Reference no: EM133762604

Question

Jackson Webber is a 15-month-old toddler whose mother brought into the Emergency room for a fever of 102 degrees F. His mother states that he had some jerky movements prior to bringing him in and they lasted around 5 minutes, she wasn't sure of the exact time. Jackson had his MMRV vaccine 6 days ago. Jackson has a brother that is 4 years of age and the mother denies any family history of a seizure disorder. What data from the PRESENT PROBLEM are RELEVANT and must be interpreted as clinically significant by the nurse? RELEVANT Data from Present Problem: Clinical Significance: Patient Care Begins: What VS data are RELEVANT and must be interpreted as clinically significant by the nurse? RELEVANT VS Data: Clinical Significance: Current VS: P-Q-R-S-T Pain Assessment: T: (oral) 102 F Provoking/Palliative: P: (regular) 100 Quality: R: (regular) 26 Region/Radiation: BP: 90/60 Severity: O2 sat: 96% RA Timing: Height: 32 " Weight: 25 lb. Current Assessment: GENERAL APPEARANCE: Appears free of distress, clean, and without body odor Makes eye contact when addressed and follow simple commands as age-appropriate Able to speak in one-word sentences Gross and fine motor skills are spontaneous RESP: Respiratory rate even and unlabored.