WestCoast NURS662A 2022 November Week 8 Discussion Latest

NURS662A Primary Care Pediatric Patient

Week 8 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.  Mr. Johnson has brought in his 3-year-old daughter Clara to be seen for vomiting and diarrhea for 2 days. He states that last night she vomited 3 times. This morning she vomited her breakfast of pancakes and sausage.

What more does the APRN need to know about Clara’s symptoms?

What should the APRN look for in the physical examination?

What type of anticipatory guidance should the APRN give Clara’s father?

2.  Mark is a 5-year-old male who was brought into the clinic today for a well-child exam. His mother reports that she is concerned that Mark wets his bed at night 3 to 4 times per week. She is at her wit’s end and does not know what to do.

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

What are some of the possible causes for Mark’s condition?

What strategies should the APRN share with Mark’s mother to help him stay dry at night?

3.  Chelsie was brought into the clinic by her mother with a fever of 102.7°F and pain with urination for 2 days.

What else does the APRN need to know about Chelsie’s symptoms?

What tests should the APRN order today?

Under what circumstances would Chelsie need additional diagnostic testing?