Posted: August 1st, 2022

Nursing Care of the Child With a Cardiovascular Disorder Essay 6

Nursing Care of the Child With a Cardiovascular Disorder Essay 6

1. Baby boy Ellis, 2 hours old, is being evaluated in the newborn nursery by the nursing staff. Findings include T 37°C; apical heart rate 140 bpm; respirations 58 breaths per minute; BP (arms) 70/47, (calves) 62/39; head circumference 34 cm; chest circumference 31 cm; length 48 cm; weight 2,700 g. The infant is crying. (Learning Objectives 1, 2, 3, 4, and 8) A newborn boy named Ellis who is two hours old is currently being examined by the nursing staff in the newborn nursery. Findings include a temperature of 37 degrees Celsius, an apical heart rate of 140 beats per minute, respirations of 58 breaths per minute, blood pressure readings of 70/47 for the arms and 62/39 for the calves, a head circumference of 34 centimeters, a chest circumference of 31 centimeters, a length of 48 centimeters, and a weight of 2,700 grams. The young child is wailing. (Educational Goals Nos. 1, 2, 3, 4, and 8)

a. Based on the physical findings, what should be the nurse’s priority?

b. What assessments/tests should the nurse expect to be done on this infant?

c. What should the nurse include in the teaching plan for the parents of this infant?

2. Jennifer Collins, 13 years old, is admitted to the pediatric floor with a diagnosis of probable acute rheumatic fever.

a. What would the nurse include when performing an initial assessment?

b. What tests would the nurse expect to be done on Jennifer?

The diagnosis of acute rheumatic fever is confirmed.

c. What would the nurse be sure to include in the discharge teaching plan for Jennifer and her family?

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