Elijah Williams Room 301

Elijah Williams, came to the clinic for a well-child visit the child is 4 years old and has not been seen for a
well-child visit for a couple of years. He is entering pre-K and is needing an updated immunization record

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for school. The patient is playing with the toys in the waiting area. He is accompanied by his mother.

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You responded correctly to 2 out of 6 evaluations:

Category
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Your response Explanation
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Educational Increased acuity Children should have annual well-child visits
Health Increased acuity No evidence of increased level
Pain level Increased acuity No evidence of increased level
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Safety Increased acuity No evidence of increased level

LOC Normal acuity No evidence of increased level
Psychological Needs Increased acuity No evidence of increased level
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You correctly diagnosed 4 out of 5 options:

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Physiological
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 Description Your Response Explanation
Acute Pain True No evidence of pain
Dehydration False No evidence of dehydration
Impaired Mobility False No evidence of impaired mobility
Safety

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Description Your Response Explanation
Deficient Knowledge True Children need annual well-child visits

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Falls, risk for False No evidence of fall risk

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Scenario 1

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You correctly ordered 0 out of 5 actions:

Your Correct

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order order Step Explanation
3 1 Ask the child and/ or parent to Ensure the correct identity of the child before proceeding

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verify name and date of birth
5 2 Ask the child to remove his shoes Shoes need to be removed before weight and height so the measu

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more accurate
1 3
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Obtain a height and weight for the Height and weight are the first measurements obtained prior to go
child patient’s room
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2 4 Provide the parent with a urine A urinalysis is part of the well child assessmen
sample cup, should the patient
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need to go
4 5 Show the child and parent to the The patient and parent are accompanied to the room to ensure th
room assigned room. It also allows the nurse to close the door to help p
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patients’ privacy
Scenario 2
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You correctly ordered 0 out of 5 actions:

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 Your Correct
order order Step Explanation
4 1 Allow the child and parent to As soon as the child expresses a need to go to the restroom, the opp
go to the restroom be provided
5 2 Gather a health history from Obtaining a brief history is needed for this visit as the child has not b

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the mother recently

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1 3 Obtain vital signs Vital signs are taken prior to the pediatrician entering the room, but
gets acclimated to the room as to not be falsely elevated

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2 4 Explain when the doctor will Letting the mother and child know how long of a wait to expect will d

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arrive to the room and improve rapport

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3 5 Take the urine sample to the The urine needs to be ran for a urinalysis, which can wait until the nu
lab room

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Scenario 3

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You correctly ordered 0 out of 5 actions:

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Your Correct
order order Step Explanation

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2 1 Gather the materials needed for the A chart with shapes is appropriate for this age

4 2
vision screening
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Conduct the vision screening with The assessment is typically done in the hallway where there is
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the child in the hallway between the chart and the patient.
5 3 Ask the child and mother to return In order to protect other patients’ privacy, the child and parent
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to the room to return to the room upon conclusion of the exam.
3 4 Prepare the educational materials Written materials are provided for the parent when conducting
session.
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1 5 Prepare the vaccines ordered Vaccines should be prepared immediately before administration

Scenario 4
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You correctly ordered 1 out of 5 actions:

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 Your Correct
order order Step Explanation
2 1 Evaluate the mother’s understanding of the Evaluation must be conducted whenever education
material
3 2 Explain the child will be getting MMRV, DTaP, The mother needs to know which vaccines the child

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and IPV today’s visit

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5 3 Assist the child into the correct position, The arms and/ or legs will need to be accessible. Th
obtaining assistance from other staff if needed not be asked to hold the child, but other staff may b

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4 4 Administer the vaccines The vaccines should be given using proper techniqu

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1 5 Allow the mother to comfort the child as needed As soon as vaccines are administered, if the child is

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mother should be allowed to comfort the child.

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Scenario 5

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You correctly ordered 2 out of 5 actions:

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Your Correct
order order Step Explanation

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4 1 Ensure the child is not having a reaction Immediate reactions to vaccines are rare, but serious
1 2
co rc
Provide documentation to the mother
regarding today’s vaccines
The parent should be given an updated vaccine reco
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3 3 Remind the mother to call if she has any The parent may think of questions not asked at the v
further questions or concerns know she can call should questions arise
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2 4 Provide the child with a sticker, with the Stickers are often given at the end of a pediatrician’s
mother’s permission visit with a positive experience
5 5 Ask the mother to schedule the 5-year-old Annual check-ups are important for ensuring the chil
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checkup before leaving

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This study source was downloaded by 100000762814619 from CourseHero.com on 12-01-2021 11:42:51 GMT -06:00
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