Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words. It also provides resources to help healthcare professionals strongly recommend Tdap to their pregnant patients during the third trimester of each pregnancy.

A pediatric nurse has been assigned to care for a 3-year-old client who has pertussis. 3. What’s beyond them? Now, go out and be your best self today. Position patient on side during coughing spells to reduce risk of aspiration, Pain relievers may help alleviate discomfort, That Time I Dropped Out of Nursing School.

(5:59 minutes, Date Released: 03/11/2013) CDC Commentary — Considerations for Antimicrobial Prophylaxis after Exposure to Pertussisexternal icon So be extra vigilant with your assessment- looking out for signs of respiratory distress. Members of ACOG’s Immunization Expert Work Group explain the importance of immunizing patients, especially pregnant women during the 3rd trimester, with Tdap. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. During this stage you’ll see fever, increased nasal secretions, and a mild cough. NCLEX® and NCLEX-RN® are Registered Trademarks of the NCSBN, HESI® is a registered trademark of Elsevier Inc., TEAS® and Test of Essential Academic Skills™ are registered trademarks of Assessment Technologies Institute, CCRN® is a Registered trademark of the AACN; all of which are unaffiliated with, not endorsed by, not sponsored by, and not associated with NRSNG, LLC or TazKai, LLC and its affiliates in any way. Inflammation and swelling leads to production of secretions that further narrow the airways. Help parents be advocates to prevent further infection or spread of infection. Recite: Cover the note-taking column with a sheet of paper. Patient education should focus on preparing caregivers for the length of the illness and also making people aware of the importance of immunizing against it! For adults, it presents as a mild cold or cough, but in young children the hacking cough can be so severe that they are unable to breathe. Treatment should begin as … The time between exposure and the development of symptoms is on average 7–14 days, DTaP: for infants and young kids – given at 2, 4, 6, 15 months and 4-6 years, Recommended for pregnant women in 3rd trimester to help protect newborns, Catarrhal stage – upper respiratory infection. Method for Mastering Nursing Pharmacology, 39 Things Every Nursing Student Needs Before Starting School, 13 – Infectious And Communicable Diseases. The nurse is admitting a new client who has been diagnosed with pertussis. Catarrh is just a fancy word for inflammation in the airways. This fact sheet offers tips for how to make a strong referral to your pregnant patients to help ensure that they get recommended vaccines. The nurse know that which of the following symptoms are associated with this diagnosis? A nurse is caring for a 2 year old child admitted to the hospital for whooping cough.

Anchorage, Alaska 99504 Start a trial to create your first custom study plan now. Feel Like You Don’t Belong in Nursing School? It is easily spread in the air when someone with pertussis coughs or sneezes.

The first is the catarrhal stage. 2. Inflammation and swelling leads to production of secretions that further narrow the airways. bacteria that is easily prevented with vaccine. Method for Mastering Nursing Pharmacology, 39 Things Every Nursing Student Needs Before Starting School. It is designed for healthcare professionals who are not able to stock and administer Tdap or influenza vaccines in their office. Select all that apply. (4:14 minutes, Date Released: 2/14/2011) This video demonstrates proper techniques for collecting and transporting a pertussis clinical specimen from the posterior nasopharynx obtained by aspiration. Cyanosis and decreased  capillary refill indicate inadequate oxygenation and tissue perfusion due to inability to breathe normally and constricted airways. The parent of a 6-year-old diagnosed with pertussis a week ago, is concerned because his child is still waking up at night with a cough. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Tips on how you can help prevent pertussis by ensuring that pregnant women receive the Tdap vaccine.

Pertussis presents in three distinct phases that each last approximately two weeks: catarrhal phase may be mistaken for a mild cold or allergies, paroxysmal stage is the most noticeable with severe cough and difficulty breathing and the convalescent stage is a lingering, chronic cough that may last longer than two weeks. The nurse expects which of the following medications to be ordered? Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences.

Your priority nursing concepts for a pediatric patient with pertussis are immunity, infection control and oxygenation.
When an infected person coughs or sneezes, the droplets that are sprayed into the air may be breathed in by others. As the lungs attempt to rid themselves of the extra secretions, the inflammation increases and the airways … Pertussis Testing Video: Collecting a Nasopharyngeal Swab Clinical Specimen
Whooping cough is a highly contagious respiratory infection caused by the organism bordetella pertussis, which you can see in the photo here. Which of the following is the most important item that the nurse should tell the child’s parents about treatment for pertussis?

Your air passages get plugged with thick mucus, which causes coughing spells. Pertussis, or whooping cough, is an infection of the nose, throat, and lungs. As the lungs attempt to rid themselves of the extra secretions, the inflammation increases and the airways narrow even more causing the “whooping” sound between coughs as the air attempts to pass through the constricted airways.

Patient will maintain adequate respiration and clear airway. The caregivers of an 8-week-old has come in for their child’s immunizations and asks the nurse which diseases are covered in the DTaP vaccine. Give supplemental oxygen to improve perfusion and prevent brain damage. You will be subject to the destination website's privacy policy when you follow the link. The nurse knows that which of the following organisms is the cause of this disease? Initiate seizure precautions, Provide patient and parent education about the disease process and  prevention, https://www.medicinenet.com/pertussis/article.htm, https://emedicine.medscape.com/article/967268-overview#a4, https://www.mayoclinic.org/diseases-conditions/whooping-cough/symptoms-causes/syc-20378973, https://www.cdc.gov/pertussis/about/diagnosis-treatment.html, That Time I Dropped Out of Nursing School. Patients, especially infants, dehydrate quickly and require supplemental fluids. CDC Commentary — Protect Patients from Deadly Pertussis: Updated Vaccine Guidelinesexternal icon Making a Strong Vaccine Referral to Pregnant Women pdf icon[1.02 MB, 2 pages] You may be thinking wait- I thought it was called the Tdap. NCLEX® and NCLEX-RN® are Registered Trademarks of the NCSBN, HESI® is a registered trademark of Elsevier Inc., TEAS® and Test of Essential Academic Skills™ are registered trademarks of Assessment Technologies Institute, CCRN® is a Registered trademark of the AACN; all of which are unaffiliated with, not endorsed by, not sponsored by, and not associated with NRSNG, LLC or TazKai, LLC and its affiliates in any way. CDC Commentary — Best Prenatal Care to Prevent Pertussisexternal icon Care guide for Pertussis in Children (Inpatient Care). Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Treatment can also help prevent spreading the disease to close contacts (people who have spent a lot of time around the infected person). Medications may also be given via IV route.

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