ANSWER
By taking into account the child’s age and developmental stage, you can complete the top three nursing diagnoses for a 10-year-old patient with pyelonephritis as follows:
Nursing Diagnosis 1: Acute Pain Associated with Kidney Infection and Inflammation Assessment Information:
complaints of stomach or flank ache.
Urinating causes pain.
Children who are in pain frequently exhibit restlessness or irritability.
elevated temperature (often greater than 100.4°F, since fever is a common symptom of pyelonephritis).
sensitivity in the sides or lower back.
Objectives:
Within 24 hours of the intervention, the youngster will report less pain.
The youngster will engage in activities that are appropriate for their age and exhibit calm posture.
Interventions:
Use an age-appropriate pain measure, like the Wong-Baker FACES Pain Rating measure, to gauge the child’s level of discomfort.
As directed, administer prescribed analgesics, then assess their efficacy.
To relieve strain on the kidneys, encourage the child to rest in a comfortable position, such as on their side with their legs bent.
Offer 10-year-old-appropriate diversion strategies, such reading, playing games, or watching a favorite show.
Justification:
Comfort, relaxation, and recuperation are all enhanced by efficient pain management. For young patients, distraction strategies work especially well.
Nursing Diagnosis 2: Low Fluid Volume Associated with Vomiting, Fever, and Decreased Fluid Intake Evaluation Information:
Dehydration symptoms include sunken eyes, dry mucous membranes, and reduced skin turgor.
decreased urine production (children’s <1 mL/kg/hour).
Low blood pressure and an elevated heart rate could be signs of hypovolemia.
Oral intake is decreased by a history of nausea or vomiting.
Objectives:
The youngster will continue to drink enough water, as seen by clean urine and regular urination.
The child’s vital signs will stay steady within reasonable age ranges.
Interventions:
If necessary, use a calibrated urine collection equipment to closely monitor intake and output.
Promote oral fluids that are suitable for the child’s age and preferences, such as water, clear juices, or oral rehydration treatments.
To replace lost fluids and keep hydrated, give IV fluids as directed.
Teach the child and parents the value of drinking enough water to help healing and cleanse the urinary system.
Justification: Because of their lower bodily fluid stores, children are more vulnerable to severe dehydration. Maintaining proper hydration helps kidney function and lowers the chance of problems.
Assessment Information for Nursing Diagnosis 3: Impaired Urinary Elimination Associated with Inflammation and Kidney Infection
complaints of burning, trouble voiding, or frequent urination.
analysis of the urine that reveals bacteriuria, hematuria, or pyuria.
episodes of secondary enuresis (bedwetting) or pain-induced reluctance to void.
Objectives:
The child’s aberrant symptoms (such as discomfort, frequency, and urgency) will decrease, and their urine patterns will improve.
In order to avoid recurrence, the kid will express verbally their comprehension of appropriate hydration and hygiene behaviors.
Interventions:
Urine stasis can be avoided by encouraging the youngster to void frequently, even if it causes discomfort.
Give antibiotics as directed and inform the child and parents of their intended use.
Instruct the parents and kid in good perineal cleanliness (for girls, wipe from front to back; for boys, promote good voiding posture).
Keep an eye on the qualities and output of the urine, noting any changes in color, clarity, or odor.
Justification: Prompt and regular removal lowers the bacterial burden and stops the infection from getting worse. Education gives the family the ability to take precautionary measures.
The care plan will support efficient treatment and the child’s comfort by treating these three nursing diagnoses with targeted, age-appropriate actions. Tell me if you require any other assistance!
QUESTION
Need help to fill out these according to Pyelonephritis. there is a form for top 3 nursing diagnosis
that should be pain, fluid volume deficit and impaired elimination. Kid is 10 years old so everything should be discussed accordingly