N213: Health Differences Across the Life Span 3

N213: Health Differences Across the Lifespan 3 Study Guide • Review laboratory and radiology data o CBC usually ordered for white blood cell count anddifferential o Lumbar puncture can confirmmeningitis; lumbar fluid can be cultured for haemophilus influenza o Review x-ray reports for pneumonia o EKG if chest pain is present Nursing diagnosis for haemophilus influenza : • ©2017 Achieve Test Prep Page 26 of 204 Risk for altered body temperature related to infection • Risk for acute confusion related to inflammation in the spinal cord • Inability to sustain spontaneous ventilation related to pneumonia or spinal inflammation • Impaired physical mobility related to nuchal rigidity Nursing interventions for haemophilus influenza : • Check breath sounds if pneumonia is present • Assess for Kernig’s sign and nuchal rigidity frequently • Offer antipyretics for fever • Offer pain medication for headaches per MDorder • Encourage increased fluid intake • Check level of consciousness frequently; notify MD if any sudden changes inLOC • If photophobia is present, keep room dark andquiet • Institute seizure precautions Expected outcomes for haemophilus influenza : • Demonstrates relief of symptoms, reduced fever, and absence of pain • Demonstrates adequate level of consciousness • Demonstrates ability to maintain adequate ventilation • Demonstrates ability to maintain adequate mobility and reduction of nuchal rigidity Swine Flu/Novel (H1N1) Swine flu/novel (H1N1) is the latest influenza found in humans. It originated in pigs and mutated to a human virus in early spring 2009. It has been found that it is only common to the virus found in pigs and is actually a new strain of human influenza. North American countries, such as Mexico, the United States, and Canada, have reported outbreaks and a new immunization has been created to defend against this virus.

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