Please read the following case study details. Then answer the questions below. Setting You are a nurse caring for children in a rural clinic. This clinic serves most of the area’s population and prov

Please read the following case study details. Then answer the questions below.

Setting

You are a nurse caring for children in a rural clinic. This clinic serves most of the area’s population and provides comprehensive pediatric healthcare. This includes things such as: primary and urgent care needs, vaccinations, and care for all ages of children.

Introduction

Sawyer is a 7-year-old male brought to the clinic by his mother Kristen. FOB not involved. Kristen states that Sawyer hasn’t been feeling well for the past few days and thought he just had a cold.

Chief Complaint

“My son started running a fever today and isn’t feeling well.”

Medical History

Vital Signs:

Weight: 60 lbs.

Length: 52 inches

Temperature: 102⁰F

Pulse: 80 bpm

Respiratory rate: 16

Blood pressure: 100/75 mmHg

Physical Exam:

Head- Symmetrical Features, patient complains of headache

Eyes- Glasses in place

Ears- Ear pain bilaterally

Nose- increased congestion

Mouth and Teeth- Visible dental caries noted, Tonsils 3+

Oropharynx- Complains of sore throat, redness noted

Neck/nodes- lymph nodes swollen bilaterally

Respiratory- Pt complains of cough and intermittent SOB on exertion. At rest breathing is even and unlabored. Labored with activity. Wheezing noted bilaterally.

Cardiovascular- No murmur noted on auscultation

Abdominal- Patient complains of nausea, denies pain.

Genitalia- Testes descended bilaterally

Musculoskeletal/hips- Full ROM bilaterally

Neurologic/reflexes- 2+ patellar reflexes

Skin- eczema noted to upper arms bilaterally

Other: Immunizations UTD

Questions

1. Calculate Sawyer’s height and weight percentiles, and BMI.
2. What additional assessment and potential treatment would be needed for Sawyer’s Respiratory complaints?
3. What additional assessment and potential treatment would be needed for Sawyer’s ear complaints?
4. What additional assessment and potential treatment would be needed for Sawyer’s noted skin issues?
5. What is a risk factor that might have contributed to why Sawyer has vision issues and requires glasses?
6. Add a question: After you have analyzed the content from the discussion board, please add a question to the end of your initial post regarding the reading material for the week.

Please be sure to validate your opinions and ideas with citations and references in APA format.