Assignment details: The RN is working in a pediatric clinic. Mrs. S. reports her 5-year-old has a sore throat, nasal congestion and frequent episodes of crying that have been going on for two days. After being examined by the pediatrician, the child is diagnosed with a cold. Mrs. S. tells the RN: “I am confused. I thought the doctor would have given me a prescription for my child to get an antibiotic. I don’t want anyone else in my family to be sick!”
Initial Discussion Post:
Based on the statements made by the parent, what nursing diagnosis is a priority for this patient?
What outcome should the RN establish for the priority nursing diagnosis?
Using evidence based guidelines, identify an intervention that the RN would implement to help this patient reach the outcome.
Base your initial post on your readings and research of this topic.
The Week 4 DQ basically pertains to a nursing care plan for this scenario. Please be reminded of the following:
Nursing diagnosis should include the diagnosis, related to _ as evidenced by___
Outcomes need to measurable and time specific
Interventions should be specific to this patient/parent situation rather than generic
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Introduction
The first priority for the nurse is to determine whether the infection was as a result of virus or bacteria in order to make informed decision. Nonetheless, the analysis of the case study indicated that the cold is caused by viral infection. This means that the first priority of the RN nurse is to inform the Mrs. S. that the doctor could not prescribe antibiotics because the infection was as a result of virus which could not be prevented and treated by antibiotics(Fashner, Ericson, & Werner, 2012). The important thing that RN nurse should do is to make sure that Mrs. S. understand that antimicrobial agent, in others words antibiotics which she was anticipating to be prescribed does not affect virus or reduce the chances of bacterial complication. Also, the nurse should inform Mrs. S. that continued use of antibiotics make the organism to be resistant to the therapy that is why the doctor did not prescribed for antibiotics.
What the RN nurse should establish from diagnosis
The appropriate prescription for Mrs. S. is to allow the baby to have enough rest, increase the fluid intake for the baby and give ibuprofen to reduce pain and discomfort. The management of cold involves the use of symptomatic therapy which include the prevention of chilling, adequate intake of fluids as well as the use of expectorant as much as possible(Pratter, 2006). Also, prescribing the Mrs. S. to give the baby warm saltwater gargles which helps in the management of sore throat. In addition, the nurse should consider prescribing non-steroidal anti-inflammatory drugs (NSAIDS) which is ibuprofen………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
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……………………………………………………………………………..The RN is working in a pediatric clinic……………………………………………………………………………………………………………………………………………………
