Nursing Diagnosis for a Scarlet Fever Patient Order Instructions: Scenario:
An 8-year-old child was brought to the Emergency Department yesterday morning with severe abdominal pain that had been ongoing for 2 days.
The parents reached the point where no one could adequately deal with the pain. The father stated “Something had to be done!”
The child was diagnosed with acute appendicitis and an emergency appendectomy was performed.
This morning the child developed a fever, sour throat, headaches, chills and a rapid heart rate. Laboratory results have confirmed that the child has Scarlet Fever.
Nursing Diagnosis for a Scarlet Fever Patient Questions
Answer the following questions and Consider the chain of infection as you respond.
1- What are the implications of being exposed to a patient with scarlet fever?
2- What nursing actions should the nurse perform to prevent the spread of infection? Provide a minimum of two nursing actions
3- What transmission based precautions are most appropriate for this patient? Explain why.
4- Write an actual nursing diagnosis statement appropriate for this patient and include a corresponding outcome.
Nursing Diagnosis for a Scarlet Fever Patient Essay Paper Format and Required Readings
Note: APA format with citations from the text books listed below.
Required readings, chapters and Text books for this term paper:
Kee, J., Hayes, E., & McCuistion, L. (2015). Pharmacology: A nursing process approach (8th ed.). Philadelphia, PA: Elsevier.
Nursing Diagnosis Guidebook – A pocket-size nursing diagnosis guidebook of your choice that is no more than one edition old, that includes NANDA International-approved nursing diagnoses, definitions, defining characteristics, and possible nursing Interventions.
Pillitteri, Adele. (2013). Maternal and Child Health Nursing (7th ed.) Philadelphia; Lippincott, Williams and Wilkins.
Treas, L. & Wilkinson, J, (2014). Basic nursing: concepts, skills & reasoning. Philadelphia; F. A. Davis, Company.
Hinkle, J. & Cheever, K. (2014). Brunner & Suddarth’s Textbook of medical-surgical nursing (13 ed). Wolters Kluwer/ Lippincott, Williams & Wilkins, Philadelphia.
Pharmacology: A nursing process approach**
• Chapter 29: Penicillins and Cephalosporins
Nursing Diagnosis
• Use your chosen Nursing Diagnosis Guidebook to review the nursing diagnoses specific to the content covered in this module.
Maternal and Child Health Nursing**
• Chapter 29: Nursing Care of a Family with an Infant (Section on Bathing, and Diapering only)
• Chapter 43: Nursing Care of a Family When a Child has an Infectious Disorder (Sections on the infectious process and health promotion and risk management only)
Basic nursing: concepts, skills & reasoning.
• Chapter 22: Infection Prevention & Control
• Chapter 24: Hygiene
• Chapter 36: Skin Integrity and Wound Healing
Web Based and Other Professional Resources:
• Pre-licensure KSAs
• Pressure ulcer injury staging illustrations.
• Hospital: 2016 National Patient Safety Goals
SAMPLE ANSWER
Nursing Diagnosis for a Scarlet Fever Patient
Question 1 Answer
Scarlet fever can often occur as a complication of group A strep bacteria infection, and there are varied complications that may arise from exposure to patient with scarlet fever (Treas & Wilkinson, 2014). According to Ralph & Carapetis (2013), the specific implications are attributed to the contagious nature of scarlet fever. For instance, exposure to a patient with scarlet fever to can lead to the spread or transfer of the strep A bacteria as a result of the patient sneezing or coughing. In addition, the bacteria also spread to surfaces or objects in contact with the patient meaning that exposure to such surfaces and objects that are contaminated and subsequent touching of the nose or mouth can spread the bacteria (Ralph & Carapetis, 2013).
Nursing Diagnosis for a Scarlet Fever Patient Question 2 Answer
The nurse can perform a number of actions to prevent spread of the infection, with the aim of abating contamination of surfaces and objects. For example, two specific nursing actions that can achieve this include frequent washing of hands after handling the patient as well as conducting frequent and thorough disinfection of the surfaces and objects that come into contact with the patient (Treas & Wilkinson, 2014).
Question 3 Answer
Considering that scarlet fever is treatable using antibiotics with typically good outcomes, further transmission of the spread of the disease by this patient is through treatment of the scarlet fever using appropriate antibiotics. The other appropriate transmission based interventions for this patient are avoiding sharing personal items with the patient and ensuring that the patient is isolated from other people to prevent spread of the disease (Ralph & Carapetis, 2013; Treas & Wilkinson, 2014).
Question 4 Answer
An actual nursing diagnosis statement for this patient is as follows:
Nursing Diagnoses Include: hyperthermia; acute pain; impaired skin integrity; impaired oral mucous membrane; impaired swallowing or discomfort while swallowing; and the risk of infection (Kee, Hayes & McCuistion, 2015).
Expected Outcomes Include: Express of increased comfort feelings or absence of pain; maintain skin integrity; have mucous membranes that are moist, pink, and without lesions; remain aferbrile; absence of discomfort while chewing or swallowing; and finally experience no further infection signs or symptoms (Kee, Hayes & McCuistion, 2015).
Nursing Diagnosis for a Scarlet Fever Patient References
Kee, J., Hayes, E., & McCuistion, L. (2015). Pharmacology: A nursing process approach (8th ed.). Philadelphia, PA: Elsevier.
Ralph, A. P. & Carapetis, J. R. (2013). Group a streptococcal diseases and their global burden. Current topics in microbiology and immunology, 368(1), 1–27. doi:10.1007/82_2012_280
Treas, L. & Wilkinson, J, (2014). Basic nursing: concepts, skills & reasoning. Philadelphia, PA: F. A. Davis, Company.
