Develop a discharge plan with three goals listed in order of priority before discharge from current orders. Provide a rationale for why you listed the goals in a particular order. Also, list three nursing interventions to meet each goal (you should have nine interventions in total). Last, the mother should give the child the exact dosage she will need for acetaminophen, ibuprofen, and cefuroxime when she gets home and explain why the same dosage is essential.
Scenario:
A 5-year-old Gabriel, a multiracial male weighing 48 lbs with a penicillin allergy, arrives in the emergency room; no cultural considerations are identified. You are handed the following notes on the patient that read:
He arrived in the ER with his mother after falling out of bed after jerking movement activity, as witnessed by his older brother while sleeping. The right upper extremity appears with deformity. Mother and child speak English. The child has no significant medical history. The mother reports incontinent of urine during the episode.
The physician discharges Gabriel from the ER to home with a diagnosis of Right ear infection, Acute Febrile Seizure, and fracture of the right ulna.
Discharge orders include: