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[Answered]: Sangrilla, a 2-year-old, started having a cough,…

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Sangrilla, a 2-year-old, started having a cough, runny nose and congestion. 3 days later she developed a high fever, followed by shortness of breath. As she was having difficulty breathing, her parents brought her to see her pediatrician who sent her for a Chest X-Ray. After reviewing the X-ray, the pediatrician ordered a blood and sputum culture and started her on treatment with Erythromycin for 14 days for pneumonia.3 days later Sangrilla’s blood culture reports are negative. Sputum cultures had > 25+ epithelial cells/LPF. It grew Hemophilus influenzae and Coagulase-negative staphylococci. The chest X-ray showed patchy areas of consolidation and she is improving. As the nurse caring for Sangrilla, which of the following intervention(s) would be most appropriate? [Select all that apply.] Question 19 options: Change precautions because she now has Haemophilus Influenza Request that the physician change antibiotics as Sangrilla’s cultures have returned and antibiotics should be adjusted to match the organisms identified. Suggest that the physician consider a viral infection, as maybe her syndromes are viral and probably the antibiotics could be stopped. Request a repeat sputum culture be done as the cultures show contamination. Nothing to suggest at this time, other than to continue monitoring and documenting symptom progression.

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