What are some of the more common conditions that may cause seizure activity in this age group?July 26, 2018
3. Discussion of Three Critical Aspects of Employee’s responsibilities July 26, 2018
Jonah Kotter is a 5-year-old male preschooler who presents to the pediatrician’s office for complaints that his leg “hurts”.
- PMH negative
- Immunizations: Up to date
- No medications
- No allergies
- Pain: 3/5 on pain scale
- Attends Kindergarten
- Does not remember injuring leg
- 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
- 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?
REFERENCE:Jarvis, C. (2016). Physical examination & health assessment (7th ed.). Philadelphia, PA: Saunders.
- Chapter 22: Musculoskeletal System
- pp. 577–619 (Structure, Function, Subjective and Objective Data, Documentation and Critical Thinking)
- Chapter 23: Neurologic System
- pp. 633–676 (Structure, Function, Subjective and Objective Data, Documentation and Critical Thinking)
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