Hello, my name is Jennifer. I am new to allnurses.com, and I am in dire need of some assistance on my pediatric patient with strep throat! I had one clincial day with this patient, and the patient was going to be discharged that day. I was going to go with ineffective gas exchange, impaired swallowing, risk for infection( he was on an infectious disease floor) and knowledge deficit. However, my patient had normal vital signs, no complaint of pain, and no lab test except a positive strep test. He was only on one medication,ampicillian. This seriously limits the data that I can add to my ND. My instructor said to start looking at things like family structure and being in the hospital. I was going to add interrupted family processes but most of my data (lack of communication amongst family members, lack of support system, lack of parental attachment behaviors, father making decisions, mother absence) could be due to their culture. They are hispanic. I would appreciate any help!!