DEvry NR305 Week 7 Discussion DQ 1 & DQ 2 Latest 2015 NOvember

QUESTION

DQ 1Jonah Kotter is a 5-year-old male preschooler who presents to the pediatrician’s office for complaints that his leg œhurts.Subjective DataPMH negativeImmunizations: Up to dateNo medicationsNo allergiesPain: 3/5 on pain scaleAttends KindergartenDoes not remember injuring legObjective DataVital signs: T 37 degrees Centigrade, P 94, R 18, BP 100/70Lungs: clearHeart rate and rhythm regularMoving all extremities+ Range of motion legs and armsStrength 5/5 in all extremitiesWhat 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 2Read 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 neurologists office after referral from her PCP (primary care provider) for a seizure.Subjective DataPMH: Seizure, hypertension, anxietyRetired book keeperC/o being œtiredPeriods of unresponsiveness to verbal stimuliObjective DataVital signs: T 37 degrees Centigrade, P 80, R 18, BP 174/84Lungs: clearO2 Sat = 98%Heart rate regular, + peripheral pulsesWhat 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?

ANSWER

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