Health Science Case 2: Infection and Liver Impairment Joylie
Herd Age 3 Jouylie Herd is a 3-year-old born to a drug addicted
mother. At birth, she contracted Hepatitis B from her mother who
unknow
Case 2: Infection and Liver
Impairment
Joylie Herd
Age 3
Jouylie Herd is a 3-year-old born to
a drug addicted mother. At birth,
she contracted Hepatitis B from her
mother who unknowingly had the
virus. Joylie has lacked
preventative healthcare, including
routine immunizations. She attends
an unlicensed daycare while her
mother, Jill, a single parent works
at the local supermarket as a
cashier. The daycare recently had an outbreak of Hepatitis A and is
under investigation. Jill has been clean and sober for six months. Jill
is proud if her sobriety and the fact that she and Joylie now live in
an apartment rather than the shelter. Joylie is brought into the clinic
by her mother for flu-like symptoms including poor appetitis and a
‘tummy ache.’ She’s been running a low-grade temperature. Jill
says, “she hasn’t been her usual active self and is napping a lot.”
Please answer the following questions- you may highlight or change
the color of the font or bold the answer.
1. The nurse begins the assessment. What subjective
information should the nurse ask Jill about Joylie? Select
all that apply.
Health history Length and severity of current symptoms
Interactions with her father, Interactions with her father
Normal dietary intake Immunization record
, 2. What priority safety information should the nurse collect?
Blood pressure Focused abdominal assessment Mother-daughter
interactions Cleanliness of the child