Brian, age 12, has food poisoning. His mother describes the ...

[joblessjake]

Brian, age 12, has food poisoning. His mother describes the buffet-style restaurant they had eaten in the previous night. Brian became ill about 2 hours after eating. He has severe diarrhea, vomiting that has stopped at present, and a low-grade temperature of 100.2F orally. His cheeks are flushed, skin is hot and dry, skin turgor is fair, and lips are dry and cracked.
 
  Devise a nursing care plan for Brian. Include assessment data to observe, nursing diagnosis, goals, and nursing interventions.

Question 2

List expected outcomes or short- and long-term goals.

[mohan]

Answer to Question 1

Assessment data to observe: general appearance and behavior, poor skin turgor, decreased urinary output, sunken fontanel (in infant), decreased weight, increased pulse and respiration, decreased blood pressure, prolonged capillary refill.
Nursing diagnosis: altered nutrition-less than body requirements related to diarrhea losses and inadequate intake; fluid volume deficit related to excessive GI losses in stool or emesis.

Goals: child will maintain adequate hydration as evidenced by absence of above symptoms; child will maintain appropriate nutrition for age as evidenced by eating and retaining foods; child will not spread the infection to others; the family will receive appropriate support and education, especially home care and prevention.

Nursing interventions:

administer rehydration liquids, beginning with small amounts and gradually increasing to a regular diet; administer IV fluids as ordered; strict intake and output; weigh daily; assess vital signs, skin turgor, mucous membranes, mental status; discourage intake of carbonated beverages, fruit juices, and gelatin (these are high in carbohydrates, low in electrolytes, and have a high osmosis level); instruct family in providing appropriate therapy, monitoring intake and output, and assessing for signs of dehydration.



Answer to Question 2

The client will verbalize a desire to lose weight; acknowledge factors that have contributed to being overweight; understand some of the foods that she has eaten in the past are high in fat and cholesterol; improve her nutrition habits and eat a well-balanced diet; participate in an exercise program at least three times per week; lose 1 to 2 pounds weekly.

[joblessjake]

Both answers were spot on, thank you once again

[mohan]

Great! Please up vote