1. Initial posting – Health history and physical assessment varies per system and per age of the patient. There are three scenarios listed below. Choose ONE of the scenarios and discuss all of the pertinent history you would ask as a nurse taking care of this patient. Then discussion physical exam and assessment techniques you would complete for the patient. Finally, what are some nursing interventions and educational topics you would want to address with the family.
a) A 3 mos old infant presenting to the hospital with mom saying “He just isn’t acting like himself after he fell off the bed during his nap.” The skeletal survey revealed multiple rib fractures in various stages of healing and Head CT is positive for a contusion.
b) A 12 year old child presenting to the ED with his third visit for asthma exacerbation in the last three months.
c) An 85 year old gentleman with severe confusion, disorientation, and loss of memory is admitted with chest pain.