Engage Fundamentals
Infection Control
Clinical Judgment Case Study with Concept Map
Case study
The nurse is caring for a 3-year-old pediatric client who has been admitted to the hospital for
care secondary to respiratory syncytial virus (RSV) infection and pneumonia. The client is learning
to cover their cough and sneeze but does not do it routinely. The child’s mother is with the client
most of the time. The client demonstrates fear of the nursing staff by crying when they enter with
a mask and gown to provide care for the child, making it difficult to complete assessments of the
client’s condition. The mother has requested that staff do not wear masks when entering the room
to prevent the child from being fearful. The child demonstrates some respiratory difficulty with mild
intercostal retractions and respiratory rate of 32. Other vital signs include HR 110, Temp 101.2°F. The
child is receiving antibiotics intravenously, nebulized breathing treatments, and antipyretics. This is
the child’s first hospitalization.
Assessment Questions
1. Identify the relevant subjective and objective assessment information related to the client’s
condition and place the findings in the assessment data box below. (Recognizing Cues;
Assessment)
2. Based upon assessment information, identify and prioritize the top three client problems. Write
one client problem in each of the Client Problem boxes below. (Analyze Cues; Analysis and
Prioritize Hypothesis; Planning)
3. Below each client problem, determine and enter the relevant assessment information that
supports the identified client problem. (Analyze Cues; Analysis and Prioritize Hypothesis;
Planning)
4. Identify important nursing interventions that should be taken to address each client problem
and enter them in the related intervention box for the associated client problem. (Take Action;
Implementation)
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