Test Bank for Nurse Practitioner's Business Practice and L
g g g g g g g g
egal Guide, 7th Edition by Carolyn Buppert, 97812842085
g g g g g g g
42, Covering Chapters 1-118 | Includes Rationales
g g g g g g
•
Thegconceptgofghealthgpromotiongconsistsgofgeffortsgtogpreventgrathergthangtogcuregdisea
segorgdisability.gThisgdescriptiongbestgdescribes:
a.gtertiarygprevention
b.gsecondarygprevention
c.gprimarygprevention
d.gmorbiditygpreventiong-gANSWERgc
Standardsgforgwellgchildgcaregandghealthgpromotiongaregsetgforthgbygthe:
a.gTaskgForcegongPreventativegServices,gUSgDepartmentgofgHealthgandgHumangservice
s
b.gAmericangAcademygofgFamilygPhysicians
c.gAmericangAcademygofgpediatrics
d.gHealthygPeopleg2010gandg2020g-gANSWERgc
Ag15gyogfemalegcomesgtogthegclinicgforgaghealthgmaintenancegvisit.gThegpatientgreportsgn
ogcomplaints.gShegdoesgwellgingschool,ghasgmanygfriends,gandggetsgalonggwellgwithgherg
parentsgandgtwogsiblings.gSheghasgrecentlygbecomegsexuallygactivegwithghergboyfriendg
ofg6mo.gThegphysicalgexamgisgnormalgforghergage.gWhatgscreening,glabgtests,gand/orgim
munizationsgshouldgthegPNPgorder?
a.gVision,ghearing,gurinalysis,gSTDgscreen,gpelvicgexam,gandgimmunizationsgasgneeded
b.gSTDgscreen,gpneumococcalgvaccine,gpelvicgexam,gandgcholesterolgscreeninggasgindi
cated
c.gvision,ghearing,gSTDgscreen,gpelvicgexam,gandghemoglobingifgindicated.
d.gMeaslesgvaccine,gvision,ghearing,gSTDgscreen,gpelvicgexamgexam,gandgcholesterolgs
creengifgindicated.g-gANSWERga
Whichgofgthegfollowinggisgthegbestgwrittengchiefgcomplaint?
a.g5yogasiangfemalegwithgitchygredgrash
b.g1gmogwithgdifficultygfeeding
c.g15yogafricangamericangfemalegcomplaininggofglowergabdominalgpaingforg3gdays
d.g12yogcaucasiangwithgitchygeyegforg1gweekg-gANSWERgc
Thegpastghistorygshouldginclude
a.gfamilyghistory
b.gsocialghx
c.gsymptomganalysis
d.ghospitalizationg-gANSWERgd
Thegfamilyghistorygshouldginclude:
a.gtheghealthgstatusgofgthegpaternalggrandparents
b.gtheglivinggconditionsgofgthegfamily
c.gthegworkgstatusgofgthegparents
d.gschoolginformationg-gANSWERga
,Whichgofgthegfollowinggstatementsgwouldgbegconsideredgsubjectivegdatagobtainedgfromg
thegclientgduringgthegreviewgofgsystemsgforgthegskin?
a.gthegskingappearsgdryg&gexcoriated
b.gaglesiongisgnotedgongtheglateralgaspectgofgthegrightgleg
c.gtheregisgmoderategacnegongthegforeheadgandgback
d.gthegpatientgdeniesgchangesgingskingtextureg-gANSWERgd
ThegPNPgisgcompletinggthegROSgongag4mo.gWhatgresponsegfromgthegmothergmightgindi
categagcardiacgproblemgingtheginfantg&grequiregagmoregthoroughghistory?g
a.gthegbabyggetsgtheghiccupsgoften.
