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1. Bobby was hospitalized 6 days ago for appendicitis. After an appendectomy following a perforated appendix, he now has an open incision requiring BID dressing changes and contact isolation due to a hospital-acquired MRSA infection. It is anticipated that he will be here for 5-10 more days for long-term antibiotic therapy and wound care. He is 13 years old. He has been afebrile for 24 hours. The wound is open with minimal serous drainage.
He is withdrawn and relates “just tired” when you inquire about how he is this morning. Last week he shared his interest in school. Gets A’s in math, computer science and was supposed to be competing in the school science fair this week.
What do you know about the adolescent and the appropriate developmental level?
Keeping his diagnosis in mind, what about visitation?
Is socialization a need?
What other questions should you ask?

2. Due to a fall from a second-story townhouse, Jimmy sustained a fractured left femur and a mild head injury. Jimmy is 10 years old. He was reaching for a ball that had gotten lodged into the gutter over the small balcony of his parent’s bedroom. He thought if he stood on the railing and reached with the badminton racket he could get it. Currently, he is 2 days postoperative from repair of the left femur. He is being transferred out of the pediatric ICU where the Neurologist has stated he is stable but needs continued neuro checks q2 hours. He has a full left leg cast. The Foley catheter is to be replaced today, or he can attempt to roll onto a bedpan if needed. Please list the systems that are affected by this boy’s injuries. List the nursing interventions now that he is on your nursing unit. Start a list of nursing diagnoses & match the system you are presenting.

Each response must be at least 100 words with at least 1 intext citation. Please list at least two references for each question.

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