What should be included in the plan of care?

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onah Kotter is a 5-year-old male preschooler who presents to the pediatrician’s office for complaints that his leg “hurts”.
Subjective Data
PMH negative
Immunizations: Up to date
No medications
No allergies
Pain: 3/5 on pain scale
Attends Kindergarten
Does not remember injuring leg
Objective Data
Vital signs: T 37 degrees Centigrade, P 94, R 18, BP 100/70
Lungs: clear
Heart rate and rhythm regular
Moving all extremities
+ Range of motion legs and arms
Strength 5/5 in all extremities
What other questions should the nurse ask?
What techniques are helpful to incorporate in assessing a patient in this age group?
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?

What other questions should the nurse ask about the cough?

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Nelson Carson is a 62-year-old man who presents to his private practitioner’s office with a hacking, raspy cough.
Subjective Data
PMH: HTN, CAD
Cough is productive, bringing up green, thick phlegm
Runny nose, sore throat
No history of smoking or seasonal allergies
Complains of fatigue
Objective Data
Vital signs: T 37 P 72 R 14 BP 134/64
Lungs: + Rhonchi bilateral upper lobes, wheezes
O2 Sat = 98%
Medications: Metoprolol 25 mg per day, ASA 325 mg/daily
What other questions should the nurse ask about the cough?
What nursing diagnoses can be derived from the data?
What should be included in the plan of care?
What risk factors are associated with this age group?
Based on the readings, what is the most likely cause of cough for this patient?

What other questions should the nurse ask about the fatigue?

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Georgina Graves is a 42-year-old female who presents to the provider’s office with fatigue.
Subjective Data
PMH: none, (except gynecological issues)
Significant family history of heart disease
Fatigue started about 2 months ago, getting worse
Relieved with rest, exacerbated with activity
Denies chest pain
C/O shortness of breath on exertion
Smoker 1 PPD
Objective Data
Vital signs: T 37 P 100 R 18 BP 110/54
Lungs: clear
O2 Sat = 94%
Skin = cool to touch
CV = heart rate regular, positive peripheral pulses, ECG = intermittent complete left bundle branch block (New Finding)
Edema
Medications: Premarin 0.3 mg po/day
What other questions should the nurse ask about the fatigue?
What other assessments would be necessary for this patient?
What are some causes of fatigue?
What should be included in the plan of care?
Based on the readings, what is the most likely cause of fatigue for this patient?

Discuss circumcision and the arguments for and against it

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Choose one topic and respond:
Discuss three ways of creating an environment that provides psychological comfort for both patient and practitioner when conducting an examination and assessment of the Genitourinary system.
Discuss medications that can affect the sexual performance of an aging adult male, possibly resulting in withdrawal from sexual activity.
Discuss circumcision and the arguments for and against it. Discuss its associated religious connections.