A nurse is caring for a child in the pediatric clinic. H…
Questions
A nurse is cаring fоr а child in the pediаtric clinic. Histоry and Physical 1 day agо, 1820: 16-year-old client (assigned female at birth) presents to the clinic with complaints of fatigue, fever, rash, and joint pain over the last week and a half. Previously healthy, no significant medical history; up to date on all vaccinations. Assessment 1 day ago, 1820: Neuro: Alert and oriented x3 Cardiac: S1, S2 present, regular Respiratory: unlabored, regular, lung sounds clear x5 lobes Abdominal: rounded, soft, nontender, bowel sounds active x4 Extremities: warm, dry to touch, capillary refill less than 3 seconds; pulses 2+; knees and wrists swollen and tender to touch Skin: warm, dry to touch; discoloration noted on face (affected area darker than surrounding skin) Today, 1230: Neuro: Lethargic Cardiac: S1, S2 present, irregular, thready Respiratory: unlabored, regular, lung sounds clear x5 lobes Abdominal: rounded, guarded, tender, bowel sounds hyperactive x4; vomiting Extremities: warm, dry to touch, capillary refill less than 3 seconds; pulses 2+; knees and wrists swollen and tender to touch Skin: warm, dry to touch; butterfly rash present across nose and cheeks (discoloration, affected area darker than surrounding skin) Vital Signs 1 day ago, 1820: Temperature 38.6° C (101.5° F) Heart rate 95/min Respiratory rate 18/min Blood pressure 110/70 mm Hg Oxygen saturation 98% on room air Pain is 5 on a scale of 0 to 10 Weight 55 kg (121 lb) Height 167.64 cm (66 in) Today, 1230: Temperature 39.7° C (103.5° F) Heart rate 125/min Respiratory rate 28/min Blood pressure 85/55 mm Hg Oxygen saturation 92% 2 L/min via nasal cannula Pain at 10 on a scale of 0 to 10 Laboratory Results 1 day ago, 1820: Complete blood count: WBC count 7,500/mm3 (5000 to 10,0000 /mm3) RBC count 4.8 million/mm3 (4 to 5.5 million/mm3) Hct 42% (32% to 44%) Hgb 14.5 g/dL (10 to 15.5 g/dL) Platelets 65,000/mm3 (150,000 to 400,000/mm3) Antinuclear antibody titer 1:1280 (negative at 1:40) Complement C3 60 mg/dL (75 to 175 mg/dL) Complement C4 10 units/mL (22 to 45 units/mL) Complete the following sentence by using the list of options. The nurse should understand that the client is likely experiencing[one]and should anticipate provider prescriptions for[two] and[three].