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MN 580 Primary Care of Children and Adolescent Nursing (Pediatric Nursing) Unit 5 Discussion
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MN 580 Primary Care of Children and Adolescent Nursing (Pediatric Nursing) Unit 5 Discussion
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lOMoAR cPSD| 19857451MN 580 Primary Care of Children and
Adolescent Nursing (Pediatric Nursing)
Unit 5 Discussion
, lOMoAR cPSD| 19857451
Topic: Unconnected Disorders
This week we are covering many disorders that are not necessarily connected. Two symptoms
that are very common in children are fever and pain. Depending on the child's age,
communication can be challenging, and you often must rely on the parent or caregiver for CC,
HPI, ROS.
Consider the following:
• When fever is the CC, you need to collect the following information:
o What is the temp, and how was temp obtained (oral or axillary)?
o What preceded the fever? When does the fever occur (afternoon, evening)?
o What has helped the fever? Tylenol? How much, how often?
o Any associated symptoms?
o Any recent sick contacts?
o Health history? Immunizations?
In addition to all routine exams on the PE, you want to make a note of sensorium. Is there
nuchal rigidity? Appearance of distress?
For pain: When, where, scale of 0–10 with 10 being worst? What makes it better or worse?
Radiation? Localized or general? Tenderness to palpation? Preceding events/injuries?
Associated symptoms?
You would need all past medical history (e.g., if the child has had an appendectomy, you can
rule out appendicitis).
The exam should be focused on the anatomical area and any connected systems (i.e., sore
throat pain you would want to examine ears, sinuses, lungs, etc.).
What types and location of pain would make you particularly concerned?
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