b.gitgtakesgthegbabygoverg30mingtogcompletegagbottle
c.gthegbaby'sgheartgseemsgtogbeatgrapidlygsometimes
d.gsometimesgthegbabygsoundsgcongestedg-gANSWERgb
ThegPNPgisgobtaininggagreviewgofgsystemsgongaghealthyg8yoggirl.gItgwouldgbegimportantgt
oginclude:
a.gthegdategofglastgbreastgself-exam.
b.ganyglimitationsgrelatedgtogsportsgparticipation.
c.gtheglastghematocritgandghemoglobin
d.gtheglastgleadgscreeng-gANSWERgb
Thegmothergofgag3yogstatesgthatghergsongwasgcompletelygtoiletgtrainedgatg18mo.gThegPN
Pgexploresgfurther,gasking:
a.ghowgthegmothergdidgthegtoiletgtraining
b.gifgthegchildgisgdrygatgnightgandgfullygtrainedgforgurinegandgstoolgdaygandgnight
c.gatgwhatgagegdidgthegmothergbegingtoiletgtraininggthegothergchild.
d.gifgthegchildggetsgupgatgnightgtogusegthegbathroomg-gANSWERgb
Jasmine,gag5-month-
oldginfantgisgingthegclinicgforgagwellgchildgvisitgandgisgsleepingginghergmother'sgarms.gWhatg
shouldgthegPNPgdogfirst?g
a.gExaminegthegears,gsincegthisgisguncomfortablegforgtheginfant.
b.gQuicklyggiveganygneededgimmunizations.
c.gBegingwithgassessmentgofgthegheadgandgproceedgfromgheadgtogtoe.
d.gauscultategthegheartg&glungsgwhilegtheginfantgisgsleeping.g-gANSWERgd
Thegmothergofgagnewborngbringsgthegbabygtogthegclinicgbecausegshegisgafraidgsomething
gisgwronggwithghergbabyg("hisgheadgisgsogbig").gThegPNPgrespondsgthat:
a.g"thisgisgnormal.gThegheadgofgagnewborngisgproportionatelyglargegtogthegrestgofgthegbod
y"
b.g"Yes,gthisgdoesgappeargabnormal.gIgwillgmakegangappointmentgforgthegbabygtogbegsee
ngbygagneurologist."
d.g"yourgheadgappearsglargegsogitgisgprobablyggenetic."g-gANSWERga
Aghealthyg12yogfemalegisgatgthegclinicgforgagwellgcheckup.gOngphysicalgexamination,gagm
arkedgelevationgofgthegrightgscapulagandgrightgthoracicghumpgandgspinalgcurvegabnorma
llygaregnoted.gSpinalgfilmsgindicateg20gdegreegcurve.gThegPNPgshould:
a.grefergthegpatientgtogangorthopedist
b.gmonitorgthegpatientgeveryg3gmoguntilgmenarche
,c.grefergthegpatientgforgphysicalgtherapy
d.grecommendgbedrestgandgbackgbraceg-gANSWERga
Whatgisgtheg%gofgriskgangautosomalgdominantggenegisgbeinggpassedgongtogeachgoffsprin
g?g
a.g25
b.g50
c.g100
d.gnoneg-gANSWERgb
Ag13yogfemalegisgatgthegclinicgforgagroutinegcheckgup.gWhatgpresentinggsymptomsgmightg
alertgthegPNPgtogthegpresencegofgagpossibleggeneticgdisorder?
