Case
NR 546 Week 7 Case Study -Child and adolescent (Already GRADED A)
- Course
- NR 546
- Institution
- Chamberlain College Of Nursing
NR 546 Week 7 Case Study -Child and adolescent- Already GRADED A
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NR 546 Week 7 Case Study- child and adolescentSubjective Objective
The patient is a 6-year-old male accompanied by Physical Examination:
his mother and 7-year-old brother.
Physical Examination (Obtained by Pediatrician 2 Days Earlier)
Patient’s Chief Complaints: Height: 3′8″, weight: 65 lb, BMI: 23.9
“My son is like the energizer bunny. When he Vital signs: B/P, 100/60; P, 78; R, 16; T, 98.4
plays, he is too rough with other kids.” General: Well-nourished 6-year-old male
HEENT: PERRLA, EOMI, vision is 20/20, and hearing acuity is
History of Present Illness
unremarkable.
This boy was previously diagnosed with attention-
Neck: No masses
deficit/hyperactivity disorder (ADHD). The school
reports that he cannot stay seated, frequently calls Pulmonary: No wheezing, rhonchi, or rales
out in class, is disorganized, cannot complete his
assignments, and has been known to be Cardiac: S1, S2
disrespectful to adults. According to his mother, he
Abdomen: No distension, bowel sounds × 4 quadrants, no masses
is very impatient and impulsive. At age 3, the child
or hernias
was in the Head Start Program, and it was noted
that he was demonstrating extreme hyperactivity, Lymph nodes: No swelling
poor impulse control, and difficulty sustaining
focus. Peer interactions were marked by aggression Extremities: 2+ pulses bilaterally
such as kicking and biting others. When told “no,”
Skin: No lesions or edema
he would have extreme temper tantrums, where he
would cry, scream, and destroy property. Such Neuro: CN II-XII intact
behaviors resulted in being permanently expelled
from the program. At age 4, he was evaluated and
diagnosed with ADHD, combined type. Medication
was not prescribed at that time due to age.
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