NRSG257: Anne is a 10 year Old Girl – Nursing Assignment

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MAS7465
Nursing Assignment:

Case Study 1

Anne is a 10-year-old girl who has presented to the emergency department in the local hospital with right iliac fossa pain. On further assessment by the emergency registrar, appendicitis is suspected. The surgical team agrees that the signs and symptoms are associated with appendicitis and take Anne to the theatre for an appendectomy. The handover on return to the ward is that the surgical team found a gangrenous perforated appendix with peritonitis. Anne has returned to the ward with a nasogastric tube in situ on free drainage, morphine
PCA, IV therapy and triple IV antibiotics. Due to the severity of the infection and the potential complications, Anne will need to remain in the hospital for 10 days of IV antibiotics and pain management. Anne is the oldest of five children and her parents own and run an Indian restaurant in the city.

Case Study 2

Jay is a four-month-old boy admitted to the pediatric unit via emergency with vomiting, decreased feeds, no bowel actions, and intermittent spasmodic abdominal pains. During the spasmodic pain episodes, Jay draws his legs up and has a high pitched cry. After a diagnostic ultrasound, intussusception was thought to be the cause of the presenting symptoms and Jay was admitted to the ward. His treatment plan included observation, electrolyte monitoring, and IV therapy until a contrast enema could be implemented to correct the intussusception.
The approximate length of stay for Jay will be 2 days, during which time, Jay’s mother is informed that the a rotavirus vaccine that Jay had at 4 months has increased the incidence of this condition amongst infants. Jay’s mother is now having serious doubts regarding future vaccines for Jay.

Case Study 3

Sue is a 14-year-old indigenous girl who lives in a remote community in rural Australia. Sue has been treated for repeated episodes of streptococcal pharyngitis and impetigo over the last 2 years. The local health clinic has registered Sue and her siblings for a secondary prophylaxis program where she receives Benzathine Penicillin G IM routinely to aid in reducing risk of developing ARF/ RHD. However,
Sue has failed to attend the clinic on multiple occasions to receive her IM antibiotics. Sue has presented to the remote area health clinic complaining of a 4 day history of acute joint pain in her knees, ankles, elbows and shoulders. A health history taken by the remote area nurse on arrival reveals that Sue reports having a sore throat 2- 3 weeks ago, migratory joint pain starting with her knees and ankles and which now includes other joints. Her temperature is 38o When Sue is assessed by the remote clinic medical officer, a diagnosis of Acute Rheumatic Fever is suspected. The doctor at the clinic attending to Sue informs her mother that she needs to be transferred to a hospital for cardiology review and echocardiogram. The closest hospital that provides these services is 800km away. Sue lives with her mother and 6 younger brothers and sisters.

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Posted on : April 02nd, 2018
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