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[Answered]: Case Studies, Chapter 48, Nursing Care of the Child…

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Case Studies, Chapter 48, Nursing Care of the Child with an Alteration in Metabolism/Endocrine Disorder 1. Jalissa Twyman, 8 years old, was admitted to the pediatric intensive care unit with a closed head trauma after being involved in a bicycle/motor vehicle accident. Jalissa is unconscious. The nurses caring for Jalissa document a weight loss of 1.82 kg over a 24-hour period, decreased skin turgor, and dry mucous membranes. Urine output for the same 24-hour period is 3.5 L/m?. (Learning Objectives 1, 2, 3, 4, 5, and 7) lA-D CTSCan | MRIJ , CBC , Electralytes a. What laboratory tests would the nurse expect to be performed on Jalissa? 1. What hursing interventions should be done for Jalissa? -Positioning, Assess if theres 2. What education will be important for the family upon discharge home for IC, AssesS Jalissa? pain 2. Aellai Gianopoulos, 13 years old, is brought to the clinic by her mother, who states that Aellai is losing her hair. Vital signs are as follows: T 98.4deg F, HR 85, R 15, BP 121/78. Height is 64 in, and weight is 81.5 kg. Aellai has an olive complexion marred by acne, large brown eyes, and long black hair that is very thin on the top of her head. Her breasts are small and she has an abundance of hair on her arms and legs. She reached puberty approximately 6 months ago. (Learning Objectives 1, 2, 3, 4, 5, 7, and 8) 1. What other information should the nurse gather in the health history? 2. What laboratory tests would the nurse expect to be ordered for Aellai? 3. What should the nurse include in the teaching plan for Aellai and her family? 2A. AsK for Family History, when did the symptom’s start? How fast How much hair is she losing? When did menstral cycle begin? Any Allergies

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