N213: Health Differences Across the Life Span 3

N213: Health Differences Across the Lifespan 3 Study Guide

Nursing assessment for rubeola (measles): • Head to toe general assessment o Length of symptoms o Check temperature o Listen to breath sounds o

©2017 Achieve Test Prep Page 17 of 204 • Inquire about exposure history, outbreak in school, family members, or daycare centers • Ask about immunizations; current, completed series • Inquire about general health status of patient and health conditions Nursing interventions for rubeola (measles): • Assess patient frequently for respiratory, fever, and skin issues • Encourage adequate fluids • Antipyretics for fever; instruct no aspirin products for virus in children • Offer frequent rest periods • Keep room dark and quiet • Give adequate skin care to prevent scratching • Patient teaching for immunizations • Instruct for isolation precautions, especially from pregnant women • Teach about complications Expected outcomes for rubeola (measles): • Demonstrates adequate airway clearance • Verbalizes reduction in symptoms • Verbalizes knowledge of immunizations • Ineffective airway clearance related to increased secretions • Knowledge deficit related to compliance with immunizations • Risk for altered body temperature Streptococcal Infection Streptococcal infections are caused by Group A Streptococci and are a very contagious and common infection. The most common symptom is pharyngitis, but strep can infect any part of the body. The Strep bacteria can be the cause of skin infections, pneumonia, and kidney inflammation (glomulonephritis). If strep goes undiagnosed, one main complication is septicemia. Other complications can include rheumatic fever, otitis media, sinusitis, and damage to the heart valves. Look for appearance of Koplik’s spots in the mouth and rash on trunk, face, and arms