Mark Quinn ALL ANSWERS FALL-2021 LATEST SOLUTION 100% C0RRECT GUARANTEED GRADE A+

Mark Quinn Room 302 Mark Quinn, 9-year-old male comes to the school nurse with complaints of abdominal pain and nausea. Vital signs: Temperature 98.2, HR 87, BP 104/ 67, RR 22, PaO2 97%. The nursing assessment reveals diffuse lower abdominal pain, tenderness, and normoactive bowel sounds. After consultation with the child and the parents, the child is sent home with a possible viral intestinal infection. You responded correctly to 4 out of 6 evaluations: Category Your response Explanation Educational Needs Increased acuity Status Assessment reports impending surgery and rehabilitation needs. Health Increased acuity Status assessment reports abdominal pain, normoactive bowel sounds LOC Increased acuity Status assessment reports no indication of increased LOC acuity Pain Increased acuity Status assessment reports abdominal pain, normoactive bowel sounds Psych Increased acuity Status assessment reports no indication of increased Psychiatric acuity Safety Increased acuity Status assessment reports abdominal pain and nausea causing mobility issues. You correctly diagnosed 4 out of 6 options: Physiological Description Your Response Explanation Acute Pain True Status assessment reports abdominal pain. Description Your Response Explanation Fluid volume deficit True Patient is at risk for Fluid volume deficit. Impaired skin integrity False Patient is at risk for Infection. Oral, mucous membranes, altered True Status assessment reports no indication of oral, mucous membra Safety Description Your Response Explanation Deficient Knowledge False Status assessment reports nothing definitive to point to Deficient Knowled Risk for infection True Patient is experiencing signs of Appendicitis. Scenario 1 Mark, 9 years old, presents to the ED with abdominal cramps, nausea, vomiting x 2 days with no relief. Temp is 102.1 F. HR 98 RR 24 B/P 120/74 O2 sat 98% in room air. You correctly ordered 2 out of 5 actions: Your order Correct order Step Explanation 1 1 Physical exam of abdomen – rebound tenderness in right lower quadrant assessment based on presenting sym 4 2 Lab work – CBC, BMP, urinalysis. WBC 18,000, Neutrophils elevated needed to see baseline identify infecti 2 3 Initiate IV fluids LR at 100 ml/hour IV fluids to prevent dehydration and p IV medications 3 4 Administer promethazine 12.5 mg IV for nausea treat symptoms of nausea 5 5 Consult for surgery suspected appendicitis