Maryland Next Gen NCLEX Test Bank Project

Maryland Next Gen NCLEX Test Bank Project September 1, 2022

Case Study Topic:

(& Stand-alone trend)

Pediatric anaphylaxisAuthor: Josh Saylor, MSN, RN, CPN

Morgan State University Case Summary An 8-year-old female with asthma and a food allergy has anaphylaxis at school and requires epinephrine administration. Learner should recognize s/s of anaphylactic reaction and implement an emergency treatment plan.Objectives

• Recognize trends and changes in client conditions and intervene as needed
• Apply knowledge of nursing procedures when caring for a child with a medical emergency
• Administer medications given by parental routes
• Evaluate and document client responses to emergency interventions

Case Study LinkCase Study QR Code

https://umaryland.az1.qualtrics.com/jfe/form/

SV_7Wl1bgDCalPn6E6 Trend QR CodeTrend Link

https://umaryland.az1.qualtrics.com/jfe/form/

SV_0CJ1f4ygPerKVNA 1.Ricci, S., Kyle, T., & Carman, S. (2021). Maternity and pediatric nursing. 4th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.CJCST Version 2.2 designed by Desirée Hensel, 2022. Permission granted to use and modify template for educational purposes. 1 / 2

Case Study Question 1 of 6 An 8-year-old girl at school is taken from the lunchroom to the nursing office with respiratory issues.Phase Sheet Name Jane Smith Gender F Medical alertAsthma Age 8Weight 25 kg (55 lb)Allergies Peanuts Nurses’ Notes

• Student brought to nursing office from the cafeteria after staff noticed student’s face turning

red and breathing altered while eating lunch. Student reported trading a candy bar with another student. Student has increased work of breathing, increased respiratory rate, and stridor. Facial swelling, urticaria, and itching present.

• Vital signs obtained.

Vital Signs Time 1205 Temp 36.5 C (97.7 F) P 120 RR38

B/P 90/55

Pulse oximeter94% on RA Drag the 2 findings that need immediate follow-up to the box on the right.Client FindingsTop 2 Findings Facial swellingRespiratory status ItchingFacial Swelling Respiratory status Blood pressure Heart rate

Scoring Rule: 0/1

Rationale: Respiratory status change is an emergent event, and facial swelling can lead to a closed airway.CJCST Version 2.2 designed by Desirée Hensel, 2022. Permission granted to use and modify template for educational purposes.

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