How would you address tj. situation

Reference no: EM133475439

Case Study: Read the following case study and answer the reflective questions.

TJ. is a 5-year-old boy who presents to the clinic with his father. The family adopted a dog from the animal shelter for 8 months PTA.

Subjective

TJ's father reports that TJ. has had "sneezing fits," a runny nose, and coughing for the past few months and that it seems better when TJ. is at school. Father states, "He just won't stop rubbing his nose and eyes."

Objective

Vital signs: Temp 98.6° F (37° C). BP 93/60?mm?Hg (sitting). Pulse 90?bpm. Resp 24/min (at rest, open-mouthed).

General appearance: Alert and active child who is smiling and talkative.

HEENT: Normocephalic, no lumps, no lesions. Palpable anterior cervical lymph nodes (1?mm), discrete, move easily, non-tender. Light-blue areas in the skin under the eyes, creasing present on palpebrae inferior and superior to the tip of the nose. Minimal fluid in the middle ear denies tenderness to palpation of sinus cavities; swollen turbinate's bilat, and consistently sniffles and clears throat. Reddened posterior pharynx exudate present.

Cardiovascular: No murmurs or abnormal heart sounds.

Respiratory: Breath sounds = bilat, expiratory wheezing present bilat that clears with cough.

Assessment

Allergic rhinitis R/T newly obtained household pet

Needs health teaching regarding allergies

Question 1. TJ's father came back to the clinic after 6 days with worsening symptoms (runny nose, sneezing, congestion, etc.) as an FNP what would you assess?

Question 2. How would you address TJ.'s situation?

Question 3. What health education can ensure a better health outcome for TJ?

Reference no: EM133475439

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