Reference no: EM133675854
Chapter 28, Assessment of the Child
Ticket to Class
Juanita Morales brings Jose, her 15-month-old infant, to the clinic for evaluation. "It seems like he as a really bad cold. His nose has been really stuffy and he's been really fussy the last couple of days. Last night he woke up screaming, like something was hurting him, and he was rubbing his right ear."
1. Discuss the importance of a verbal interview with the caregiver and what we would be observing throughout the interview.
2. What is our Chief Complaint?
3. What is subjective data?
4. What subjective data do we have?
5. What, in addition, would be important subjective data for the nurse to gather?
6. What is objective data?
7. What objective data objective data do we have at this point?
8. What, in addition, would be important objective data for the nurse to gather?
9. Describe your approach to this assessment:
10. Height and Weight. How do you safely weigh and measure this infant?
11. Vitals. What would be a normal set of vitals for this infant?
12. Head to Toe Assessment: Discuss what you would look for during your assessment.
13. Where would the infant be sitting during assessment?
14. What would you assess first?
Head and Neck
Heart
Abdomen
Genitalia and Rectum
Back and Extremities
Neruologic
1. What are some aspects that would change if this was a preschool child rather than an infant?