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Asked by hiraya11

Ruton George, 7 weeks old, arrives by ambulance to the emergency department accompanied

by his mother, who is hysterical. EMS reports that the infant was found in his crib

unresponsive. He is breathing irregularly at 14 breaths/minute; pupils are fixed and dilated.

Skin is cool and dry to the touch. HR is 100 bpm, T 99.2°F. 

 

a. What would be priority nursing interventions for Ruton?

b. What laboratory and diagnostic testing would the nurse expect to be ordered?

 

Ruton’s mother tells the nurse that she was at school and her boyfriend (not Ruton’s father)

was watching him for “about an hour.” The boyfriend had told her that Ruton had just gone to

sleep a few minutes before she got home. When she went to check on Ruton about an hour later

she found him unresponsive and “breathing funny” and called the ambulance.

 

c. What subjective and objective information would cause the nurse to notify social

services?

 

SCIENCE
HEALTH SCIENCE
NURSING
PED MISC

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