a.g<10%gonggrowthgchart,gTannergI,gandglearninggdifficulties
b.gPrecociousgpuberty,gdevelopmentalgdelays,ggiftedgpianogplayer
c.gLactosegintolerance,gfrequentgearginfections,gspeechgdelays
d.gPeanutgallergy,gright-sidedgweakness,gandgexhibitsgbullyinggbehaviorg-gANSWERga
Thegparentsgofgagchildgwithgcysticgfibrosisgaregconsideringganothergpregnancy.gTheygwa
ntgtogknowgwhatgtheirgchancesgaregofghavingganothergchildgwithgcysticgfibrosis.gThegPNP
gexplainsgthatgcysticgfibrosisgisgangautosomalgrecessivegdisordergandgthatgeachgconcepti
ongofgcarriergparentsghasga:
a.g25%gchancegofgbeinggaffected
b.g50%gchancegofgbeinggaffected
c.g75%gchancegofgbeinggaffected
d.g100%gchancegofgbeinggaffectedg-gANSWERga
Thegparentsgofgagsongwithghemophiliagaregconsideringganothergpregnancy.gThegmotherg
hasgbeengidentifiedgasgagcarriergofgtheghemophiliaggene.gWhatgchancegdoesgeachgfemal
egoffspringghavegofghavingghemophilia.g
a.g100%
b.g50%
c.g25%
d.gnoneg-gANSWERgd
AgmalegwithgVitamingD-
resistantgricketsgasksgwhatghisgchancesgaregofgpassingghisgdiseasegtoghisgparents.gTheg
PNPganswers:
a.gallgsonsgwillgbegaffectedgbygonlyg25%gdaughters
b.gallgdaughtersgaregaffectedgbygonlyg25%gsons
c.g50%gofgallgoffspringgwillghavegthegdisease
d.gallgdaughtersgwillgbegaffectedgbutgnogsons.g-gANSWERgd
ThegPNPgisgfollowinggag15-year-
oldgmalegadolescentgwithgconsistentgbloodgpressuregreadingsgofg132gtog138/84gtog86gm
mgHg,gwhichgisgclassifiedgasgsignificantghypertension.gAftergperforminggagworkup,gthegP
NPgdeterminesgthatgthegadolescentghasgprimaryghypertension.gThegmostgjudiciousgreco
mmendationgforgtherapygis:
A)gDietgandgexercisegcounselinggandgreferralgtogagspecialist
B)gAgdiuretic,glow-saltgdiet,gexercise,gandgcounselinggbygagdietician
C)gPerformgangextensivegfamilyghistorygtogdeterminegothergriskgfactors
, D)gAgvasodilator,grestrictedgactivity,gandgaglow-fatgdietg-gANSWERga
ThegPNPgisgexamininggagneonategwithgagheartgmurmur.gThegS2gsoundgisgloudestgatgtheg
apex.gThegrespiratorygrategisg65gbreathsgpergminute,gandgthegheartgrategisg180gbeatsgper
gminute.gWhichgofgthegfollowinggwouldgbegangappropriategactiongbygthegPNP?
A)gReevaluategthegneonateging24ghours
B)gIncreasegthegnumbergofgoralgfeedings
C)gOrdergcardiacgcatheterization
D)gRefergthegneonategtogagcardiologistg-gANSWERgd
Ag2-week-
oldgneonategisgbroughtgtogthegclinicgwithgexcessiveglacrimationgofgbothgeyes.gThegeyesga
regclear,gwithgnogareasgofgredness,gbutgthegcorneasgappearghazy.gThegPNPgexplainsgtogt
hegparentsgthegpossiblegdiagnosisgandgtreatmentgasgfollows:
A)gCongenitalgglaucomagrequiringgangophthalmologygreferral
B)gCornealgforeigngbodygrequiringgfluoresceingstaininggandgremoval
C)gChalaziongrequiringgtreatmentgwithgantibioticgeyedrops
D)gAllergicgconjunctivitisgrequiringgtreatmentgwithgBenadrylgeyedropsg-gANSWERga
Ongexaminationgofgag3-month-
oldginfantgthegPNPgisgunablegtogelicitgagredgreflexgingthegrightgeye.gPreviousgexamination
