THE RESPIRATORY SYSTEM Client Profile Sok Wu Yang is a preschooler who is celebrating his fourth bir

THE RESPIRATORY SYSTEM Client Profile Sok Wu Yang is a preschooler who is celebrating his fourth birthday today. He lives with his  mother, aunt, siblings, and grandparents. His father was killed in a construction accident when Sok Wu  was an infant. He has a 6-year-old sister and an 8-year-old brother. His mother and aunt are fluent in  both Chinese and English, although his grandparents speak only Chinese. He and his siblings also are  fluent in both languages, speaking their native language when conversing with their grandparents and  English with their mother and aunt. Sok Wu, nicknamed Scotty by his family to facilitate his integration  into preschool, enjoys preschool and playing with his friends there. The family has been planning a  birthday party for Sok Wu and has invited his preschool class to attend as well as one of his sister’s  friends and his brother’s best friend from school. Sok Wu is very excited about the party and wants to  help in all of the preparations.verview: This case requires knowledge of foreign body aspiration (FBA),  growth and developmental risks for FBA, as well as an understanding of the client’s background,  personal situation, and family-child relationship. Case Study Two hours before his party begins, Sok Wu is brought to the emergency department of the hospital located two blocks from his home by his mother and aunt. His mother is very upset and tells the  nurse Sok Wu had “swallowed a party balloon” that he found on the table at home. He is in respiratory  distress when his mother and aunt bring him to the hospital. As the nurse assesses the client’s airway,  she asks the nursing assistant to take Sok Wu’s vital signs with the following results: Temperature: 36° C  (96.8° F) Pulse: 140 beats/minute Blood pressure: 70/40 Respirations: irregular The child’s pulse  oximetry reading is 78% on admission. The nurse’s assessment reveals barely audible and diminished  breath sounds bilaterally; stridor and use of accessory muscles; heart sounds weak and irregular; cool,  clammy skin; and decreased responsiveness. Questions 1. Discuss your impressions about the above situation. 2. What are the nurse’s priority interventions as the child enters the emergency department? 3. What is the significance of Sok Wu’s vital signs, oxygen saturation reading, and the nurse’s assessment findings? 4. What are the nursing priorities for this situation? 5. Discuss how you think Sok Wu’s mother and aunt are feeling at this point. 6. The health care provider prescribes the following for Sok Wu: Order stat chest X-ray. Initiate PIV of 5%  Dextrose and 0.2% normal saline to infuse at 70 mL/hour. Monitor oxygen saturation via pulse oximetry.  Maintain nothing by mouth (NPO). Monitor continuous vital signs. Following the chest X-ray which reveals a foreign body in his trachea, Sok Wu is scheduled for an emergency bronchoscopy. What is the rationale for this procedure in this case? 7. Following the successful bronchoscopy, what assessments should the nurse perform on Sok Wu? 8. The health care provider prescribes cefazolin 160 mg IV q6h 3 doses with the first dose to be  administered stat. You asked the nursing assistant to weigh Sok Wu on the scales on his hospital bed as  you communicate the medication order to pharmacy. The nursing assistant reports that Sok Wu weighs  16.5 kg (36.3 lb). Did the nurse act appropriately when she delegated obtaining Sok Wu’s weight to the  nursing assistant?9. What process does the nurse use when administering medications to this child? 10. Describe your feelings about this situation, considering Sok Wu’s level of growth and development. 11. Thirty-six hours following his admission to the hospital, Sok Wu is discharged with no complications  associated with his FBA. He is sent home with his mother and aunt. What would be the nurse’s focus in  discharge teaching for Sok Wu’s mother and aunt? Health Science Science Nursing NSG 5000 Share QuestionEmailCopy link Comments (0)

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