Scenario A 5-year-old Gabriel a multiracial male weighing 48 lbs with an allergy to penicillin, arrives in the emergency room, and no cultural considerations are identified. You are handed the following notes on the patient that read:

Pediatric Data, Assessment, and Prioritization of Interventions

Discharge Plan

First Care Plan: Febrile Seizure

The first goal of treatment is to manage the febrile seizure and to maintain the patient’s temperature within the normal range. This is important because hyperthermia can lead to febrile seizures, which usually happen in temperatures over 102.2 degrees Fahrenheit. These usually occur within the first day of illness and are usually harmless. The child may, however, injure himself during the seizure. The desired outcome would be for the child to have a normal temperature and will not experience any complications or sequelae that may arise from seizures and hyperthermia, such as injuries and brain damage. To achieve this,

Antipyretics need to be administered. These are usually NSAIDs. Tylenol and ibuprofen should be administered as indicated. These drugs lower the body temperature by reducing inflammation and promoting vasodilation, which reduces the body temperature by redistributing the heat and also through sweating. Hire our assignment writing services in case your assignment is devastating you. Our team of experts is ready to help.

The temperature will need to be monitored regularly by the nurse, and appropriate interventions will be taken to ensure it does not go beyond 102.2 degrees (Martin, 2019).

The child needs to be assessed for dehydration. This is because a high body temperature increases insensible fluid loss. The child should, therefore, be kept hydrated.

During seizures, the child develops impaired ventilation. To ensure that the child maintains a patent airway, the parent can be educated on the best position to place the child in the event that he has another seizure. This is the left lateral position which helps to prevent aspiration (Doenges et al., 2019).

Second Care Plan: Ulna Fracture

Another goal is to create the appropriate care plan for the ulna fracture. This is to ensure timely wound healing. Fractures can lead to peripheral neurovascular dysfunction. Fractures are also painful as this causes stress on the body, which might lead to a derangement in the patient’s vital signs, including an increase in temperature and heart rate. The desired outcome of this goal is to ensure the client maintains tissue perfusion as evidenced by palpable peripheral pulses, has normal sensations, is free of pain, and has stable vital signs. To achieve this:

The nurse should assess the injured extremity for swelling or edema. A comparison with the uninjured extremity should be made, and the appearance should be noted. An increase in diameter and tenderness might indicate the development of compression syndrome. This is a medical emergency that needs to be managed promptly (Doenges et al., 2019)

The nurse should evaluate the quality of the pulse distal to the fracture. An absent pulse may indicate the presence of vascular injury, and this may warrant immediate medical evaluation.

Any breaks in the skin should also be assessed as these may be the possible sites of entry of infection. The parents should be educated on ways to handle the child, including practicing hand hygiene before touching the area of the fracture or around the skin breaks (Vera, 2019).

Also, analgesics, i.e., Tylenol and ibuprofen, should be administered as prescribed.

Third Care Plan: Right Ear Infection

The third goal is to treat the right ear infection and prevent any complications that may arise from it. This is because the infection can be the cause of the fever in the patient, and resolving this could go a long way in preventing the febrile seizure. Also, the ear infection could disseminate into the bloodstream or spread to the meninges to cause meningitis. Meningitis can be fatal and is usually considered an emergency. Meningitis presents with fever, convulsions, etc. The desired outcome for this goal is that the patient will remain afebrile, and any potential complications of the ear infection will be avoided. To achieve this:

Antibiotic treatment should be started. Cefuroxime should be administered as indicated. The parent should be advised to make sure the recommended dose of antibiotic is completed. This will go a long way in preventing recurrent infections and complications.

The parent’s knowledge of ear infections needs to be assessed. This includes the risk factors, the causes, and what to do in the event of an infection (Doenges et al., 2019).

The parent will also be educated on the necessary measures required to prevent the chances of the infection from reoccurring, such as completing the prescribed dosage of