A 5-year-old presents to the clinic complaining of a sore throat. The patient has had a temperature up to 101.8ºF for the past 2 days. The assessment reveals cervical lymphadenopathy, a temperature of 100.5º F today, and the patient’s throat looks like the picture below. The nurse practitioner also notes a fine “sandpaper feeling” rash on the patient’s trunk. The patient has no drug allergies. You do not have access to a rapid strep screen. What should your treatment plan be?

A 4-year-old presents to the clinic for a possible foreign body in their left ear. The child is in no pain, has no fever or cold symptoms. Upon examination of the left ear, the nurse practitioner visualizes a small object. The object appears to be the tip of a crayon. The object is not wedged in the canal and the tympanic membrane is completely intact. What is the best way for the nurse practitioner to remove this object from the ear canal?

Module 5 included many eye and ear disorders. Which eye or ear disorder, that you might see in practice, scares you the most to take care of and why?

A child whose family has been camping in a region with endemic Lyme disease suffered several tick bites. The parents report removing the ticks but are not able to verify the type or the length of time the ticks were attached. The child is asymptomatic. What is the best course of action?

A 14-year-old presents to the clinic complaining of an earache. The patient states that they have been away at camp for the past week and swam daily in the lake. Otoscopic examination reveals this in both ears and the tympanic membrane is not visible. Considering the diagnosis, what should the nurse practitioner prescribe?

The parent of an 18-month-old calls the on-call nurse practitioner after hours. The parent reports that the toddler has a temperature of 105ºF. The parent sounds frantic on the phone. After the nurse practitioner calms the parent down, they ascertains that the child is eating and sleeping well and acting as if they are not ill. The child is happily running and playing according to the parent. What should the nurse practitioner ask the mother to do in order to make sure the temperature is accurate?

A 9-month-old infant who has had three (3) prior acute ear infections and returns to the clinic today with irritability and a temperature of 102.20F with upper respiratory symptoms. The nurse practitioner notes erythema and bulging of the right and left tympanic membranes. The nurse practitioner correctly prescribes systemic antibiotics for the child. The next step in the management of this child’s ear infections should be:

A three-week-old infant presents to the clinic with a rectal temperature of 101.2oF. The baby is not dressed warmly and appears fussy and to not feel well. The parent reveals that the baby is not nursing as long or often as they usually do. What should the nurse practitioner do for this patient?

The nurse practitioner has been treating a 13-year-old for iron deficient anemia for the past 2 months. After ordering a hematology panel, the nurse practitioner notes that the hemoglobin has normalized. How much longer should the patient take iron supplements to replace the depleted stores?

A 17-year-old presents in the clinic stating that they had severe ear pain yesterday. The patient states that about 2am the pain “magically” went away and has not returned. The patient only came to the clinic because their mom “made them”. The otoscopic evaluation reveals: What is the most appropriate treatment plan for this patient?