MSN 5200 Advanced Health Assessment. Read the following case study and answer the reflective questions. Provide evidence-based reasons for your answers. APA, 7th ed., should be followed. TJ is a 5-year-old boy who shows up at the clinic with his father. The family adopted a dog from the PTA animal shelter for 8 months. Subjective T’s father reports that TJ has been having “sneezing fits”, runny nose and coughing for the past few months and seems to be better when TJ is on. he he he is at school. The father says, “he just won’t stop rubbing his nose and eyes.” Target Vital signs: temperature 98.6°F (37°C). PE 93/60 mmHg (sitting). Pulse 90 bpm. Resp 24/ min (at rest, with the mouth open). General appearance: Child alert and active, smiling and talkative. Neck EYE: Normocephalic, no lumps, no lesions. Anterior cervical lymph nodes palpable (1 mm), inconspicuous, easily mobile, nontender. Light blue areas on the skin under the eyes, folds present on the lower and upper eyelids to the tip of the nose. Minimal fluid in the middle ear negates the sensitivity of the sinus cavities, the turbinates are swollen, and he constantly sneezes and clears his throat. Reddened posterior pharyngeal exudate present Cardiovascular: No murmurs or abnormal heart sounds. Respiratory: Breath sounds bilat, expiratory when bilat is present, cleared by cough. Assessment : Allergic rhinitis R/T newly acquired house pet Needs allergy health education 1 TJ’s father returned to clinic after 6 days with worsening symptoms (runny nose, sneezing, congestion, etc.) as an FNP what would you evaluate? 2. 2 How would you approach TJ’s situation? 3. What health education can ensure a better health outcome for TJ
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