CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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A school-age child comes to the clinic for evaluation of excessive
bruising. The primary care pediatric nurse practitioner notes a history of
an upper respiratory infection 2 weeks prior. The physical exam is
negative for hepatosplenomegaly and lymphadenopathy. Blood work
reveals a platelet count of 60,000/mm° with normal PT and aPTT. How
will the nurse practitioner manage this child's condition?
a. Admit to the hospital for IVIG therapy.
b. Begin a short course of corticosteroid therapy.
c. Refer to a pediatric hematologist.
d. Teach to avoid NSAIDs and contact sports.
d. Teach to avoid NSAIDs and contact sports.
The primary care pediatric nurse practitioner is treating an infant with
lacrimal duct obstruction who has developed bacterial conjunctivitis.
After 2 weeks of
treatment with topical antibiotics along with massage and frequent
cleansing of secretions. the infant's symptoms have not improved.
Which action is correct?
a. Perform massage more frequently.
b. Prescribe an oral antibiotic.
c. Recommend hot compresses.
d. Refer to an ophthalmologist.
d. Refer to an ophthalmologist.
,The primary care pediatric nurse practitioner observes a tender, swollen
red
furuncle on the upper lid margin of a child's eye. What treatment will the
nurse practitioner recommend?
a. Culture of the lesion to determine causative organism
b. Referral to ophthalmology for incision and drainage
c. Topical steroid medication
d. Warm, moist compresses 3 to 4 times daily
d. Warm, moist compresses 3 to 4 times daily
During a well child assessment of an African-American infant, the primary
care
pediatric nurse practitioner notes a dark red-brown light reflex in the left
eye and a slightly brighter, red-orange light reflex in the right eye. The
nurse practitioner will
a. dilate the pupils and reassess the red reflex.
b. order auto-refractor screening of the eyes.
c. recheck the red reflex in 1 month.
d. refer the infant to an ophthalmologist.
d. refer the infant to an ophthalmologist.
A toddler exhibits exotropia of the right eye during a cover-uncover
screen. The primary care pediatric nurse practitioner will refer to a
pediatric ophthalmologist to initiate which treatment?
a. Botulinum toxin injection
b. Corrective lenses
c. Occluding the affected eye for 6 hours per day
d Patching of the unaffected eye for 2 hours each day
d Patching of the unaffected eye for 2 hours each day
, A 14-year-old child has a 2-week history of severe itching and tearing of
both eyes. The primary care pediatric nurse practitioner notes redness
and swelling of the eyelids along with stringy, mucoid discharge. What
will the nurse practitioner prescribe?
a. Saline solution or artificial tears
b. Topical mast cell stabilizer
c. Topical NSAID drops
d. Topical vasoconstrictor drops
c. Topical NSAID drops
The primary care pediatric nurse practitioner performs a well baby
assessment of a 5-day-old infant and notes mild conjunctivitis, corneal
opacity, and
serosanguinous discharge in the right eye. Which course of action is
correct?
a. Administer intramuscular ceftriaxone 50 mg/kg.
b. Admit the infant to the hospital immediately.
c. Give oral erythromycin 30 to 50 mg/kg/day for 2 weeks.
d. Teach the parent how to perform tear duct massage.
b. Admit the infant to the hospital immediately.