Electronic health record

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Overview Assessing pediatric patients requires special considerations of their age, needs, and the communication needs of their caregiver. This case study will explore a unique client allowing you to review various types of screening tools and approaches to assessing a pediatric client. Tasks Review the following information: Situation: Emergency room visit for 5-year old male client Background: J.F. is a 5-year-old male who presents to the ED with his father. He has been vomiting for the last 36 hours, father states he has been complaining of a sore throat and had a fever at home. Father reports he has not eaten in the last 12 hours but that he is drinking water and Pedialyte. The patient appears lethargic and agitated. Vital signs: Pulse 115, Respirations: 25, BP: 118/74, Temp: 101.9. What are three potential diagnoses that this client may be experiencing based on the background information provided? Anticipating the provider's needs during this client's visit, what are 4 assessment findings that could be helpful to share with the provider? How would you address the caregiver during this visit? How would you document your findings of your initial RN assessment in the electronic health record (EHR)?

Reference no: EM133626281

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