A child is admitted with infective endocarditis. The nurse is ...

[mckennatimberlake]

A child is admitted with infective endocarditis. The nurse is prepared to:
 
  1. Start an intravenous line.
   2. Place the child in contact isolation.
   3. Place the child on seizure precautions.
   4. Assist with a lumbar puncture.

Question 2

A seven-year-old child has been seen in the pediatric clinic three times in the last two months for complaints of abdominal pain. On each occasion, the physical exam and all ordered lab work have been normal.
 
  The most important information to assess at this time would be: 1. The child's normal eating habits.
  2. Recent viral illnesses or other infectious symptoms.
  3. Review of the child's immunization history.
  4. Changes in school or home life.

[k.lashomb]

Answer to Question 1

1
Rationale:
1. Infective endocarditis is treated with intravenous antibiotics for 28 weeks.
2. Infective endocarditis is not contagious, so the child is not placed in contact isolation. 3. Seizures are not a risk of infective endocarditis.
4. A lumbar puncture is a diagnostic test performed for meningitis, not for infective endocarditis.
Planning
Physiological Integrity
Application
Learning Outcome 26.7 Differentiate between acquired heart diseases that occur during childhood and congenital heart defects.

Answer to Question 2

4
Rationale 1: Because of the abdominal complaints, the child's eating habits would have already been discussed.
Rationale 2: With normal blood work and tests, the chance of any illness over the last few months is unlikely.
Rationale 3:
Rationale 4: With a normal exam and lab work, there is a high probability that this child's abdominal pain is stress-related, and it is most important to identify the possible stressors in this child's life to aid in diagnosis and treatment. Asking about changes in home or school life is most likely to get to information about recent stresses in the child's life.
Global Rationale:

[mckennatimberlake]

Excellent

[Joy Chen]

Gracias!