Question

A 2-year-old child presents to the pediatrician’s office with a two-day history of fever, vomiting and diarrhea. The nurse obtains the child’s temperature, pulse, and respirations. Temp was 101.3 (38.5 C), HR 156, Respirations 32. The child appears tired but alert and clings to mother when the nurse is obtaining vital signs. What other assessments are necessary and the nurse would need to complete next.

Answer 1

Q; Nurse's necessary assessment in paediatric services

Ans; Paediatric nurse assessment for fever, vomiting, and diarrhoea.

General ;-
Name of child ;

age;

sex;

address;

IP No;

Unit;

Name of informator( parents/ guardian);

Cheif completes ;-

present health history ;-

past health history ;-

Assessment for fever ;-

1. Temperature recording

a) fever for how long

b) if fever is more then 7 days, as fever been present every day ?

2. Heart rate

3. respiration

4. Is there any other symptoms like running nose , cough, infection

Assessment for vomiting , diarrhoea;-

1. Frequency of vomitings;

2. Odour;

3. consistency

4. Any Other Findings of vomiting

diarrhoea ;-

5. How long ;

6. Is there blood in the stools;-

7; colour of stools;

8; is the infant lethargic or unconscious

9; is the infant is restless and irritable

10; any symptoms of sunken eyes

11; any symptoms of dehydration;-

Immunization status ;-

Nutritional status of child;

Any behavioural and mental changes ;

* these are the other assessments of nurse in paediatric department.