Purpose The nursing student should be able to identify seizure activity, how to educate the family and or caregiver of the pediatric patient on what to do if a seizure occurs and what medications to administer, implement safety to prevent injury and treatment of fracture. Develop education to support discharge based on assessment of data. Competency Prioritize nursing interventions when caring for pediatric clients with health disorders. Scenario A 5-year-old Gabriel is a multiracial male weighing 48 lbs with an allergy to penicillin arrives in the emergency room, no cultural considerations identified. You are handed the following notes on the patient that read: He arrived in ER with his mother after falling out of bed after jerking movement activity as witnessed by his older brother while sleeping. Right-upper extremity appears with deformity. Mother and child speak English. Child has no significant medical history. Mother reports incontinent of urine during episode. Your Assessment Vital Signs: T 102.9, P 135, R 24, BP 118/60, O2 sat 100% RA General Appearance: appears drowsy; face flushed, quiet Neuro: oriented X3 Cardiovascular: unremarkable Respiratory: lungs clear Integumentary: very warm, dry GI/GU: abdomen normal Physician Orders Complete Blood Count (CBC) Complete Metabolic Panel (CMP) Urinalysis with culture and sensitivity (U/A C&S) Blood Cultures x 2 X-rays kidneys, Influenza screening Acetaminophen 15 mg/kg PO now Ibuprofen 10 mg/kg PO now Pad side rails Suction at bedside with seizure precautions Radiographs of right arm Cast to right arm Start PO fluids and increase as tolerated The physician discharges Gabriel from ER to home with a diagnosis of; Right ear infection, Acute Febrile Seizure and fracture of the right ulna. Discharge orders include: Follow up with pediatrician in 7 days Follow up with pediatric orthopedics in 7-10 days Cefuroxime 30mg/kg PO BID for 10 days not to exceed 1,000mg daily. What is the recommended dosage if cefuroxime is supplied as an oral suspension 125mg/5ml or 250/5ml? Acetaminophen 15 mg/kg PO Q4 hours PRN fever or pain and ibuprofen 10 mg/kg PO Q6 hours PRN fever and pain for up to 3 days Acetaminophen is available as 160 mg/5 mL. Ibuprofen is available as 100 mg/ 5 mL. What is the amount of acetaminophen in mg and ml per dose? What is the amount of ibuprofen in mg and ml per dose? Instructions Develop a discharge plan with three goals listed in order of priority, prior to discharge from current orders. Provide rationale for why you listed the goals in a particular order. Also, list three nursing interventions to meet each of the goals (you should have nine interventions in total). Last, give the mother the exact dosage she will need to give the child for acetaminophen, ibuprofen, and the cefuroxime when she gets home and explain why the exact dosage is important.

The purpose of this assignment is to analyze a current events article (i.e., only one) that you may choose from any online current periodical, trade magazine, or other electronic publication about a global digital ethical issue. While this assignment will increase your knowledge in that subject area from a corporation viewpoint and enable you to analyze digital ethical issues of a current GLOBAL situation or event, it will also help enhance your research and writing skills, as well as your critical-thinking abilities.You start by selecting one current IT related online article (2015 sources or later) about a global ethical issue. You will want to note that this assignment is not a general essay about the topic selected, it must be about the current event article selected. In addition, while articles from journals may be of interest, they are ultimately too long and involved for this assignment – it is best to find an article from the World Wide Web. Provide the source citation that is in compliance with the American Psychological Association (APA) formatting rules, as well as the persistent URL that is clickable (one that anyone can click on to re-access the original article).The following elements must be addressed:Summarize the whole article by all of its key or salient points. It may help if you use bullets to note the salient points of the article, as you read through it. A summary is desired, not just the “thrust’ of the article.Analyze the multi-national and global aspects of the article – what is the impact or what is the importance of the information in the article?Determine three critically important questions you would like to address to the author regarding the article – you are not expected to answer the questions!