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Case 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.
a. Based on the data obtained during this assessment by the
nurse, what interventions should the nurse expect to provide?
Incorrectly analyzed case study.
High fever in children is normal.. and 100.2 is not a high fever.
Based on the data obtained, the nurse should expect to monitor
vital signs and neurological signs, initiate seizure activity,
monitor for signs of meningeal irritation, assess for signs of
increasing ICP, and assess peripheral vascular status. The nurse
should also help the baby maintain neck or head in midline
position by providing a small comfortable pillow to support the
baby’s head and neck.
b. What child/family teaching would the nurse be expected to
provide?
The nurse is expected to provide teaching about the dangers of
the symptoms presented by their baby and how to react to them.
Very high temperatures may lead to seizures or fits if not
attended to. Therefore incase a child has extremely high
temperatures; she should be taken to the hospital immediately.
They should also watch out for symptoms like vomiting, stiff
neck, baby holding back the head or arching the neck, vomiting,
drowsiness, and high pitched cry because those are signs and
symptoms for meningitis and it can be dangerous if not treated
in time.
References
Duncan, D. L. (2019). Chickenpox: Presentation, transmission,
complications and prevention. British Journal of School
Nursing, 14(10), 482-485.
Rohlwink, U. K., Figaji, A., Wilkinson, K. A., Horswell, S.,
Sesay, A. K., Deffur, A., ... & Levin, M. (2019). Tuberculous
meningitis in children is characterized by compartmentalized
immune responses and neural excitotoxicity. Nature
communications, 10(1), 1-8.

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  • 1. Case 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. a. Based on the data obtained during this assessment by the nurse, what interventions should the nurse expect to provide? Incorrectly analyzed case study. High fever in children is normal.. and 100.2 is not a high fever. Based on the data obtained, the nurse should expect to monitor vital signs and neurological signs, initiate seizure activity, monitor for signs of meningeal irritation, assess for signs of increasing ICP, and assess peripheral vascular status. The nurse should also help the baby maintain neck or head in midline position by providing a small comfortable pillow to support the baby’s head and neck. b. What child/family teaching would the nurse be expected to provide? The nurse is expected to provide teaching about the dangers of the symptoms presented by their baby and how to react to them. Very high temperatures may lead to seizures or fits if not attended to. Therefore incase a child has extremely high temperatures; she should be taken to the hospital immediately. They should also watch out for symptoms like vomiting, stiff neck, baby holding back the head or arching the neck, vomiting, drowsiness, and high pitched cry because those are signs and symptoms for meningitis and it can be dangerous if not treated in time. References
  • 2. Duncan, D. L. (2019). Chickenpox: Presentation, transmission, complications and prevention. British Journal of School Nursing, 14(10), 482-485. Rohlwink, U. K., Figaji, A., Wilkinson, K. A., Horswell, S., Sesay, A. K., Deffur, A., ... & Levin, M. (2019). Tuberculous meningitis in children is characterized by compartmentalized immune responses and neural excitotoxicity. Nature communications, 10(1), 1-8.