NR602 week 3
There is no permanent cure, but periods What is the prognosis for systemic lupus
of remission may occur. erythematosus (SLE) in children?
What condition should a child with stiff-
Oligoarticular juvenile idiopathic arthritis
ness and warmth in the right knee and
(JIA).
left ankle be evaluated for?
What specialty referral is critical for a
Ophthalmology.
child with JIA who has a positive ANA?
How much ibuprofen can a 25 kg child
250 mg, calculated as 10 mg/kg/dose. with JIA take per dose if prescribed 4
doses per day?
What exercise is recommended for a
Swimming. child with oligoarticular JIA to help re-
duce symptoms?
What test may be ordered to confirm a
Antidouble-strand DNA antibodies. diagnosis of SLE in a child with joint pain,
low-grade fever, and a facial rash?
What should families be taught to help
Use UVA and UVB sunscreen daily. minimize flaring of episodes in children
with SLE?
What is the next step for an adolescent
Refer the adolescent to a rheumatologist
female reporting poor sleep, fatigue, and
for further evaluation.
joint pain?
What test should be ordered for a child
ASO titer (anti-streptolysin O). with fever and arthralgia who had a sore
throat 3 weeks prior?
What will the nurse practitioner teach the
Aspirin is given for 2 weeks and then
family about ongoing care for a child with
tapered to discontinue the medication.
polyarthritis after ARF?
An 8-year-old boy has a recent history of
an upper respiratory infection and comes
to the clinic with a maculopapular rash
Blood pressure measurement. on his lower extremities and swelling and
tenderness in both ankles. The pediatric
nurse practitioner performs a UA, which
shows proteinuria and hematuria and di-
, NR602 week 3
agnoses HSP. What ongoing evaluation
will the nurse practitioner perform during
the course of this disease?
A 10yearold child has a 1week history
of fever of 104°C that is unresponsive to
antipyretics. The primary care pediatric
nurse practitioner examines the child and
Order a baseline echocardiogram today notes bilateral conjunctival injection and
and another in 2 weeks. a polymorphous exanthema with no oth-
er symptoms. Lab tests show elevated
ESR, CRP, and platelets. Cultures are all
negative. What will the nurse practitioner
do?
Elevated ESR, CRP, and platelets with What lab findings might indicate
negative cultures. Kawasaki disease in a child?
What should the nurse practitioner order
Order a baseline echocardiogram today
for a patient with elevated ESR, CRP, and
and another in 2 weeks.
platelets but negative cultures?
What should the nurse practitioner
"Although it is likely, based on family his- tell parents concerned about their
tory, it is too soon to tell." 11-month-old infant potentially having
asthma? hx uri
What diagnostic test should be ordered
Spirometry testing. for a school-age child with bronchitis and
wheezing?
Order an oral corticosteroid, continue the What is the next step for a child with
SABA every 3 to 4 hours, and follow an acute asthma exacerbation showing
closely. FEV1 of 60% after using SABA?
What should be done for a child using
SABA two or three times a week for asth-
Add a daily inhaled corticosteroid.
ma symptoms? FEV1 of 75% of personal
best
What action should be taken for an ado-
Refer to a pulmonologist for omalizumab
lescent with asthma and severe allergies
therapy.
who has poor control despite treatment?
There is no permanent cure, but periods What is the prognosis for systemic lupus
of remission may occur. erythematosus (SLE) in children?
What condition should a child with stiff-
Oligoarticular juvenile idiopathic arthritis
ness and warmth in the right knee and
(JIA).
left ankle be evaluated for?
What specialty referral is critical for a
Ophthalmology.
child with JIA who has a positive ANA?
How much ibuprofen can a 25 kg child
250 mg, calculated as 10 mg/kg/dose. with JIA take per dose if prescribed 4
doses per day?
What exercise is recommended for a
Swimming. child with oligoarticular JIA to help re-
duce symptoms?
What test may be ordered to confirm a
Antidouble-strand DNA antibodies. diagnosis of SLE in a child with joint pain,
low-grade fever, and a facial rash?
What should families be taught to help
Use UVA and UVB sunscreen daily. minimize flaring of episodes in children
with SLE?
What is the next step for an adolescent
Refer the adolescent to a rheumatologist
female reporting poor sleep, fatigue, and
for further evaluation.
joint pain?
What test should be ordered for a child
ASO titer (anti-streptolysin O). with fever and arthralgia who had a sore
throat 3 weeks prior?
What will the nurse practitioner teach the
Aspirin is given for 2 weeks and then
family about ongoing care for a child with
tapered to discontinue the medication.
polyarthritis after ARF?
An 8-year-old boy has a recent history of
an upper respiratory infection and comes
to the clinic with a maculopapular rash
Blood pressure measurement. on his lower extremities and swelling and
tenderness in both ankles. The pediatric
nurse practitioner performs a UA, which
shows proteinuria and hematuria and di-
, NR602 week 3
agnoses HSP. What ongoing evaluation
will the nurse practitioner perform during
the course of this disease?
A 10yearold child has a 1week history
of fever of 104°C that is unresponsive to
antipyretics. The primary care pediatric
nurse practitioner examines the child and
Order a baseline echocardiogram today notes bilateral conjunctival injection and
and another in 2 weeks. a polymorphous exanthema with no oth-
er symptoms. Lab tests show elevated
ESR, CRP, and platelets. Cultures are all
negative. What will the nurse practitioner
do?
Elevated ESR, CRP, and platelets with What lab findings might indicate
negative cultures. Kawasaki disease in a child?
What should the nurse practitioner order
Order a baseline echocardiogram today
for a patient with elevated ESR, CRP, and
and another in 2 weeks.
platelets but negative cultures?
What should the nurse practitioner
"Although it is likely, based on family his- tell parents concerned about their
tory, it is too soon to tell." 11-month-old infant potentially having
asthma? hx uri
What diagnostic test should be ordered
Spirometry testing. for a school-age child with bronchitis and
wheezing?
Order an oral corticosteroid, continue the What is the next step for a child with
SABA every 3 to 4 hours, and follow an acute asthma exacerbation showing
closely. FEV1 of 60% after using SABA?
What should be done for a child using
SABA two or three times a week for asth-
Add a daily inhaled corticosteroid.
ma symptoms? FEV1 of 75% of personal
best
What action should be taken for an ado-
Refer to a pulmonologist for omalizumab
lescent with asthma and severe allergies
therapy.
who has poor control despite treatment?
