During a well child assessment of an infant, the primary care pediatric nurse practitioner (NP) notes a dark red-brown light reflex in the left eye and a slightly brighter, red-orange light reflex in the right eye. What will the nurse practitioner do next? Dilate the pupils and reassess the red reflex. Order auto-refractor screening of the eyes. Recheck the red reflex in 1 month. Refer the infant to an ophthalmologist. Correct

During a well child exam on a 4-year-old child, the primary care pediatric nurse practitioner notes that the clinic nurse recorded “20/50” for the child’s vision and noted that the child had difficulty cooperating with the exam. What will the nurse practitioner recommend? Follow up with a visual acuity screen in 6 months. Refer to a pediatric ophthalmologist. Re-test the child in 1 year. Test the child’s vision in 1 month. Correct

A 3-year-old child has had one episode of acute otitis media (AOM) 3 weeks prior with a normal tympanogram just after treatment with amoxicillin. In the clinic today, the child has a type B tympanogram, a temperature of 102.5°F, and a bulging tympanic membrane. What will the primary care pediatric nurse practitioner order? A referral for tympanocentesis Amoxicillin twice daily Amoxicillin-clavulanate twice daily Correct Intramuscular ceftriaxone

Sustainability considers not only the needs of the present generation, but also the needs of future generations.

eating

The primary care pediatric nurse practitioner observes a tender, swollen red furuncle on the upper lid margin of a child’s eye. What treatment will the nurse practitioner recommend? Culture of the lesion to determine causative organism Referral to ophthalmology for incision and drainage Topical steroid medication Warm, moist compresses 3 to 4 times daily Correct

The comparison of operating expenses in Year 1 and Year 2 would be included in which of the following types of analysis?

A 13-year-old child has exhibited symptoms of mild depression for several weeks. The parent reports feeling relieved that the symptoms have passed but concerned that the child now seems to have boundless energy and an inability to sit still. What will the primary care pediatric nurse practitioner do? Administer an ADHD diagnostic scale and consider an Attention-deficit/hyperactivity disorder (ADHD) medication. Consult with a child psychiatrist to prescribe an antidepressant medication. Reassure the parent that this behavior is common after mild depressive symptoms  Refer the child to a child psychiatrist for evaluation of bipolar disorder. Correct

The nurse is providing preoperative teaching to a client scheduled for a Roux-en-Y gastric bypass as treatment for morbid obesity.  Which instructions by the nurse is highest priority?  Select all that apply

The “triple bottom line” reports on three factors: profits, people, and planet.