Case Study Question 5 of 6 A 2-year-old female is brought t…
Case Study Question 5 of 6 A 2-year-old female is brought to the Emergency Department by her mother with a 2-day history of fever, vomiting, and diarrhea. Nurses’ Notes 0800: 2-year-old female brought to Emergency Department by her mother. Client has a 2-day history of fever, vomiting, and diarrhea. Mother reports client has had “multiple” episodes of liquid stool per day (5 to 6 times per day), decreased oral intake, and multiple emesis. Mother states, “She can’t keep much down. She has been throwing up everything.” Client is alert but irritable. She was initially crying but making very few tears. Client weighs 12 kg (26.4 pounds). Mother reports client has a diaper rash. Mother reports changing diaper only when client has diarrhea but has not had any diapers since yesterday that were only urine. 0815: Assessment of client shows skin turgor with tenting, eyes are slightly sunken, lips are pale and dry, hyperactive bowel sounds, delayed capillary refill. 0830: Medicated with Acetaminophen. Attempting oral rehydration. Vital Signs Time 0815 Temp 39.3°C/102.7°F temporal HR 142 RR 38 B/P 88/52 Pulse oximeter 96% Orders Category Orders Nursing Oral rehydration with standard oral rehydration solution: 75 mL/kg over 4 hours Monitor intake and output Medications Acetaminophen 15 mg/kg PO every 6 hours PRN for fever >100.5F (38.1C) Monitoring Obtain stool culture if stool is available. Obtain vital signs every 2 hours Question 5: The nurse receives orders. What should the nurse teach the client’s parents about the treatment plan? Select all that apply.