NR 602 Final Exam with Complete Questions and Answers|100% Verified
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Course
NR 602
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NR 602
NR 602 Final Exam with Complete Questions and Answers|100% VerifiedNR 602 Final Exam with Complete Questions and Answers|100% VerifiedNR 602 Final Exam with Complete Questions and Answers|100% VerifiedNR 602 Final Exam with Complete Questions and Answers|100% VerifiedA mother presents with her 3 mo...
NR 602 Final Exam with Complete
Questions and Answers|100% Verified
A mother presents with her 3 month old child and complains of goopy eye that is
sometimes matted shut after naps. Upon exam the conjunctiva is clear with some mild
crusting to eye lashes. What is the diagnosis and patient teaching? - ANSWER-
Probable lacrimal duct obstruction.
-The baby will likely grow out if it somewhere between six and 12 months.
-You can do a daily lacrimal duct massage and warm compresses to help open up the
duct.
-Watch for Periorbital cellulitis or bacterial conjunctivitis.
Nine-year-old patient presents with tender, swollen, erythemic bump to eyelid. What is
the diagnosis and patient education? - ANSWER-Hordeolum (stye)
-warm moist compress
- scrub eye lashes with baby shampoo BID
- eye will feel better when stye pops, if doesn't will refer to optho.
What is blepharitis? - ANSWER-inflammation of the eyelid
- caused by blocked oil gland, allergies, or excessive bacteria
What is the treatment for blepharitis? - ANSWER-Cleanse with baby shampoo TID
- Warm, moist compress
- resistant can prescribe Doxy or Tertracycline but not to pediatrics who don't have adult
teeth, can cause discoloration. Pediatrics can have Bactrim.
,A mother brings her nine-year-old overweight son to the clinic with complaints of pain to
the groin, knee, and right hip. She reports patient has been walking with a limp for the
last couple days but unable to ambulate today. Mother denies any recent trauma. Upon
inspection there is external rotation of the right foot. What is the dx and tx? - ANSWER-
Slipped capital femoral epiphysis
Refer to ER, will need surgery.
-most common in adolescent, obese males.
Father presents with his four-year-old son and states that patient has been limping
since this morning and was crying all night complaining of left hip pain. Upon exam you
appreciate decreased range of motion of left hip but no external rotation or signs of
trauma. What is the probable diagnostics, and treatment? - ANSWER-Toxic transient
syndrome- most common cause of limp in peds.
Order: CBC, ESR, and X-ray. WBC and ESR will be elevated. X-RAY will be normal.
-advise father that will resolve in 2-6 weeks.
- patient needs bed rest, NWB to left leg, and NSAIDS.
- return if develops fever, swelling, pain that is unrelieved by rest or medication
A 19-year-old male presents with blurred vision, watery discharge, photophobia, and
eye redness. Upon exam you note fern-like lines under the woods lamp. What is the
diagnosis and tx? - ANSWER-Herpes Keratitis
Tx: Antivirals
A 16-year-old female presents with complaints of sudden onset of red, watery, and
painful left eye. She reports possible foreign body to eye. Upon inspection you visualize
, a n erythemic lesion to the eye. When using woods lamp you note a small superficial
laceration. What is the dx and tx? - ANSWER-Corneal abrasion, refer to optho
emergently or send to ER.
What degree is scoliosis is considered functional? - ANSWER-5-10 degrees, continue
to monitor.
What degree of scoliosis is considered mild? - ANSWER-<20 degrees, monitor every 3-
4 months
A 13-year-old female presents to the office after having an x-ray order by you for her
scoliosis. The reading on the x-ray reports a 30° curvature. What is the treatment plan?
- ANSWER-Milwaukee brace for 23 hours per day
Back exercises
At what point does scoliosis become a surgical case? - ANSWER-Curves greater than
45°
A 16-year-old female presents to the office with complaint of right knee pain with
intermittent swelling. Upon questioning patient endorses pain is worse when walking up
or down stairs, kneeling, squatting, or sitting cross legged. Patient denies any trauma
but reports being active in cheer. What is the dx and tx? - ANSWER-Chondromalacia
petella "runners knee"
RICE and PT consult to strengthen quadriceps.
A five-year-old boy presents with his father for a complaint of pain in the right knee that
radiates to right groin. Father endorses that patient has been ambulating with a
intermittent limp, especially after exertion, and is refusing to play baseball due to pain.
Father denies any trauma. Upon inspection you notice that patient is small for his age.
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