NIU NURS304 discussion 3
As in prior discussion forum. Your initial post can be to either option #1
or option #2. However, the group must
split so that half the group does #1 and the other half does #2.
Option #1 – S.P. is a 3-year-old female toddler who presents
to the pediatrician’s office for a yearly well visit. The child complains that her leg hurts. Subjective data includes: PMH of otitis media; up to date
immunizations; no medications; no allergies; pain is 3/5 on pain scale; attends
preschool and unable to recall injuring leg.
Objective data includes: vital
signs – T 98.6, P 92, R 18, B/P 100/70.
Lungs clear in all anterior and posterior fields, heart rate and rhythm
regular, moving all extremities; full ROM in legs and arms, and strength 5/5 in
1. What other
question should the nurse ask?
2. What other
techniques are helpful to incorporate in assessing a patient in this age group?
3. What other
assessments should the nurse make for this clinical presentation?
4. What are a few of
the major differences in the musculoskeletal assessment of a child?
5. Based on the
readings what is the most likely cause of leg pain for this patient?
Option #2 – Discuss the developmental, age, socioeconomic,
and cross-cultural considerations that should be considered during the
gathering of the subjective and objective data and the provision of
healthcare. Discuss the findings
presented. Is there additional
information / assessments you would like to know prior to making a clinical
judgment? Also, relate the anatomic area
of injury or physiologic alteration to the neurologic source of that condition.
J.L. had a CVA within the past week. J.L. is easily frustrated, anxious, and
fearful, and her speech is slurred. She
needs verbal cuing for any task she is asked to carry out. She eats only food on the left side of the
tray and responds only when approached from the left side.