NSG6435 week 7 quiz 2022/ 2023 with correct Answers

A newborn is born w/ a cleft lip & palate. The provider understands that the slit in the lip & mouth will introduce specific challenges for the parents & child. How best can a provider manage this condition before its repaired? (SATA) - ANSWER Recommend the use of special nipples for feeding Recommend speech therapy in later years. Recommend dental restoration as often needed. Refer to surgeon when indicated Most young children walk on their toes until they establish the heel-toe pattern. This pattern usually develops w/in the 1st 6 months of walking. Toe walking can be idiopathic or secondary to a neurologic problem. Since it is important for the provider to differentiate between the causes; what should the provider do to accomplish this? (SATA) - ANSWER Look at shoe wear to assess extent of toe walking. Assess the heels for tight cords Conduct a neuro assessment. Measure leg lengths & examine hips. An infant client is positive for moist, beefy-red macules & papules w/ sharply marked borders & satellite lesions to the diaper area. KOH-treated scrapings of satellite lesions show pseudohyphae. What is the most likely diagnosis? - ANSWER Candidiasis A 15YO client presents to the clinic c/o tenderness to the right side. The pain started gradually & often radiates to the back. On exam the client is positive for Tietze syndrome. The provider diagnosis the client w/ Costochondritis. How should the provider treat this condition? (SATA) - ANSWER Recommend mild analgesics & NSAIDs Recommend avoiding strenuous activity Take cough suppressants A 6YO client presents to the clinic c/o of an intermittent limp & pain to the anterior thigh. Upon exam, the following is noted: antalgic gait w/ limited hip movement, atrophy of the gluteus, quadriceps, & hamstring muscles; decreased abduction, internal rotation, & extension of the hip & pain on rolling the leg internally. What is the most likely diagnosis? - ANSWER Legg-Calvé-Perthes Disease A 9YO client in town for the summer presents to the clinic c/o a rash. Upon exam, the following is noted: multiple, annular, scaling & discrete hypopigmented patches located on the trunk. KOH scrapings of the lesions revealed short curved hyphae & circular spores that fluoresced yellow-orange under the Wood's lamp. What is the most likely diagnosed? - ANSWER Tinea versicolor A 17YO client presents to the clinic c/o of small bumps all over the face. Upon exam, the following is noted: very small, firm, flesh-colored discrete papules 1 - 6mm in size located to the face, axillae & trunk. What is the most likely diagnosis? - ANSWER Molluscum contagiosum A 5YO client who presents to your clinic is found to have small white oval cases attached tightly to the hair shafts at the back of the head, nape of the neck & eyelashes. What is the best TX approach? - ANSWER Prescribe medication that follows local resistance patterns A 4YO client reports to the clinic w/ visible scratch marks to the arms. The mother explains that the client is restless, cranky & scratches throughout the day which intensifies at night. On exam, the following is noted: S-shaped burrows in the webs of fingers, sides of hands & forearms. What is the most likely diagnosis & the most appropriate TX? - ANSWER Scabies; treat w/ AntiParasitics What are the key clinical signs & symptoms that are characteristic of the disease erythema multiforme? (SATA) - ANSWER Lesions of the oral mucosa that are shallow Lesions are fixed, symmetric, & have a typical distribution Lesions initially appear dusky, as red macules or edematous papules. Lesions evolve into target lesions w/ multiple, concentric rings of color change