Reference no: EM133946537

Problem

Noah is a 2-year-old boy brought into the Emergency Department by his parents due to cough, nasal congestion, rapid breathing and poor oral intake for the past two (2) days. His parents noticed he has become more irritable, lethargic and has only produced two (2) wet nappies in the last 24 hours, and they appear anxious about his condition.

A provisional diagnosis of bronchiolitis is made. At triage his vital signs are:

1) Temperature: 38.3 °C
2) Heart rate: 160 beats/min
3) Respiratory rate: 58 breaths/min
4) Oxygen saturations: 92% (room air)
5) Blood pressure: 105/65

Noah is noted to have subcostal and substernal retractions and appears pale on observation.

1) Discuss two communication techniques used with Noah and provide an evidence-based rationale for each.

2) Discuss two communication techniques with Noah's parents and provide an evidence-based rationale for each.

Review the case scenario's data for Noah and:

1) Analyze, compare and contrast findings to normal parameters of a paediatric patient and identifies differences

2) Describe the severity of Noah's results based on assessment criteria.

3) Provide a rationale for these assessment findings. Get the instant assignment help.

4) Using critical thinking and clinical reasoning skills to predict and discuss Noah's outcome trajectory and give evidenced based rationale to why this would occur

5) Identify one priority nursing problem for Noah reallocated marks identifying one problem.

6) Discuss relevant related factors and evidence from the case study.

7) Identify four evidence-based nursing interventions for each nursing diagnosis and provide an evidence-based rationale.