diarrhea, fluid and electrolyte imbalance and dehydration | 4 |
| Describes 3 common methods of treatment for dehydration in young children | 3 |
| Describe the proper administration technique that should be taught to the aunt to help her to administer an oral antipyretic to Yasmin on discharge to prevent her from spitting it out. | 2 |
| Identifies 3 assessment findings that indicate improvement in the dehydrated child | 3 |
| No to minimal errors in grammar, spelling, and mechanics | 3 |
| Correct APA format is followed (format, citations, references) | 3 |
| Total | 39 |