NUR 275 Final Nutrition Remediation- Mercy College of Health Science

Case 2: Infection and Liver Impairment Joylie Herd Age 3 Jouylie Herd is a 3-year-old born to a drug addicted mother. At birth, she contracted Hepatitis B from her mother who unknowingly had the virus. Joylie has lacked preventative healthcare, including routine immunizations. She attends an unlicensed daycare while her mother, Jill, a single parent works at the local supermarket as a cashier. The daycare recently had an outbreak of Hepatitis A and is under investigation. Jill has been clean and sober for six months. Jill is proud if her sobriety and the fact that she and Joylie now live in an apartment rather than the shelter. Joylie is brought into the clinic by her mother for flu-like symptoms including poor appetitis and a ‘tummy ache.’ She’s been running a low-grade temperature. Jill says, “she hasn’t been her usual active self and is napping a lot.” Please answer the following questions- you may highlight or change the color of the font or bold the answer. 1. The nurse begins the assessment. What subjective information should the nurse ask Jill about Joylie? Select all that apply. Health history Length and severity of current symptoms Interactions with her father, Interactions with her father Normal dietary intake Immunization record 2. What priority safety information should the nurse collect? Blood pressure Focused abdominal assessment Mother-daughter interactions Cleanliness of the child