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Learning Goal: I’m working on a nursing case study and need a sample publish to help me learn.ANSWER EACH QUESTION IN HALF A PAGE, USING ONE (1) INTEXT CITAION AND ONE REFERENCE PER QUESTIONS. NO COVERED PAGE IS REQUIRED 4) Case Study: A client had an SVD (spontaneous vaginal delivery) today. The labor and delivery nurse gives you a shift report and notes the client is RH Negative and her infant is RH Positive. Discuss the drug RhoGAM (immune globulin), including: Route
Nursing Implications
Indications for Use
Contraindications for Use
5) Case Study: You are called to a postpartum room and find Michael, a two-hour-old infant, irritable and spitting up copious amounts of formula. You do not know the maternal history, so you advise the mother that you would like to return the baby to the nursery for assessment and monitoring. In the medical record, you focus on the prenatal history and find the mother had an addiction to opioids with her last pregnancy but denied drug use with this pregnancy. You witness the baby having some significant tremors, vital signs: T (axillary) – 36.0, RR- 78, HR- 166, and the infant is alert, irritable, and does not console easily. The infant is constantly moving and sucking vigorously on the pacifier. What do you think is occurring with the infant?
What lab test can be ordered to confirm your suspected diagnosis?
What interventions can be implemented to treat this infant?
6) Toddlers have behavioral characteristics that often present challenging situations for parents and/or caregivers. Describe challenges parents and/or caregivers would encounter with these specific characteristics. Temperament
Nutritional Barriers
Hygiene,
Activity
Sleep
7) Case Study: Bobby, a 13-year-old male, was hospitalized following a perforated appendix that required surgery. Bobby has an open wound requiring dressing changes twice daily. He is currently on contact precautions for a methicillin resistant staphylococcus aureus (MRSA) infection. The estimated date of discharge is five-to-ten-days post-op and will include long-term antibiotics and wound care. The nurse notes on the assessment- Previously Bobby was talkative and related his enthusiasm for school and upcoming science competitions. However, today, he was withdrawn and stated, “I’m just tired”. What are the impacts when an adolescent is separated from their peer group?
How should the nurse arrange for visitation and playtime during Bobby’s hospitalization and isolation?
What concerns with body image would the nurse anticipate?
Why is “play” an important part of childhood?
8) Case Study: Jimmy, ten years old, was admitted to the pediatric intensive care unit after a fall from the second-story townhome were sustained a fractured left femur and mild head injury. Currently, Jimmy is two days post open reduction internal fixation of the left femur. Orders were updated to transfer Jimmy out of Intensive Care Unit (ICU) after being cleared by the neurologist. He has a long leg cast, indwelling foley catheter and will require neuro checks every two hours. What are two priority nursing diagnoses for this child?
What are the priority nursing interventions for this patient after being transferred from the ICU?
What are the risks of foley catheter placement?
Does the patient still require an indwelling foley catheter? Provide a rationale to support your answer.
9) Case Study: Roslyn, a six-year-old, is attending public school for the first time. Her parents brought her to the clinic and stated, “she appears to have pain in her legs and won’t participate in playtime.” The parents noticed recently Roslyn appears pale and acts weak. Roslyn is diagnosed with sickle cell anemia. After her parents and siblings undergo genetic testing, it is found that Roslyn is the only family member with the disease. What are the priority nursing interventions for Roslyn?
What anticipatory guidance should the nurse provide Roslyn and her family regarding the diagnosis of sickle cell anemia and her attending school?
How can the nurse support the child and family?
What discharge instructions should the nurse provide to Roslyn and her parents?
What, if any, activity restrictions will Roslyn have after discharge
10) Case Study: You are working in the emergency department when a 15-year-old female presents with obvious bruising of the face and upper extremities. She is crying and reports that her boyfriend punched her in the face and grabbed her by the arms last night during a fight they had. What are your priority actions?
What anticipatory guidance should the nurse provide to this client regarding intimate partner violence?
Being a mandated reporter, who should the nurse notify regarding this incident?
What support is available for this client after discharge from the emergency room?
Requirements: 1/2 page per question