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Roberto is a previously healthy 4 -year-

Roberto is a previously healthy 4 -year- old, who has been admitted to the hospital for dehydration. Roberto’s father has had the flu for the last three days and yesterday afternoon Roberto began vomiting and refused to eat or drink. Roberto was brought to the Emergency room around midnight by his mother Rosa. In the Emergency room Roberto was given an IV, fluids, and was noted to be Flu B positive. He was weighed at 17 kg. Roberto was admitted for hydration therapy and his mother is at his bedside. You will be taking care of him on your day shift today. 1. You need to assess Roberto, take his vital signs and hang a new bag of fluids. When you walk in the room Roberto immediately stops what he is doing a looks at you nervously. What will you say to Roberto to make him feel comfortable, and how will you explain to him what you are going to do? 2. You are doing the admission assessment and need to chart on Roberto’s diet and sleep schedule. How will you learn this information? 3. Explain the process of your head-to-toe assessment on Roberto. How would you describe this to Roberto and what feedback will you give him during the assessment? 4. When doing assessment on Roberto, how will you assess his pain? https://wongbakerfaces.org 5. After assessing Roberto’s pain, you find that his head hurts. You look in his MAR and see that he can have Tylenol. After you get the Tylenol and bring it back in the room, how will you safely give the medication? 6. Roberto does not want to take the Tylenol. He is crying and pushing the Tylenol away from you every time you try to give it to him. He says it is going to taste bad and he is scared he will throw up again. What can you do to help Roberto take the medicine? 7. After Roberto finally takes the Tylenol, his mom Rosa seems distressed. She says at home anytime Roberto has to take medicine it is a fight. She also thinks he just isn’t understanding why he has to stay at the hospital, and it is hard for her to explain. Who could you reach out to about these issues and how could they help? 8. Roberto says he is feeling better and wants to play with some toys. You walk to the playroom to find him some toys. What would be appropriate toys you to pick for him and why? SCIENCE HEALTH SCIENCE NURSING NURSING 141

 
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