WestCoast NURS662A 2022 November Week 7 Discussion Latest

NURS662A Primary Care Pediatric Patient

Week 7 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.  Lindsey is an 8-year-old female brought into the clinic today for an evaluation of a “bad cough” for 2 weeks. Her vital signs are the following: Temperature 98.6° F, HR: 80, RR: 24, BP 110/50, Pulse Ox: 95%. She is alert and does not appear to be in distress. On exam, you note that she has inspiratory and expiratory wheezes and mild tracheal retractions.

What more does the APRN need to know about this child?

What treatment(s) should the APRN provide in clinic today and why?

What diagnostic tests should the APRN order today and why?

2.  Sara is a 14-year-old brought into the clinic for an “annoying cough” for the past 4 weeks. The cough is worse at night, but is present during the day as well. Her mother reports no fever and no other symptoms, but states that Sara appears a little tired because she is not able to sleep well at night due to her coughing. No one else in the family has had a cough.

What more does the APRN need to know about Sara’s condition?

What should the APRN focus on during the physical examination?

What tests might the APRN order and/or anticipatory guidance regarding Sara’s condition?

3. Lucy has come in for her annual well-child visit. Lucy enjoys preschool, she has been a healthy child, and she is at the 50% for height and weight. On exam, you note a Grade III/VI, mid-systolic murmur, heard best in the left sternal border.

What additional information should the APRN know about Lucy?

What tests should the APRN order?

What should the APRN specifically include in the cardiac physical examination?