Exam (elaborations) Nursing 633 /n675 Week 13 – Pediatrics Questions and answer

An 8-year-old boy with type 1 diabetes is being seen for 3 day history of urinary frequency and nocturia. He denies flank pain and is afebrile. The urinalysis results is negative for blood and nitrates but is positive for large amount of leukocytes and ketones. He has a trace amount of protein. Which is the following is best test to order initially? A urine culture and sensitivity A 4-week-old boy seen in the clinic for a complaint of forceful vomiting that occurs immediately after feeding. The vomitus is composed of infant formula and is not bilious. The infant is bottle-fed with infant formula that was recommended by the pediatrician. The mother reports that the infant seems hungry and sucks on the bottle without any problems. His birth weight is 3.4 kg and his current weight is 3.2 kg. Which with the following clinical findings is an important clue regarding the possible cause of the infant's vomiting? Positive rooting reflex Irritable and crying infant Round olive like mass located in the right upper quadrant of the abdomen Sunken anterior fontanelle and dry lips The stem is asking about the possible cause of the infant's vomiting, it is not asking about the symptoms. Projectile of forceful vomiting after feeding is a classic symptom of infantile hyperrtrophic pyloric stenosis. The other signs and symptoms are dehydration, irritabillity, crying. Positive rooting reflex is normal finding in a 4-week-old. A 7-year-old presents with encopresis. The NP might suspect: Urinary tract infection Laxative abuse Delayed maturation Constipation [The underlying cause of encopresis , repetitive soiling of stool by child was 4 years of age or older who should be potty train, is usually chronic constipation.] A mother brings her 4-year-old daughter, who just started attending preschool, to the health clinic. She tells the nurse practitioner that her child is complaining of burning and itching that started in the left eye. Within 2 days involved both eyes, and the child developed a runny nose and a sore throat. During the physical exam, the child's eyes appear injected bilaterally with no purulent discharge. The throat is red, the inferior nasal turbinates are swollen, and shotty nodes are palpated in front of each year. Which of the following is most likely: