Question

. Six-month-old Joshua is brought to the acute care center by his parents. The parents tell...

. Six-month-old Joshua is brought to the acute care center by his parents. The parents tell the nurse that Joshua has become “very fussy,” seems to be pulling at his right ear, and is running a fever. The nurse finds the infant’s temperature to be 100.2°F axillary. His weight is 7.7 kg and he is crying inconsolably. Joshua’s anterior fontanel is flat when he is crying and his skin feels hot to the touch and dry. Joshua’s mother tells the nurse that when the infant saw his physician 10 days ago he weighed 8.1 kg. (Learning Objective 3)

a. Based on the data obtained during this assessment by the nurse, what interventions should the nurse expect to provide?

b. What child/family teaching would the nurse be expected to provide?

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Answer #1

a.The following intervention has to be done by the nurse

  • Inspect the ear for any infection (redness,swelling,pain,wax collection or clogs) as this can be a cause for the child to be fussy and pull the ear
  • Provide tapid sponge to bring down the temperature
  • Administer the analgesic(ear pain if present), antipyretic (fever) as per the order
  • check the nutrional status of the child and meet the basic requirement as the child has lost 400g in about 10 days
  • Encourage the mother to comfort and cradle the child because this can enhance the child's psychological and securacy

b.The following educatoonnis necessary

  • To avoid tub bath or shower directly on head because this can cause water to pass in the ear and cause discomfort and infection overtime
  • Clear any wax frequently or as per the need to prevent ear infection
  • Encourage the mother to start with weaning foods ,as there will be a high demand of nutrition after u months of age due to activities
  • Have antipyretic in home as per the order of the pediatrician to use in emergency
  • Provide the child with good calorie intake (lost due to fever) and liquid to reduce fever
  • Follow hand hygiene while taking care of the child
  • Immunization knowledge
  • Periodic paediatric visits
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