NU665A EXAM 1 2024.2025 Primary Care of Child II COMPLETE WITH RATIONALE GRADED A+ Regis, Exams of Nursing

Download NU665A EXAM 1 2024.2025 Primary Care of Child II COMPLETE WITH RATIONALE GRADED A+ Regis and more Exams Nursing in PDF only on Docsity! NU665A EXAM 1 2024.2025 Primary Care of Child II COMPLETE WITH RATIONALE GRADED A+ (Regis College) For Community-acquired Methyl resistant staph aureus, what are two antibiotics can be given orally in the pediatric population? Clindamycin & TMP/SMX Clindamycin dosage 30-40 mg/kg/day PO divided q8h x10 days Bactrim Dosage 5-10 mg/kg/day TMP PO divided bid 2-3x/wk; Max: 320 mg/day TMP 18-month-old with Bronchopulmonary Dysplasia (BPD). To prevent pneumococcal disease, which vaccine will be administered? PCV 13 A child whose family has been camping in a region with endemic Lyme disease suffered several tick bites. The parents report removing the ticks but are not able to verify the type or the length of time the ticks were attached. The child is asymptomatic. Which is the best course of action? Teach the parents the signs and symptoms to report We have an expert-written solution to this problem! These factors influence the adherence to taking prescribed pediatric medication Taste, Length of treatment, cost, timing of medication as well as medical condition, belief systems and family/social factors Which lab value is most concerning in an infant with fever and a suspected bacterial infection? C-reactive protein > 10 mg/dL C-reactive protein (CRP) blood test used to measure the level of inflammation in the body; may indicate conditions that lead to cardiovascular disease; also screens for infection Functions of the musculoskeletal system Ibuprofen dosage 10 mg/kg every 6-8 hours The earliest age to give ibuprofen 6 months Neurological system of children complete but immature nervous system; top-heavy; cranial bones-thin, not well- developed; brain highly vascular with small subarachnoid space; excessive spinal mobility; wedge-shaped cartilaginous vertebral bodies; bones in the neck don't harden and fuse until age 6; risk for injury spastic cerebral palsy is characterized by Increased deep tendon reflexes and sustained clonus A seven-year-old child whose immunizations are up to date has a fever, headache, stiff neck, and photophobia. What course of treatment is indicated? Hospitalization for diagnosis and treatment with antibiotics symptoms of meningitis rash, stiff neck, dislike of bright lights, confused/delirious, seizures (fits); fever and/or vomiting, severe headache, very sleepy/vacant/very difficult to wake symptoms of septicemia limb, joint, or muscle pain; cold hands and feet/shivering, rash, confused/delirious, fever and/ or vomiting, pale or mottled skin, breathing fast/ breathless, very sleepy/vacant/very difficult to wake When performing a neurologic exam to assess meningeal signs in an infant, how will the PNP attempt to elicit the Kernig sign? Extending the leg at the knee with the infant supine A child who has had a single non-febrile seizure has a normal neurologic exam. Which diagnostic test is indicated? Electroencephalogram (EEG) What needs to be included when educating parents about febrile seizures? Children may experience repeated seizures §There are several skin features seen with tuberous sclerosis. Which is most characteristic? Hypopigmented macules in an "ash leaf" shape An 11-year-old girl is brought in by her mother complaining of severe headaches associated with nausea and vomiting. Which of the following signs and symptoms would lead you to consider a brain tumor as part of your differential. More severe in the morning followed by vomiting The most common type of brain tumor in children is Medulloblastoma A head injury in which bruising or tearing of the cerebral structures occurs is a: Contusion azithromycin Aminopenicillins Ampicillin Amoxicillin Macrolides erythromycin, clarithromycin, azithromycin Treats complicated UTI Ciprofloxacin Third Generation Cephalosporins ceftriaxone, cefotaxime, ceftazidime, cefdinir, cefpodoxime, cefixime, ceftibuten Beta-lactamase inhibitor Clavulanate First generation cephalosporins Cefazolin Cephalexin Cefadroxil A 12 yr old male is being seen for a well-child check. His mother states the child recently tried out for a school play but did not get a part. His mother has not addressed this with him but asks how she will she know if he is adjusting to the rejection. As a PNP what scenario would you share with the mother to demonstrate a growth in mind-set? The importance of effort and practice to succeed and looking for new approaches and strategies during a setback. Advice for parents after a febrile seizure Remember there are ways to avoid infection, such as good handwashing, no sharing of toys or utensils, and avoiding sick people. What do you tell the parents of a 2-year-old child