{"id":510,"date":"2018-01-02T00:02:22","date_gmt":"2018-01-02T00:02:22","guid":{"rendered":"http:\/\/pressbooks.library.ryerson.ca\/vitalsign\/?post_type=chapter&#038;p=510"},"modified":"2018-03-12T17:50:20","modified_gmt":"2018-03-12T17:50:20","slug":"case-study-2-pediatric-client-continued","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/chapter\/case-study-2-pediatric-client-continued\/","title":{"raw":"Case Study 2: Pediatric Client (continued)","rendered":"Case Study 2: Pediatric Client (continued)"},"content":{"raw":"<strong>1. What infection control measures need to be taken when interacting with this child and taking the child\u2019s vital signs?<\/strong>\r\n\r\n<strong>\r\n<\/strong>The toddler has a fever and an unknown rash, therefore needs to be isolated in a private room, and the healthcare provider must wear a surgical mask, gown, and gloves (contact and droplet precautions). The toddler requires vital signs equipment for use with that client only.\r\n\r\n&nbsp;\r\n\r\n<strong>2. What developmental considerations need to be considered when taking this child\u2019s vital signs?<\/strong>\r\n<ul>\r\n \t<li>An apical pulse is taken for a full minute due to the client\u2019s age.<\/li>\r\n \t<li>An axillary temperature is taken because it is minimally invasive. A rectal temperature may be performed to check for accuracy considering that the client is febrile.<\/li>\r\n \t<li>The SpO2 saturation is taken via ear sensor or a taped finger sensor because the pulse oximeter clip is too large for a young child\u2019s finger.<\/li>\r\n<\/ul>\r\n<h2>Vital Sign Measurements<\/h2>\r\n<h4>1700 hrs, June 12, 2018<\/h4>\r\n<ul>\r\n \t<li>Temperature: 39.8\u00b0C axilla<\/li>\r\n \t<li>Pulse: 170 bpm (apical) cyclical increases with inspiration, force 2+, regular rhythm<\/li>\r\n \t<li>RR 30 bpm, regular rhythm<\/li>\r\n \t<li>Spo2 saturation 98%<\/li>\r\n<\/ul>\r\n<div><\/div>\r\n<div class=\"textbox shaded\">Print the blank vital sign record and document the findings noted above. Then, go to the next page to see the findings properly documented on the vital sign record.<\/div>\r\n<a href=\"http:\/\/pressbooks.library.ryerson.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-Sign-Record-blank-FINAL.pdf\">Vital Sign Record \u2013 Blank (pdf)<\/a>\r\n\r\n<a href=\"http:\/\/pressbooks.library.ryerson.ca\/vitalsign\/chapter\/case-study-2-pediatric-client-continued\/vital-sign-record_blank\/\" rel=\"attachment wp-att-1188\"><img src=\"http:\/\/pressbooks.library.ryerson.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-Sign-Record_Blank-761x1024.jpg\" alt=\"\" class=\"alignnone size-large wp-image-1188\" width=\"761\" height=\"1024\" \/><\/a>","rendered":"<p><strong>1. What infection control measures need to be taken when interacting with this child and taking the child\u2019s vital signs?<\/strong><\/p>\n<p><strong><br \/>\n<\/strong>The toddler has a fever and an unknown rash, therefore needs to be isolated in a private room, and the healthcare provider must wear a surgical mask, gown, and gloves (contact and droplet precautions). The toddler requires vital signs equipment for use with that client only.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>2. What developmental considerations need to be considered when taking this child\u2019s vital signs?<\/strong><\/p>\n<ul>\n<li>An apical pulse is taken for a full minute due to the client\u2019s age.<\/li>\n<li>An axillary temperature is taken because it is minimally invasive. A rectal temperature may be performed to check for accuracy considering that the client is febrile.<\/li>\n<li>The SpO2 saturation is taken via ear sensor or a taped finger sensor because the pulse oximeter clip is too large for a young child\u2019s finger.<\/li>\n<\/ul>\n<h2>Vital Sign Measurements<\/h2>\n<h4>1700 hrs, June 12, 2018<\/h4>\n<ul>\n<li>Temperature: 39.8\u00b0C axilla<\/li>\n<li>Pulse: 170 bpm (apical) cyclical increases with inspiration, force 2+, regular rhythm<\/li>\n<li>RR 30 bpm, regular rhythm<\/li>\n<li>Spo2 saturation 98%<\/li>\n<\/ul>\n<div><\/div>\n<div class=\"textbox shaded\">Print the blank vital sign record and document the findings noted above. Then, go to the next page to see the findings properly documented on the vital sign record.<\/div>\n<p><a href=\"http:\/\/pressbooks.library.ryerson.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-Sign-Record-blank-FINAL.pdf\">Vital Sign Record \u2013 Blank (pdf)<\/a><\/p>\n<p><a href=\"http:\/\/pressbooks.library.ryerson.ca\/vitalsign\/chapter\/case-study-2-pediatric-client-continued\/vital-sign-record_blank\/\" rel=\"attachment wp-att-1188\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/pressbooks.library.ryerson.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-Sign-Record_Blank-761x1024.jpg\" alt=\"\" class=\"alignnone size-large wp-image-1188\" width=\"761\" height=\"1024\" srcset=\"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-Sign-Record_Blank-761x1024.jpg 761w, https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-Sign-Record_Blank-223x300.jpg 223w, https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-Sign-Record_Blank-768x1033.jpg 768w, https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-Sign-Record_Blank-65x87.jpg 65w, https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-Sign-Record_Blank-225x303.jpg 225w, https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-content\/uploads\/sites\/26\/2018\/01\/Vital-Sign-Record_Blank-350x471.jpg 350w\" sizes=\"auto, (max-width: 761px) 100vw, 761px\" \/><\/a><\/p>\n","protected":false},"author":36,"menu_order":8,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-510","chapter","type-chapter","status-publish","hentry"],"part":487,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/510","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/users\/36"}],"version-history":[{"count":16,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/510\/revisions"}],"predecessor-version":[{"id":1379,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/510\/revisions\/1379"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/parts\/487"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/510\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/media?parent=510"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapter-type?post=510"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/contributor?post=510"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/license?post=510"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}