solved: NSG361Pediatric Nursing Summer2022 Otitis Media and…


NSG361Pediatric Nursing Summer2022 Otitis Media and…NSG361Pediatric NursingSummer 2022Otitis Media and Tonsillitis Case StudyStudent Name:__________________________________________Scenario:The nurse is caring for a 3-year-old child admitted to the ED. The parent tells the nurse that the child has had a low-grade fever for two(2) days and is complaining of ear pain and a sore throat. The child’s appetite has been “off” but he has been drinking and using the bathroom as usual. The child weighs 14 kg. The child is also allergic to penicillin. 1. The nurse is completing the admission process, what routine information regarding risk factors for otitis media would the nurse want to obtain from the parent? (List at least 2) (2pts) • ________________________________________________________________________________ • ________________________________________________________________________________ 2. The parent asks, “Why does my child keep getting infections? Is there something I should do?” Discuss 2factors that predispose infants and young children to otitis media. (2pts)• ________________________________________________________________________________ • ________________________________________________________________________________ Case Study ProgressionThe health care provider (HCP) diagnoses the child with bilateral otitis media and strep pharyngitis. The HCP prescribes the following for discharge:• Amoxicillin/clavulanic acid 500mg po BID x 7 days• Follow up with the ENT (ear, nose, and throat) specialist• Acetaminophen 140 mg (10 to 15 mg/kg/dose orally every 4 to 6 hours) po every 4-6 hours prn fever 4. The nurse reviews the above orders before completing the discharge teaching. Which order should be questioned and why? (2pts)__________________________________________________________________________________________________________________________________________________________________________________________________ Case Study ProgressionThe parent is given a new prescription for azithromycin 160 mg po everyday x 5 days.   5. Calculate the dosage the nurse would instruct the parent to give. (Show work) (2pts)_______________  6. The nurse is providing the parent with information on medication administration. Which of these statements by the parent indicates a need for further teaching? (Select all that apply) (2pts) ?a. “I will place the correct amount of antibiotic in the ear canal once a day.”?b. “I will monitor for vomiting, diarrhea, or stomachaches because this might ?      be a side effect of the medication.”c. “If my child refuses to take the medication, I will tell him it tastes like the                    candy we get at the movies.”d. “This medicine can be given with or without food.”e. “I don’t have to finish the medication if he feels better after a few days.” 7. The parent asks when the child can return to daycare. Which of these statements is the best response by the nurse? (1pt)?a. “He should be able to return in about a week.”?b. “He can return 24 hours after his last documented normal temperature.”?c. “He can return 24 hours after he starts the antibiotics.”?d. “He can return 48 hours after his last documented normal temperature.” Case Study ProgressionThe parent takes the child to the ENT specialist. It is determined that his enlarged tonsils might be contributing to the frequent throat and ear infections. A tonsil and adenoidectomy (T&A) are scheduled. He will be admitted post-op for a 24-hour observation on the medical-surgicalunit. Case Study ProgressionAfter surgery, the child is admitted to the medical-surgicalunit. The child is awake and alert, bilateral breath sounds are clear, and his oxygen saturation is 98% on room air. Both parents are at the bedside. The HCP has prescribed the following orders:• Admit for 24-hour observation• Vital signs every 4 hours• NPO• Methylprednisone 2.3 mg IV every 8 hours x 3 doses• Acetaminophen (120mg) with codeine (12.5mg) po every 6 hours prn pain• Amoxicillin 120 mg po every 8 hours• Aggressively gargle and swish with mouthwash after eating or drinking 8. Which of the above orders should the nurse question and provide a rationale for why? (4pts)_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 9. The nurse is outlining a plan of care that addresses common risk factors for post-op care of a T&A. Include at least 2 nursing interventions that would be appropriate for managing each risk. (8pts) Risk Interventionsa. Airway•    •    b. Pain•    •    c. Fluid and electrolyte balance•    •    d. Bleeding Risk•    •      10.  Discuss how the nurse would assess and monitor the child for pain. (2pts)___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________  11. The nurse is reviewing discharge instructions with the parent. What is the best client teaching for discharge home? Discuss at least 4 (4pts)• _________________________________________________________________________________________ • _________________________________________________________________________________________ • _________________________________________________________________________________________ • _________________________________________________________________________________________ Case Study OutcomeThe parent indicates an understanding of discharge instructions and follow-up care. The child meets discharge criteria and is discharged home to follow up with ENT in 2 weeks.                       Health ScienceScienceNursing NURSING 111

Don't use plagiarized sources. Get Your Custom Essay on
solved: NSG361Pediatric Nursing Summer2022 Otitis Media and…
Just from $10/Page
Order Essay
Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more
colle writers

Order your essay today and save 30% with the discount code ESSAYSHELP