Nursing 213

N213: Health Differences Across the Lifespan 3 Study Guide Expected outcomes for swine flu/novel (H1N1): • Verbalizes relief of symptoms • Demonstrates ability to clear secretions effectively • Demonstrates adequate nutritional intake • Verbalizes understanding of immunizations and schedule • Demonstrates increased activity level Mumps The immunization used for mumps has made it a rare illness, but it does still occur. It is caused by the paramyxovirus and causes severe swelling and inflammation of the parotid glands in the neck and the salivary glands. The mumps virus is most common in winter and spring and affects children to adolescents. It has a two to three-week incubation period and can cause severe complications. The most severe complication is orchitis; in young boys that can lead to sterility and the inability to have children. It can also lead to meningitis, encephalitis, hearing loss, inflammation of the ovaries (rarely causing sterility in females), pancreatitis, and miscarriage in pregnant women. This virus can be prevented with the mumps vaccine and should be given on a schedule with the measles and rubella vaccines to avoid extra injections. Discuss with patients the importance of preventing the virus from occurring in the first place to avoid unnecessary complications. Signs and symptoms of mumps: • Fever • Fatigue • Chills • Headache • Loss of appetite/anorexia • Pain in the parotid glands Nursing assessment for mumps: • Head to toe general assessment o Check temperature o Assess activity levels o Feel parotid glands for swelling andpain o Inquire about pain levels o Ask about dietary intake o Inquire about immunization history • Evaluate laboratory results o Culture for mumps from blood, sputum, urine, or lumbarpuncture o Blood testing for antibodies to the mumps virus

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