Assignment: Emergency Department Unit

Assignment: Emergency Department Unit
Assignment: Emergency Department Unit
Module 8 discussion
Discussions A/B
Complete the discussion in Group A or B as assigned by the instructor and then respond to the alternate group. All students are required to review all posts for general knowledge. Keep in mind that you will earn points for your initial discussion posts, as well as your responses. If you do not posts responses, you cannot earn full credit. Refer to the Discussion Rubric on how points are earned.
Discussion A
Missy is 3 years old. She enjoys being with mom and grandma in the kitchen. She pulls a chair close to the stove, climbs on the chair and looks inside the pot of boiling water. The steam is hot on her face, she steps back and as she falls off the chair, the boiling water is pulled down on her. Missy is rushed to the emergency department. Grandma has put some butter on her fingers, but her face was not treated.
Review the Rule of Nines found on page 1021.
In the ED, the nurse discovers that her hands, face, chest and arms are burned. The Dr. believes it to be a partial thickness burn, but notes her hands are blistered and very edematous.
Provide nursing care to this young patient that is complaining of pain, crying, and uncooperative. Educate the mother and grandmother on the extent of the burn and the on-going care that will be needed.
Include medication you may wish to request from the physician and the dosage.
Group B Response
After several days the doctor begins discussing grafting of the hands and face. Can you educate the parents on the care the child will need. What is the home care situation for this child? Please also discuss long term issues, physical, emotional, how will she relate to peers?
Discussion B
Due to a fall from a second story townhouse, Jimmy sustained a fractured left femur and a mild head injury. Jimmy is 10 years old. He was reaching for a ball that had gotten lodged into the gutter over the small balcony of his parent’s bedroom. He thought if he stood on the railing and reached with the badminton racket he could get it.
Currently he is 2 days postoperative from repair of the left femur. He is being transferred out of the pediatric ICU where the Neurologist has stated he is stable but needs continued neuro checks q2 hours. He has a full left leg cast. The Foley catheter is to be replaced today, or he can attempt to roll onto a bedpan if needed.
Please list the systems that are affected by this boy’s injuries.
List the nursing interventions now that he is on your nursing unit.
Start a list of nursing diagnosis match the system you are presenting.
Group A Response
Please add the interdisciplinary team that needs to attend to this boy’s health care needs. Plan home care if appropriate. And continue the list of nursing diagnosis.
Module 9 discussion
Discussions A/B
Complete the discussion in Group A or B as assigned by the instructor and then respond to the alternate group. All students are required to review all posts for general knowledge. Keep in mind that you will earn points for your initial discussion posts, as well as your responses. If you do not posts responses, you cannot earn full credit. Refer to the Discussion Rubric on how points are earned.
Discussion A: Complete the initial discussion
Roslyn is complaining of severe pain. She is 6 years old and has been placed in public school for the first time. Now she is complaining of her legs hurting. She is so excited about being in school finally, but her parents report that she is not participating in play time, seems weaker, and is pale. She is diagnosed with sickle cell anemia, parents undergo genetic testing as well as all her siblings and it is found that she is the only child with the disease.
Provide nursing diagnosis and nursing interventions for this child. What is your priority nursing care?
Group B: Complete the subsequent discussion
Once the crisis is over what education will you provide to Roslyn and her parents?
Discharge teaching should include?
Is it appropriate that Roslyn stay in school? What about activities?
Group B: complete the initial discussion
Charley is 10 months old. His parents brought him to the pediatrician because he was sleeping more than average, refusing to eat, and is not pulling himself up as other children.
He cries while in the ‘jumper’ and screams when they try to have him stand. After some time Charley’s pediatrician informs the parents that the diagnosis is ALL.
In your research, what have you learned regarding this cancer and the prognosis?
What are the treatment modalities recommended for this disease?
Group A: Complete the subsequent discussion
Charley’s parents are devastated with the diagnosis and are grieving. Their pediatrician and oncologist are supportive but realistic and scheduling a meeting with hospice for education and grief counseling.
Describe grieving.
Provide palliative care to your patient. Provide support to his parents.
Module 10 discussion
Discussions A/B
Complete the discussion in Group A or B as assigned by the instructor and then respond to the alternate group. All students are required to review all posts for general knowledge. Keep in mind that you will earn points for your initial discussion posts, as well as your responses. If you do not posts responses, you cannot earn full credit. Refer to the Discussion Rubric on how points are earned.
Group A – Complete the initial response.Intimate Partner Violence: A 30 y/o woman presents to the Emergency Department with a complaint of sexual assault by a co-worker in her office. She has no facial or body trauma, bruising or lacerations. She is withdrawn, crying and relates feeling very guilty about coming into the clinic but is afraid of getting pregnant. They had begun dating a week ago, but she never believed this man would become so aggressive.
How can you best help this woman?
What medical care should be provided?
What education will you provide to her?
Group B: responding to this discussion
Care for this patient does not conclude at the end of this ED visit.
What follow up care should be provided?
Who is best suited to provide care to this patient?
http://www.rainn.org/ this is a link to the web site.
Discussion: Group B – please complete this initial discussion.
You are working in a rural Family Planning Health clinic and a 16 y/o presents with complaints of vaginal pain, discharge, odor x 4 days. Pain is getting worse. Her mother relates she has a cognitive learning delay and has tried to talk to her about her consensual sexual behavior with multiple partners. She tells you she has “felt some ‘bumps’ down there.” She relates multiple sexual partners because she is now popular and it is part of the ‘game’ to stay popular with her new friends. Diagnosis: HPV with several condyloma lesions, a vaginal yeast infection, and chlamydia.
She is given a prescription for Chlamydia, and the vulvar lesions, told to follow up in 2 weeks.
How do you approach her and begin the conversation regarding safe sexual practices? What are your thoughts about this young lady? How do you feel about her game? How would you proceed to give her education?
Group A: respond to this discussion.
This client is a victim to sexual coercion. As the nurse what is your role and responsibility.
As the nurse what is your role and responsibility?
Can you direct her to a support system that would be on going to assist her?
What will happen to her if she begins to refuse to participate in this sexual behavior?
Assignment: Emergency Department Unit
Assignment: Emergency Department Unit
Assignment: Emergency Department Unit

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