NCLEX-style case study · Free sample
NCLEX-RN Child Health Case Study 1
Client record
Item 1 of 6
The nurse is caring for a 4-year-old child in the emergency department (ED).
Initial Emergency Assessment — 1530
Initial Nursing Assessment
- 1530:
A child with a history of asthma presents to the emergency department with wheezing, shortness of breath, and coughing. The child appears anxious and agitated, assumes a tripod position, and has difficulty speaking in full sentences. Accessory muscle use and nasal flaring are present. On auscultation, expiratory wheezes are heard throughout all lung fields. S1 and S2 are audible. Bowel sounds are normoactive in all four quadrants.
Initial Emergency Assessment — 1530
Vital Signs — 1530
| Item | 1530 |
|---|---|
| Temperature | 37.2°C (98.9°F) |
| Heart rate | 126/min |
| Respiratory rate | 45/min |
| Blood pressure | 92/58 mmHg |
| Oxygen saturation | 92% on room air |
Item 1 of 6
Click to highlight the findings that require immediate follow-up.
Select all applicable findings in the passage.
Choose a dotted phrase to highlight it, and choose it again to remove the highlight.
At 1530 hours, a 4-year-old child with a history of asthma presents to the emergency department with wheezing, shortness of breath, and coughing. On assessment, the child appears and assumes a . The child has , demonstrates , and has . Auscultation reveals . Cardiac examination reveals . Abdominal assessment reveals . Vital signs show a , an , and a . Heart rate is 126/min, and blood pressure is 92/58 mm Hg.
0 findings selected.