CASE STUDY
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
PMH of otitis media
Immunizations: Up to date
No medications
No allergies
Pain: 3/5 on pain scale
Attends preschool
Unable to recall injuring leg
Objective Data
Vital signs: T 37 P 92 R 18 BP 100/70
Lungs: clear in all fields
Heart rate and rhythm regular
Moving all extremities
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Strength 5/5 in all extremities
Questions
- What other questions should the nurse ask?
- What techniques are helpful to incorporate in assessing a patient in this age group?
- What other assessments should the nurse make for this clinical presentation?
- 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?
CASE STUDY
D.F. is a 37-year-old woman who presents to the emergency department after having a seizure.
Subjective Data
PMH: Seizures, unknown type
Headache
Housewife
Feels weak
No loss of consciousness
Objective Data
Vital signs: T 37 P 72 R 18 BP 114/64
Lungs: clear all bases
O2 sat = 100%
CV = heart rate regular, positive peripheral pulses
PERRLA
Questions
- What other questions should the nurse ask about the seizures?
- What other assessments are necessary for this patient?
- What are some of the causes of seizures?
- Develop a problem list from objective and subjective data.
- What should be included in the plan of care?
- What other risk factors are associated with this presentation?
- Based on the readings and the subjective and objective data, this patient most likely had what type of seizure?
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