A 7-year-old child has come to the hospital for a rash for 3 days. Upon inspection of the rash the nurse notes small itchy blisters across the child’s chest, arms, abdomen, and back, some of which have crusts on them and some that are wet and oozing. The child is itching the rash and looks uncomfortable. The child has a temperature of 101°F, all other vital signs are within normal limits.
Critical Thinking Check
Bloom's Taxonomy: Analysis
What is the most important question the nurse needs to ask the parents at this time?
Airborne precautions, this includes an N-95 mask and negative pressure room.
Note – any staff who have NOT been vaccinated or who are pregnant should avoid caring for this patient if at all possible
The child is miserable but has received Motrin for the fever and pain as well as being started on Acyclovir. The nurse also rubbed calamine lotion on the blisters to help with itching.
Critical Thinking Check
Bloom's Taxonomy: Application
What else could the nurse do to help decrease spreading of the fluid in the blisters?
This nursing case study course is designed to help nursing students build critical thinking. Each case study was written by experienced nurses with first hand knowledge of the “real-world” disease process. To help you increase your nursing clinical judgement (critical thinking), each unfolding nursing case study includes answers laid out by Blooms Taxonomy to help you see that you are progressing to clinical analysis.We encourage you to read the case study and really through the “critical thinking checks” as this is where the real learning occurs. If you get tripped up by a specific question, no worries, just dig into an associated lesson on the topic and reinforce your understanding. In the end, that is what nursing case studies are all about – growing in your clinical judgement.