Scenarios: Each of these are worth 3 points.
1. “You can’t be talking about our son!” The heartbroken parents cried. “But he was doing so well and learning and growing. Why has this happened?” The physician has just told the parents their son has developed an autism spectrum disorder.
a. What nursing care will you plan for this family
b. What are some nursing diagnoses for this situation (more than 1 please)
c. What are some expected outcomes?
2. A mother comes into the emergency department with her 18-month-old son screaming because he has been burned. When questioned, the mother states, “He jumped into the bathtub I was fixing for myself. I guess the water was too hot.” However, exam shows second and third degree burns on the dorsal side of the legs and feet, abdomen, hands, and distal arms.
a. How would you as the nurse, respond?
b. You suspect this child had hot water thrown on him. How would you proceed?
c. Identify some nursing diagnoses for this situation.
3. The health care provider has informed the family that regrettably, there is nothing else that they can do for the cancer that is affecting the youngest. The 7-year-old is accepting the news better than anyone else. Arrangements are being made for hospice to help care for the child and assist the family.
a. What concerns do you think you should address?
b. What patient-centered care would you implement?
c. What information will the family need at this time?
4. You are preparing the discharge care plan for a patient who delivered a
healthy son 24 hours earlier. The patient and infant have been doing well with no
complications; however, when you enter the room, you notices the patient is
diaphoretic and flushed. She is trying to fan herself. Her vital signs reveal a
temperature of 100.6°F, heart rate of 90 beats/min, respiratory rate of 24
breaths/min, and blood pressure of 130/88 mmHg.
A What assessments will you do?
B. What interventions will you implement?
C. What are you expected outcomes?
5. The patient is a 20-year-old G1P0 who shows up in the emergency
department in active labor. She has a strong odor of alcohol on her breath and
blood alcohol level measures 1.2. She is evasive about prenatal care but finally
admits she has not received any. She also cannot remember the date of her last
menstruation period
A. What are the immediate concerns for this mother and infant?
B. What potential complications should the nursing staff prepare for?
C. What nursing diagnoses would be appropriate in this situation?
6. You are assessing an infant who was born with a cleft palate. The parents are
concerned and want it corrected immediately before taking their baby home
A. What teaching is necessary before the child and parents go home?
B. What therapies and/or corrections should the nurse teach the parents?
C. What nursing diagnoses are appropriate in this case?