N213: Health Differences Across the Life Span 3

N213: Health Differences Across the Lifespan 3 Study Guide ©2017 Achieve Test Prep Page 59 of 204 Risk for disease transmission related to asymptomatic viral infection • Altered body temperature related to viral infection • Ineffective breathing pattern related to complications, secondary to pneumonia • Altered nutritional status related to gastrointestinal symptoms and pharyngitis • Knowledge deficit related to lack of knowledge of disease and medication compliance Nursing interventions for cytomegalovirus: • Monitor temperature • Offer salt water gargles for sore throat • Offer small frequent meals; soft, bland diet • Encourage increased fluids • Offer issues and encourage patient to cover mouth and nose when coughing andsneezing • Encourage patient to get plenty of rest until convalescent phase is over, which is up to 4 weeks • Give antiviral medications per MD order: o Acyclovir (Zovirax): Teach patient to take with a full glass of water; patients need to stay well hydrated on this medication o Ganciclovir (Cytovene): Side effects include dizziness and drowsiness; can cause blood disorders that decrease white blood cells and platelets • Teach patient and family to avoid stress to prevent reactivation and give thorough teaching on infection control to avoid transmission • Encourage frequent hand washing and teach proper technique • Teach patient to avoid heavy lifting if spleen is enlarged Expected outcomes for cytomegalovirus: • Patient and family verbalize understanding of infection control and transmission precautions • Demonstrates relief of symptoms and normal body temperature • Demonstrates adequate ventilation • Demonstrates adequate food and fluid intake to meet nutritional requirements • Verbalizes understanding of disease process and medications Sexually Transmitted Diseases The following are diseases transmitted by sexual and intimate contact. They are known as STD’s. • Gonorrhea: Caused by Neisseria gonorrhea. It infects the reproductive tract and can spread systemically. Nursing diagnosis for cytomegalovirus: •

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