Case Study #1 NURS 367 – A

Case Study #1 NURS 367 – A nurse is working in a community health center and is caring for a 5-year-old child who was diagnosed as having a right ear infection. When collecting the nursing history, the mother states that the child has had a fever to 102 F for 2 days, has been irritable, and complained of being tired. The child has been drinking fluids well but not eating. The physician describes the tympanic membrane as erythematous, bulging with fluid levels, and dull. The nurse collects the following vital signs: T 102, (Rectal), Pulse 110, and Respirations 18. 1). Fever is often considered to be associated with a bacterial infection. How does the body regulate temperature? Why is fever often associated with bacterial infections? 2). Which of the clinical manifestations given are associated with a localized inflammatory response? What physiological factors are responsible for the development of these manifestations? 3). a. What assessments and diagnostic measurements would be appropriate for this patient? (Provide a minimum of 3 assessments and diagnostic measurements) b. Which of the above manifestations are related to a systemic response to the infection? 4). What therapeutic therapies would the nurse anticipate for the management of this patient? (Provide a minimum of 3) 5). What nursing care would the nurse incorporate into the plan of care for this patient?

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