Stratford University Pediatric Nursing Care of Nicole Case Study Questions I need help with this case study I need answers for the questions please inclu

Stratford University Pediatric Nursing Care of Nicole Case Study Questions I need help with this case study

I need answers for the questions

please include in-text citations and a reference page

Citations and reference must be within 5 years

Thanks Case Studies in Pediatrics
Case Studies Product Sampler
THE LYMPHATIC SYSTEM
Nicole is a 13-year-old-with leukemia. She lives at home with her parents and
younger siblings and for the past 3 months has been receiving chemotherapy. She
has a central venous access device (CVAD) that is cared for by her parents and herself. Xicole has experienced a number of absences from school as a result of her
hospitalizations, chemotherapy, and the effects of her chemotherapy regimen,
although she has had a tutor at home to keep her current with her studies. Xicole
has alopecia and has been hospitalized with a line infection, stomatitis and
esophagitis, and bleeding requiring platelet replacement. She refuses to see her
friends although she speaks with them frequently on the phone. She tells them her
refusal is based on the fact that she is prone to infection and doesn’t want to risk
exposure and have to be hospitalized again.
Case Study
:’icole is admitted to the pediatric unit of the local hospital with a temperature of
38.8º C (101.8º F) that did not respond to the acetaminophen that she has been
taking every 4 hours since yesterday. Her admission assessment indicated that
Xicole’s lung sounds are clear, heart sounds are strong and regular, she is in no
apparent distress, has alopecia, and has evidence of white patches in her mouth.
Her laboratory values include:
Hematology:
Hemoglobin: 10.1 g/dL
Hematocrit: 25%
Platelets: 50,000/mm 3
White blood cell count: 2,000/mm 3
Differential: Neutrophils 20%
Questions
1. Discuss the significance of Nicole’s laboratory
findings.
2. What other assessment data would be helpful
for the nurse to have to prepare I icole’s care plan?
3. What are the priorities of care for Nicole on
admission?
4. Discuss the common complications (adverse
effects) of chemotherapy.
8. Nicole’s mother is staying with Nicole during
her hospitalization and expresses concern about
Nicole refusing to see her friends and that Nicole
seems “down” since her last chemotherapy. Discuss
your impressions about Nicole’s mother’s statements, considering Nicole’s level of growth and
development.
5. What nursing actions address the adverse effects
associated with chemotherapy?
9. Nicole tells the nurse that her mouth and
throat are so sore she cannot drink or eat anything.
Discuss your impressions about Nicole’s complaints
and the appropriate nursing actions to help Nicole.
6. Nicole is receiving cyclophosphamide intravenously. Discuss this agent including any nursing
interventions necessary specifically related to
its use.
10. Nicole is prescribed intravenous antibiotic therapy to treat her line infection. The health care
provider prescribes gentamicin sulfate 100 mg IV
q8h. vancomycin hydrochloride 500 mg IV every
7. Nicole is diagnosed with a CVAD line infection.
Discuss how these infections occur and why.
Case Studies Product Sampler
Case Studies in Pediatrics
CASE STU DY 5
6 hours, and cefoxitin sodium 1 g IV every 6 hours.
Nicole weighs 40 kg (88 lb). Discuss these agents
and if the doses prescribed are safe for Nicole.
11. The pharmacy schedules Nicole’s antibiotic
therapy as follows:
Gentamicin
2400h 0600h 1200h 1800h
Vancomycin 0200h 0800h 1400h 2200h
Cefoxitin
2400h 0600h 1200h 1800h
Discuss this schedule and what alterations the nurse
should make, if any.
NICOLE
12. Calculate the rates of administration via a volumetric intravenous infusion pump for the following:
Gentamicin sulfate: 100 mg in 100 mL of 5% dextrose in water to infuse over 30 minutes
Vancomycin hydrochloride: 500 mg in 250 mL of
0.9% normal saline
Cefoxitin sodium :1 gin 50 mL of 5% dextrose in
water to infuse over 15 minutes
Case Studies in Pediatrics
Case Studies Product Sampler
THE LYMPHATIC SYSTEM
Nicole is a 13-year-old-with leukemia. She lives at home with her parents and
younger siblings and for the past 3 months has been receiving chemotherapy. She
has a central venous access device (CVAD) that is cared for by her parents and herself. Xicole has experienced a number of absences from school as a result of her
hospitalizations, chemotherapy, and the effects of her chemotherapy regimen,
although she has had a tutor at home to keep her current with her studies. Xicole
has alopecia and has been hospitalized with a line infection, stomatitis and
esophagitis, and bleeding requiring platelet replacement. She refuses to see her
friends although she speaks with them frequently on the phone. She tells them her
refusal is based on the fact that she is prone to infection and doesn’t want to risk
exposure and have to be hospitalized again.
Case Study
:’icole is admitted to the pediatric unit of the local hospital with a temperature of
38.8º C (101.8º F) that did not respond to the acetaminophen that she has been
taking every 4 hours since yesterday. Her admission assessment indicated that
Xicole’s lung sounds are clear, heart sounds are strong and regular, she is in no
apparent distress, has alopecia, and has evidence of white patches in her mouth.
Her laboratory values include:
Hematology:
Hemoglobin: 10.1 g/dL
Hematocrit: 25%
Platelets: 50,000/mm 3
White blood cell count: 2,000/mm 3
Differential: Neutrophils 20%
Questions
1. Discuss the significance of Nicole’s laboratory
findings.
2. What other assessment data would be helpful
for the nurse to have to prepare I icole’s care plan?
3. What are the priorities of care for Nicole on
admission?
4. Discuss the common complications (adverse
effects) of chemotherapy.
8. Nicole’s mother is staying with Nicole during
her hospitalization and expresses concern about
Nicole refusing to see her friends and that Nicole
seems “down” since her last chemotherapy. Discuss
your impressions about Nicole’s mother’s statements, considering Nicole’s level of growth and
development.
5. What nursing actions address the adverse effects
associated with chemotherapy?
9. Nicole tells the nurse that her mouth and
throat are so sore she cannot drink or eat anything.
Discuss your impressions about Nicole’s complaints
and the appropriate nursing actions to help Nicole.
6. Nicole is receiving cyclophosphamide intravenously. Discuss this agent including any nursing
interventions necessary specifically related to
its use.
10. Nicole is prescribed intravenous antibiotic therapy to treat her line infection. The health care
provider prescribes gentamicin sulfate 100 mg IV
q8h. vancomycin hydrochloride 500 mg IV every
7. Nicole is diagnosed with a CVAD line infection.
Discuss how these infections occur and why.
Case Studies Product Sampler
Case Studies in Pediatrics
CASE STU DY 5
6 hours, and cefoxitin sodium 1 g IV every 6 hours.
Nicole weighs 40 kg (88 lb). Discuss these agents
and if the doses prescribed are safe for Nicole.
11. The pharmacy schedules Nicole’s antibiotic
therapy as follows:
Gentamicin
2400h 0600h 1200h 1800h
Vancomycin 0200h 0800h 1400h 2200h
Cefoxitin
2400h 0600h 1200h 1800h
Discuss this schedule and what alterations the nurse
should make, if any.
NICOLE
12. Calculate the rates of administration via a volumetric intravenous infusion pump for the following:
Gentamicin sulfate: 100 mg in 100 mL of 5% dextrose in water to infuse over 30 minutes
Vancomycin hydrochloride: 500 mg in 250 mL of
0.9% normal saline
Cefoxitin sodium :1 gin 50 mL of 5% dextrose in
water to infuse over 15 minutes

Purchase answer to see full
attachment