Help with care plan

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This is a question given to us for practice.

John aged 3yrs, is brought to the Accident and Emergency Department by his mother. She stated that John has had a fever for 3 days, which worsened, accompanied by loss of appetite, vomiting, marked irritability, drowsiness and neck stiffness.

Intravenous fluids and antibiotic therapy was started.

Describe the nursing management of this child during the first 72 hours of hospitalisation under the following needs.

Safety and security ( 6 interventions)

Nutrition (6 interventions)

I dont know what type of management fall under these headings. Please help.

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Specializes in Peds, Med-Surg, Disaster Nsg, Parish Nsg.

Welcome to the site. I have moved you thread to Nursing Student Assistance for more responses.

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Specializes in IMCU.

I am going to suggest you give this question a try. Post what you get and then we can help you out if you are going wrong.

Do you have a nursing diagnosis book? If not you should borrow one at the library. It will help.

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Specializes in Emergency.

Imbalanced Nutrition: Less than body requirements

Risk for electrolyte imbalance

Nausea

Risk for aspiration

Hyperthermia r/t infectious process aeb fever (?)

Fatigue

Impaired physical motility r/t dizziness

Risk for falls

Risk for Injury

If you don't have a Nursing Dx book, I suggest buying one. I can't live without mine. I use one called "Nursing Diagnosis Handbook" Autors: Ackley & Ladwig

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@ DolceVita, i borrowed a nursing diagnosis book and i came up with Risk for infection related to a site for microorganism invasion secondary to IV.

@Emilynn09, hey thanks for the other ideas (diagnosis)!

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