A 12 year old comes in with her mother and has the following symptoms: a 40.0 C fever, chills, coughing, and chest pains. Her mother states that she just finished Amoxicillin for strep throat and her chest x-ray shows consolidation
Based on these findings, what would be possible nursing interventions to manage this patient? 1. Monitor oxygenation status and results of sputum culture, CBC, PTT, and sweat chloride test from the laboratory
2. Monitor respiratory, oxygenation, and hydration status and give antibiotics as ordered
3. Monitor respiratory and oxygenation status and give pneumococcal vaccine injection as ordered
4. Monitor oxygenation and hydration status and inform mother that antibiotics would be ineffective for her daughter
2
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1. A PTT and sweat chloride test are not needed at this time because this is the initial incidence of respiratory issues.
2. Although RSV causes 80%–85% of all pneumonia in children, the nurse suspects bacterial pneumonia due to the recent strep infection. This is why antibiotics are expected to be ordered.
3. A pneumococcal vaccine should be given prior to the illness.
4. Although RSV causes 80%–85% of all pneumonia in children, the nurse suspects bacterial pneumonia due to the recent strep infection. Antibiotics can be effective in this situation.
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