Frequency tables may be converted into histograms.

During a routine well child exam on a 5-year-old child, who is growing appropriately. The nurse practitioner auscultates a grade II/VI, mid to late systolic ejection murmur at the upper left sternal border that transmits to both lung fields. The child has normal growth and development. What will the nurse practitioner suspect?  

A 10-year-old child has a 1-week history of fever of 104°C that is unresponsive to antipyretics. The nurse practitioner examines the child and notes bilateral conjunctival injection and a polymorphous exanthema, with no other symptoms. Lab tests show elevated ESR, CRP, and platelets. Cultures are all negative. What is the most likely diagnosis? 

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A 13 year old male  is being seen for a yearly physical has a blood pressure of 132/84.  At the last visit, one year ago, his blood pressure was normal.  He denies any symptoms. The initial management would be

In the chapter section on acid/base properties of salt solutions, you learned that protonated forms of weak bases can act as weak acids.  Given that for ammonia, NH3, Kb = 1.8 x 10-5, calculate the pH of a 0.2 M solution of NH4Br. Hint: NH4Br dissociates 100% in water and acts as a weak acid (NH4+). This is therefore a weak acid pH calculation with given Kb instead of Ka. 

A 10-year-old child has just been diagnosed with Kawasaki Disease. The nurse practitioner understands which action to be important? 

A 5-year-old child who had a repair for transposition of the great arteries shortly after birth is growing normally and has been asymptomatic since the surgery. The nurse practitioner notes mild shortness of breath with exertion and, upon questioning, learns that the child has recently had a syncopal episode. What will the nurse practitioner do?  

The parent of a toddler and a 4-week-old infant tells the nurse practitioner that the toddler has just been diagnosed with pertussis, and the infant has started with a cough. What is the best course of action for the infant?  

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