Pediatric Nursing

Pediatric Nursing
Student's Name
Institutional Affiliation
Course Name and Number
Lecturer's Name
Assignment Due Date
Pediatric Nursing
#1: A 9-year-old boy is helped to the nurse's office at school because he is having difficulty breathing after playing outside on a windy, dusty day. The nurse is aware the child has asthma, and he has an inhaler for him.A. How should the nurse respond?
The nurse should give the boy an inhaler to inhale while evaluating the patient's asthma exacerbation severity. He should also assess the boy's shortness of breath (Dyspnea), pulse rate, respiratory rate, lung function, and oxygen saturation. The nurse should also check for anaphylaxis — a severe, potentially life-threatening allergic reaction due to exposure to a particular allergen. B. The child used his inhaler per the prescription; however, the child's condition is not improving. How should you as the nurse proceed?As the nurse, I should immediately organize a transfer to an acute care facility or intensive care because the patient's condition failed to improve even after using his inhaler. However, before the transfer, I should immediately provide the patient with inhaled Short-Acting Beta Agonist (SABA), systemic corticosteroids, inhaled ipratropium bromide, and oxygen. These substances will control the boy's breathing problems as he seeks acute care. C. What are your expected outcomes?After undergoing treatment in acute care, I expect the patient's symptoms like shortness of breath, wheezing, chest tightness, and coughing to improve. I also expect his peak flow rate to return to normal. Additionally, I expect the child's pulmonary function to maintain as close to normal levels as possible. Most importantly, I expect the boy to start breathing normally without any problems and participate in all daily activities, including exercise.
#2: A mother has come to urgent care with her 8 year old daughter because of a rash and swollen joints. When asked about past illnesses, the mother relates that the daughter recently had a cold and sore throat but they went away. She never took her daughter to the doctor, just kept her in bed a couple days with a fever and had her gargle with warm salt water. Mom states to you, the nurse, "All the kids are sharing and no need to run to the doctor. It will go away eventually."A. What are some immediate concerns?Based on the symptoms, some immediate concerns include rheumatic fever, juvenile idiopathic arthritis, and systemic lupus erythematosus. The symptoms the child presents with rash and swollen joints are available in these conditions. B. What assessment should the nurse do or prepare the patient for?The nurse should assess rheumatic fever by looking at the symptoms of the illness and comparing them to those present on the patient, checking the patient's medical history, and conducting various diagnostic tests, including a throat swab to look for a group A strep infection. It is because the most probable condition according to the symptoms is rheumatic fever. Its common symptoms include swollen, tender and red joints, chest pain, fever, red rash, and sore throat. C. What potential treatment should the nurse prepare the mother and child for if it is rheumatic fever?
If it is rheum...