ENGAGE FUNDAMENTALS
INFECTION CONTROL CLINICAL JUDGMENT CASE STUDY WITH CONCEPT MAP
AdmitÝng Diagnosis
Client Problem 1: impaired breathing pattern
secondary to respiratory syncytial virus Assessment information
(RSV) infection and pneumonia. demonstrates some respiratory
difÏculty with mild intercostal
retractions and respiratory rate of 32
Assessment Information
3-year-old pediatric client who has
been admitted to the hospital for care
secondary to respiratory syncytial virus Intervention
(RSV) infection and pneumonia. Nurse will encourage patient to take
client demonstrates fear of the nursing deeper breaths
staff by crying when they enter with a Nurse will teach the importance of
mask and gown to provide care for the long expansion in pneumonia.
child, making it difÏcult to complete Nurse will sit patient up in bed for
assessments of the client’s condition. better breathing
child demonstrates some respiratory
difÏculty with mild intercostal
retractions and respiratory rate of 32. Client Problem 2: Fear
Other vital signs include HR 110, Temp Assessment information
101.2°F
child is receiving antibiotics
intravenously, nebulized breathing
treatments, and antipyretics.
this is the child’s first hospitalization.
fear of the nursing staff by crying when
they enter with a mask and gown to
provide care for the child, making it
difÏcult to complete assessments of
the client’s condition.
this is the child’s first hospitalization.
Intervention
Nurse will educate mom and child on why
they have to wear mask and gown.
Nurse will make patient feel comfortable.
Nurse will empathize with patient and
avoid false reassurance and be truthful