CASE STUDY 2: Nyah is a 5 year old girl with a diagnosis of…
CASE STUDY 2: Nyah is a 5 year old girl with a diagnosis of cerebral palsy (CP) characterized by spastic left sided UE and LE hemiplegia. She lives at home with her parents and two older brothers who adore her and are quick to do things for her. Nyah received Botox injections 3 weeks ago with a goal of improving gross motor control. Decreased muscle tone has been noted overall. She has a gait trainer that is used only with adult assistance to avoid injury. Parents are asking that wheelchair fit consultation be a primary consideration of your evaluation. Although her parents’ initial focus was on her mobility skills, they have noticed she lacks control of her hands and arms. For instance, she has difficulty placing toys (e.g., completing shape sorter), drawing with a crayon, or participating in self-care tasks. Nyah can finger-feed herself larger pieces of food. She is observed to frequently choke, spit, or sputter when she drinks water or juice. Nyah is toilet trained but needs help with transfers on and off of the toilet. She tends to lean to her left side and has difficulty getting up and down from the toilet. Nyah’s parents primarily dress her. She assists by extending her unaffected arm and leg to thread them. Safety is an issue at bath time, as she has outgrown infant seats and lacks independent stability for sitting. Nyah’s favorite activities are playing dolls with friends, going on wagon rides with her family, and reading books. ANSWER THE FOLLOWING QUESTIONS BASED UPON THIS CASE:
Read DetailsPatient MAR reads: Winter, Sommer Female, Age: 9 years Weigh…
Patient MAR reads: Winter, Sommer Female, Age: 9 years Weight: 60 pounds Allergies: Peanuts, Penicillin (PCN) and Bee stings Diagnosis: Pneumonia – LLL and RLL MD order Amoxicillin: 450mg PO BID for 10 days, first dose due now at 0900 Dose on hand in the pyxis: 500mg/15mLs Safe dose range for this medication is 50mg/kg/day. Please answer: How many mLs are you going to administer per dose (just enter the number)? [mLs1] Please provide: rationale for administering this medication. [rationale2]
Read DetailsThe nurse is called by a mother about her son who twisted hi…
The nurse is called by a mother about her son who twisted his ankle during a football game. The child has already been to the ED and there is no fracture but he’s complaining of localized pain and swelling of his ankle. What recommendations should the nurse make? (Select All that Apply)
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