Nursing Care of Children Capstone;
The nurse is teaching the parents of an infant with tonsillitis caused by group A ßhemolytic
streptococci about the importance of compliance with antibiotic therapy.
What teaching regarding this infection is important to share with the parents?
Tonsillitis or...
Nursing Care of Children Capstone;
The nurse is teaching the parents of an infant with tonsillitis caused by group A ß-
hemolytic streptococci about the importance of compliance with antibiotic therapy. What teaching regarding this infection is important to share with the parents?
Tonsillitis or inflammation of the tonsils caused by beta-hemolytic streptococci or streptococcus pyogenes is otherwise known as acute tonsillopharyngitis, bacterial. In starting antibiotic therapy for acute tonsillopharyngitis, the parents of the patient must known that the etiologic agent of the disease is a bacteria that’s why an antibiotic is needed for treatment. The nurse should also inform the parents the most probable adverse effects of the antibiotic for the parents to be aware also the nurse must inform the parents about antibiotic resistance because patients opt -to stop antibiotic therapy after feeling well, without completing the complete course of antibiotics. Chronic infected tonsils with GABHS may pose a potential threat to other parts of the body. Some children who frequently have tonsillitis may develop things such as rheumatic fever and kidney infections. Seek medical attention when child presents with manifestations of tonsillitis
A child has been admitted to the emergency department with a closed head injury. Identify the lab and diagnostic tests that will be ordered. List at least five (5) interventions the nurse will provide to the client? What medications should the nurse anticipate the provider to prescribe and why?
Arterial blood gases; blood alcohol and toxicology screening; CBC with Diff.
C-spine x-rays; CT or MRI of head and/or neck
Measurement of ICP
Ensure spine is stabilized until spinal cord injury is ruled out. Monitor VS, level of consciousness, pupils, ICP , motor activity, sensory perception, and verbal
responses at frequent intervals. Use Glasgow coma scale as indicated.
Maintain patent airway and administer O2 to maintain sat >95%
Implement actions that will decrease ICP: keep head of bed elevated at 30 degrees, which will
promote venous drainage; avoid extreme flexion, extension, or rotation of the head and maintain in the middle neutral position; keep body in alignment, avoid hip flex/extension; minimize endotracheal or oral suctioning; instruct client to avoid coughing and blowing nose because this can increase ICP .
Implement measures to prevent complications of immobility (turn Q 2 hours, maintain footboards and splints)
Corticosteroids - To decrease cerebral edema
Mannitol (osmotic diuretic) to treat cerebral edema
Antiepileptics used to prevent or treat seizures that may occur
Antibiotics in case of CSF leakage, lacerations, or penetrating injuries.
Analgesics for headache/pain managementhttps://www.coursehero.com/file/29308432/Nursing-Care-of-Children-Capstonedocx/This study resource was
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