Mrs. Jones brings her toddler James to the clinic. She says that James has not been feeling well all week. He has h...

Question

Question

Mrs. Jones brings her toddler James to the clinic. She says that James has not been feeling well all week. He has had a fever

Add a comment Improve this question Transcribed image text

Answer 1

Answer #1

1. James has a high pulse rate of 130, but 130 is not abnormal or high for a toddler. The pulse rate of 130 is normal for toddlers because of the faster rate of metabolism.

2. Priorities of care:

a. Bring vomiting and dehydration under control

b. Control fever by application of cool compresses.

c. Start treatment for throat infection.

3. Three SMART goals for James:

a. Specific: Goal of fever and dehydration control etc., should be connected to position summary, specialty, strategic plans etc.

b. Relevant: Goal of fever and dehydration control etc., should be aligned with tasks at present and focus should be in one area with target results included.

c. Timely: Goals of fever and dehydration control etc., should be with a well-defined time-frame or deadline since any delay could be fatal for the patient

Add a comment

Answer 2

Similar Homework Help Questions

Mrs. Jones brings her toddler James to the clinic. She says that James has not been feeling well all week. He has had a...

Mrs. Jones brings her toddler James to the clinic. She says that James has not been feeling well all week. He has had a fever and has been vomiting for the past two days. Upon assessment you note that James has dry mucous membranes, cracked lips, swollen red throat with white patches, temperature of 102.7. His skin is also warm and dry. James also has a pulse rate of 130. Question 1 Why do you think James has a high...
One-year later Mrs. Prather presents to the ED complaining of dyspnea, especially at night. She states...

One-year later Mrs. Prather presents to the ED complaining of dyspnea, especially at night. She states that she sleeps better when sitting in her recliner. Review of Systems: (what patient tells you) Skin: no changes in hair, no changes with nails Mental Health: no current feelings of sadness, no sleep disturbances, no suicidal ideations Neurological: no light-headedness, no dizziness, no paresthesia to feet & hands, no balance problems Head and neck: no headache, no neck pain, no stiffness Eyes: no...
Mrs. Prather is a 54 year old female who arrived at the emergency department, complaining of...

Mrs. Prather is a 54 year old female who arrived at the emergency department, complaining of nausea and dizziness that came on suddenly while working out at the sym this morning. Identifying Information: S4yr old female History of Present Illness; 54 yr old female presented to the ED c/o of severe nausea & dizziness while running on a treadmill this morning. She states she had eaten breakfast this morning before working out. She states "I have never been this nauseous...

Mrs. K.B. is age 64 and has been a patient of yours for many years. You...

Mrs. K.B. is age 64 and has been a patient of yours for many years. You are calling her today to tell her the results of her Pap test which was done last week during her routine annual checkup in your office. The test showed marked dysplasia of cervical cells but no sign of infection. Unfortunately, when you call, there is no answer. Since you saw Mrs. K.B. last week she has had gastritis with severe vomiting for 3 days....
1-12 please practice PATIENT CASE Mother's Chief Complaints "Our daughter has been vomiting and has had...

1-12 please practice PATIENT CASE Mother's Chief Complaints "Our daughter has been vomiting and has had diarrhea for three days. She also has had a fever, but I've been giving her acetaminophen every six hours. The clear liquids and Pedialyte that she has been drinking don't seem to be helping much and she looks so sickly." HPI J.L. is a 4%-month-old Asian American female infant who was taken to the emergency room of a local hospital because her parents were...
Question 1. Why has this patient been taking sumatriptan as needed? (1 pts) Question 2. Does...

Question 1. Why has this patient been taking sumatriptan as needed? (1 pts) Question 2. Does this patient have lithium toxicity? (1 pts) Question 3. Identify two significant risk factors for bipolar disorder (2 pts) Question 4. Describe the two primary types of bipolar disorder. (2 pts) Question 5. Does this patient have any signs of abnormal hepatic function? (1 pts) Question 6. Identify two abnormal blood laboratory test results and propose a reasonable explanation for these results. (2 pts)...

patient case 1,2,3 Patient Case Question 1. Identify four significant abnormalities above for which parents may...

patient case 1,2,3 Patient Case Question 1. Identify four significant abnormalities above for which parents may have sought medical attention for their child much earlier. Patient Case Question 2. What are three simple measures that parents and teachers might take with a KS boy to ensure his academic success? Patient Case Question 3. Identify seven clinical manifestations from the physical ex! nation and laboratory testing above that are consistent with Klinefelter syndrome. Patient Case Question 4. Does this patient have...
Clinical Scenario: REASON FOR CONSULTATION: Desaturation to 64% on room air 1 hour ago with associated...

Clinical Scenario: REASON FOR CONSULTATION: Desaturation to 64% on room air 1 hour ago with associated shortness of breath. HISTORY OF PRESENT ILLNESS: Mrs. X is 73-year-old Caucasian female who was admitted to the general surgery service 3 days ago for a leaking j-tube which was surgically replaced 2 days ago and is now working properly. This morning at 07:30, the RN reported that the patient was sleeping and doing fine, then the CNA made rounds at 0900 and Mrs....

Mrs. Jones brings her toddler James to the clinic. She says that James has not been feeling well all week. He has h...

Homework Answers

Add Answer to:
Mrs. Jones brings her toddler James to the clinic. She says that James has not been feeling well all week. He has h...

Post as a guest

Earn Coins