Question

GROWTH AND DEVELOPMENT

Write one Nursing Care Plan from each of the case studies beginning with chapter 37 case study 2 your choice. Total 5 NCPs

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?

The rubric you will be grade by is:

Medical Diagnosis:

1) Definition of medical diagnosis                                                  ___________________________5

Etiology/pathophysiology

2) Common sign/symptoms ___________________________5

3) Potential complications                                                               ___________________________5

4) Expected assessment findings:                                                 __________________________10

            Head to toe assessment

5) Diagnostic studies/labs __________________________5       Normal values

   Expected abnormalities

6) All NANDA Nursing Diagnoses _________________________10

7) Develop 3 NANDA Priority Nursing diagnosis __________________________10

8) State patient goals/plan                                                           

            nursing diagnosis                                                                  __________________________10

9) Write interventions for your plan __________________________10

10) Scientific rationale for interventions __________________________5

11) Write how you would evaluate your plan

            what potentially may need

            revision                                                                                  __________________________10

12) List of medications typical for the __________________________15

            medical diagnosis

            usual dosage

            side effect

            educational considerations

Answer 1

a)The following information can be given to the mother

• As a part of preventive measures give the child a good nutrition to build immunity, children with low immunity can acquire it easily
• Encourage child to drink lot of water
• Observe for signs and symptoms ike fever,rash, tiredness
• Inform about incubation period (10_21) days
• Child can be vaccinated at age (4-6 years)

b) The following information has to be collected from mother

• Was the child vaccinated?
• Has the child have any previous infection?
• Is the child showing any symptoms?

1) Definition, etiology pathophysiology

Chickenpox is a viral infection caused by varicella zoster on exposure to it ,by direct contact ,low immunity .It enters the victim by air droplet infection weakens immune system leading to signs and symptoms

After the virus enters the person it starts production of immunoglobulin M, Immunoglobulin G and Immunoglobulin A antibodies ,it acts as a immune power life long.The virus may spread from mucosa and epithelial cells to sensory nerves.Then it remains in a latent period,if the person is expired to the virus in future may develop herpes.

2) signs and symptoms

• Fever
• Rash
• Blister
• Headache
• Fatigue or tiredness
• Itching

3)Complications

• Shingles
• Postherpatic neuralgia
• Ramsay hunt syndrome type 2
• Stroke

4) Expected assessment finding

• Assess vital signs ( temperature elevated)
• Physical examination ( can see blister,rash)
• Assess nutritional status ( to rule out fatigue)
• Assess for discomfort ( infected area may be itchy)