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NCLEX new generation case study Terms in this set (25) NCLEX new generation case study A 45-year-old client diagnosed with CKD requires dialysis. As a candidate for both hemodialysis a $8.99
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NCLEX new generation case study Terms in this set (25) NCLEX new generation case study A 45-year-old client diagnosed with CKD requires dialysis. As a candidate for both hemodialysis a
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  • GED - General Educational Development

NCLEX new generation case study Terms in this set (25) NCLEX new generation case study A 45-year-old client diagnosed with CKD requires dialysis. As a candida...

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  • August 6, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
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  • nclex new generation case study terms in this

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  • GED - General Educational Development
  • GED - General Educational Development

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8/6/24, 7:34 AM




NCLEX new generation case study
Jeremiah




Terms in this set (25)




1/10

, 8/6/24, 7:34 AM
The nurse working at the outpatient pediatric Options for 1 No sick contacts
clinic is perform-ing an admission Ear pain without fever
assessment for a 7-year-old child who is ac- Attends full school days
companied by their parent. The child reports Left auricle is nontender to manipulation
right ear pain for 3 days. The nurse Options for 2
documents the following assessment Denies neck stiffness
findings. Immunizations up-to-date
Health History Nurses' Notes Vital Signs Swimming daily for the past week
Diagnostic Results Lack of nasal drainage or throat pain
Reports right ear pain × 3 days described as Options for 3
constant, aching, nonradiating; denies dry Denies cough No lymphoadenop-athy
mucous membranes, eye drainage, nasal Tenderness on manipulation of right auricle
drainage, or throat pain; oropharynx pink, Lung sounds clear to auscultation bilaterally
moist, with no redness, swelling, exudate
Reports no sick contacts and has been
attending full days of school; reports
swimming daily for the past week Denies
neck stiffness; no swelling of the neck, or
swollen lymph nodes
Denies cough, wheezing, difficulty breathing;
lung sounds clear Tenderness noted on
palpation and manipulation of right auricle
with ear canal erythema; no discharge; left
auricle nontender
Immunizations up-to-date Allergies: No
known allergies
Health History Nurses' Notes Vital Signs
Weight: 55 lb (59th percentile) Height: 49.25
inches (55th percentile) BMI: 15.94 (58th
percentile) T: 97.9°F (36.6°C) temporal HR: 98
BPM RRs: 18 bpm
BP: 108/70 mm Hg
Clinical findings noted in the assessment that
point to otitis externa include

Otitis externa is also known as swimmer's ear and is associated with inflam-mation and
possibly exudate in the external auditory canal. Otitis externa is confirmed when there
are no other disorders such as otitis media or mastoiditis. Fever is usually absent, and
hearing is unaffected. Often there is tenderness on palpation of the tragus and
Rationale for the Previous Question manipulation of the auricle. The lining of the canal is erythematous and edematous, and
discharge may be seen. Another factor that suggests otitis externa is that the child has
been swimming daily for the past week. The other findings noted are not risk factors for
this problem. Attending full school days heightens the risk for otitis media, which can
occur secondary to an upper respiratory infection.

Ear pain
No fever
No sick contacts
Client Finding Otitis Externa
Swimming daily for the past week
Tenderness noted on palpation and manipulation of the auricle
Erythema in the ear canal

Ear pain
No fever
Client Finding Otitis Media
Attends full school days
Swimming daily for the past week

NCLEX new generation case study
2/10

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