Question

Please read the following case study and complete the questions below.

Daniel is a 16 year old boy who is an identical twin. He and his brother Jeff are very close and do most things together. While Daniel excels at sports he believe his brother is much better at most everything. Daniel, his brother, and their two sisters live with their parents in the Midwest. Recently Daniel has been feeling more tired than usual. He thought it was because of his schedule and school work, which he is fairly good at. He gets mostly Bs, but his grades have been slipping of late. One day he fainted while getting ready for a game. His coach called his parents to let them know Daniel was taken to the Emergency Room. While there the doctor decided to admit Daniel to the hospital for observation. At the time he was running a slight fever, his breathing was shallow, and he was sweating. He was also very sleepy and his blood pressure was high. He did have some abnormal laboratory work, but his doctor was not too concerned at present. Daniel also stated that he felt achy.

You are assigned to take care of Daniel today and when you walk into his room, his mother and brother Jeff are there. Daniel appears to be sleeping. In your written assignment, respond to the following questions applying the nursing process:

Assessment: What type of objective and subjective data can you collect with what you know? How will you collect these data? What further evidence do you need?

Analysis and Identification of the Problem: What do you believe Daniel's problem(s) are? What might be the nursing diagnoses? Use the following for identification.

Planning: Identify two goals and one nursing intervention for each, based on your nursing diagnoses.

While you will not be able to implement or evaluate, how well do you think your nursing interventions might help with Daniel's care.

Answer 1

# . The signs refer to the objective data and are based on what the nurse sees. The symptoms refer to the subjective data and based on what patients say they feel. Since , Daniel is sleeping ,no objective data other than respiratory rate can be collected without disturbing the patient . For subjective data she can ask his mother or else wake the child and ask about the complains that he presented with . Like for example he says he had fever then , I will check it with the thermometer to confirm temperature .

#. Daniels problem are :-

- fever

- dehydration

- fatigue

#. Nursing diagnosis - Fatigue related to fever evidenced by sleepiness .

#. Nursing interventions :-

- Assess the patients vital sign

- Use of universal precautions and aseptic technique during procedure to prevent infection

- Provide antibiotics as prescribed

- Provide IV fluids for hydration

- Advice him to take rest

- Advice him to enough fluids in the diet and nutrious food