A 2-month-old male (T.W.) is brought to

A 2-month-old male (T.W.) is brought to the clinic by his foster mother because he “won’t stop crying and just can’t seem to stay asleep.” Subjective Foster mom reports that T.W. has had a cold for the past 7 days but the crying and inability to sleep just started yesterday. Foster mom reports, “He seems to be happier when he’s sitting up, which makes it hard to feed him his bottle.” She states that she usually lays the child down for naps with a bottle elevated on a blanket so she can “get some work done.” Reports giving T.W. infant acetaminophen 2 hours PTA for his apparent discomfort. Objective Vital signs: Temp 100° F (37.8° C) (rectal). Unable to obtain BP because of infant motion. Pulse 180 bpm. Resp 40/min. General appearance: Infant appears fussy and unable to get comfortable, even in mother’s arms. HEENT: Anterior fontanel open and flat w/ minimal overriding sutures, posterior fontanel closed; conjunctivae clear, sclerae white, visibly tearing; bilat TMs dull red and bulging, no light reflex, no mobility on pneumatic otoscopy; oral mucosa pink, tonsils 1+; no lymphadenopathy. Cardiovascular: Regular rate and rhythm, no murmurs. Respiratory: Breath sounds equal with coarseness that clears with cough; unlabored. READ THE SCENARIOS- 1. IDENTIFY RISK FACTORS OF OTITIS MEDIA? 2. WHAT ARE THE NORMAL AND ABNORMAL FINDINGS YOU COULD THINK FROM THE CLIENT’S DATA ANALYSIS SCIENCE HEALTH SCIENCE NURSING NURS 110

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