March 2009, Volume 39 Number 3 , p 72 - 72
Lawes, Rhonda RN, CNE, MS
Issue: Volume 39(3), March 2009, p 72 Publication Type: [Action STAT] Publisher: © 2009 Lippincott Williams & Wilkins, Inc. Institution(s): Director of Nursing Education, Oklahoma University College of Nursing Program, Glendale, Calif.
CHASE HAWORTH, 3, is brought in to the ED by his parents, who say he hasn't been feeling well and has had a low-grade fever for the past 2 days. He's been complaining that his head hurts, and his mother says his appetite is poor.
What's the situation?
Chase appears to be of average height and weight, and his parents tell you he's current on all his immunizations. When you assess Chase's skin, you notice tender, erythematous papules near a scratch by his left ear. Mrs. Haworth says Chase has complained that his “bumps” hurt. You palpate his lymph nodes; his left cervical lymph nodes are swollen and tender. His vital signs are normal for a toddler (BP, 82/54 mm Hg; heart rate, 110 beats/minute; and respirations, 26 on room air), ...