NR305 Week 7 Discussion 1 & 2
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NR305 Week 7 Discussion 1 & 2
DQ 1
NR305 Week 7 Discussion 1 & 2 . Jonah Kotter is a 5-year-old male preschooler who presents to the pediatrician’s office for complaints that his leg “hurts”.
Subjective Data
- PMH negative
- Immunizations: Up to date
- No medications
- No allergies
- Pain: 3/5 on pain scale
- Attends Kindergarten
- Does not remember injuring leg
Objective Data
- Vital signs: T 37 degrees Centigrade, P 94, R 18, BP 100/70
- Lungs: clear
- Heart rate and rhythm regular
- Moving all extremities
- + Range of motion legs and arms
- Strength 5/5 in all extremities
NR305 Week 7 Discussion 1 & 2
- What other questions should the nurse ask?
- What techniques are helpful to incorporate in assessing a patient in this age group?
- What are a few of the major differences in the musculoskeletal assessment of a child?
- What should be included in the plan of care?
- Based on the readings, what is the most likely cause of leg pain for this patient?
DQ 2
NR305 Week 7 Discussion 1 & 2
Read the case study below and respond to two of the questions below. Make sure you respond to a classmate as well, before the week ends.
Katherine Trembly is a 67-year-old woman who presents to the neurologist’s office after referral from her PCP (primary care provider) for a seizure.
Subjective Data
- PMH: Seizure, hypertension, anxiety
- Retired book keeper
- C/o being “tired”
- Periods of unresponsiveness to verbal stimuli
Objective Data
- Vital signs: T 37 degrees Centigrade, P 80, R 18, BP 174/84
- Lungs: clear
- O2 Sat = 98%
- Heart rate regular, + peripheral pulses
NR305 Week 7 Discussion 1 & 2
- What other questions should the nurse ask?
- What techniques are helpful to incorporate in assessing a patient in this age group?
- What are some of the more common conditions that may cause seizure activity in this age group?
- What diagnostic tools will the physician use to diagnose this condition?
- What should be included in the plan of care?
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