NUR MISC (NUR MISC)

1. Document your initial focused assessment of Charlie Snow. Charlie Snow 6y/o presenting an anaphylactic reaction, allergic to peanuts. Heart rate: 156. Pulse: Present. Blood pressure: 109/72 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 91%. Temp: 37.2 C. He is breathing at 25 breaths per minute. He has retractions, a prolonged expiration phase, and a lot of audible wheezing. There is increased respiratory effort. 2. Identify and document key nursing diagnoses for Charlie Sn...