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NURS8314-Exam 3 Peds Questions With Complete Solutions
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NURS8314-Exam 3 Peds Questions With Complete Solutions
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NURS8314-Exam 3 Peds Questions WithComplete Solutions
the NP performs an exam on a 9 month old infant with hypothyroidism who takes levothyroxine sodium and notes a recent slowing of the infant's growth rate. What will the NP order? - Free serum T4 and TSH levels
You identify anemia in an 11 month old infant. Based on the blood results and diet history, you feel that the cause is likely iron deficiency anemia. You decide to give the child a trial of iron. He weighs 12.5 kg and you decide to use Fer-in-sol drops 125 mg/ml (25 mg elemental iron/ml) in 50 ml bottles. You prescribe: - 1.5 ml tid
the NP evaluates a 5 year old child who presents with pallor and obtains labs revealing an hgb of 8.5 g/dL and a hct of 31%. How
will the NP manage this patient? - prescribe elemental iron and recheck labs in 1 month
a 2 year old boy is seen in clinic for a routine visit. The NP auscultates an innocent cardiac murmur. Which of the following would the NP use to describe this murmur? - A II/VI midsystolic
murmur at the apex
the NP is performing a well child exam on a school age child who had complete repair of a tetralogy of Fallot (TOF) defect in infancy. What is important in this child's health maintenance regime? - cardiology clearance for sports participation a 10 year old child had abd pain for 2 days, which began in the periumbilical area and then moved to the rlq. The child vomited once today and then experienced relief from pain followed by an
increased fever. What is the likely diagnosis? - appendicitis with
perforation
a school age child has recurrent diarrhea with foul-selling stools,
excessive flatus, abdominal distension, and FTT. A 2 week lactose free trial failed to reduce symptoms. What is the next step in diagnosing this condition? - serologic testing for celiac disease
The NP is evaluating a child who has short stature. Although bone age studies reveal a delay in bone age, the child's growth is
consistent with bone age. Which diagnosis is most likely? - Constitutional growth delay
a 12 month old infant exhibits poor weight gain after previously normal growth patterns. There is no history of n/v/d or irregular bowel movements, and the physical exam is normal. What is the
next step in evaluating these findings? - feeding and stooling history and 3 day diet history
The NP is examining a 16 year old adolescent who is complaining of chest pain that started this morning but who is otherwise healthy. The adolescent is on the swim team and went to the first practice today. The most likely cause of this pain is? -
costochondritis
Children who present with microcytic anemia should also be screened for increased? - Lead levels
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