Case
Hannah Johnson Room 302
- Course
- Institution
Hannah Johnson Room 302
[Show more]
Seller
Follow
GEEKA
Reviews received
Content preview
Hannah Johnson Room 302Hannah Johnson, 10-year-old female presented to the ED 45 minutes ago
with dehydration, dysuria, and significant weight loss of 18 pounds over the
last 2 months. Both parents are with the child, the father is insisting that he
be notified of all interventions before they are initiated. Initial assessment
reveals: Skin dry and warm to touch, B/P 90/58, T 99.2, HR 110, RR 30. Child
appears thin. Breathing is fast and deep. Noted fruity odor to breath. Initial
labs: CBC WNL, K+ 2.89, BG 459, Urinalysis: Positive for ketones, glucose,
and bacteria. Orders: IV 0.9% normal Saline at 150 ml/hour, Add 20 mEq K+
after first liter, Ampicillin 250 mg PO q 6 hours, finger stick blood glucose
(FSBG) q 1 hour.
You responded correctly to 6 out of 6 evaluations:
Your
Category response Explanation
Educational Increased Status assessment reports abnormal and possible
Needs acuity newly diagnosis of type 1 diabetes.
Health Increased Status assessment reports abnormal labs and
acuity weight loss.
LOC Normal Status assessment reports no indication of
acuity increased LOC
Pain Increased Status assessment reports dysuria.
acuity
Psych Normal Status assessment reports no indication of
acuity Psychiatric deficits
Safety Increased Status assessment reports IV's and High Blood
acuity Glucose.
Physiological
Your
Respons
Description e Explanation
Breathing True Status assessment reports altered
pattern, breathing pattern
ineffective
This study source was downloaded by 100000842568006 from CourseHero.com on 05-12-2022 23:42:47 GMT -05:00
.
https://www.coursehero.com/file/127431685/Hannah-Johnsondocx/
, Your
Respons
Description e Explanation
Dehydration True Status assessment reports medical
dx of dehydration related to
abnormal labs and weight loss.
Tissue False Status assessment reports no
integrity, indication of Tissue integrity,
impaired impaired
Safety
Your
Description Response Explanation
Anxiety False Status assessment reports no
indication of Anxiety. Patient would be
"at Risk for"
Infection True Status assessment reports dysuria
with presence of bacteria in urine
Knowledge True Status assessment reports new
deficit medical diagnoses and weight loss
Risk for True Status assessment reports IV's and
injury High Blood Glucose.
Esteem
Your
Description Response Explanation
Growth and True Need for adolescence education
development for new diagnosis.
Scenario 1
Hannah is fearful of administering insulin. You must attempt to help her gain
confidence.
This study source was downloaded by 100000842568006 from CourseHero.com on 05-12-2022 23:42:47 GMT -05:00
https://www.coursehero.com/file/127431685/Hannah-Johnsondocx/
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 GEEKA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81989 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now