Burns' Pediatric Primary Care 7th Edition Test Bank

Test Bank For Burns' Pediatric Primary Care 7th Edition By Dawn Lee Garzon; Nancy Barber Starr; Margaret A. Brady; Nan M. Gaylord; Martha Driessnack; Karen Dud 19. A school­age child with asthma is seen for a well child checkup and, in spite of “feeling fine,” has pronounced expiratory wheezes, decreased breath sounds, and an FEV1less than 70% of personal best. The primary care pediatric nurse practitioner learns that the child’s parent administers the daily medium­dose ICS but that the child is responsible for using the SABA. A treatment of 4 puffs of a SABA in clinic results in marked improvement in the child’s status. What will the nurse practitioner do? A. Have the parent administer all of the child’s medications. B. Increase the ICS medication to a high­dose preparation. C. Reinforce teaching about the importance of using the SABA. D. Teach the child and parent how to use home PEF monitoring. Correct 20. The parent of a school­age child reports that the child usually has allergic rhinitis symptoms beginning each fall and that non­sedating antihistamines are only marginally effective, especially for nasal obstruction symptoms. What will the primary care pediatric nurse practitioner do? A. Order an intranasal corticosteroid to begin 1 to 2 weeks prior to pollen season. Correct B. Prescribe a decongestant medication as adjunct therapy during pollen season. C. Recommend adding diphenhydramine to the child’s regimen for additional relief. D. Suggest using an over­the­counter intranasal decongestant. 21. A 4­month­old infant has a history of reddened, dry, itchy skin. The primary care ID: 13348419866 pediatric nurse practitioner notes fine papules on the extensor aspect of the infant’s arms, anterior thighs, and lateral aspects of the cheeks. What is the initial treatment? A. Moisturizers Correct B. Oral antihistamines C. Topical corticosteroids D. Wet wrap therapy 22. The primary care pediatric nurse practitioner is performing a well­baby checkup ID: 13348419886 on a 6­month­old infant and notes a candida diaper rash and oral thrush. The infant has had two ID: 13348419852 ID: 13348419856 ear infections in the past 2 months and is in the 3rd percentile for weight. What will the nurse practitioner do? A. Order a CBC with differential and platelets and quantitative immunoglobulins. Correct B. Order candida and pneumococcal skin tests and lymphocyte surface markers. C. Refer the infant to an immunologist for evaluation of immunodeficiency. D. Refer the infant to an otolaryngologist to evaluate recurrent otitis media