NSG 6435 Week 4 Quiz

1. A school-age pt presents to the clinic to establish care. The child has autism, facial dysmorphia & growth retardation. The provider suspects the child has what condition? a. Down syndrome b. Fetal alcohol syndrome c. Prader-Willis syndrome d. Turner syndrome Explanation: Autism, facial dysmorphia & growth retardation are differentials of FAS. 2. An 8-year-old client was recently discharged from the hospital following an episode of meningitis. The client presented to the clinic for a follow-up appointment post discharge. The provider understands that the client is at increased risk for which complications? SATA a. Hearing impairment b. Paralysis c. Loss of speech d. Infertility 3. A client with history of bilateral tympanostomy tube insertion presents to the clinic c/o otorrhea. The provider confirms the complaint. What is the best treatment for this condition? a. Combination antibiotic & corticosteroid otic drops b. Analgesics & watchful waiting c. Oral antibiotics & antifungal cream d. Corticosteroid otic drops 4. The gold standard in diagnosing Acute Otitis Media (AOM) is: a. Immobile TM b. Pearly gray TM c. Flat TM d. Perforated TM Explanation: The dx of AOM is based on presence of 1 or several of the following: bulging TM, decreased translucency of TM, absent or decreased mobility of the TM, air-fluid level behind the TM & otorrhea 5. A provider is caring for a new client who has had recurrent episodes of & failed treatment for AOM. What is the next best intervention? a. Refer to audiologist b. Refer to an otolaryngolgist c. Prescribed a broad spectrum antibiotic for 30 days d. Prescribe an anti-inflammatory 6. A 16-year-old presents to your clinic c/o sore throat & 101F temp. The provider learns that the client had a sore throat approx 1 week ago. On exam, client is (+) for cervical lymphadenopathy, enlarged left tonsil, edematous pharynx & uvula displacement. What condition does this client most likely have? a. Acute uvulitis b. Infectious mononucleosis c. Mumps d. Peritonsillar abscess