WestCoast NURS662A 2022 November Week 5 Discussion Latest

NURS662A Primary Care Pediatric Patient

Week 5 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. Brenda is 17-year-old who has come to the clinic because she has had a yellow-green discharge in her right eye for 3 days. Today when she woke up, her right eye was swollen, red, and tender. She denies fever.

What should you ask Brenda about her eye?

What type of exam(s) should you perform on Brenda’s eye?

What oral antibiotic and follow-up should you order for Brenda? Include rationale, dosage, and instructions.

2. Cindy is a 30-pound, 3-year-old who was brought into the clinic today by her father for bilateral ear pain and eye discharge for 2 days. She has a fever of 102°F and looks uncomfortable.

What single organism is most likely affecting both Cindy’s eyes and ears? Explain why this is so.

What is the first-line antibiotic choice for this condition? Provide dosage(s) and instructions.

What type of anticipatory guidance should the APRN provide?

3. Mr. and Mrs. Corrigan have brought in their 4-day-old infant boy for a newborn exam. The mother and father are concerned that their baby seems to be crying excessively and appears to be “hungry all the time.” The mother reports that she exclusively breastfeeds her infant. The infant is measured and weighed; you estimate that he has lost 5% of his birth weight.

What should the APRN tell the parents about the baby’s 5% weight loss and crying?

How many wet and soiled diapers should the baby have at 4 days old?

What more should the APRN know about the baby–mother dyad breastfeeding experience?