Week 4
discussion
Week 4 Threaded Discussion Question 1 of 2
You are assessing a 10 month-old boy. Jason requires
continuous portable oxygen via nasal prongs at 0.5 L/min. His mother
understands Jason has a chronic lung disease. She has tried to wean the baby
from the oxygen during the nighttime but she tells you Jason’s O2 saturation
will drop to 90% and his respiratory rate will increase. The baby was born at
27 weeks gestation, weighed 960 g at birth and was ventilated for the first 14
days of life. He has been on continuous oxygen since birth.
There is a student nurse observing today. Outside the exam
room, she asks you if the baby has asthma. How will you respond? Provide
rationales for your responses.
Which chronic lung disease does Jason have? What would you
be concerned about as the baby gets older?
Week 4 Threaded Discussion Question 1 of 2
Megan is a 16-year-old girl presents to the ED with
complaints of a headache, sore throat, chills, malaise, and fatigue for the
past week. On physical examination, you assess she has an enlarged liver and
spleen, and she has enlarged lymph nodes in the anterior and posterior chains
of her neck. Her CBC results indicate her leukocyte count is very high at
18,000cells/ ?L. Megan states three other kids at school have been sick this
past week with similar symptoms.
Why is Megan’s immune system reacting this way?
Megan tells you she is afraid she will die because one of
the students who had the same disorder told her, “We are going to have this all
our lives.” What can you say to relieve her fears?
