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SHIFT RIVER PEDS-GRADED A+

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Suzanne Williams Room 301 Suzanne Williams, 5-year-old female, weight 35.2 lbs., recently diagnosed with leukemia. CBC results: neutrophil count 1.7, white blood count 30,000. She is reporting gradual arm and leg pain at a 6/10 over the last 4 weeks. Parents attributed pain to “growing pains”. Patient experiencing n/v/d and loss of appetite. Vital Signs Temperature 100.8, HR 115, BP 100/65, RR 23, PaO2 95%. The patient is beginning a second round of chemotherapy. You responded correctly to 6 out of 6 evaluations: Category Your response Explanation Educational Needs Increased acuity Status assessment reports patient possible diagnosis of Leukemia Health Increased acuity Status assessment reports risk for infection, abnormal labs, and vital signs. LOC Normal acuity Status assessment reports no indication of increased LOC acuity Pain Increased acuity Status assessment reports gradual arm and leg pain. Psych Normal acuity Status assessment reports no indication of increased Psych acuity. Safety Increased acuity High risk for infection due to Leukemia. Infection control is of most importance. Hayden Clark Room 302 Hayden Clark, 6-year-old male, weighing 44 lbs., comes to school looking disheveled, and not wearing a coat with the outside temperature in the low 40’s.You responded correctly to 5 out of 6 evaluations: Category Your response Explanation Educational Needs Increased acuity Education needed for child and parents relating to clothing, hygiene, and physiological needs. Health Increased acuity Status assessment reports patient not wearing coat in 40-degree weather. LOC Normal acuity Status assessment reports no indication of increased LOC acuity Pain Normal acuity Status assessment reports no indication of increased Pain acuity Psych Increased acuity Status assessment reports does not give clear indication to increased Psych acuity Safety Increased acuity Status assessment reports not wearing coat which places patient at risk for hypothermia Suzanne Williams 5-year-old female, weight 35.2 lbs., recently diagnosed with leukemia. CBC results: neutrophil count 1.7, white blood count 30,000. She is reporting gradual arm and leg pain at a 6/10 over the last 4 weeks. Parents attributed pain to “growing pains”. Patient experiencing n/v/d and loss of appetite. Vital Signs Temperature 100.8, HR 115, BP 100/65, RR 23, PaO2 95%. The patient is beginning a second round of chemotherapy.

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