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NU665A Exam 3 COMPLETE WITH RATIONALE GRADED A+ (Regis College)
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NU665A Exam 3 COMPLETE WITH RATIONALE GRADED A+ (Regis College)
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NU665A Exam 3 COMPLETEWITH RATIONALE GRADED A+
(Regis College)
Your next patient is a 6-year-old male here with his mother.
Mom brings the child in today because the child continues to
wet the bed at least twice a week. A urinalysis was completed
today and is normal. What is the best next step in the
evaluation of this child? - --ANSWER->>>>Ask the child and
mother about his voiding and bowel patterns.
You receive the results of newborn screening from a healthy,
term neonate and find that the TSH done on the newborn
screen is 82 mIU/L (elevated). What is your next step? - --
ANSWER->>>>Start thyroid supplementation and refer to
pediatric endocrinology urgently.
,A school-aged male presents with a history of recurrent
diarrhea, foul-smelling stools, and inability to gain weight. He
has had no fever, no recent travel, and no blood or mucus noted
in his stools. As the PNP, you suspect a food-related
malabsorption disorder. What would be the next step? - --
ANSWER->>>>Instruct the mother to start a two-week lactose-
free trial and return to the clinic after completed.
Surgical skin glue preparations offer some advantage over
suturing. On which of the following wounds might the PNP use
a skin adhesive? - --ANSWER->>>>Simple straight laceration in
tension-free area
Your next patient is a 26-month-old toddler here for her 2-year
well-child check. When discussing nutrition, her mother states
that the family has switched to strict vegan a few months ago.
As the PNP, what would you say to her mother? - --ANSWER-
>>>>Can you give me an example of the foods and drinks your
child consumes over a few days?
Your next patient is a 2-month-old infant here with his mother.
The infant is exclusively breastfed, and the mother asks why he
needs to take Vitamin D supplements. As the PNP, how would
you answer this? - --ANSWER->>>>Breastmilk is the best for
, your child but in order to prevent bone growth issues, one daily
dose of Vitamin D is recommended
The father of a 7-year-old boy expresses concern that his son
has grown 2 inches in the past six months. Upon examination,
the PNP noted the presence of pubic hair. What would the
PNP's next steps be in the care of this child? - --ANSWER-
>>>>Refer the child to a pediatric endocrinologist for further
work-up.
A school-aged child is brought to the clinic with her father for
increased urinary frequency, dysuria, and discomfort for the
past two days. Today, she has a fever and some abdominal pain.
The child was able to produce a clean catch urine sample and
the urinalysis results include positive nitrites and leukocyte
esterase. As the PNP, what would you do next? - --ANSWER-
>>>>Since the child is symptomatic, send the urine for culture
and sensitivity and start oral antibiotics.
A 7-month-old infant has an undescended testis that was noted
at the end of his previous well-baby exam. What will the
primary care pediatric nurse practitioner do to manage this
condition? - --ANSWER->>>>Refer the child to a pediatric
urologist for further evaluation.
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