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36-year-old man with asthma has been treating his
asthma with albuterol once or twice a week for the last
few years. He reports that for the last month or so he has
had to use it much more often—"not every day, but
almost." The nurse practitioner should consider all of the
following except:
Administering the Asthma Control Test questionnaire.
Spirometric assessment.
A complete symptom assessment.
Adding an inhaled long-acting beta2-agonist. - correct
answer- Ans: Adding an inhaled long-acting beta2-
agonist.
,A 2-week-old boy is presented by his mother for
evaluation. The boy was born at 39 weeks' gestation and
appears healthy. The mother expresses concern about an
area of abnormal growth under his left ear. She states
that he was born with a pinkish "blotch" in the area but
has noticed a significant change over the past few days.
Upon examination, you note a red slightly-protruding
spongy mass approximately 0.5 cm in diameter.
For the infant described above, an appropriate initial
treatment option would be:
Corticosteroid injection.
Oral propranolol.
Mohs surgery.
Laser therapy. - correct answer- Ans: Oral
propranolol.
,A 2½-year-old boy is brought by his mother who reports
that, approximately 10 minutes ago, the child was injured
when he pulled a pot of boiling water off the stove. The
child is alert and crying, and age-appropriately resists the
examination. Skin survey reveals approximately 18% body
surface area of moist, red skin with peeling borders,
largely involving the posterior thighs, buttocks, and
scrotum. No other injury is noted. Identify the two most
important considerations in his care.
The injury should be débrided as soon as possible.
The affected area should be promptly washed with an
antiseptic solution.
Specialty burn care should be promptly sought.
Child protective services should be immediately notified.
, A course of oral antibiotics should be initiated. -
correct answer- Ans: Specialty burn care should
be promptly sought. Child protective services should be
immediately notified.
A 3-year-old girl presents with gastroenteritis and who
has vomited 4 times in the past 12 hours. The child has
signs of mild-to-moderate dehydration. The most
appropriate treatment for this child is:
Parenteral dexamethasone (Decadron®).
Oral metoclopramide (Reglan®).
Oral disintegrating tablets of ondansetron (Zofran®).
Rectally-administered trimethobenzamide (Tigan®). -
correct answer- Ans:
Oral disintegrating tablets of ondansetron (Zofran®).