NR 302-Jonah Kotter is a 5-year-old male preschooler who

Jonah 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

1. What other questions should the nurse ask?
2. What techniques are helpful to incorporate in assessing a patient in this age group?
3. What are a few of the major differences in the musculoskeletal assessment of a child?
4. What should be included in the plan of care?
5. Based on the readings, what is the most likely cause of leg pain for this patient?

Jarvis, C. (2012). Physical examination & health assessment (6th ed.). Philadelphia, PA: Saunders.

U.S. Department of Health and Human Services. (2014). Healthy People 2020. Retrieved from http://healthypeople.gov/2020/

Explanation & Answer

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