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Principal of assessments for Registered Nurses: W1D Question: Scenario

March 29, 2023

Principal of assessments for Registered Nurses:

W1D

Question:

Scenario 2

You are admitting a 12-year-old child to your unit. The mother states that the child has a history of unexplained blackout episodes, headaches, sleep disturbances, and is presently exhibiting tremors. Must be at least 2 paragraphs !!!

What is the most likely cause of these symptoms?
What actions would you take during the interview process? Explain

*************ANSWER BOTH QUESTIONS AS IF YOU WERE THE REGISTERED NURSE. NO PLAGIARISM WILL BE CHECKED!

Expert Solution Preview

Introduction: As a registered nurse, it is essential to have a comprehensive understanding of different health conditions and their symptoms. When admitting a patient with unusual symptoms, it is vital to perform a thorough interview to understand the patient’s medical history and current medical condition. In this scenario, a 12-year-old child presents with a history of unexplained blackout episodes, headaches, sleep disturbances, and tremors. In this response, I will describe the likely cause of these symptoms and the actions I would take during the interview process.

1. What is the most likely cause of these symptoms?
Based on the symptoms presented by the 12-year-old child, the most probable cause is a neurological condition. The symptoms of blackout episodes, headaches, and tremors can be associated with epilepsy, a neurological disorder that causes seizures. Sleep disturbances can also be a symptom of epilepsy. Other conditions that may cause similar symptoms include migraines or other forms of headaches and sleep disorders such as sleep apnea.

2. What actions would you take during the interview process? Explain
During the interview process, I would first ask open-ended questions to allow the mother to describe the child’s condition accurately. I would also ask about the child’s past medical conditions, any medications currently prescribed, and any family history of neurological disorders. I would conduct a thorough physical examination of the child, including measuring vital signs and performing neurological tests such as evaluating reflexes, muscle tone, and sensation.
I would also ask the mother to describe the child’s episodes in detail, such as their duration, frequency, any triggers, and any actions taken by the child during the episodes. It is essential to get a complete picture of the child’s condition, as this can be helpful in forming a course of treatment. Additionally, I would explain the procedure and any potential tests or treatment protocols to the child and their mother to ensure they understand and feel comfortable with the process.

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