Adv Pediatrics Nursing Test 1 (Burns) Exam Questions & Answers with Explanations, Rated A+

Adv Pediatrics Nursing Test 1 (Burns) Exam Questions & Answers with Explanations, Rated A+,A child is in the clinic for evaluation of an asthma action plan. The primary care pediatric nurse practitioner (PNP) notes that the child's last visit was for a pre kindergarten physical and observes that the child is extremely anxious. What will the nurse practitioner do initially? - Review the purpose of this visit and any anticipated procedures. Explanation: The PNP should remember that young children are learning "scripts" for health care visits and may be stressed when recalling previous visits, especially if those involved immunizations. The PNP should explain the purpose and any anticipated procedures for this visit to help put the child at ease. A child with Down syndrome who has sleep-disordered breathing with obstructive sleep apnea continues to have symptoms in spite of tonsillectomy and adenoidectomy and treatment with a leukotriene receptor antagonist medication and a nasal steroid spray. The primary care pediatric nurse practitioner will refer the child to a sleep disorder clinic to discuss which therapy? - Positive airway pressure therapy Explanation: Positive airway pressure therapy can be used to treat sleep-disordered breathing in children who have failed other therapies and even developmentally delayed children show improvement in behaviors after this therapy. Craniofacial surgery may be used in the presence of maxillofacial deformities that affect sleep-disordered breathing but is a last option. Oral appliances may be used if deformities can be corrected in this manner. Supplemental oxygen helps with oxygen saturations but not with disordered breathing patterns themselves. A primary care pediatric nurse practitioner working in a community health center wishes to develop a program to assist impoverished children and families to have access to healthy foods. Which strategy will the pediatric nurse practitioner employ to ensure the success of such a program? - Asking community members to assist in researching and implementing a program A single mother of an infant worries that living in a household with only one parent will cause her child to be maladjusted. To help address the mother's concerns, the primary care pediatric nurse practitioner will suggest - developing consistent daily routines for the child. Explanation: Providers can teach parents that providing predictable, consistent, and loving care helps an infant to learn trust and help influence positive brain development. Involving extended family members and going to play dates are good ways to socialize children but are not essential to learning trust. It may not be possible for her to be a stay-at-home mother.