Preparation For Nclex-Pn ,Eva Madison Pre Clinical Worksheet Eva Madison Pre Clinical Worksheet 2025/2026

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CONCEPT MAP WORKSHEET Eva Madison, 5 years old, was admitted to the pediatric floor with vomiting and diarrhea x 3 days and no urination since yesterday at 8pm. 1.3 kg weight loss in a few months,... pale and listless skin, dry mucous membranes, inability to keep down fluids. Pt diagnosed with gastroenteritis. Gastroenteritis is inflammation of the lining of the stomach and small and large intestines. Most cases are infectious and transmission may be foodborne, waterborne, or via person-to-person spread.Gastroenteritis, is when the bowel reacts with increased luminal fluid that can't be absorbed. This results in abdominal pain, vomiting, severe diarrhea, and secondary depletion of intracellular fluid. The main adverse affect of this is dehydration and electrolyte loss. Causes of gastroenteritis include viruses, bacteria, parasites, amoebae, food allergies, enzyme deficiencies, and/or ingestion of toxins Diagnostic Tests Patient Information Anticipated Physical Findings-Gram stain, stool culture or blood culture for bacteria.-Stool sample for parasites.-Rapid antigen testing of stool for viral infection.-WBC count to determine severity of infection.-Electrolytes to determine need for hydration.-Abdominal x-ray to determine complications. Eva Madison, Female, 5 y/o, 1/28/XX Caucasian MRN: 1378543, SBN: 678123 Ht/Wt: 47”/45 lb. Standard Precautions Full Code Admitted for gastroenteritis on 6/26/2020 at 20:24 Christian, Baptist Manifestations of Dehydration: Cool, pale, listless, clammy skin, decreased UOP, increased stool output/diarrhea, nausea, vomiting, hypovolemia, tenting/decreased skin turgor, increased cap refill time, dry mucous membranes. Pain: abdominal discomfort Weight loss ANTICIPATED NURSING INTERVENTIONS Maintain adequate fluid intake/Start IV and infuse D½NSW Monitor vital signs, postural BP, mucous membranes, and capillary refill Assess cardiovascular status Assess respiratory status Prevent infection transmission/ Initiate contact precautions Monitor Strict I/O Daily Weights Administer medications Obtain blood, stool, and urine samples and send to lab Patient and family education on gastroenteritis and proper diet/nutritional intake/requirements. Bladder scan patient This study source was downloaded by 100000805129946 from CourseHero.com on 06-17-2022 16:51:38 GMT -05:00 Downloaded by Morris Muthii (muthiimorris68@gmail.com) lOMoARcPSD|40307388 lOMoARcPSD|40307388 vSim ISBAR ACTIVITY INTRODUCTION STUDENT WORKSHEET Esther Davis, RN, pediatric unit Name, position, unit you are working on SITUATION Patient’s name, age, specific reason for visit Eva Madison, 5 year old female, admitted with n/v/d x 3 days, no urination since yesterday at 8pm, weight loss of 1.3 kg in 3 months, and abdominal pain 2 out of 5. BACKGROUND Pt’s primary dx, date of admission, current orders Admitted this morning at 7:00am with gastroenteritis, current orders are to monitor cardiorespiratory status, continuous pulse ox, continuation of fluids, strict I/O, monitor daily weights, urinalysis and stool culture. ASSESSMENT Current pertinent assessment data using head to toe approach, pertinent diagnostics, vital signs Pale, lethargic, cool and listless, clammy skin, mucous membranes are dry; HR: 160, BP: 80/55, RR: 25, T: 37.5C, O2: 95; c / o pain of 2 out of 5 with faces pain scale. RECOMMENDATION Any orders or recommendations you may have for this patient Recommend to continue IV fluids, monitor weight and strict I/O, and to prescribe something for pain level of 2 out of 5 for abdominal pain. This study source was downloaded by 100000805129946 from CourseHero.com on 06-17-2022 16:51:38 GMT -05:00 Downloaded by Morris Muthii (muthiimorris68@gmail.com) PATIENT EDUCATION WORKSHEET NAME OF MEDICATION, CLASSIFICATION, AND INCLUDE PROTOTYPE MEDICATION: Dextrose CLASSIFICATION: Caloric Sources, Carbohydrates PROTOTYPE: Glutose, Insulin reaction IV Lower-concentration (2.5–11.5%) injection provides hydration and calories. Higher concentrations (up to 70%) treat hypoglycemia and in combination with amino acids provide calories for parenteral nutrition. 50%–treatment of hypoglycemia (hyperinsulinemia or insulin shock). PO Corrects hypoglycemia in conscious patients. SAFE DOSE OR DOSE RANGE, SAFE ROUTE IV (Adults and Children): 0.5–0.8 g/kg/hr. PURPOSE FOR TAKING THIS MEDICATION IV Lower-concentration (2.5–11.5%) injection provides hydration and calories. PATIENT EDUCATION WHILE TAKING THIS MEDICATION Tell patient to report adverse reactions promptly, especially severe dizziness or syncope. May increase glucose level May decrease potassium level Contraindicated in patients with allergy to corn or corn products. Report any confusion. Report signs of fluid overload. PATIENT EDUCATION WORKSHEET This study source was downloaded by 100000805129946 from CourseHero.com on 06-17-2022 16:51:38 GMT -05:00 Downloaded by Morris Muthii (muthiimorris68@ [Show More]

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