Discussion Board 5

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Jenny Pearl B.

Villanueva BSN 2F

Discussion Board Activity 5

Anton, a 4-year-old boy, has been brought to the pediatric due to vomiting. His vital signs are the

following: T- 38°C, PR- 100bpm, RR- 20bpm, BP- 90/60 mmHg.

1.) Is there any abnormal value with Anton's vital signs? If there is, then what is it?

Except for his fever, Anton's vital signs are all within normal range. His 38°C body temperature indicates
that he has fever.

2.) How will you intervene as a nurse? What will be your independent nursing intervention?

How about your dependent nursing intervention?

The independent nursing interventions I would implement for fever are:

A medical condition called fever, commonly referred to as hyperthermia or pyrexia, occurs when the
body temperature rises uncontrollably and exceeds 37.5 degrees Celsius.

• Reduce the ambient temperature and relocate the client to a cool location.
• Take off all extra layers of clothing and coverings from the patient.
• Increase heat loss by giving out cold beverages, using cold compresses, and using ice bags.
• Observe the patient's input and output.
• Promote oral fluid intake

The dependent nursing intervention I would implement for fever is:

• Prescribed antibiotics or antipyretics (such as paracetamol) for treating fever.

The independent nursing interventions I would implement for vomiting are:

• History taken from child’s oarents


• Watch out for indications of malnutrition.
• Snooze and abstain from substantial foods
• Keeping hydrated and avoiding fatty and greasy foods
• Encourage them to eat dry meals like crackers and toast while limiting their intake of food and
liquids
• Give the patient non-pharmacological techniques to use.
• Record intake and output on a consistent basis (even hourly in critical care settings).

The dependent nursing intervention I would implement for vomiting is:

• To properly modify the patient's diet, speak with a dietician.


• Administer antiemetic drugs as directed by the pediatrician (mentioned are pharmaceuticals
used to manage nausea and vomiting, such as phenothiazines, substituted benzamide,
corticosteroids, benzodiazepines, antihistamines, and serotonin antagonists).
• Track serum electrolyte levels and keep track of any symptoms or indicators of imbalance.

3.) What will be your health teaching/s to the parents?

When problems with their children's health arise, parental instincts are frequently very strong.
However, parents may frequently become anxious as a result of this. Pediatricians claim that among the
most typical symptoms creating worry in parents are vomiting and fever in children. Fever is typically the
body's way of protecting itself from an infection. Parents should examine the likelihood of a number of
probable causes if their child is vomiting and fever, including: Digestive tract infection, such as
gastroenteritis. Bacteria or viruses may be at blame for this. Rotavirus is an illustration of a typical virus
that affects the gastrointestinal tract. Contrarily, typical bacteria could include Salmonella and E. The
parents should also give him plenty of rest as much as he wants.

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