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SITUATION: Baby Mohammed, a 3-year-old toddler who has been brought to the emergency department (ED) by his mother. She immediately tells you he has a history of emergency department visits for his asthma. He uses an inhaler when he wheezes, but it ran out a month ago. She is a single parent and has two other children at home with a babysitter. Your assessment finds the baby is alert, oriented, and extremely anxious. His color is pale, and his nail beds are dusky and cool to the touch; other findings are heart rate 136 beats/min, respiratory rate 36 breaths/min regular and even, oral temperature 37.3° C (99.1° F), SaO2 89%, breath sounds decreased in lower lobes bilaterally and congested with inspiratory and expiratory wheezes, prolonged expirations, and a productive cough QUESTIONS: 1. As you ask the mother questions, you note that patient's respiratory rate is increasing; he is sitting on the side of the bed, leaning slightly forward, and is having difficulty breathing. Give interventions are appropriate at this time and rationalize it. 2. Identify the nursing responsibilities associated with giving bronchodilators. 3. He improves and 24 hours later is transferred to the floor. Asthma teaching is ordered. You assess the mother's understanding of asthma and her understanding of the disorder and tells you that he loves to play basketball and football and asks you whether he can still do these activities. How will you respond? 4. What additional information should be included in your discharge teaching regarding how to prevent acute asthmatic episodes and how to manage symptoms of exacerbation of asthma?

SITUATION: Baby Mohammed, a 3-year-old toddler who has been brought to the emergency department (ED) by his mother. She immediately tells you he has a history of emergency department visits for his asthma. He uses an inhaler when he wheezes, but it ran out a month ago. She is a single parent and has two other children at home with a babysitter. Your assessment finds the baby is alert, oriented, and extremely anxious. His color is pale, and his nail beds are dusky and cool to the touch; other findings are heart rate 136 beats/min, respiratory rate 36 breaths/min regular and even, oral temperature 37.3° C (99.1° F), SaO2 89%, breath sounds decreased in lower lobes bilaterally and congested with inspiratory and expiratory wheezes, prolonged expirations, and a productive cough QUESTIONS: 1. As you ask the mother questions, you note that patient's respiratory rate is increasing; he is sitting on the side of the bed, leaning slightly forward, and is having difficulty breathing. Give interventions are appropriate at this time and rationalize it. 2. Identify the nursing responsibilities associated with giving bronchodilators. 3. He improves and 24 hours later is transferred to the floor. Asthma teaching is ordered. You assess the mother's understanding of asthma and her understanding of the disorder and tells you that he loves to play basketball and football and asks you whether he can still do these activities. How will you respond? 4. What additional information should be included in your discharge teaching regarding how to prevent acute asthmatic episodes and how to manage symptoms of exacerbation of asthma?

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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11:40 1 Back ASSIGNMENT_9eb56... 4G O CASE STUDY ANALYSIS INSTRUCTIONS: All questions apply to this case study. Your responses should be brief and to the point. When asked to provide several answers, list them in order of priority or significance. Copying the answers of others means zero marks. Provide your answers in Microsoft copy or PDF. SITUATION: Baby Mohammed, a 3-year-old toddler who has been brought to the emergency department (ED) by his mother. She immediately tells you he has a history of emergency department visits for his asthma. He uses an inhaler when he wheezes, but it ran out a month ago. She is a single parent and has two other children at home with a babysitter. Your assessment finds the baby is alert, oriented, and extremely anxious. His color is pale, and his nail beds are dusky and cool to the touch; other findings are heart rate 136 beats/min, respiratory rate 36 breaths/min regular and even, oral temperature 37.3° C (99.1° F), SaO2 89%, breath sounds decreased in lower lobes bilaterally and congested with inspiratory and expiratory wheezes, prolonged expirations, and a productive cough. QUESTIONS: 1. As you ask the mother questions, you note that patient's respiratory rate is increasing; he is sitting on the side of the bed, leaning slightly forward, and is having difficulty breathing. Give interventions are appropriate at this time and rationalize it. 2. Identify the nursing responsibilities associated with giving bronchodilators. 3. He improves and 24 hours later is transferred to the floor. Asthma teaching is ordered. You assess the mother's understanding of asthma and her understanding of the disorder and tells you that he loves to play basketball and football and asks you whether he can still do these activities. How will you respond? 4. What additional information should be included in your discharge teaching regarding how to prevent acute asthmatic episodes and how to manage symptoms of exacerbation of asthma?
Transcribed Image Text:11:40 1 Back ASSIGNMENT_9eb56... 4G O CASE STUDY ANALYSIS INSTRUCTIONS: All questions apply to this case study. Your responses should be brief and to the point. When asked to provide several answers, list them in order of priority or significance. Copying the answers of others means zero marks. Provide your answers in Microsoft copy or PDF. SITUATION: Baby Mohammed, a 3-year-old toddler who has been brought to the emergency department (ED) by his mother. She immediately tells you he has a history of emergency department visits for his asthma. He uses an inhaler when he wheezes, but it ran out a month ago. She is a single parent and has two other children at home with a babysitter. Your assessment finds the baby is alert, oriented, and extremely anxious. His color is pale, and his nail beds are dusky and cool to the touch; other findings are heart rate 136 beats/min, respiratory rate 36 breaths/min regular and even, oral temperature 37.3° C (99.1° F), SaO2 89%, breath sounds decreased in lower lobes bilaterally and congested with inspiratory and expiratory wheezes, prolonged expirations, and a productive cough. QUESTIONS: 1. As you ask the mother questions, you note that patient's respiratory rate is increasing; he is sitting on the side of the bed, leaning slightly forward, and is having difficulty breathing. Give interventions are appropriate at this time and rationalize it. 2. Identify the nursing responsibilities associated with giving bronchodilators. 3. He improves and 24 hours later is transferred to the floor. Asthma teaching is ordered. You assess the mother's understanding of asthma and her understanding of the disorder and tells you that he loves to play basketball and football and asks you whether he can still do these activities. How will you respond? 4. What additional information should be included in your discharge teaching regarding how to prevent acute asthmatic episodes and how to manage symptoms of exacerbation of asthma?
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