Subjective Data

Case Study:

For the case study section only:  Only provide short answers for the case study  No more than 2 sentence response. Answer all the questions in all case study scenarios.

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Michael is a 7-week-old breastfed infant with a 2-day history of irritability and poor feeding.

Subjective Data

Mom states that her infant has been “fussy” for the last 2 days.

He feeds for only a “few” minutes at a time.

He is breathing heavily and fast for 2 days.

Objective Data

Weight: 4.8 kg

Vital signs: temp, 36.8º C; pulse, 250 bpm; resp, 65 breaths/min; blood pressure, 84/58 mm Hg

Breath sounds clear to auscultation

Oxygen saturation: 95%

Central capillary refill: 4 seconds

Questions:

  1. What is the treatment for an unstable patient with supraventricular tachycardia (SVT)?
  2. Decreased cardiac output from prolonged SVT would produce what complication?
  3. In this clinical situation, what actions should the nurse take? Prioritize the actions.

Discussions

Discussion Topic# 1: What is a “shift to the left” in a CBC? 

Discussion Topic# 2: A father brings in his 3-year-old son, James, who was initially running a fever. He was given Tylenol, and the fever went away for 2 days. Now, however, the fever is back, and he has noted dark spots on his body and a lump in his armpit. He has been lethargic and has not wanted to eat for the last 24 hours. The physician suspects acute lymphocytic leukemia and has ordered blood chemistry studies, immunophenotyping, and bone marrow aspiration and biopsy.

  1. The father is upset and wants to know what is leukemia and how did his son catch it? How would the nurse address this question?

Guidelines:

  • Post the initial response to each discussion by Wednesday11:59 pm, EST.  A zero will be given for late submissions.
  • Initial responses should be no less than 200 words and include citations from at least two credible sources, One being your textbook. (Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2018). Maternal Child Nursing Care (6th ed.). St. Louis, Missouri: Elsevier)
  • Initial responses are to be original in content and demonstrate a thorough analysis of the topic.

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