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An 8-year-old child is diagnosed with systemic lupus erythematosus (SLE), and the child's parent asks if there is a cure. What will the primary care pediatric nurse practitioner tell the parent? a. Complete remission occurs in some children at the age of puberty. b. Periods of remission may occur but there is no permanent cure. c. SLE can be cured with effective medication and treatment. d. The disease is always progressive with no cure and no remissions. - Answer ANS: B Periods of re...

The primary care pediatric nurse practitioner performs a well child assessment on a 6 month old infant whose mother reports having less breast milk because of stressors associated with pumping and returning to work. The nurse practitioner will provide resources to promote pumping and UU. discuss adding other foods to the baby‟s diet. VV. encourage the mother to increase her fluid intake. WW. prescribe a multivitamin containing iron. XX. suggest offering only breast milk to the infant....

Acetaminophen dosing - Answer 15 mg/kg/dose Ibuprofen dosing - Answer 10 mg/kg/dose Foreign Body Aspiration - Answer Clinical: Sudden coughing, choking, stridor, wheezing, often unilateral, recurrent pneumonia. Foreign Body Aspiration Diagnostics - Answer Chest X-ray (may show unilateral hyperinflation), bronchoscopy definitive. Foreign Body Aspiration Treatment - Answer Emergency airway management, removal via bronchoscopy; parent education on prevention. Asthma Cl...

Which response about safety measures is the most appropriate advice for the 2 year old's mother who had her older home remodeled to reduce the lead level? Select all that apply. 1. Wash & dry the child's hands and face before he eats. 2. it is best to use cold water to prepate the child's food to decrease lead level. 3. diet does not matter in reduce lead levels in the child. 4. Drinking two cups of milk per day helps decrease lead levels. - Answer 1 & 3. Washing and drying...

5. After returning from cardiac catheterization, the nurse determines that the pulse distal to the catheter insertion site is weaker. How should the nurse respond? a. Elevate the affected extremity. b. Notify the practitioner of the observation. c. Record data on the assessment flow record. d. Apply warm compresses to the insertion site. - Answer ANS: C The pulse distal to the catheterization site may be weaker for the first few hours after catheterization but should gradually incre...

A child is brought to the clinic after falling from a swing and scraping both knees and hands. An exam reveals abraded skin with oozing serous fluid and blood, along with dirt and grime from the playground surface. What will the PCP do to minimize the risk of infection? a. apply iodine to all areas b. gently irrigate with NS c. rinse w/ hydrogen peroxide d. scrub the abraded areas with alcohol - Answer b. gently irrigate with NS A school-age child steps on a nail while wearing tennis s...

1. The primary care pediatric nurse practitioner is teaching a parent of a child with dry skin about hydrating the skin with bathing. What will the nurse practitioner include in teaching? a. Apply lubricating agents at least 1 hour after the bath. b. Have the child soak in a lukewarm water bath. c. Keep the child in the bath until the skin begins to "prune." d. Soaping should be done at the beginning of the bath. - Answer b. Have the child soak in a lukewarm water bath. 2. A chi...

Infant mortality rate - Answer The highest infant mortality rate globally is found in SubSaharan Africa. Effective intervention for child mortality - Answer Vaccinations are the most effective intervention to achieve the greatest worldwide reduction in child mortality from pneumonia and diarrhea. Health status of children in the U.S. - Answer Obesity rates among 2to5yearolds have shown a recent significant decrease. Child health outcome associated with climate change - Answer ...

What are the early findings of DDH (developmental dysplasia of the hip)? - Answer Early findings include those found between 2 and 3 months of age ("loose phase"). They include: - +Ortolani and Barlow - unequal gluteal and upper thigh folds How is DDH (developmental dysplasia of the hip) treated? - Answer If DDH is caught at birth then the patient simply gets a hip cast (referral required). Subluxation can correct by two weeks of age. If a "click" is heard then re-eval...

Which of the following are risk factors for hypertension in children and teens? (Choose all that apply.) A. obesity B. drinking whole milk C. being exposed to secondhand smoke D. 2 or more hours per day of screen time - Answer a c Fruit juice intake is acceptable in children 6 months and older per which of the following recommendations? (Choose all that apply.) A. The juice is mixed in small amounts to flavor water. B. Only 100% juice is used. C. Juice replaces no more than one serving...

A second triple screen on a 35-year-old primigravida reveals abnormally low levels of alpha fetoprotein and estriol and high levels of human chorionic gonadotropin. Which of the following interventions is the best choice for this patient? A) Order an ultrasound B) Order a computed tomography (CT) scan of the abdomen C) Order a 24-hour urine for protein clearance D) Assess for a history of illicit drug or alcohol use - Answer A) Order an ultrasound Abnormally low levels of alpha fetoprotei...

A child is brought to the clinic after falling from a swing and scraping both knees and hands. An examination reveals abraded skin with oozing serous fluid and blood, along with dirt and grime from the playground surface. What will the primary care pediatric nurse practitioner do to minimize the risk of infection? - Answer Irrigate gently with normal saline A school-age child steps on a nail while wearing tennis shoes and develops cellulitis in that foot. The child's immunizations are u...

risk management - Answer an organized effort to identify, assess, and reduce (where appropriate) risk to patients, visitors, staff, and organizational assets beneficence - Answer the decision maker weighs the benefits and borders of treatment the greatest good for the greatest number non maleficence - Answer the ethical principle of doing no harm discovery - Answer category of procedural devices employed by a party to a civil or criminal action, prior to trial, to require ...

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fractures can be classified as? - Answer open formerly called compound or closed formerly called simple can also be classified by patter transverse or oblique or by fragment alignment displaced, non displaced closed reduction is? - Answer the nonsurgical, manual realignment of bone fragments tx following reduction includes traction, casts, splints and braces open reduction - Answer is the correction of bone alignment through surgery it may involves the use of wires, screws...

Perseveration - Answer repetition of a response or behavior despite changing stimuli. Common in neuro d/o **pt may stay on a topic ex) I never have trouble sleeping. I never have trouble pooping. Clanging speech - Answer speech based on sound versus meaning **mania & schizophrenia **create rhymes Alogia - Answer A decrease in speech or speech content; a symptom of schizophrenia. Also known as poverty of speech. paradoxical sleep (REM) - Answer The body is internally arou...

are the second most common bacterial disease and most common bacterial infection in women - Answer UTIs How do you define complementary and alternative therapies? - Answer group of diverse medical and health care systems, practice, and products that are generally not considered part of conventional medicine what is the most important in prevention of pst common form of AKI, prerenal AKI? - Answer promptly treat hypovolemia untreated AKI often leads to kidney damage (intrarenal...

A patient with orthopedic trauma complains of severe unrelenting pain in the affected extremity not relieved by analgesics. What is the nurse most concerned about? - Answer Compartment syndrome Why is an ORIF done instead of letting a hip heal over time? - Answer Prevent complications and early ambulation Hypovolemia in burns is caused by - Answer Capillary bed leakage A patient weighing 68 kg has a 50% TBSA burn. Using the Parkland (Baxter) formula for fluid replacement how ma...

During a routine health examination, the patient tells the nurse that about using a variety of herbal therapies for health maintenance. In discussing the use of herbs, the nurse cautions the patient that a. most herbs are toxic and carcinogenic and should be used only when proven effective. b. frequent medical evaluation is required during the use of herbs to avoid adverse effects. c. herbs are no better than conventional drugs in maintaining health and may be less safe. d. herbs should be p...

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