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

1. What should the nurse include in the general inspection of this patient?
2. What observations are important regarding physical appearance and hygiene?
3. How should a 5-year-old child be assessed?
4. 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

1. What other assessments should be included for this patient?
2. From the readings, what is the most probable cause of the edema?
3. What are two known nursing diagnoses?
4. What would be included in the nursing care plan?
5. What interventions might be included in the plan of care for this patient?