Discussion Topic: What are the different types of hearing loss? Follow the discussion guidelines below.

For the case study section only:  Please only provide short answers for the case study  No more than 2 sentence response. Answer all the questions in all case study scenarios.

1. Case Study: Childhood Obesity

Mason is a 7-year-old boy who is at his primary care physician for a routine physical examination. Mason’s mother expresses concern about childhood obesity and is worried that he sleeps too much.

Subjective Data: Mason has been eating more than usual. Mason sleeps between 11 and 12 hours a day. Mason plays team soccer.

Objective Data

Height: 121 cm

Weight: 23 kg

Vital signs: temp, 37º C; pulse, 78 bpm; resp, 22 breaths/min; blood pressure, 102/62 mm Hg

Height: 90 cm

Mason has a normal physical examination for his age.

Questions:

1. What should the nurse tell Mason’s mother when discussing her concerns about childhood obesity?
2.  What can Mason’s mother do to help Mason maintain a healthy weight?
3. Mason’s mother has questions about his joining a soccer team. What should the nurse tell her?
4. Case Study: Brain Tumor

Caroline is an 11-year-old girl who has an inoperable brain tumor. Caroline has been admitted for palliative care. Her mother, father, and two siblings are with her.

Subjective Data: Caroline complains of a severe headache. She states that she is “afraid to be alone.”

Objective Data

Vital signs: temp, 37.8º C; pulse, 120 bpm; resp, 24 breaths/min; blood pressure, 110/60 mm Hg

Caroline is unable to walk unassisted.

Her pupils are unequal 4 mm right and 6 mm left.

Questions:

1. What is the most immediate priority for Caroline?
2. How can Caroline’s nurse help with Caroline’s fears?
3. How can Caroline’s nurse maintain professional boundaries?

3. Case Study: Hyphema

Johnny is a 10-year-old boy who seeks care after being hit in the right eye with a stuffed snake by his brother 15 minutes before arrival.

Subjective Data: Johnny complains of light sensitivity. Vision in the right eye is blurred.

Objective Data

Vital signs: temp, 36.8º C; pulse, 90 bpm; resp, 18 breaths/min; blood pressure, 110/60 mm Hg

Pupils: Left, 3 mm briskly reactive to light. Right, 3 mm and sluggishly reactive to light

Visual acuity: Right eye unable to see chart; left eye 20/15

Approximately a 30% hemorrhage is noted to the anterior chamber of the right eye with an intact globe.

Questions:

1. Johnny is at risk for what complications?
2. What measures may help prevent these complications?
3. What should the nurse do in this situation? Prioritize these actions.

Discussion Guidelines:

 Initial responses should be no less than 200 words and include citations from at least two credible sources, One being your textbook.  

•  Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2018). Maternal Child Nursing Care (6th ed.). St. Louis, Missouri: Elsevier.