Case Study Questions:
1. What can the nurse do to reduce the child’s fear of hospitalization? The nurse can explain
what is going to happen, allow the child to see and touch example equipment. Allow the
child to make decisions in regards to cast color, hospital gown color, pillow case design.
Allowing the parents to stay with the child may also help decrease the anxiety.
2. According to Erikson, what psychosocial developmental stage is this child in? Industry vs
inferiority. Industry is achieved through the development of personal and interpersonal
skills which allows the child to contribute to society. Inferiority may occur if previous
stages have not been mastered or if the child is unable or not ready to assume
responsibilities.
3. What diversional activities can the nurse provide while the child is in skeletal traction to
promote growth and development? Playing video games, watching their favorite tv show
or if the Yankees are playing, visiting with their school friends (if healthy and approved
by parents/staff), reading books. Looking at MLB cards or you can have him start a photo
album with the player’s cards.
4. Following surgery, what assessment findings would cause the nurse to notify the health
care provider (HCP)? 5. S/S of compartment syndrome- 6 P’s: pulselessness, pallor,
pressure/puffiness, paresthesia, paralysis, pain. S/S of a fat embolisim- confusion and
anxiety, tachycardia, chest pain, tachypnea, hemoptysis, and petchiae over neck and
upper arms.
6. What nursing actions should be taken when caring for a child in skeletal traction? Keep
weights off the floor. Maintain correct alignment, pain relief, monitor the 6 P’s.
7. What is a primary nursing diagnosis related to the above case study?
Acute pain related to fracture, soft tissue injury, and muscle spasm AMB patient reported
pain 8 out of 10.
This study source was downloaded by 100000840546212 from CourseHero.com on 01-23-2022 07:30:10 GMT -06:00
https://www.coursehero.com/file/27800100/case-study-pedsdocx/
1. What can the nurse do to reduce the child’s fear of hospitalization? The nurse can explain
what is going to happen, allow the child to see and touch example equipment. Allow the
child to make decisions in regards to cast color, hospital gown color, pillow case design.
Allowing the parents to stay with the child may also help decrease the anxiety.
2. According to Erikson, what psychosocial developmental stage is this child in? Industry vs
inferiority. Industry is achieved through the development of personal and interpersonal
skills which allows the child to contribute to society. Inferiority may occur if previous
stages have not been mastered or if the child is unable or not ready to assume
responsibilities.
3. What diversional activities can the nurse provide while the child is in skeletal traction to
promote growth and development? Playing video games, watching their favorite tv show
or if the Yankees are playing, visiting with their school friends (if healthy and approved
by parents/staff), reading books. Looking at MLB cards or you can have him start a photo
album with the player’s cards.
4. Following surgery, what assessment findings would cause the nurse to notify the health
care provider (HCP)? 5. S/S of compartment syndrome- 6 P’s: pulselessness, pallor,
pressure/puffiness, paresthesia, paralysis, pain. S/S of a fat embolisim- confusion and
anxiety, tachycardia, chest pain, tachypnea, hemoptysis, and petchiae over neck and
upper arms.
6. What nursing actions should be taken when caring for a child in skeletal traction? Keep
weights off the floor. Maintain correct alignment, pain relief, monitor the 6 P’s.
7. What is a primary nursing diagnosis related to the above case study?
Acute pain related to fracture, soft tissue injury, and muscle spasm AMB patient reported
pain 8 out of 10.
This study source was downloaded by 100000840546212 from CourseHero.com on 01-23-2022 07:30:10 GMT -06:00
https://www.coursehero.com/file/27800100/case-study-pedsdocx/