sgfailedgtognotegthegpresencegorgabsencegofgagredgreflex.gThegPNP'sgresponsegisgto:
A)gReassuregthegparentsgthatgthisgisgnotgagproblemgbecausegtheginfantghasgdarkgeyes
B)gNotegthisgfindinggingtheginfant'sgchartgandgcheckgagaingingagfewgmonths
C)gRefergtheginfantgtogangophthalmologistgtogrulegoutgretinalgtrauma
D)gImmediatelygrefergtheginfantgtogagpediatricgophthalmologistgtogrulegoutgagcongenitalgc
ataractgorgretinoblastomag-gANSWERgd
Ag4-year-
oldgchildgwithgchickenpoxghasgvesiclesgongthegskingofgthegrightgeyelid.gThegchildgcomplai
nsgofgeyegpaingandgblurredgvision.gThegPNPgshouldgtreatgthegconditiongby:
A)gApplyinggcoolgcompressesgtogthegeyegandglesions
B)gPrescribinggeyedropsgcontaininggsteroidsgtogdecreaseginflammationgandgpain
C)gPrescribinggpolyspoiumgophthalmicgointmentgforgthegsecondarygbacterialginfection
D)gImmediatelygreferringgthegchildgtogangophthalmologistg-gANSWERgd
Angadolescentgisgbeinggseengatgagcommunityghealthgcentergbecausegofgrecurrentgrespir
atorygtractginfections.gThegcompletegbloodgcellgcountg(CBC)gwithgdifferentialgshowsgagw
hitegbloodgcellgcountgofg20,500gwithg35%gblastgcells.gThegnextgstepgingmanaginggthegado
lescent'sgcaregisgto:
A)gRepeatgthegCBCgwithgdifferentialging1gweek
B)gRefergtogagspecialistgingpediatricghematology
C)gPerformgbonegmarrowgaspiration
D)gHospitalizegthegadolescentgimmediatelyg-gANSWERgb
Ag9-month-
oldginfantgwasgdiagnosedgwithgsicklegcellgdiseasegshortlygaftergbirth.gThegmothergteleph
onesgthegPNPgtogreportgthatgtheginfantghasgagfevergofg103.2°F.gThegbestgresponsegtogthe
gmothergis:
A)g"Takegtheginfantgtogthegemergencygroomgimmediately."
g g g g g g g g
egal Guide, 7th Edition by Carolyn Buppert, 97812842085
g g g g g g g
42, Covering Chapters 1-118 | Includes Rationales
g g g g g g
•
Thegconceptgofghealthgpromotiongconsistsgofgeffortsgtogpreventgrathergthangtogcuregdisea
segorgdisability.gThisgdescriptiongbestgdescribes:
a.gtertiarygprevention
b.gsecondarygprevention
c.gprimarygprevention
d.gmorbiditygpreventiong-gANSWERgc
Standardsgforgwellgchildgcaregandghealthgpromotiongaregsetgforthgbygthe:
a.gTaskgForcegongPreventativegServices,gUSgDepartmentgofgHealthgandgHumangservice
s
b.gAmericangAcademygofgFamilygPhysicians
c.gAmericangAcademygofgpediatrics
d.gHealthygPeopleg2010gandg2020g-gANSWERgc
Ag15gyogfemalegcomesgtogthegclinicgforgaghealthgmaintenancegvisit.gThegpatientgreportsgn
ogcomplaints.gShegdoesgwellgingschool,ghasgmanygfriends,gandggetsgalonggwellgwithgherg
parentsgandgtwogsiblings.gSheghasgrecentlygbecomegsexuallygactivegwithghergboyfriendg
ofg6mo.gThegphysicalgexamgisgnormalgforghergage.gWhatgscreening,glabgtests,gand/orgim
munizationsgshouldgthegPNPgorder?
a.gVision,ghearing,gurinalysis,gSTDgscreen,gpelvicgexam,gandgimmunizationsgasgneeded
b.gSTDgscreen,gpneumococcalgvaccine,gpelvicgexam,gandgcholesterolgscreeninggasgindi
cated
c.gvision,ghearing,gSTDgscreen,gpelvicgexam,gandghemoglobingifgindicated.
