WestCoast NURS662A 2022 November Week 6 Discussion Latest

NURS662A Primary Care Pediatric Patient

Week 6 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. Joey is a 4-year-old male brought into the clinic because he ran into another classmate while playing in the preschool playground. His mother was called to pick him up, and she reports that his mouth was bleeding a lot and his front two teeth appear to be loose. His vital signs are within normal limits and his weight today is 40 pounds.

What additional information does the APRN need to appropriately treat Joey?

What type of treatment does Joey need for his loose teeth?

What should the APRN make sure to include in her physical examination?

What can he have for pain? Please include dosage and instructions you will provide.

2. Freddy is a 3-year-old brought into the clinic by her mother’s fiancé, Mac. According to Mac, Freddy was running around in his living room when he fell and hit his mouth against the coffee table. Freddy’s tongue is still bleeding a bit and his lower lip is very swollen.

What additional information does the NP need to know to appropriately treat Freddy?

What immediate treatment does Freddy need for his tongue laceration and swollen lip and how should the APRN determine if an immediate referral is needed?

What steps would the APRN take if he/she suspected abuse?

3. Tommy is a 3-year-old who has been waking up in the middle of the night screaming, once a week for the past month. His parents are concerned that there is something seriously wrong with him. After a couple of minutes of screaming, he goes back to sleep and does not seem to remember what happened the night before.

What else should the APRN know about Tommy’s episodes?

What should the APRN tell Tommy’s parents about his condition?

What advice should the APRN give his parents regarding how to handle these episodes?