ANSWER ALL THE QUESTIONS BRIEFLY THANKS. Chapter 37: Nursing Care of the Child W
ID: 102443 • Letter: A
Question
ANSWER ALL THE QUESTIONS BRIEFLY THANKS.
Chapter 37: Nursing Care of the Child With an Infectious or Communicable Disorder
1. Mrs. Acton, the mother of 6-year-old Christina, calls the physician’s office to speak to the nurse. Mrs. Acton is concerned because Christina went to a birthday party 8 days ago and was exposed to the chickenpox. (Learning Objectives 4 and 5)
a. What information would be appropriate to give to Mrs. Acton?
b. What data would be important for the nurse to gather when speaking with Mrs.
Acton?
2. 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?
Explanation / Answer
1. a) The nurse should inform Mrs. Acton that chicken pox is a common disease and if Christina has been vaccinated against the disease she shouldn’t worry much because vaccine almost always prevents the disease from occurring. But some vaccinated children (about 2%) might still get the disease, but will be much milder with low/no fever and fewer blisters. It is advised that a susceptible person (one who has never had the disease) receive the chicken pox vaccine as soon as possible after being exposed to the disease. It is known that the vaccine may prevent illness or may reduce serious effects of the disease if given within three to five days following exposure.
Chicken pox is a viral infection caused by Varicella zoster virus (VZV) which spreads through air. Symptoms include rashes on the body, fever, head ache, stomach ache etc. Symptoms start appearing from 10 to 21 days of exposure. Red itchy rash usually starts appearing on the abdomen, back or on face which eventually spreads to every part of the body. Blisters may be more in number and more severe in kids who have weak immune system.
If at all she has contracted the disease, it is recommended to maintain proper hygiene and avoid exposure with other kids. Chicken pox is an easily treatable disease with proper care and treatment.
b) The nurse can gather the following information from Mrs. Acton:
She can ask whether Christina has had the disease earlier since a person who has once contracted the disease rarely gets it for a second time.
She can also enquire whether Christina has received the vaccination.
Since symptoms develop within 10 to 21 days of exposure, she can suggest Mrs. Acton to keep a close check on Christina.
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