d.gMeaslesgvaccine,gvision,ghearing,gSTDgscreen,gpelvicgexamgexam,gandgcholesterolgs
creengifgindicated.g-gANSWERga
Whichgofgthegfollowinggisgthegbestgwrittengchiefgcomplaint?
a.g5yogasiangfemalegwithgitchygredgrash
b.g1gmogwithgdifficultygfeeding
c.g15yogafricangamericangfemalegcomplaininggofglowergabdominalgpaingforg3gdays
d.g12yogcaucasiangwithgitchygeyegforg1gweekg-gANSWERgc
Thegpastghistorygshouldginclude
a.gfamilyghistory
b.gsocialghx
c.gsymptomganalysis
d.ghospitalizationg-gANSWERgd
Thegfamilyghistorygshouldginclude:
a.gtheghealthgstatusgofgthegpaternalggrandparents
b.gtheglivinggconditionsgofgthegfamily
c.gthegworkgstatusgofgthegparents
d.gschoolginformationg-gANSWERga
,Whichgofgthegfollowinggstatementsgwouldgbegconsideredgsubjectivegdatagobtainedgfromg
thegclientgduringgthegreviewgofgsystemsgforgthegskin?
a.gthegskingappearsgdryg&gexcoriated
b.gaglesiongisgnotedgongtheglateralgaspectgofgthegrightgleg
c.gtheregisgmoderategacnegongthegforeheadgandgback
d.gthegpatientgdeniesgchangesgingskingtextureg-gANSWERgd
ThegPNPgisgcompletinggthegROSgongag4mo.gWhatgresponsegfromgthegmothergmightgindi
categagcardiacgproblemgingtheginfantg&grequiregagmoregthoroughghistory?g
a.gthegbabyggetsgtheghiccupsgoften.
b.gitgtakesgthegbabygoverg30mingtogcompletegagbottle
c.gthegbaby'sgheartgseemsgtogbeatgrapidlygsometimes
d.gsometimesgthegbabygsoundsgcongestedg-gANSWERgb
ThegPNPgisgobtaininggagreviewgofgsystemsgongaghealthyg8yoggirl.gItgwouldgbegimportantgt
oginclude:
a.gthegdategofglastgbreastgself-exam.
b.ganyglimitationsgrelatedgtogsportsgparticipation.
c.gtheglastghematocritgandghemoglobin
d.gtheglastgleadgscreeng-gANSWERgb
Thegmothergofgag3yogstatesgthatghergsongwasgcompletelygtoiletgtrainedgatg18mo.gThegPN
Pgexploresgfurther,gasking:
a.ghowgthegmothergdidgthegtoiletgtraining
b.gifgthegchildgisgdrygatgnightgandgfullygtrainedgforgurinegandgstoolgdaygandgnight
c.gatgwhatgagegdidgthegmothergbegingtoiletgtraininggthegothergchild.
d.gifgthegchildggetsgupgatgnightgtogusegthegbathroomg-gANSWERgb
Jasmine,gag5-month-
oldginfantgisgingthegclinicgforgagwellgchildgvisitgandgisgsleepingginghergmother'sgarms.gWhatg
shouldgthegPNPgdogfirst?g
a.gExaminegthegears,gsincegthisgisguncomfortablegforgtheginfant.
b.gQuicklyggiveganygneededgimmunizations.
c.gBegingwithgassessmentgofgthegheadgandgproceedgfromgheadgtogtoe.
d.gauscultategthegheartg&glungsgwhilegtheginfantgisgsleeping.g-gANSWERgd
Thegmothergofgagnewborngbringsgthegbabygtogthegclinicgbecausegshegisgafraidgsomething
gisgwronggwithghergbabyg("hisgheadgisgsogbig").gThegPNPgrespondsgthat:
a.g"thisgisgnormal.gThegheadgofgagnewborngisgproportionatelyglargegtogthegrestgofgthegbod
y"
b.g"Yes,gthisgdoesgappeargabnormal.gIgwillgmakegangappointmentgforgthegbabygtogbegsee
ngbygagneurologist."
