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PICK1SCENARIO.pdf

PICK 1 SCENARIO Each prompt has additional key questions to address in the body of your response to

ensure an understanding of learning objectives. Use at least one scholarly source other than your textbook to connect your response to

national guidelines and evidence-based research in support of your ideas PLEASE ADD REFERENCES

Case Scenario 1: Russell is a 7-year-old boy who weighs 50 pounds. He is frequently teased at school

because he soils his pants and is called the “stinky kid” by his peers. His mother states

that this has been occurring for the past 8 months. She brought him into the clinic

because she thinks he might have an intestinal infection. She also reports that once

a ,week he has very large bowel movements that completely clog the toilet. What more does the APRN need to know about Russell’s bowel problems? What type of diagnostic testing should the APRN order? What treatment plan should the APRN prescribe and what is the rationale for this

treatment? Include dosages and administration instructions if appropriate.

Case Scenario 2: Mr. and Mrs. Escandar have brought in their 4-day-old infant boy for a newborn exam.

The mother and father are concerned that their baby seems to be crying excessively

and appears to be “hungry all the time.” The mother reports that she exclusively

breastfeeds her infant. The infant is measured and weighed; you estimate that he has

lost 5% of his birth weight. On exam, you notice caput succedaneum and jaundice. What should the APRN tell the parents about the baby’s 5% weight loss and crying? How many wet and soiled diapers should the baby have at 4 days old? How would you manage this baby's jaundice? What more should the APRN know about the baby–mother dyad breastfeeding

experience? What anticipatory guidance would the APRN provide Mr. and Mrs. Corrigan?

Case Scenario 3: Marcie is a 5-month-old baby who was brought into the clinic by her mother. She has

had a fever for 3 days, up to 102.5°F. So far today, Maria has not had a fever, but she

now has a rash all over her body. She is taking her bottle well and has a slightly runny

nose. Her weight today is 18 pounds. What else does the APRN need to know about baby Marcie’s symptoms and current

rash? What labs might the APRN order? What type of anticipatory guidance should the APRN provide?

What dosage of Tylenol or Motrin should the baby be receiving?

Case Scenario 4: Ms. Lee presents with her 12-month-old daughter because she has had a runny nose

for 2 days and has a “fever” of 99° F. After reviewing her immunization records, you

note that she has not received any immunizations since her 4-month well-infant exam. Are there contraindications for vaccinating this toddler today? What vaccinations should the APRN order for this toddler today per CDC guidelines? What type of anticipatory guidance should the APRN provide for Ms. Lee regarding

vaccine schedule? What are some strategies the APRN can use to overcome vaccine hesitancy?