NURSING 3081 Peds Capstone, 2021

NURSING 3081 Peds Capstone, 2021-A pediatric client is complaining of a sore throat and general weakness. The provider diagnoses the client with Group A B-hemolytic streptococci (GABHS). Identify three (3) manifestations of GABHS? What are interventions and teaching points to discuss with the caregiver(s) and child about treatment of GABHS? Manifestations 1) Mouth odor/breathing 2) Snoring & nasal qualities in voice 3) Fever • Also include Tonsil inflammation with redness & edema Interventions/Teaching • Therapeutic procedure of Tonsillectomy • Post-Op Tonsillectomy o Place in side-lying position or abdomen o Elevate HOB when child fully awake o Assess for bleeding (i.e. frequent swallowing, clearing throat, restlessness, bright red emesis, tachycardia, pallor) o Monitor for difficulty breathing o Admin analgesics o Provide ice collar & offer ice chips or sips of water o Clear liquid diet after return of gag reflex and avoid use red-colored liquids, citrus juice, & milk-based foods initially • Teaching o Instruct to contact provider if difficulty breathing, lack of oral intake, increase pain, or infection present o Admin pain medication PRN o Encourage intake of fluid & advance diet as tolerated (i.e. No spicy foods, or hard, sharp foods) o Limit strenuous activity & physical play with no swimming for 2 weeks A child has been admitted to the emergency department with a closed head injury. Identify the lab and diagnostic tests that will be ordered. List at least five (5) interventions the nurse will provide to the client? What medications should the nurse anticipate the provider to prescribe and why? Lab/Diagnostic Tests • ABGs, & CBC with differential • Cervical spine XR, CT/MRI of head/neck, & ICP measurement Interventions 1) Maintain patent airway