A two month old infant will receive initial vaccines, and the parent asks about giving
medication to increase the infants comfort and minimize fever. What will the PNP
recommend?
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Administer acetaminophen as needed.
Should not be used to treat asthma in children under the age of 4?
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dry powder inhalers
,Child between 4 to 6 with a pinkish maculopapular rash that progresses from red to
purple to brown, arthritis, abdominal pain, edema and hypertension
Give this one a try later!
HSP
Acne
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An inflammatory disorder of the pilosebaceous unit in which excess
bacteria accumulate
Bruising, Nosebleeds, Bleeding of gums and Lips, petechiae, but otherwise, well-
appearing child are all concerning for this
Give this one a try later!
ITP
A parent of a child with a history of a benign cardiac murmur states she read that
children with heart disease need to have an antibiotic before dental procedures. How
would you answer the mother as the PNP?
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, Certain children do need an antibiotic to prevent something called
bacterial endocarditis, but these are children who have had a surgical
repair done.
ITP (idiopathic thrombocytopenic purpura)
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§Most common of the thrombocytopenia
§Autoimmune response in which circulating platelets are destroyed
§Vast majority resolved within 6m-if it lasts longer than 12m-chronic ITP
A 4 year old child with PE tubes in both ears has otalgia in one ear. The PNP is able to
visualize the tube and does not see exudate in the ear canal and obtains a type A
tympanogram. What will the NP do?
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Order ototopical corticosteroid/antibiotic drops.
ASD
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Murmur may not be noticed until age 2 or 3, grade 1-3 wildly radiating,
medium pitched not harsh crescendo-decrescendo murmur.
medication to increase the infants comfort and minimize fever. What will the PNP
recommend?
Give this one a try later!
Administer acetaminophen as needed.
Should not be used to treat asthma in children under the age of 4?
Give this one a try later!
dry powder inhalers
,Child between 4 to 6 with a pinkish maculopapular rash that progresses from red to
purple to brown, arthritis, abdominal pain, edema and hypertension
Give this one a try later!
HSP
Acne
Give this one a try later!
An inflammatory disorder of the pilosebaceous unit in which excess
bacteria accumulate
Bruising, Nosebleeds, Bleeding of gums and Lips, petechiae, but otherwise, well-
appearing child are all concerning for this
Give this one a try later!
ITP
A parent of a child with a history of a benign cardiac murmur states she read that
children with heart disease need to have an antibiotic before dental procedures. How
would you answer the mother as the PNP?
Give this one a try later!
, Certain children do need an antibiotic to prevent something called
bacterial endocarditis, but these are children who have had a surgical
repair done.
ITP (idiopathic thrombocytopenic purpura)
Give this one a try later!
§Most common of the thrombocytopenia
§Autoimmune response in which circulating platelets are destroyed
§Vast majority resolved within 6m-if it lasts longer than 12m-chronic ITP
A 4 year old child with PE tubes in both ears has otalgia in one ear. The PNP is able to
visualize the tube and does not see exudate in the ear canal and obtains a type A
tympanogram. What will the NP do?
Give this one a try later!
Order ototopical corticosteroid/antibiotic drops.
ASD
Give this one a try later!
Murmur may not be noticed until age 2 or 3, grade 1-3 wildly radiating,
medium pitched not harsh crescendo-decrescendo murmur.
