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Original Question

Please read the following brief vignettes and answer the questions that follow: A 4 year old girl is carried to the hospital by her father. Over the past 2 days her legs felt weak and today she couldn’t walk without falling. She has been well except for an episode of fever, abdominal pain and diarrhea that started 2 weeks ago. The fevers came first for 1-2 days, followed by diarrhea which was watery with mucus but no blood, 8-10 times a day, associated with abdominal pain but no vomiting. She was given an unknown antibiotic and the episode subsided after about 4-5 days. She recovered about a week ago and now has a good appetite and no pain anywhere. None of her older siblings or relatives had a similar illness. Her family members are farmers and raise chickens and goats. Two days ago she couldn’t run and began tripping, and today she had a difficult time walking without falling. Physical Exam: Anxious girl, in no distress: Temp: 98; HR 92; RR 20; Ear/Nose/Throat, lungs, heart, and abdomen normal and normal Neurologic: Cranial Nerves intact; weakness both lower extremities below knees normal sensation throughout legs, Dysmetria and dysdiadokinesis absent Absent knee jerk and ankle reflexes 1. Using this concept map, what is at least one nursing diagnosis for this patient? For each diagnosis complete the map including listing contributing factors, possible medications, labs that might need to be done and essential education to provide for the patient. Image transcription text CONCEPT MAPS Nursing Diagnosis, Evaluation, & Intervention Contributing Factors Primary Diagnosis com Medications for this condition Drug/Dose/Route Labs & Signficance Patient Education NURSING.com – ‘The Best Place to… Show more 2. What are some likely causes of the girl’s inability to walk? 3. Both of these cases could be somewhat prevented. What prevention programs or education could you provide for these families?

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