that resists going to sleep easily, asks is it ok to let a that child sleep with them so that they all can get a good night's sleep? This is common in toddlers and will go away soon as he works through autonomy versus shame and doubt. How should a mother explain to a 9-year-old child about a divorce when he asked what did he do wrong? Explain that he did not cause the breakup and that they both love him. Which neurological disorder is known to stop and may cause regression of developmental milestones? Rett Syndrome What type of therapy is recommended for toddlers and preschoolers? Play Therapy 9-month-old for well-child visit and mom wants to know if he will be right handed, what should be your response? §During a well-child examination, the primary care pediatric nurse practitioner learns that a five-year-old child has had several episodes of walking out of the bedroom after falling asleep, looking dazed, with open eyes, and saying things that don't make sense. What will the nurse practitioner recommend? §Making sure that stairs are blocked and doors are locked §During a well-baby exam on a nine-month-old infant, the parent reports that the baby always uses the left hand to pick up objects and asks if the baby will be left- handed. What will the primary care pediatric nurse practitioner do? §Perform a careful assessment of fine and gross motor skills To evaluate brain tissue disorders in infants, which test is useful? Ultrasonography The parent of a preschool-age child reports that the child often appears anxious and nervous and that this is associated occasionally with a rapid heart rate and tremors. What is the best type of referral that the primary care pediatric nurse practitioner could recommend? Play Therapy A 7 year old patient comes in with a unilateral axillary lymphadenopathy that has been present for 1 week. There is surrounding erythema and warmth. He tells you his cat just had kittens. You order this... Bartonella ABS panel (PCR) If your patient has cochlear implants, sickle cell, immunodeficiency, HIV, renal failure, asplenia or chronic lung or heart disease they likely need to receive this vaccine in addition to the usual... PPSV23 or pneumovax 23 A patient comes in with a tick bite. Mom reports they removed a tick yesterday and is unsure when it attached. They went hiking in the nearby park. Since you know this is not an endemic area, you prescribe this: no need for prophylaxis but need to teach signs and symptoms of when to follow- up MMR should be given within this many hours to a child who is vaccine eligible and exposed to measles 72 hours Frequently called nurse maid's elbow, this injury is treated by reducing the radial head through supination and flexion or pronation. annular ligament displacemnt One of your male soccer players is here for a sports physical. He complains of pain immediately after playing in both knees. Pain is reproduced by extending knee against resistance today in office. He likely has this. Osgood Schlatter Disease This is the typical treatment for Metatarsus Adductus when the foot is flexible stretching and perhaps orthotic shoes The patient with asthma should have these in place prior to sports participation sports management and asthma action plans Your patient was bit by a nonvenomous snake, but appears to have a secondary infection. You treat with this.. Augmentin Most often occurring in females and characterized by 6 months of normal development followed by a developmental regression and then stabilization Rett Syndrome This vaccine is given to males and females age 9 to 26 years old HPV CDC recommends this vaccine for all children at 2 mos, 4 mos, 6 months and between 12 and 15 months. While previously unvaccinated healthy children may age out at 6, children with certain medical conditions will require specific vaccination at any age. PCV-13 This medication is first line for treatment of ear infections in children amoxicillin If prophylactic medicine is appropriate for a tick bite you would use this doxycycline For an infant with known or suspected herpes, this is the treatment. Acyclovir Brudzinski's sign - or an involuntary flexion of legs when neck is flexed is indicative of this Meningitis Fever and local bone tenderness with refusal to bear weight may be indicative of this. osteomyelitis Reproducible pain with palpation at costosternal junctions costochondritis Sudden acute unilateral paralysis or weakening of facial nerve without sensory loss Bell's Palsy Johnny's mom comes in and is worried that he is not getting enough sleep. Johnny is 3.5 years of age and goes to bed at around 8pm and wakes at 7am. Mom reports often he wakes up in the middle of the night screaming, but when she goes in, he seems like he is still asleep. He does not remember these dreams in the morning. You tell mom he is likely suffering from these. Night Terrors