The nurse practitioner is treating a 1-year-old who has a lacrimal duct obstruction. After4 weeks of treatment with topical antibiotics along with massage and frequent cleansing of secretions, the patient’s symptoms have not improved. Which action is correct?

A toddler presents to the clinic for a wellness examination. During the cover-uncover screening the child exhibits exotropia of the right eye. The nurse practitioner should refer to a pediatric ophthalmologist to initiate which treatment?

We discussed what you might include in a first aid kit for a sports team/band or ROTC regarding tooth injury. Please list at least three (3) items that you should have in the kit and what they would be used for.

A 5-year-old child is hit in the face with a baseball bat and is brought to the clinic by the parent. An examination of their mouth reveals three avulsed front teeth.  What is the recommended treatment for this patient?

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?