Question

In: Nursing

A mother has brought her 4-year-old daughter to the emergency department. She didn't realize her husband...

A mother has brought her 4-year-old daughter to the emergency department. She didn't realize her husband had sprayed the lawn with a pesticide and allowed their daughter to play in the yard. She now comes in with complaints of nausea, vomiting, difficulty breathing, and confusion.

A. How would you respond? What are you initial interventions? B. How can you help the family? C. What are some nursing diagnoses that would be appropriate for this situation?

Solutions

Expert Solution

A)Respiratory exposure is particularly hazardous because pesticide particles can be rapidly absorbed by the lungs into the bloodstream. pesticides cancause serious damage to nose, throat, and lung tissue if inhaled in sufficient amounts. Vapors and very small particles pose the most serious risks.The child needs immediate treatment and act fast to prevention further complications  Administer oxygen ,Supportive care, decontamination, and treatment with atropine and pralodoxime

B)Explain the condition of the child and give psychological support.

C)Ineffective airway clearance related to excessive secretions

Ineffective breathing pattern related to neuromuscular impairment

Decreased cardiac output related to the cholinergic effects of OP poisoning (arrhythmia, bradycardia and hypokalaemia)
Deficient fluid volume related to fluid loss due to vomiting, loose stools, diaphoresis and excessive secretions
Risk for injury related to seizure activity secondary to OP poisoning

Compromised family coping related to the critically ill family member

Nightingale answered 7 months ago
Next > < Previous

Related Solutions

A 10-year-old child is brought into the emergency department by her mother. The mother appears anxious...
A 10-year-old child is brought into the emergency department by her mother. The mother appears anxious but sits quietly next to her daughter in the waiting room. When called into the triage area, the mother gives a history of coming home from work to find her daughter sitting on the couch watching television. Her daughter did not go to the door to greet her or look toward her when she said hello. The mother thought the daughter’s behavior was odd...
Mrs. Giammo is a 59-year-old woman who was brought to the emergency department by her husband....
Mrs. Giammo is a 59-year-old woman who was brought to the emergency department by her husband. Mr. Giammo noticed that all of a sudden his wife "was slurring her speech and her face was drooping on one side." Mrs. Giammo told her husband that she felt some numbness on the right side of her face and in her right arm. Mr. Giammo was afraid his wife was having a stroke so he brought her to the hospital. Case Study In...
A.J. is a 63-year-old white woman who is brought to the emergency department by her husband....
A.J. is a 63-year-old white woman who is brought to the emergency department by her husband. She has become progressively weaker and was admitted for further evaluation. Subjective data: complains of progressive weakness over the last couple of weeks, has had a recent sinus infection that resolved after two courses of antibiotics, complains of shortness of breath, has noticed a lot of bruising lately Objective data: Physical exam: Has scattered petechiae on both ankles and two ecchymoses on her arms...
1 Jennifer Hoffman is a 33-year-old female brought to the Emergency Department by her neighbor. She...
1 Jennifer Hoffman is a 33-year-old female brought to the Emergency Department by her neighbor. She has a history of asthma since childhood with multiple emergency visits within the last year. She appears to be in respiratory distress, struggling to breathe. She is unable to speak other than simple one-word statements. An infusion of normal saline has been started at a keep-open rate. 1.   What are you on alert for today with this patient? 2.    Why is this important? 3.    What...
Pt-1 Jennifer Hoffman is a 33-year-old female brought to the Emergency Department by her neighbor. She...
Pt-1 Jennifer Hoffman is a 33-year-old female brought to the Emergency Department by her neighbor. She has a history of asthma since childhood with multiple emergency visits within the last year. She appears to be in respiratory distress, struggling to breathe. She is unable to speak other than simple one-word statements. An infusion of normal saline has been started at a keep-open rate. PT-2 A 52-year-old patient has just arrived in the Emergency Department with complaints of severe abdominal pain,...
Pt-1 Jennifer Hoffman is a 33-year-old female brought to the Emergency Department by her neighbor. She...
Pt-1 Jennifer Hoffman is a 33-year-old female brought to the Emergency Department by her neighbor. She has a history of asthma since childhood with multiple emergency visits within the last year. She appears to be in respiratory distress, struggling to breathe. She is unable to speak other than simple one-word statements. An infusion of normal saline has been started at a keep-open rate. PT-2 A 52-year-old patient has just arrived in the Emergency Department with complaints of severe abdominal pain,...
A 13-year old girl is brought to hospital by her mother. She is reported to have...
A 13-year old girl is brought to hospital by her mother. She is reported to have a sudden onset of fever (1030 F), lightheadedness, nausea, vomiting and watery diarrhea. Physical examination reveals a desquamating rash of her palms and soles. She has no sick contact and there is no evidence of food poisoning. Upon questioning the patient says she started menstruating (menarche) a little over a month ago and she currently just finished her periods. It is Staphylococcus aureus. Explain...
A 13-year old girl is brought to hospital by her mother. She is reported to have...
A 13-year old girl is brought to hospital by her mother. She is reported to have a sudden onset of fever (1030 F), lightheadedness, nausea, vomiting and watery diarrhea. Physical examination reveals a desquamating rash of her palms and soles. She has no sick contact and there is no evidence of food poisoning. Upon questioning the patient says she started menstruating (menarche) a little over a month ago and she currently just finished her periods. What is the microbial agent?...
A mother and her 15 year old daughter come into the ER because the daughter is...
A mother and her 15 year old daughter come into the ER because the daughter is feeling extremely sick. When the mother leaves the daughter confides in you, the doctor, that she is sexually active. Her pregnancy test comes up positive. She begs you not to tell her mother. 1.) What are the possible courses of action 2.) Evaluate and compare these options from a utilitarian perspective.
A 3-year-old black girl was taken to the emergency department by her mother because of an...
A 3-year-old black girl was taken to the emergency department by her mother because of an elevated temperature that could not be controlled by aspirin. The mother also reported that her daughter had been crying, pulling at her ear, and complaining of a sore throat for the past several days. Physical examination revealed a well -nourished but listless child. The tympanic membrane was infl amed. The child had both lymphadenopathy and hepatosplenomegaly. The emergency department physician ordered a STAT CBC....
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT