Burns Study Questions

A 10-month-old infant who is new to the clinic has chronic hepatitis B infection. What will the primary care pediatric NP do to manage this infant's disease Consult a pediatric infectious disease specialist The primary care pediatric nurse practitioner is performing an initial well child exam on a 3-year-old child recently adopted from Africa. The adoptive parent has a recorded of immunizations indicating that the child is fully vaccinated. What will the NP do? Perform antibody titers and re-immunize the child 01:16 01:35 A 3-year-old child who attends day care has had a fever, nausea, and vomiting several weeks prior and now has darkened urine and constipation along with hepatomegaly and right upper quadrant tenderness. What treatment is warranted for this child? Supportive care A 10-month-old infant has an erythematous, fluctuant, non-draining abscess on the right buttock after 10 days of treatment with amoxicillin for impetigo. What is the next step in managing this infant's care? Incision and drainage of abscess with culture An unimmunized school-ag child whose mother is in her first trimester of pregnancy is diagnosed with rubella after a local outbreak. What will the PCP-NP recommend Assessment of maternal rubella titers A 2-month-old infant has a staccato cough and fever. Which aspect of the history is most important in determining the diagnosis? Immunization history The parent of a 2-month-old infant is reluctant to have the baby vaccinated. What is an initial step in responding to these concerns Question the parent's reasons for concern about immunizations Which lab value is most concerning in an infant with fever and a suspected bacterial infection? C-reactive protein of 11.5 mg/L An adolescent has a TB skin test prior to working as a volunteer in a hospital. The adolescent is healthy and has not travelled to or from a TB-endemic area or had close contact with anyone who has TB. The Mantoux skin test shows 10mm of induration after 48 hours. What will the primary care pediatric NP do? Reassure the adolescent that this is a negative screen A parent is concerned about vaccine adverse reactions. Based on an Institute of Medicine report, what will the primary care pediatric NP tell the parent? The MMR may be linked to febrile seizures in immunocompromised children An adolescent female who is sexually active and who has not had the HPV vaccine asks if she may have it. What will the primary care pediatric NP tell her The vaccine will not protect her from any HPV oncogenic types acquired previously A child with a history of a pustular rash at the site of a cat scratch on one arm now has warm, tender, swollen axillary lymph nodes on the affected side. The primary care PNP notes induration and erythema of these nodes . What will the NP do Order an immunofluorescent assay (IFA) for serum antibodies 00:02 01:35 Upgrade to remove ads Only $35.99/year An 18-month-old child has bronchopulmonary dysplasia. To help prevent pneumococcal disease, which vaccine will be ordered PCV13 A child whose parents have refused vaccines has been exposed to chickenpox, and the parents ask whether the child may attend day care. What will the primary care PNP tell them? The child should stay home if any symptoms occur and may return in 1 week if no rash develops The PCPNP reviews the immunization records of an 18-month-old child and notes that the child received an MMR immunization 2 days prior to the first birthday. What will the NP do Recommend the next dose of MMR vaccine at 4-5 yrs of age The PCPNP performs a well child examination on a 1-month-old. The infant was recently discharged from the neonatal ICU after treatment with parenteral acyclovir for a neonatal herpetic infection and is currently taking oral acyclovir. What will the nurse practitioner do to manage this infant's care Obtain regular absolute neutr