The primary care NP evaluates children's growth to screen for endocrine and
metabolic disorders. Which is a critical component of this screening?
~ obtaining serial measurements to assess patterns over time
A 13-year-old Native American female has a BMI at the 90th percentile for
age. The p...
A 5-year-old child is hit in the face with a baseball bat and is brought to the
clinic by a parent. An exam reveals three avulsed front teeth. Radiologic studies
are negative for facial fractures. What is the recommended treatment?
✓~ Refer the child to the dentist immediately for further evaluation
A child who was treated with amoxicillin and then amoxicillin-clavulanate for
acute otitis media is seen for follow-up. The primary care nurse practitioner
notes dull-gray tympanic membranes with a visible air-fluid level. The child is
afebrile and without pain. What is the next course of action?
✓~ Monitoring ear fluid levels for 3 months
A 13-year-old with cerebral palsy receives all nutrition via gastrostomy tube.
What will the primary care nurse practitioner recommend to promote dental
health in this child?
, ✓~ Daily chlorhexidine gluconate rinses
A primary care provider may suspect cataract formation in a patient with which
finding?
✓~ asymmetric red reflex
A patient has chronically dry eyes, sometimes with a foreign body sensation,
burning, and itching. A Schirmer test is abnormal. What is the suspected cause
of this patient's symptoms?
✓~ Aqueous-deficiency
A teen who has otitis externa has severe swelling of the external auditory canal
that persists after 2 days of therapy with ototopical antibiotic/corticosteroid
drops. What is the next step in treatment for this child?
✓~ insert a wick into the external auditory canal
A patient reports tooth pain in a lower molar and the provider notes a mobile
tooth with erythema and edema of the surrounding tissues without discharge.
Which is the initial course of action by the provider?
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