Assignment Instructions/ Description
Setting�You are a nurse caring for children in a rural clinic. This clinic serves most of the area's population and provides comprehensive pediatric healthcare. This includes things such as: primary and urgent care needs, vaccinations, and care for all ages of children.Introduction�����Sawyer is a 7-year-old male brought to the clinic by his mother Kristen. FOB not involved. Kristen states that Sawyer hasn't been feeling well for the past few days and thought he just had a cold.Chief Complaint��������������"My son started running a fever today and isn't feeling well."Medical History��������������Vital Signs:Weight: 60 lbs.Length: 52 inchesTemperature: 102?FPulse: 80 bpmRespiratory rate: 16Blood pressure: 100/75 mmHgPhysical Exam:Head- Symmetrical Features, patient complains of headacheEyes- Glasses in placeEars- Ear pain bilaterallyNose- increased congestionMouth and Teeth- Visible dental caries noted, Tonsils 3+Oropharynx- Complains of sore throat, redness notedNeck/nodes- lymph nodes swollen bilaterallyRespiratory- Pt complains of cough and intermittent SOB on exertion. At rest breathing is even and unlabored. Labored with activity. Wheezing noted bilaterally.Cardiovascular- No murmur noted on auscultation�Abdominal- Patient complains of nausea, denies pain.Genitalia- Testes descended bilaterallyMusculoskeletal/hips- Full ROM bilaterallyNeurologic/reflexes- 2+ patellar reflexesSkin- eczema noted to upper arms bilaterallyOther: Immunizations UTDSawyer's SOB continues to get worse. Sawyer is now in a tripod position, drooling, and having difficulty swallowing.�What is the immediate treatment for this issue that the nurse should prepare for?