The primary care pediatric nurse practitioner is managing ca…
The primary care pediatric nurse practitioner is managing care for a child who has been diagnosed with juvenile idiopathic arthritis (JIA) has a positive antinuclear antibody (ANA). Which specialty referral is critical for this child?
Read DetailsA 16-year-old presents to the clinic complaining of eye drai…
A 16-year-old presents to the clinic complaining of eye drainage. The patient states that the left eye has been red for three (3) days and they have also had a runny nose for the past seven (7) days. The patient awoke this morning and was unable to open the left eye due to “dried, crusty stuff”. The nurse practitioner’s examination of the left eye reveals this: The nurse practitioner determines this is bacterial conjunctivitis and prescribes eye drops for this patient. Prior to the patient leaving the clinic what would you teach/tell them about this diagnosis? (Please list at least two (2) teaching points.)
Read DetailsA 3-year-old is brought to the clinic by their parent. The p…
A 3-year-old is brought to the clinic by their parent. The parent states that the child had some cold symptoms a few days ago with a temperature up to 1020F. The parent is worried about a rash that has started on the patient’s hands. Upon further examination the nurse practitioner notes vesicular eruptions on the patient’s hands, feet and mouth. The nurse practitioner should tell the parent that their child has
Read DetailsA 12-year-old presents to the clinic worried about markings…
A 12-year-old presents to the clinic worried about markings on their tongue. The patient tells you that they believe they have an infection on their tongue. The oral examination reveals: What is the BEST treatment plan for this patient?
Read DetailsA 9-month-old presents to the clinic with their parent. The…
A 9-month-old presents to the clinic with their parent. The chief complaint is the baby’s temperature which has been up to 103.6º for the past 24 hours. The parent states that they have given the baby tylenol, but it takes at least an hour for the fever to go away and it comes back five (5) to six (6) hours later. A thorough history reveals no other symptoms and no travel out of town for the past 2 months. The child does attend daycare, but the mother reports that no one who cares for the child has been ill. The mother states that the child is nursing and sleeping well. The child’s temperature is 102.ºF at the time of the visit. The assessment reveals a happy, playful baby with no abnormal findings, except the fever. What might you say to the parent to ease their fear about the fever? (Please list at least two (2) things you might say? What are some ways you could tell the parent to help reduce the fever without medication? Please list at least two (2) ways to reduce fever without medication. BONUS…What might this illness be and what would you warn the parent about that may occur when the fever resolves?
Read DetailsThe primary care pediatric nurse practitioner is examining a…
The primary care pediatric nurse practitioner is examining a 5-year-old child who has had recurrent fevers, bone pain, and a recent loss of weight. The physical exam reveals scattered petechiae, lymphadenopathy, and bruising. A complete blood count shows thrombocytopenia, anemia, and an elevated white cell blood count. The nurse practitioner will refer this child to a specialist for what diagnostic testing?
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