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You are a registered nurse providing consultation through a nurse telephone service for a group of pediatricians. You receive a call from a mother about her daughter's "breathing problems" and "stomach cramps." The mother tells you that her daughter has asthma and allergies. 1. What questions would you ask the mother? Why are these questions critical to your decision making? 2. Add new data to this case based on the mother's answers to your questions. What are potential problems of the daughter? Describe how you arrived at these conclusions. - Use no more than 1 page for answering on each question

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Answer:

Question 1: What questions would you ask the mother? Why are these questions critical to your decision making?

1. Can you describe your daughter's current symptoms in detail? - This question helps me understand the nature and severity of the symptoms. For example, if the daughter is experiencing wheezing, shortness of breath, or chest tightness, it could indicate an asthma exacerbation.

2. When did these symptoms start? - Knowing the onset of symptoms can help identify potential triggers or causes. For instance, if the symptoms started after exposure to a known allergen, it may suggest an allergic reaction.

3. Has there been any recent exposure to allergens or asthma triggers? - This question helps identify environmental factors that may be contributing to the symptoms. Allergen exposure or changes in the environment can worsen asthma and allergy symptoms.

4. Is your daughter currently on any medications, including asthma or allergy medications? - Knowing the medications the daughter is taking can provide insights into her treatment plan and whether she's adhering to it.

5. Has she had any previous asthma or allergy-related hospitalizations or emergency room visits? - Past medical history can give an idea of the severity of the daughter's condition and whether she may need urgent medical attention.

6. Has there been any recent illness or infections? - Infections like respiratory infections can exacerbate asthma symptoms, so it's important to assess for this possibility.

7. Is there a family history of asthma or allergies? - Family history can be a significant factor in asthma and allergy development, so it's essential to consider genetic predisposition.

8. Have you administered any medications or treatments to your daughter since the onset of symptoms? - This question helps determine whether any home interventions have been attempted and their effectiveness.

Question 2: Add new data to this case based on the mother's answers to your questions. What are potential problems of the daughter? Describe how you arrived at these conclusions.

1. Based on the mother's responses, several potential problems for the daughter can be identified:

2. Asthma Exacerbation: The daughter's history of asthma, along with symptoms such as wheezing and shortness of breath, suggests that she may be experiencing an asthma exacerbation. The recent onset of symptoms is concerning.

3. Allergic Reaction: The daughter's history of allergies and the potential exposure to allergens could indicate an allergic reaction contributing to her symptoms, including stomach cramps.

4. Possible Non-Adherence: If the mother reveals that the daughter has not been consistently taking her prescribed asthma or allergy medications, non-adherence may be a significant problem.

5. Infection Risk: If there has been recent illness or infection, it could exacerbate the daughter's asthma and allergic symptoms.

6. Family History: The family history of asthma and allergies may indicate a genetic predisposition to these conditions, which can affect the daughter's long-term health.

In summary, based on the mother's answers to the questions, the daughter's potential problems include an asthma exacerbation, allergic reaction, possible non-adherence to medication, infection risk, and a family history of asthma and allergies. Further assessment and guidance are needed to address these concerns and ensure the daughter receives appropriate care.

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User Eric Hydrick
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