NUR 250 -Jalissa Twyman Endocrine Disorder

NUR 250 -Jalissa Twyman Endocrine Disorder

NUR 250 -Jalissa Twyman Endocrine Disorder

Nursing care of a child with an endocrine disorder. Jalissa Twyman, 8 years old, was admitted to the pediatric intensive care unit with a closed head trauma after been 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 mucus membranes. Urine output for the same 24-hour period is 3.5 L/m2. (a) What further assessments should the nurse perform on Jalissa? (b) What laboratory tests would the nurse expect to be performed on Jalissa? (c) What nursing interventions should be done for Jalissa?

a. What further assessments should the nurse perform on Jalissa?

 

b. What laboratory tests would the nurse expect to be performed on Jalissa?

 

c. What nursing interventions should be done for Jalissa?

Adequate hydration

Monitoring of vitals

Assessment of pain and analgesic support

Nutritional support through NG tube feeding

Ensuring that she is comfortable.

Administration of medications as ordered.

(a) Further assessments

• Tachycardia
• Urine concentration
• Increased respiratory rate

(b) Lab Tests

• UA
• Fluid deprivation test
• CT scan, MRI, or ultrasound of kidneys and the skull
• Serum sodium
• Serum osmolarity

(c) Nursing Interventions

• Promoting hydration
• Administration of ordered medications
• Maintenance of nasogastric feeding tube
• Comfort measures
• Frequent monitoring of vital signs
• Emotional support for Jalissa and her family
• Pain assessment

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Assignment Details

For this Assignment, you are going to write a paper explaining how you developed your theory through the four stages (theorizing, syntax, theory testing, and evaluation). Your paper must be 3 to 5 pages, not including the title and reference pages.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements

Before finalizing your work, you should:

• Minimum requirement of at least 5 sources of support
• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.