Claire is a previously healthy, unvaccinated 3 year old child who has been admitted to your nursing unit at the children’s hospital. Claire’s parents report that she had a cough and runny nose last week, and was
taken to see the physician. Claire’s admitting diagnosis is seizures and further workup is to be done to determine the cause. Claire presented to the emergency department (ER) by ambulance after she started
seizing in her home. Emergency Medical Services reported a 3 minute long tonic-clonic seizure and the emergency room nurse reports to you that another tonic-clonic seizure occurred that lasted 2 minutes in the
ER. Post-ictal period lasted approximately 5-10 minutes both times and vital signs were within normal range in the ER. Claire is now on the unit, and vital signs are as follows: Temp- 38.7, Pulse- 134 BP- 88/62
Resp- 32/min and Sp02 90% on room air. On your initial assessment Claire is lying in the bed staring at her mother, she appears listless and does not fuss when you take her vital signs. Claire’s mother is frantic
and reports that Claire vomited just prior to you entering the room.
1. Identify three communication techniques that could be utilized to build a therapeutic relationship with Claire and her mother. (3 marks)
2. Discuss three safety concerns related to Claire’s developmental age group and hospital admission.
3. Describe what pieces of Claire’s assessment are of concern?
4. Using the data you’ve mentioned above, identify the most likely pathological process occurring with Claire.
5. Discuss four priority nursing actions you will perform while caring for Claire at this time.
6. Identify what information from Claire’s health history that puts her at risk for developing a serious infection?
The physician requests that a second intravenous (IV)catheter be started on Clair to administer medications. When you enter Claire’s room later in the shift to start the IV, Claire starts to cry and kick and you are
not able to even look for a vein as she will not keep still.
7. Discuss the legalities of restraining a 3 year old child to complete medically necessary treatment.
8. Identify the type of restraint that would be most appropriate for Claire.
9. Identify what you would need prior to restraining Claire.
Four days later you return to your next shift and when entering the room Claire is sitting up in her cot and waving. She laughs when you approach, says hello, and shows you her stuffed elephant. When you are
assessing her, you notice that she is favoring her left arm, which appears red and is warm to touch at the elbow.
10. Describe how you would perform a pain assessment on Claire, taking into account her age.
11. Identify three appropriate activities or toys for Claire given her suspected diagnoses above and her developmental
Prologue to Nutrition Hereditarily Modified Food Sustenances created from creatures whose DNA is changed by applying techniques for hereditary designing is known as Genetically Modified nourishments. Such procedures permit authority over nourishment's non specific structure and present new harvest qualities. Precedent There is a few hereditary altered sustenance, some of them are given underneath: Pesticide safe assault plants Brilliant rice Durable tomatoes Soybeans Inoculation banana GM nourishments are gotten from creatures whose DNA has been altered misleadingly, these harvests are to enhance yield by giving protection from plant sicknesses. In future, hereditarily changed nourishments will modify the supplement substance of sustenances by decreasing it unfavorably susceptible part or enhancing the proficiency of sustenance generation frameworks. The fundamental wellbeing worries for new hereditarily designed nourishment spin around being hypersensitive or dangerous through the built procedure. FDA reports that nourishments they have assessed till now are not prone to cause an unfavorably susceptible or harmful response (McFadden, 2014). In any case stomach areas displayed sensible erosive/necrotic injuries in seven female rats however nobody in the boards yet no histology was done as these were thought to be of no unmistakable quality. Despite the fact that in senior people who utilized headache medicine to counteract thrombosis, this can cause life-imperiling discharge (Kok, 2014). Advantages of GM nourishment A few chances to utilize GM sustenances for good are: Better opposition against weeds, bug and different illnesses, for example, corn Corn is broadly developed and a basic grain in the United States. Corn can't be recreated without human guide. The underneath table demonstrates that what % of sustenance is adjusted in UAE: End With a specific end goal to choose in regards to the utilization and direction of these hereditarily changed plants, one must be all around educated and mindful of this new innovation. Gestational and Maternal Nutrition Key dietary rules for a pregnant lady Eating a solid eating regimen amid pregnancy is fundamental for both mother and infant. Nutritious eating routine can enable you to advance your child's development and improvement. Grains Some entire grain and improved items contain starch, fiber and iron. Meat, poultry, fish, eggs and beans Protein is vital for child's development amid second and third trimesters. Protein, B vitamins are available in sustenances of this gathering. Dairy items Dairy items are advanced with calcium. Calcium invigorated soy drain assembles child bones. Prescribed enhancements utilized amid pregnancy Supplement of folic corrosive is usually prescribed. Sources prescribe 1200 mcg of folate (common frame) every day for most extreme advantage. To address nourishing issues, pregnant ladies are urged to expend a rich, along an every day vitamin and mineral enhancement. Prescribed sustenance to eat Avocados, Mangoes, Broccoli, Carrots and Spinach DHA eggs and yogurt, Edamame beans Lentils, Oatmeal Nuts Sustenances to stay away from Keeping in mind the end goal to not get sick or damage child's wellbeing, there are a few nourishments that ought to be stayed away from. A few sorts of cheddar Pâté Crude or mostly cooked eggs and meat Frozen yogurt Caffeine& natural teas Liver Vitamin/angle oil supplements Cool, relieved meats Peanuts Fish and smoked fish Drain and yogurt Crude shellfish and sushi Sustenances with soil on them Healthful necessities of bosom bolstering moms Ladies are prescribed to keep eating sustenance full eating routine comparably to how they were eating amid their pregnancy. A bosom bolstering lady requires 200 a greater number of calories than a pregnant lady gave that the calories originate from nutritious nourishments. While bosom bolstering a few servings of protein must be taken every day. Great wellsprings of protein include: Meat and Poultry Fish and Tofu Dairy items Dried beans The sustenances that are abstained from amid pregnancy are likewise prescribed to be