NSG 6440 PEDS EXAM
, NSG 6440 PEDS EXAM
A 2-year-old has a sudden onset of high fever while at daycare. The daycare attendant describes a seizure
in the child. The child is brought to the clinic; neurologically he appears normal. His body temperature is
99.9 ̊ after receiving ibuprofen. He is diagnosed with otitis media. How should the nurse practitioner
manage this?
Treat the otitis media and give education about fever management
Explanation:
The child may have had a febrile seizure at the daycare related to a sudden elevation of body temperature. The
sudden rise (or even fall) of body temperature can precipitate a seizure in young children. The most common
diagnosis associated with febrile seizures is otitis media. The mother should be advised about behavior to watch
for that could indicate the child is having a seizure. If this behavior occurs again, the child should be brought for
neurological evaluation.
A 3-year-old female had a fever of 102 F for the last 3 days. Today she woke up from a nap and is
afebrile.
She has a maculopapular rash.
Which of the following is an appropriate initial intervention for gastroesophageal reflux disease (GERD)
in an 8-week-old?
Small, frequent thickened feedings
, NSG 6440 PEDS EXAM
A 2-year-old has a sudden onset of high fever while at daycare. The daycare attendant describes a seizure
in the child. The child is brought to the clinic; neurologically he appears normal. His body temperature is
99.9 ̊ after receiving ibuprofen. He is diagnosed with otitis media. How should the nurse practitioner
manage this?
Treat the otitis media and give education about fever management
Explanation:
The child may have had a febrile seizure at the daycare related to a sudden elevation of body temperature. The
sudden rise (or even fall) of body temperature can precipitate a seizure in young children. The most common
diagnosis associated with febrile seizures is otitis media. The mother should be advised about behavior to watch
for that could indicate the child is having a seizure. If this behavior occurs again, the child should be brought for
neurological evaluation.
A 3-year-old female had a fever of 102 F for the last 3 days. Today she woke up from a nap and is
afebrile.
She has a maculopapular rash.
Which of the following is an appropriate initial intervention for gastroesophageal reflux disease (GERD)
in an 8-week-old?
Small, frequent thickened feedings
