NU 664 Exam 1 Questions and Answers Updated 100% Already Graded A+_ The parent of a 1-week old is concerned about the unusual shape of their child's head. In the physical exam, which of the following signs would not support the diagnosis of craniosynos

NU 664 Exam 1 Questions and Answers Updated 100% Already Graded A+_ The parent of a 1-week old is concerned about the unusual shape of their child's head. In the physical exam, which of the following signs would not support the diagnosis of craniosynostosis? - CORRECT ANSWER-A palpable lesion at the occipital region. Gold standard for CAP diagnosis: - CORRECT ANSWER-Chest x-ray If CAP symptoms present but no obvious signs of infection on CXR treatment is... - CORRECT ANSWER-Same as if CXR was positive Immunizations for people over 65 or younger people with comorbidities such as asthma, CHF COPD: - CORRECT ANSWER-Pneumonia and flu vaccines Who is at risk for CAP? - CORRECT ANSWER-Extremes of age, smokers, alcoholics, GERD, chronic disease, institutionalization CAP presentation in adults: - CORRECT ANSWER-Cough (may be nonproductive), dyspnea, fever, hemoptysis, chest pain, fatigue, tachycardia If lymphocytes are elevated? - CORRECT ANSWER-Indicative of viral process If monocytes are elevated? - CORRECT ANSWER-Indicative of chronic process If eosinophils are elevated? - CORRECT ANSWER-Indicative of asthma, allergic reaction If basophils are elevated? - CORRECT ANSWER-Indicative of chronic process If neutrophils are elevated? - CORRECT ANSWER-Indicative of acute bacterial process CAP: patient present with symptoms of chills, fever, chest pain, productive cough with purulent sputum, positive chest x-ray, and patient had URI last week? - CORRECT ANSWER-Streptococcus pneumonia: gram + In the United States, the most common cause of myocarditis in children is: - CORRECT ANSWER-Viruses Your next patient is a 5-year-old child with a history of moderate persistent asthma. He has been wheezing and coughing for the past two days, and his mother brings him in today for evaluation. He has been using albuterol every four hours. His respiratory rate is 13 breaths per minute; his lungs are clear to auscultation; and no retractions are noted. What may be your assessment and intervention based on this information? - CORRECT ANSWER-Your child is breathing slower than normal for his age. We need to send him to the ER for further intervention. Your next patient is a 6-year-old male here for his annual influenza vaccine. He has a history of mild persistent asthma. What would you discuss for medications when reviewing his asthma action plan? - CORRECT ANSWER-Your child should continue his low-dose inhaled corticosteroid daily and add albuterol as needed for an exacerbation. A child who has been diagnosed with asthma for several years has been using a short-acting Beta-agonist (SABA) to control symptoms. The PNP learns that the child has recently begun using the SABA 2-3 times each week to prevent wheezing and shortness of breath. The child currently has clear breath sounds and an FEV1 of 75% of personal best. What will the NP do? - CORRECT ANSWER-Add an inhaled corticosteroid. Your next patient is a six-month-old infant who just completed amoxicillin for otitis media. The mother states her child is better except for a diaper rash. Upon examination, you note red scaly plaques in the diaper area with satellite lesions to his upper thighs. What would you do next as the PNP? - CORRECT ANSWER-Your child has a rash that is likely due to a fungus, Candida, and commonly occurs after taking antibiotics. I will prescribe nystatin to be applied to the diaper area.