Discussion Post #2
Select one of the following discussion questions below. Post a substantive initial response with references.
Option 1)
L.G. is a 5-year-old boy being seen in the pediatric clinic for a yearly physical examination.
Subjective Data
The patient is accompanied by a parent (mother)
The mother said that the child takes no medications and is healthy.
Patient attends preschool
Plays T-ball
There are no smokers in the house
Lives with mother and father
Objective Data
Vital signs: T 37 P 124 R 12 BP 104/64
Weight: 35 lb
Height: 52 inches
Immunizations: Up to date
Questions
- What should the nurse include in the general inspection of this patient?
- What observations are important regarding physical appearance and hygiene?
- How should a 5-year-old child be assessed?
- What teaching is appropriate for this age group?
Option 2)
J.P. is a 45-year-old man who presents to the outpatient clinic with two swollen toes on his right foot. He does not recall injuring his foot.
Subjective Data
Pain level is a 6/10 location = right foot, throbbing
Works as a truck driver
Objective Data
Vital signs: T 37 P 80 R 14 BP 120/68
+2 edema great toe and second toe, right foot, warm to touch
+ pulses
+2 capillary refill
Questions
- What other assessments should be included for this patient?
- From the readings, what is the most probable cause of the edema?
- What are two known nursing diagnoses?
- What would be included in the nursing care plan?
- What interventions might be included in the plan of care for this patient?
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