Sample answer to problem No. 5

1. Violated needs: to be clean, maintain body temperature, sleep, rest, eat, drink.

2. Patient problems

real:

– itchy skin

– violation of the integrity of the skin and mucous membranes

– sleep disturbance

– loss of appetite

– fever

– the need to transfer isolation

potential:

– the risk of infection of damaged skin.

The primary problem is itching of the skin.

3. Short-term goal: The patient will notice a reduction in itching after 3 days. Long-term goal: itchiness will disappear by the time of recovery.

Nursing Intervention Plan

Events Motivation
The nurse will explain to the mother the need to isolate the child for 9 days from the moment of the first rash For the safety of others
The nurse will explain to the mother and child the need for bed rest for the acute period To prevent complications
The nurse will recommend a light diet For sparing the oral mucosa
The nurse will recommend a fortified drink To reduce intoxication
The nurse will ensure personal hygiene (rinsing the mouth after eating) For a comfortable state, prevention of complications
The nurse will explain to the mother the need to ventilate the room and wet cleaning at least 3 times a day To enrich the air with oxygen and reduce the concentration of microorganisms in the air
The nurse will monitor the appearance and condition of the patient To prevent possible complications.
The nurse will teach the mother how to properly process chickenpox elements on the skin and oral mucosa For the effectiveness of treatment and prevention of infection
The nurse will carry out the appointments of the doctor and monitor the fulfillment of the appointments by the mother For the effectiveness of the treatment of the patient.
The nurse will teach mom the rules for a therapeutic hygienic bath To relieve skin itching and better rejection of crusts

Sample answer to problem N 6

1. The child’s needs are violated: to be clean, to maintain body temperature, to breathe, to be healthy, to play, to communicate.

2. Patient problems

real:

– purulent discharge from the eyes

– dry cough

– mucous discharge from the nose

– photophobia

– violation of the integrity of the skin

– tachycardia

– headache

– loss of appetite

– fever

– the need for isolation

potential:

– the risk of developing pneumonia,

– blepharitis.

Of these problems, the priorities are photophobia, dry cough.

3. Short-term goal: The child’s fever and catarrh will decrease in 2-3 days.

Long-term goal: catarrhal phenomena and rashes stop after a week.

Nursing Intervention Plan

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