iHuman Week #7 Case
Study: 25-Year-Old
Female Presenting with
Loose Stool (Class 6531) |
Comprehensive Analysis
Including HPI, Physical
Exam, Differential
Diagnosis, and
Management Plan |
Walden University
, Meet the Nurse Manager: Odetta SankuOdetta Sanku is the nurse manager of a medical
center satellite walk-in pediatric clinic in a low-income neighborhood of a major metropolitan
area. The clinic provides services to a nearby day care facility for children of homeless
families. The clinic is staffed by registered nurses (RNs), licensed practical nurses (LPNs),
unlicensed assistive personnel (UAPs), a physician, and a pediatric nurse practitioner.
At the start of the day, there are several phone messages awaiting attention by the nurse
manager.
Which phone message requires the most immediate response by Ms. Sanku?
A school social worker who is reporting that a local teenager who often hangs out around the
clinic has made death threats and expressed thoughts of suicide
The nurse needs additional information as quickly as possible in order to attempt to deter
possible harm to the teenager or others in the area. This situation has highest priority since
the teenager has threatened harm to self and others..
After Ms. Sanku responds to the telephone messages, a staff RN consults with Ms. Sanku
regarding several additional telephone messages from clients
Which situation requires the most immediate follow-up by the nurse?
A mother expressing concern that her baby refuses to take formula, stating that the infant's
"soft spot" seems more sunken.
The situation indicates the infant is probably dehydrated, and dehydration can lead to a rapid
loss of physiologic integrity in an infant. The nurse should respond to this situation first.
After advising the nurse regarding the phone calls, Ms. Sanku learns that initial histories have
been obtained by the intake nurse for several children who have arrived at the clinic and are
waiting with their parents.
Which child requires the most immediate follow-up by a nurse?
a 9-year-old who got hit on the head with a baseball bad and has a bruise behind his ear and
clear nasal discharge.
Bruising behind the ear following a head injury is referred to as a Battle sign, which is an
indication of a basilar skull fracture. Because the clear nasal drainage may be cerebrospinal
fluid, this child needs the most immediate assessment to determine the severity of the head
injuries. Each of the children is seen by one of the healthcare providers in order of priority,
and the prescribed treatment plans are initiated.
The nurse is planning care for the teen with a possible fracture of the foot.
Which task(s) can be assigned to the UAP assisting the nurse?
Study: 25-Year-Old
Female Presenting with
Loose Stool (Class 6531) |
Comprehensive Analysis
Including HPI, Physical
Exam, Differential
Diagnosis, and
Management Plan |
Walden University
, Meet the Nurse Manager: Odetta SankuOdetta Sanku is the nurse manager of a medical
center satellite walk-in pediatric clinic in a low-income neighborhood of a major metropolitan
area. The clinic provides services to a nearby day care facility for children of homeless
families. The clinic is staffed by registered nurses (RNs), licensed practical nurses (LPNs),
unlicensed assistive personnel (UAPs), a physician, and a pediatric nurse practitioner.
At the start of the day, there are several phone messages awaiting attention by the nurse
manager.
Which phone message requires the most immediate response by Ms. Sanku?
A school social worker who is reporting that a local teenager who often hangs out around the
clinic has made death threats and expressed thoughts of suicide
The nurse needs additional information as quickly as possible in order to attempt to deter
possible harm to the teenager or others in the area. This situation has highest priority since
the teenager has threatened harm to self and others..
After Ms. Sanku responds to the telephone messages, a staff RN consults with Ms. Sanku
regarding several additional telephone messages from clients
Which situation requires the most immediate follow-up by the nurse?
A mother expressing concern that her baby refuses to take formula, stating that the infant's
"soft spot" seems more sunken.
The situation indicates the infant is probably dehydrated, and dehydration can lead to a rapid
loss of physiologic integrity in an infant. The nurse should respond to this situation first.
After advising the nurse regarding the phone calls, Ms. Sanku learns that initial histories have
been obtained by the intake nurse for several children who have arrived at the clinic and are
waiting with their parents.
Which child requires the most immediate follow-up by a nurse?
a 9-year-old who got hit on the head with a baseball bad and has a bruise behind his ear and
clear nasal discharge.
Bruising behind the ear following a head injury is referred to as a Battle sign, which is an
indication of a basilar skull fracture. Because the clear nasal drainage may be cerebrospinal
fluid, this child needs the most immediate assessment to determine the severity of the head
injuries. Each of the children is seen by one of the healthcare providers in order of priority,
and the prescribed treatment plans are initiated.
The nurse is planning care for the teen with a possible fracture of the foot.
Which task(s) can be assigned to the UAP assisting the nurse?
