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NR 602 Week 3 PBL Case Study Discussion Assessment of a Child Latest<\/span><\/a><\/em><\/h2>\n

NR 602 Week 3 PBL Case Study Discussion Assessment of a Child Latest<\/p>\n

NR 602 Week 3 PBL Case Study Discussion Assessment of a Child Latest<\/h4>\n

Child with Fever and Respiratory or Skin<\/a> Issues<\/h2>\n

Kayla brings Riley, now 17 months, in for complaint of fever and rash.\u00a0 The fever began \u201ca couple of days ago\u201d and is of normal levels in the morning then gets as high as 103 to 104 degrees in the afternoons.\u00a0 Riley has also had clear rhinorrhea and in the last 24 hours he has developed a red, diffuse rash to the torso and abdomen that does not itch and a dry cough in the last day. Mother reports he is drinking, but not as well as usual.\u00a0 He did have a good wet diaper this morning, but is not really eating much and is not playing.<\/p>\n

Medications: Mother is giving OTC Robitussin cough and cold at 1 tsp last night and this morning.\u00a0 Liquid Tylenol \u00bd a tsp last night and this morning.
\nShe is very concerned about the level of the fever and the fact that after 3 days he is not improving.
\nDiscussion Questions Part One<\/p>\n

We will begin by focusing on gathering history in an ill child.<\/p>\n

What \u2018red flags\u2019 did you note in the historical data?
\nWhat data is most important to include in this particular case and which historical data that might be gathered on a well-child exam can be left out of this ill visit?
\nWhat are your differential diagnoses?
\nWhat parts of the physical exam will you focus on today to rule in or out your differentials?
\nDiscussion Part Two (graded)<\/p>\n

Physical Examination Riley:
\nV\/S:\u00a0 Height: 81 cm (31.89 in), Weight: 13 kg (28.66 lbs), B\/P: 94\/60, T: 100.6, HR: 114 BMP\/reg., Resp: 28, reg, non-labored, SpO2: 97%
\n17 months old, Height 51st percentile, Weight 87th percentile (CDC, 2016)
\nGeneral: somewhat lethargic and cries some throughout exam. SKIN: Diffuse erythemamtous rash in fine popular patches across the torso and very erythematous to the cheeks.\u00a0 HEENT: Head normocephalic atraumiatic.\u00a0 Conjuctiva clear, non-icteric, but mildly injected PERRL.\u00a0 Unable to complete fundoscopic exam. Tympanic membranes intact with scant clear fluid posteriorly bill and mild injection. EAC unremarkable. Pinna\/tragus w\/o tenderness. Nares patent, mucosa mildly injected with sl. edema to the inferior and medial turbinates bill, moderate clear rhinorrhea. Pharynx with mild slight erythema, tonsils 2\/4 bill.\u00a0 Oral exam unremarkable.\u00a0 Neck supple w\/mild anterior cervical lymphadenopathy bill. Thyroid small, firm, equal bill. CARDIOPULMONARY: Heart RRR w\/o murmur. Lungs with mild expiratory wheeze in posterior bases. Respirations even and unlabored.\u00a0 Abdomen rounded normative bowel sounds throughout, soft, non-tender, no masses or organomegaly.<\/p>\n

Lab: WBC 6.9, Lymph 50%, Neutrophils 40%, Monocytes 6%, Eosinophils 3%<\/p>\n

Discussion Questions Part Two<\/h3>\n

After reviewing the physical exam.
\nWhat were your \u2018red flags\u2019 on physical exam?<\/p>\n

Lopes Write Policy<\/strong><\/h3>\n

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a \u201cfinal submit\u201d to me.<\/p>\n

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.<\/p>\n

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else\u2019s thoughts more than your own?<\/p>\n

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.<\/p>\n

Late Policy<\/strong><\/h3>\n

The university\u2019s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.<\/p>\n

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.<\/p>\n

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.<\/p>\n

I do not accept assignments that are two or more weeks late unless we have worked out an extension.<\/p>\n

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.<\/p>\n

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NR 602 Week 3 PBL Case Study Discussion Assessment of a Child Latest<\/strong><\/a><\/span><\/h4>\n
\"NR
NR 602 Week 3 PBL Case Study Discussion Assessment of a Child Latest<\/figcaption><\/figure>\n

Communication<\/strong><\/h3>\n

Communication is so very important. There are multiple ways to communicate with me:<\/h4>\n

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.<\/p>\n

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.<\/p>\n

Important information for writing discussion questions and participation<\/strong><\/h3>\n

Welcome to class<\/strong><\/h4>\n

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the \u201cmessage\u201d icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to<\/p>\n

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.<\/p>\n

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.<\/p>\n

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.<\/p>\n

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.<\/p>\n

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.<\/p>\n

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God\u2019s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!<\/p>\n

Hi Class,<\/p>\n

Please read through the following information on writing a Discussion question response and participation posts.<\/p>\n

Contact me if you have any questions.<\/p>\n

Important information on Writing a Discussion Question<\/strong><\/h3>\n