Author Question: A 12 year old comes in with her mother and has the following symptoms: a 40.0 C fever, chills, ... (Read 74 times)

tiffannnnyyyyyy · **on:** Jun 27, 2018

A 12 year old comes in with her mother and has the following symptoms: a 40.0 C fever, chills, coughing, and chest pains. Her mother states that she just finished Amoxicillin for strep throat and her chest x-ray shows consolidation.

Based on these findings, what would be possible nursing interventions to manage this patient? 1. Monitor oxygenation status and results of sputum culture, CBC, PTT, and sweat chloride test from the laboratory
2. Monitor respiratory, oxygenation, and hydration status and give antibiotics as ordered
3. Monitor respiratory and oxygenation status and give pneumococcal vaccine injection as ordered
4. Monitor oxygenation and hydration status and inform mother that antibiotics would be ineffective for her daughter

Question 2

A grieving mother sobs All this is just so uselessI am uselessnothing I am doing is going to make my baby well.. The nurse's most therapeutic response would be:

a. Your constant loving care does more for your baby than any medicine..
b. Don't worry. The nursing staff can take over the care any time you want..
c. Oh, be brave This is hard, but getting upset won't help your baby..
d. I know exactly how you feel..

debra928 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Feedback
1. A PTT and sweat chloride test are not needed at this time because this is the initial incidence of respiratory issues.
2. Although RSV causes 8085 of all pneumonia in children, the nurse suspects bacterial pneumonia due to the recent strep infection. This is why antibiotics are expected to be ordered.
3. A pneumococcal vaccine should be given prior to the illness.
4. Although RSV causes 8085 of all pneumonia in children, the nurse suspects bacterial pneumonia due to the recent strep infection. Antibiotics can be effective in this situation.

Answer to Question 2

A
The parents should be praised for the care they are giving to their child. The family should be encouraged to discuss their feelings now and to encourage communication about the death with the child. There is no way the nurse can know exactly how this mother feels