Background Information:
Mary is a 12 month old who has been vomiting for the past 12 hours. Mary woke up at 5 AM but has not been able to “hold anything down”. Mary’s mother is concerned because it is now 4:00 pm. Mary’s mother calls the primary care office and is recommended by the nurse to have Mary evaluated at the clinic (Dr. Office). On initial assessment, Mary is lethargic and very quiet. She has mild nasal congestion and Her lips and skin are dry. She occasionally cries, but does not produce tears. Mary’s diaper has not been changed since 5 am and is currently dry upon this visitation to the clinic. Note: The season is late winter.
Information: During the insertion of a peripheral IV, Mary lies quietly throughout the procedure.
Questions:
Ans. A. Nurse has concerns about hydration status of the Mary because the vomiting has led to fluid and electrolyte loss. Dryness of skin and lips,along with lethargic state and inactivity reflects the severe dehydration in Mary.
She is concerned about the replacement of the fluid and electrolytes loss and therefore immediately start the IV fluid therapy. Also urine output is also of concern. She will maintain intake & output and for that she will insert one per urethral catheter.
B. Fluid loss from the body will result in weight loss also therefore she needs to monitor the weight.
C. Diagnostic tests required are:-
1) Serum electrolytes
2) Kidney function test
3) Liver function test
4) USG whole abdomen
Hope it helps if it does then please upvote.
Thankyou!
Background Information: Mary is a 12 month old who has been vomiting for the past 12...
Background Information: Alison is a 12 month old who has been vomiting for the past 12 hours. Since waking at 6 AM she has "not held anything down." It is now 5:30 PM and Alison's mother is becoming concerned. She calls the primary care office and the nurse recommends that Alison be brought into the office for evaluation. On initial assessment, Alison is lethargic and very quiet. Her lips and skin are dry. She is crying at times, but does...
Background Information: Alison is a 12 month old who has been vomiting for the past 12 hours. Since waking at 6 AM she has "not held anything down." It is now 5:30 PM and Alison's mother is becoming concerned. She calls the primary care office and the nurse recommends that Alison be brought into the office for evaluation. On initial assessment, Alison is lethargic and very quiet. Her lips and skin are dry. She is crying at times, but does...
Background Information: Alison is a 12 month old who has been vomiting for the past 12 hours. Since waking at 6 AM she has "not held anything down." It is now 5:30 PM and Alison's mother is becoming concerned. She calls the primary care office and the nurse recommends that Alison be brought into the office for evaluation. On initial assessment, Alison is lethargic and very quiet. Her lips and skin are dry. She is crying at times, but does...
Background Information: Alison is a 12 month old who has been vomiting for the past 12 hours. Since waking at 6 AM she has "not held anything down." It is now 5:30 PM and Alison's mother is becoming concerned. She calls the primary care office and the nurse recommends that Alison be brought into the office for evaluation. On initial assessment, Alison is lethargic and very quiet. Her lips and skin are dry. She is crying at times, but does...
i need a nursing intervention for this scenario Background Information: Mary is a 12 month old who has been vomiting for the past 12 hours. Since waking at 6 AM she has “not held anything down.” It is now 5:30 PM and Mary's father who is caring for the child while his wife is in the hospital ill, is becoming concerned. He calls the primary care office and the nurse recommends that Mary be brought into the office for evaluation....
i need three nursing care plan for this scenario Background Information: Mary is a 12 month old who has been vomiting for the past 12 hours. Since waking at 6 AM she has “not held anything down.” It is now 5:30 PM and Mary's father who is caring for the child while his wife is in the hospital ill, is becoming concerned. He calls the primary care office and the nurse recommends that Mary be brought into the office for...
i need a nursing care plan for this scenario Mary is a 12 month old who has been vomiting for the past 12 hours. Since waking at 6 AM she has “not held anything down.” It is now 5:30 PM and Mary's father who is caring for the child while his wife is in the hospital ill, is becoming concerned. He calls the primary care office and the nurse recommends that Mary be brought into the office for evaluation. On...
Background Information:Alison is a 12 month old who has been vomiting for the past 12 hours. Since waking at 6 AM she has "not held anything down." It is now 5:30 PM and Alison's mother is becoming concerned. She calls the primary care office and the nurse recommends that Alison be brought into the office for evaluation. On initial assessment, Alison is lethargic and very quiet. Her lips and skin are dry. She is crying at times, but does not...
Background Information: Alison is a 12 month old who has been vomiting for the past 12 hours. Since waking at 6 AM she has "not held anything down." It is now 5:30 PM and Alison's mother is becoming concerned. She calls the primary care office and the nurse recommends that Alison be brought into the office for evaluation. On initial assessment, Alison is lethargic and very quiet. Her lips and skin are dry. She is crying at times, but does...
A mother brings her 8-month-old infant, Mary, to the primary care clinic. The mother reports that Mary has had a “cold” for about 2 days, and this morning she began to vomit and has had diarrhea for the past 8 hours. The mother states that Mary is still breastfeeding, but she is not taking as much fluid as usual and she is having three times as many stools as usual (the stools are watery in consistency). When the nurse practitioner...