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Primary problem (medical diagnosis) of patient:     Maya Adriano is an 8-year-old girl who fractu

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Asked by yruhere

Primary problem (medical diagnosis) of patient:   

Maya Adriano is an 8-year-old girl who fractured her left lower portion of the femur when she fell off her new two-wheeler bicycle on her birthday. She had immediate severe pain, and swelling. The CT scan indicated a displaced fracture in the lower half of the femur, but the epiphyseal plate was not involved. She has been placed in Buck’s skin traction for reduction of the femur and pain relief for the next 48 hours. After the 48 hours, a closed surgical reduction and casting of the leg is planned. Maya’s parents are at the bedside. Maya’s mother is upset that the child’s father got her the bike for her birthday and does not want Maya to ride it after she has healed and the cast is removed. Parents are arguing about the bike when the RN walks in.                                              

                                                                     

         

 

 

RN’s assessment reveals: 

 Well nourished school-aged girl, moist mucous membranes, complaining of pain 6/10 on faces scale. Interactive, talkative. Appropriate for age. 

 

 

What body system(s) are directly impacted by this disease and how are those systems affected? (5 points)

BODY SYSTEM(S):

HOW BODY SYSTEM IS AFFECTED(S):

 

 

 

 

 

 

 

 

PRIORITY nursing assessments for this patient? (refer to body system that is most affected). What assessment needs to be done related to the skin traction set up? (5 points)

Patient ASSESSMENTS:

Traction ASSESSMENTS:

 

 

 

 

 

4. What labs/diagnostic tests would be performed for this disorder? What would be the expected findings for these? (5 points)

Labs & expected findings

Diagnostics & EXPECTED FINDINGS:

 

 

 

5. What treatments are expected to manage this problem? What nursing care & family teaching is needed? (5 points)

EXPECTED Treatment TREATMENT

NURSING CARE

SPECIFIC PARENT/child Educ. EDUCATION

 

 

 

 

 

 

 

 

 

 

6. Identify at least 3 specific ways to prevent bicycle accidents and injuries that should be included in the teaching: (5 points)

 

 

 

 

 

 

 

 

7. You will be demonstrating this as a group to the class. (5 points)

a. What assessments are most important when caring for a child in traction? Demonstrate/discuss these assessments to the class. 

b. Identify and explain to the rest of the class, the 3 key points learned about this Pediatric problem:

SCIENCE
HEALTH SCIENCE
NURSING
NRS 427V

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