d.g"yourgheadgappearsglargegsogitgisgprobablyggenetic."g-gANSWERga
Aghealthyg12yogfemalegisgatgthegclinicgforgagwellgcheckup.gOngphysicalgexamination,gagm
arkedgelevationgofgthegrightgscapulagandgrightgthoracicghumpgandgspinalgcurvegabnorma
llygaregnoted.gSpinalgfilmsgindicateg20gdegreegcurve.gThegPNPgshould:
a.grefergthegpatientgtogangorthopedist
b.gmonitorgthegpatientgeveryg3gmoguntilgmenarche
,c.grefergthegpatientgforgphysicalgtherapy
d.grecommendgbedrestgandgbackgbraceg-gANSWERga
Whatgisgtheg%gofgriskgangautosomalgdominantggenegisgbeinggpassedgongtogeachgoffsprin
g?g
a.g25
b.g50
c.g100
d.gnoneg-gANSWERgb
Ag13yogfemalegisgatgthegclinicgforgagroutinegcheckgup.gWhatgpresentinggsymptomsgmightg
alertgthegPNPgtogthegpresencegofgagpossibleggeneticgdisorder?
a.g<10%gonggrowthgchart,gTannergI,gandglearninggdifficulties
b.gPrecociousgpuberty,gdevelopmentalgdelays,ggiftedgpianogplayer
c.gLactosegintolerance,gfrequentgearginfections,gspeechgdelays
d.gPeanutgallergy,gright-sidedgweakness,gandgexhibitsgbullyinggbehaviorg-gANSWERga
Thegparentsgofgagchildgwithgcysticgfibrosisgaregconsideringganothergpregnancy.gTheygwa
ntgtogknowgwhatgtheirgchancesgaregofghavingganothergchildgwithgcysticgfibrosis.gThegPNP
gexplainsgthatgcysticgfibrosisgisgangautosomalgrecessivegdisordergandgthatgeachgconcepti
ongofgcarriergparentsghasga:
a.g25%gchancegofgbeinggaffected
b.g50%gchancegofgbeinggaffected
c.g75%gchancegofgbeinggaffected
d.g100%gchancegofgbeinggaffectedg-gANSWERga
Thegparentsgofgagsongwithghemophiliagaregconsideringganothergpregnancy.gThegmotherg
hasgbeengidentifiedgasgagcarriergofgtheghemophiliaggene.gWhatgchancegdoesgeachgfemal
egoffspringghavegofghavingghemophilia.g
a.g100%
b.g50%
c.g25%
d.gnoneg-gANSWERgd
AgmalegwithgVitamingD-
resistantgricketsgasksgwhatghisgchancesgaregofgpassingghisgdiseasegtoghisgparents.gTheg
PNPganswers:
a.gallgsonsgwillgbegaffectedgbygonlyg25%gdaughters
b.gallgdaughtersgaregaffectedgbygonlyg25%gsons
c.g50%gofgallgoffspringgwillghavegthegdisease
d.gallgdaughtersgwillgbegaffectedgbutgnogsons.g-gANSWERgd
ThegPNPgisgfollowinggag15-year-
oldgmalegadolescentgwithgconsistentgbloodgpressuregreadingsgofg132gtog138/84gtog86gm
mgHg,gwhichgisgclassifiedgasgsignificantghypertension.gAftergperforminggagworkup,gthegP
NPgdeterminesgthatgthegadolescentghasgprimaryghypertension.gThegmostgjudiciousgreco
mmendationgforgtherapygis:
A)gDietgandgexercisegcounselinggandgreferralgtogagspecialist
B)gAgdiuretic,glow-saltgdiet,gexercise,gandgcounselinggbygagdietician
C)gPerformgangextensivegfamilyghistorygtogdeterminegothergriskgfactors
, D)gAgvasodilator,grestrictedgactivity,gandgaglow-fatgdietg-gANSWERga
ThegPNPgisgexamininggagneonategwithgagheartgmurmur.gThegS2gsoundgisgloudestgatgtheg
apex.gThegrespiratorygrategisg65gbreathsgpergminute,gandgthegheartgrategisg180gbeatsgper
gminute.gWhichgofgthegfollowinggwouldgbegangappropriategactiongbygthegPNP?
