A Young Adolescent Reports Chest Pain Associated with Coughing and Lifting

A young adolescent reports chest pain associated with coughing and lifting. Physical examination reveals tenderness over several ribs, radiating to the back. Auscultation of the heart, lungs, and abdomen are normal. There is no history of injury. What will the primary care pediatric nurse practitioner do?

A) Obtain a chest radiograph to evaluate possible causes for these symptoms.
B) Order an electrocardiogram to rule out potential cardiovascular disease.
C) Recommend NSAIDs, stretching exercises, and ice packs to the area.
D) Refer the child to a pediatric orthopedist for evaluation and treatment.