abstained from amid bosom nourishing in light of the fact that it may make an unfavorably susceptible response or damage either mother or child. Healthful necessities of Athletes Key dietary rules for a competitor For a competitor there is an inordinate and all around adjusted eating routine, which is loaded with sustenance. As a competitor it is important to keep up the correct eating routine , there must be have legitimate equalization of supplements, minerals, vitamins and well as calories to enhance the execution. Enhancements The enhancements utilized by competitor are, BS-Vitamins, protein, omega 3 unsaturated fats (angle oil), vitamin D, magnesium, Coenzyme Q10 (CoQ10) Competitors requires more measure of supplements they really request from their bodies than even relatively meet wellness buffs keeping in mind the end goal to repay with the assistance of supplements, which can be acquired from nourishments or supplement, so execution taxi be stayed for quite a while. So as to accomplish them greatest level of execution, there are some prescribed sustenance to increase most extreme sugar stockpiling, it is proposed by the specialists that they have to get around70% of its calories from starches, alongside pasta, natural products, grains, vegetables and so on. Sustenances to maintain a strategic distance from There are a few sustenances which are prescribed to maintain a strategic distance from for competitors, these nourishments are avoidable to meet with the most extreme level of incredible execution. The avoidable nourishments are including vitality and protein bars, sports drink and in addition it is likewise needful to keep away from Before running an arduous there are some prescribed ways that must be finished by a competitor? The chief tips for them are: Don't carbo-over-burden A body can store adequate measure of sugars with a specific end goal to prop them up for around a hour and a half approx., which it needs to help to sweltering fat stores for energy Make the utilization of plain and recognizable sustenances To maintain a strategic distance from undesirable gas, looseness of the bowels, blowing up, it is important to take care from lousy nourishments, dodge unused sustenances and furthermore avoid zesty sustenances too. Enhancements utilized by weight lifters There are a few enhancements utilized by a competitor. It is suitable for working incredibly, yet in the event that eating routine isn't legitimate then these enhancements won't be particularly compelling. Those enhancements are typically included, multi vitamins, glutamine, creatine, thermogenics, ZMA too (Perret, 2014). Symptoms of enhancements As it is realized that there are a few enhancements utilized by a competitor to enhance the productivity However, not all enhancements are successful. Despite the fact that there drawbacks are more when contrasted with their favorable circumstances. Over the long haul it debilitates the body, now and again it make the body dependent on these enhancements. Nourishment for School-Age Children and Healthy Lunchboxes Key dietary The key dietary for school age kids are typically including eat four to five times each day, and including bites, which are solid for kids. Level of improvement and much of the time eat 4 to 5 times each day, and in addition bites which are loaded with supplements. In the wake of returning from schools it is beneficial for them to take sound bites, in light of the fact that these bites contribute all the more third of the aggregate calorie for the day (Napier, 2014). Enhancements suggested amid youth If there should be an occurrence of required enhancements for youngsters, vitamins and minerals are noteworthy components of the aggregate wholesome necessities. The reason is that body can't deliver more measure of vitamin, hence a few enhancements are required to satisfactory the dietary need in kids. The included enhancements are Vitamin A, B, C and D. As body require different vitamins, that why vitamins and minerals ought to be expanded in a satisfactory sum. In certain, a great and expanded amount of protein, iron, calcium and vitamins An and D is fundamental. Prescribed sustenance As calcium is most critical in school age youngsters, along these lines it is prescribed to build the measure of calcium in their day by day schedule. They require calcium around 500 mg for every day, and the best premise of this supplement is dairy animals' drain. And meat, eggs, wheat is likewise suggested for them. Sustenances to maintain a strategic distance from These are the accompanying sustenance, which are avoidable at school period of kids, for instance handled meats, sports drink, canned tomatoes, sugary grains (Weichselbaum, 2014) Potential sustenance allergens Alongside a nourishment hypersensitivity, the human body comes into some response procedure just as that particular sustenance item is dangerous and perilous. Because of which the invulnerable arrangement of body produces antibodies to battle with the sustenance allergen, the constituent in the nourishment that enacts the unfriendliness. In the schools of UAE a wide range of handled sustenance, and additionally all classifications of crisps, fries and chocolates are given, albeit now it will be supplanted by more beneficial choices, for example, vegetables and solid natural products in the Northern Emirates state schools and in all Dubai. Approaches to Make Food More Fun for youngsters Keeping in mind the end goal to draw in kids towards more advantageous nourishments, there are some intriguing routes by which school age youngsters can undoubtedly get enthusiasm, for instance by changing the shade of sustenance into their most loved hues, on the grounds that vivid nourishments normally all the more pulling in to kids, similar to this we can augment their advantage, utilize fun names of their sustenances. To energize the utilization of sound sustenance in kids. Do some extra endeavors, a youngster can detecthungerand totality better, Formerly offering a resulting encouraging or serving, test your tyke by influencing them to anticipate for a couple of minutes to watch on the off chance that they are extremely still eager. Sound eating versus Shoddy nourishment Low quality nourishments more often than not have high positions of calories from sugar or fat alongside littleprotein,minerals and vitamins. Nourishments for the most part estimated lousy nourishments contain saltedsnack foods,candy, sweetdesserts, gum, sugarycarbonated refreshments and browned drive-thru food. Plain snacks comparative plain grains, vegetables and pasta are correspondingly marginally broad. What impact does tobacco/sheesha have on our body and eating regimen? Tobacco is a kind of plant that is typically developed in the southeastern of USA. North Carolina, South Carolina and Virginia, are the makers of tobacco (Khan, 2014). Toba>GET ANSWER