Chapter 40: Nursing Care of the Child With a Respiratory Disorder 1. Gloria is a

Question

Chapter 40: Nursing Care of the Child With a Respiratory Disorder 1. Gloria is an 8-year-old girl who is admitted to the pediatric unit with a history of cystic fibrosis and difficulty breathing. (Learning Objectives 3, 4, and 6) a. What would the nurse know to include in the health history? b. When conducting a physical assessment on Gloria, what will the nurse do in relation to the child’s cystic fibrosis? c. What tests would the nurse expect to be ordered for Gloria? 2. Jimmy Jones, age 6, is diagnosed with asthma. He has been hospitalized for 3 days for an acute exacerbation and is scheduled to go home tomorrow. (Learning Objectives 9 and 10) a. What would the nurse know to include in a child/family teaching plan? b. How can asthma affect a child’s self esteem? Learner Summary Transcript

Explanation / Answer

1 a.The nurse should know the Family history of cystic fibrosis because it has an  autosomal recessive pattern of inheritance.

1.b. The nurse should assess gloria for  difficulty in breathing and coughing up mucus as a result of frequent lung infections. She should also look for other signs and symptoms like sinus infections, poor growth, fatty stool, clubbing of the fingers and toes.

1.c

The nurse should take a complete medical history and physical exam.

The test for Gloria includes;

·         Sweat (chloride) test.

·         Genetic tests. Blood tests. Blood tests, including pancreatic function tests, can look at infection and to see which organs may be affected.

·         Chest X-rays.

·         Pulmonary function tests.

·         Sputum cultures

·         Stool test

2.a The nurse should know the Factors that triggers asthma for Jimmy, His treatment plan, The family members knowledge on his disease and treatment, family members compliance to treatment, follow up needs.

2.b A children with Asthma have poor self esteem and they express in the following ways. Asthma cause   children to feel self pity, poor self opinion, poor relationships with their peers. They restrict on social activities   which increases child's sense of isolation and create further difficulties in establishing social contacts.

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