A)gReevaluategthegneonateging24ghours
B)gIncreasegthegnumbergofgoralgfeedings
C)gOrdergcardiacgcatheterization
D)gRefergthegneonategtogagcardiologistg-gANSWERgd
Ag2-week-
oldgneonategisgbroughtgtogthegclinicgwithgexcessiveglacrimationgofgbothgeyes.gThegeyesga
regclear,gwithgnogareasgofgredness,gbutgthegcorneasgappearghazy.gThegPNPgexplainsgtogt
hegparentsgthegpossiblegdiagnosisgandgtreatmentgasgfollows:
A)gCongenitalgglaucomagrequiringgangophthalmologygreferral
B)gCornealgforeigngbodygrequiringgfluoresceingstaininggandgremoval
C)gChalaziongrequiringgtreatmentgwithgantibioticgeyedrops
D)gAllergicgconjunctivitisgrequiringgtreatmentgwithgBenadrylgeyedropsg-gANSWERga
Ongexaminationgofgag3-month-
oldginfantgthegPNPgisgunablegtogelicitgagredgreflexgingthegrightgeye.gPreviousgexamination
sgfailedgtognotegthegpresencegorgabsencegofgagredgreflex.gThegPNP'sgresponsegisgto:
A)gReassuregthegparentsgthatgthisgisgnotgagproblemgbecausegtheginfantghasgdarkgeyes
B)gNotegthisgfindinggingtheginfant'sgchartgandgcheckgagaingingagfewgmonths
C)gRefergtheginfantgtogangophthalmologistgtogrulegoutgretinalgtrauma
D)gImmediatelygrefergtheginfantgtogagpediatricgophthalmologistgtogrulegoutgagcongenitalgc
ataractgorgretinoblastomag-gANSWERgd
Ag4-year-
oldgchildgwithgchickenpoxghasgvesiclesgongthegskingofgthegrightgeyelid.gThegchildgcomplai
nsgofgeyegpaingandgblurredgvision.gThegPNPgshouldgtreatgthegconditiongby:
A)gApplyinggcoolgcompressesgtogthegeyegandglesions
B)gPrescribinggeyedropsgcontaininggsteroidsgtogdecreaseginflammationgandgpain
C)gPrescribinggpolyspoiumgophthalmicgointmentgforgthegsecondarygbacterialginfection
D)gImmediatelygreferringgthegchildgtogangophthalmologistg-gANSWERgd
Angadolescentgisgbeinggseengatgagcommunityghealthgcentergbecausegofgrecurrentgrespir
atorygtractginfections.gThegcompletegbloodgcellgcountg(CBC)gwithgdifferentialgshowsgagw
hitegbloodgcellgcountgofg20,500gwithg35%gblastgcells.gThegnextgstepgingmanaginggthegado
lescent'sgcaregisgto:
A)gRepeatgthegCBCgwithgdifferentialging1gweek
B)gRefergtogagspecialistgingpediatricghematology
C)gPerformgbonegmarrowgaspiration
D)gHospitalizegthegadolescentgimmediatelyg-gANSWERgb
Ag9-month-
oldginfantgwasgdiagnosedgwithgsicklegcellgdiseasegshortlygaftergbirth.gThegmothergteleph
onesgthegPNPgtogreportgthatgtheginfantghasgagfevergofg103.2°F.gThegbestgresponsegtogthe
gmothergis:
A)g"Takegtheginfantgtogthegemergencygroomgimmediately."
