Question

Joylie 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 of 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 appetite 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.”

Reflect on Joylie’s assessment findings and identify the Top 3 Priority concerns.

1–

2–

3–

Answer 1

Hepatitis is referred as inflammation of the liver. It is caused by virus and it has 5 types. The child is suffered with hepatitis B and hepatitis B is a DNA virus infection mainly get from parenteral route

The main problems of this child is

:abdominal discomfort

:fever or elevated body temperature

:dimnished activities

So, the priority nursing concern is

:infection, because she have elevated body temperature.

:abdominal discomfort because this may be due to liver involvement.

:poor health maintenance because she had hepatitis B.