Which of the following is considered a planetary boundary wi…
Questions
Which оf the fоllоwing is considered а plаnetаry boundary within the Planetary Boundaries framework?
Client: Mаlik Dаvis | Age: 7-yeаr-оld male | Weight: 24 kg Diagnоsis: Sickle Cell Anemia Setting: Pediatric Acute Care Unit Histоry of Present Illness: Malik is admitted with a 2-day history of fatigue, severe bilateral leg pain, and progressive dyspnea. His mother reports he is pale and lethargic. Assessment Findings at 08:00: Lethargic, easily aroused. Mucous membranes pale, sclerae mildly icteric. Capillary refill 4 seconds. Lungs clear. Pain score 7/10 in bilateral lower extremities. Vital Signs 08:30: HR 138/min, BP 92/56, RR 28/min, SpO₂ 92% on room air, Temp 37.1°C Laboratory Results 08:30: Hemoglobin: 4.8 g/dL Hematocrit: 14.5% Reticulocyte Count: 14% The nurse evaluates Malik's clinical presentation and laboratory findings at 08:30. For each clinical assessment finding below, indicate whether the finding requires Immediate Nursing Action or Routine Monitoring. Assessment Finding Immediate Nursing Action Routine Monitoring SpO₂ of 90% on room air ⚪ ⚪ Hemoglobin of 4.8 g/dL ⚪ ⚪ Respiratory Rate 20 ⚪ ⚪ Capillary refill of 4 seconds ⚪ ⚪ Temperature of 37.1°C (98.8°F) ⚪ ⚪ Type Immediate Nursing Actions in Blank #1 Type Routine Nursing Actions in Blank #2 The provider orders 1 unit of packed red blood cells (pRBCs) to infuse over 3 hours. Nurse initiates the blood transfusion per facility policies regarding blood transfusions starting at 1000. Progress Note 1015: 15 minutes after increasing the blood infusion to the full prescribed rate: Malik complains of severe lower back pain and severe chest itching. Localized urticaria is noted across his neck and anterior chest. Vitals: HR 146/min, BP 82/44 mmHg, RR 32/min, SpO₂ 89% on room air, Temp 38.6°C (101.5°F). Based on Malik's current clinical presentation, list the next steps the nurse should take starting from the highest priority to the lowest priority, place your answers in Blank #3