[Solved]: History and Physical This visit: Infant is brought…

History and Physical This visit: Infant is brought to the pediatric ED by their caregivers due to persistent, severe abdominal pain. Infant has no previous medical history. Caregivers report that the infant has been inconsolable and drawing their legs to their abdomen. Infant has had intermittent episodes of vomiting, and their caregivers have noticed “currant jelly-like” stools. Data Collection 0820: 8-month-old infant presented to ED with caregivers. Caregivers report persistent, severe crying. Infant has intermittent episodes of vomiting and red currant-type stools observed by the caregivers. Infant displays signs of discomfort by constantly drawing legs to the abdomen and laying in the fetal position. Infant is inconsolable. Abdomen is tender to palpation, sausage-shaped mass in the upper right quadrant, decreased bowel sounds, capillary refill time is greater than 3 seconds. Fontanelle is normal, not sunken. Head, eyes, ears, nose, and throat (HEENT): Head is atraumatic and normocephalic. Fontanelle is normal, not sunken. Respiratory: clear bilaterally to auscultation Cardiovascular: normal rate and rhythm, capillary refill greater than 3 seconds Abdomen: tender to palpation, sausage-shaped mass in the upper right quadrant, decreased bowel sounds, intermittent episodes of vomiting and red currant-type stools observed by the caregivers Genitourinary: no urinary symptoms to report Skin: consistent with genetic background, dry, no rash noted Neurological: persistent, severe crying, signs of discomfort by constantly drawing legs to the abdomen and laying in the fetal position, infant is inconsolable. Diagnostic Results 0845: Ultrasound confirms intussusception due to a target sign. Vital Signs 0820: Temperature 38.3° C (101° F) Respiratory rate 32/min Heart rate 150/min Blood pressure 85/50 mm Hg 0920: Temperature 39° C (102.2° F) Respiratory rate 30/min Heart rate 184/min Blood pressure 85/50 mm Hg Nurses’ Notes 0845: Infant is alert but distressed and inconsolable. Assessment and ultrasound indicate intussusception. ED provider has notified pediatric surgeon for urgent evaluation. Vital signs and pain will continue to be monitored closely. Health care team and caregivers will discuss therapeutic interventions. Flow Sheet 0820: Weight 9 kg (20 lb) Complete the following sentence by using the lists of options. The client is at highest risk for developing Select………….. as evidenced by the client’s Select… ……. hypoxia anemia sepsis blood clots respiratory rate heart rate blood pressure temperature