Question

looking for questions 5,6,&7

Influenza Case Study JP is a 29-year-old female presenting to the Emergency Department with dyspnea, myalgia, and rhinorrhea. Her symptoms began approximately 1 day ago and are continuous, steadily getting worse. She is having significant nasal discharge but minimal cough. Her 4-year- old son has experienced rhinorrhea as well over the past 3 days, but is not as ill as she is. She has no significant past medical history, and takes no routine medications. She reports receiving the flu vaccine when her child first fell ill. 3 days ago. She was a smoker but quit when she became pregnant 4 years ago. Ten-point review of systems was negative except for fever, lethargy, nasal discharge. shortness of breath, and muscle soreness. Vital signs • T: 101 F • HR: 105 bpm • RR: 22 bpm • BP: 120/76 • Oxygen saturation: 89% on room air, 100% on 2L nasal cannula Physical Exam: Well wished comfortable young HFENT Pupils equally found and reactive to light and accommodation, pou mal d urys E Whecs, les diminished bath Rep Cand Regular and mythm. gallope AN Soft neider, tonal bowel de r upo pala Skin Wandphone Neue Normal Radiology: Chest x-ray showed patchy diffuse bilateral infiltrates suggestive of pneumonia Rapid Flu Swab: Positive for influenza type A JP was diagnosed with influenza. The patient was admitted to the hospital for respiratory support and started on the antiviral Tamiflu (oseltamivir). She was not started on antibiotics for bacterial pneumonia, as the patient did not demonstrate typical symptoms of bacterial pneumonia (a notable lack of cough). Also, she had a reasonable alterative explanation for her symptoms and clinical findings. She was discharged after 1.5 days of hospitalization as her ability to oxygenate improved. She completed a 5-day course of oseltamivir at home and returned to usual health within two weeks. 1. What nursing assessment findings support the diagnosis of Influenza? 2. What diagnostic tests (labs, radiology) would you suspect would be ordered to support the diagnosis and why? 3. What type of treatment (medications) would you expect for the patient? 4. What nursing diagnosis should the nurse formulate for this patient? Pick two and explain why, 5. What goals should the nurse develop for the patient? 6. What overall interventions should the nurse provide? 7. What education would you provide to your patient and why?

Answer 1

1.Nursing assessment findings supporting Influenza

• Rhinorrhoea
• Nasal discharges
• Cough
• Fever
• Shortness of breath
• Wheezing sounds

2.Lab tests and radiological tests that support Influenza.

Rapid Influenza Diagnostic Tests

Nasal swabs

Reverse Transcriptase Polymerase Chain Reaction Tests

Vital culture

Serology

3.Treatment for Influenza

TamiFlu  

Zanamivir

Peramivir

Fluid intake

Rest

   4. Nursing Diagnosis for Influenza Patient

1. Ineffective airway clearance related to the disease condition as evidenced by rhinorrhoea
2. Ineffective Breathing Pattern related to the disease process as evidenced by Dyspnea
3. Altered thermoregulatiom related to the infection as evidenced by hyperthermia.

​​​​​​​Patient is suffering from nasal discharges, dyspnea, fever

5.Goals the Nurse has to develop

To reduce high temperatures

To provide relief from discharges

To clear the airways for effective breathing

6.Nursing Interventions

1. Assess the condition of the patient
2. Check the vital signs
3. Provide cold sponge
4. Give more amount of fluids
5. Administer antipyretics and also bronchodilators
6. Administer antiviral drugs
7. Provide warm water for drinking
8. Avoid expiring to cold airs
9. Educate the patient about the importancevof taking medications
10. Provide steam inhalation to relieve the symptoms of wheezing and cough
11. Educate regarding the safety practices such as hand washing
12. Maintain good isolation techniques
13. Provide proper rest to avoid stress

​​​​​​​Education to be provided to the patient

Ask the patient to cover nose while coughing and sneezing

Ask the patient to hand wash thoroughly when got in contact with secretions

Rationale : To prevent cross infection and to reduce worsening of symptoms.