12 Jun Walden NURS6130 – Jennifer is a 2-year-old female
Question
Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer
has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy
and has no significant medical history. She was in her usual state of good health until 3 days ago
when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite
television cartoon. Since then she has had a fever off and on, anywhere between 101oF and
today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to
103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a
height and weight appropriate 2-year-old female who appears acutely unwell. Her skin is hot and
dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in
appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical
nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her
throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse
of 128 beats per minute, and a respiratory rate of 24 beats per minute.
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