question archive Jesse is a 3-year-old boy who was diagnosed with Osteogenesis Imperfecta (Page 1699-1700) - A congenital life-long condition that impacts the strength of the bones

Jesse is a 3-year-old boy who was diagnosed with Osteogenesis Imperfecta (Page 1699-1700) - A congenital life-long condition that impacts the strength of the bones

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  • Jesse is a 3-year-old boy who was diagnosed with Osteogenesis Imperfecta (Page 1699-1700) - A congenital life-long condition that impacts the strength of the bones. Jesse will be pre-disposed to multiple broken bones throughout his life. He is being seen today in the emergency room setting related to a broken right arm. Jesse's parents have been struggling with the diagnosis but have slowly been adapting their lives to support Jesse. Jesse's mother quit her job and decided to remain home to provide care for Jesse and his older siblings. Jesse's father as a computer analyst has allowed Jesse's mother to be a stay-at-home mother, but the finances are tight at times.

A. What are the effects of special needs on Jesse?

I. How will the nurse address and assess Jesse based on his developmental age?

II. What vital signs would the nurse document and what method would they use to obtain these values?

B. What are the effects of special needs on Jesse's family?

C. What is involved in the nursing management of a medically fragile child?

I. How would the nurse assess Jesse's pain?

a. What tool would the nurse use to assess Jesse's pain?

D. Ibuprofen is the preferred NSAID for pain management for fractures. Based on the order below, how many mLs would the nurse administer to the patient?

ORDER: Ibuprofen - 115 mg (10 mg/kg/dose) PO every 6 - 8 hours (Max daily dose 40 mg/kg/day)

On hand: 100 mg / 5 mL

Child weight: 11.5 kg

(Round to the tenth's place)

E. What teaching would the nurse provide to the family to promote safety going home related to pain management?

I. What additional discharge teaching might the nurse provide to the family?

 

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