What two health teachings would cody

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Reference no: EM133634242

CASE STUDY

Cody, age 4 years old, is admitted to hospital with unexplained weight loss, nausea, vomiting, dysuria and lethargy. He weighs 15.5 kg. After examination by his physician, Cody is ordered a chest X-ray, blood glucose level, complete blood count and a urinalysis. As well, he is to have dimenhydrinate 1.25mg/kg q6h prn for nausea. Your pharmacy stocks Dimenhydrinate 15mg/5ml strength. Cody's parents are anxious about the admission and diagnosis of type one diabetes. Cody and his parents are from a small, rural Northern community. Cody has been transferred to a larger urban center for admission, treatment with an endocrinologist and to gain specialized education.

The family has minimal support in the urban area, other than a young 18-year-old cousin that lives in a shared college dorm and have kept in contact with a religious leader who has relocated to the area from their rural town.

Preparation of client
1) How should the practical nurse prepare Cody for the tests that have been ordered? List 4 strategies based on pediatric principles.

Teaching required on admission
2) What teaching is required on admission for Cody and his parents? List 4 teaching points.

Parental involvement - at least 2 examples

3) How can Cody's parents be involved in and reinforce the health teaching the practical nurse provides? List 2 topics.

Supports

4) What kind of support will Cody's parents need during his hospitalization? List 4 types of support and explain why they would be needed.

Incorporation of cultural and spiritual care
5) Cody's parents have requested that they have a leader from their church, visit Cody. What is the action of the practical nurse to this request? List 2 action of PN

Safety precautions
6) What safety precautions will the practical nurse need to take while caring for Cody? List 4 safety principles.

Play
7) List three toys that you would give Cody considering his age and diagnosis, and give a rationale for each of your choices.

Nursing care plan
8) Develop a 3-part priority nursing diagnoses, 1 SMART goal, and 3 nursing interventions with rationale.

Pathophysiology
9) Explain the pathophysiology of type one diabetes in terms the parents will understand. List 3 Include references used.

Alteration in health status
10) The day following admission, Cody has a blood glucose reading of 2.2. Explain the significance of this and describe the priority nursing action. List 2 Nursing priorities.

Medication administration
11) Calculate how much Gravol would be given to Cody for one dose. Dimenhydrinate is available as 15 mg/5 mL. Show your formula and work.

Discharge teaching
12) What two health teachings would Cody and his parents need when he is discharged home? Why? at least 2 topics, include rationale for chosen topic.

Reference no: EM133634242

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