WestCoast NURS662A 2022 November Week 4 Discussion Latest

NURS662A Primary Care Pediatric Patient

Week 4 Discussion

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, #1 Abeni17-year old.

Discuss what questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals, and other team members needed to complete patient care.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

In your peer replies, please reply to at least one peer who chose a different case study.

1. Maria is a 7-month-old baby who was brought into the clinic by her grandmother. She has had a fever for 3 days, up to 102.5°F. So far today, Maria has not had a fever, but she now has a rash all over her body. She is taking her bottle well and has a slight runny nose. Her weight today is 18 pounds.

What else does the APRN need to know about baby Maria’s symptoms and current rash?

What labs might the APRN order?

What type of anticipatory guidance should the APRN give the grandmother? What dosage should the baby have received of Tylenol or Motrin? Include dosages and administration instructions.

2. A first-grade teacher has asked Ms. Jantz to bring in her 6-year-old son Brad to be evaluated. The mother states that her son’s teacher complains that he is easily distracted, plays with his school supplies while he is trying to teach, and frequently gets out of his seat without permission.

What more s know about Brad’s history?

What type of screening and/or diagnostic tests should the APRN order for Brad?

What strategies should the APRN recommend to help Brad to cope with his distractibility?

3.  Ms. So has brought in her 12-month-old daughter because she has had a runny nose for 2 days and has a “fever” of 99° F. After reviewing her immunization records, you note that she has not received any immunizations since her 4-month well-infant exam.

What are contraindications for vaccinating this toddler today?

What vaccinations should the APRN order for this toddler today?

What type of anticipatory guidance should the APRN provide for Ms. So regarding vaccine scheduling?