Question 1

The primary care pediatric nurse practitioner orders a pulmonology consult for a child who has severe asthma. The nurse practitioner writes "child with asthma refractory to conventional treatments needs suggestions for alternative treatments." What does the nurse practitioner expects the pulmonologist to do?

Accepted Answer

The nurse practitioner is asking the pulmonologist to provide recommendations for alternative treatments for this child's severe asthma that has not responded to conventional treatments. The pulmonologist's role in this case is to provide suggestions for disease management, not confirm the medical diagnosis or take over management of the illness. Adherence to the medication regimen is important, but this is not the primary reason for the consult.

Question 2

A toddler is prescribed a liquid oral medication. The parent tells the primary care pediatric nurse practitioner that the child refuses to take medications and usually spits them out. What will the nurse practitioner do?

Accepted Answer

Demonstrating oral medication administration in the office allows the nurse practitioner to teach the parent effective techniques for administering the medication, ensuring the child receives the correct dosage.

Question 3

A toddler swallowed a coin several days prior. The child's parent has not found the coin in the child's stool. Which imaging test will the primary care pediatric nurse practitioner employ to evaluate this ingestion?

Accepted Answer

A conventional radiograph (X-ray) will be the preferred imaging test to evaluate ingestion of a coin. It can confirm the presence and location of the coin in the digestive tract. MRI and CT scans are not routinely used for ingestion of foreign bodies and carry a higher radiation exposure. An abdominal ultrasound may not be able to detect the presence of a coin in the digestive tract.

Question 4

The primary care pediatric nurse practitioner uses a shared decision-making (SDM) model when working with families of children with chronic health conditions. When using this model, the nurse practitioner can expect:

Accepted Answer

Shared decision-making (SDM) often leads to improved patient health outcomes as it involves collaboration between the provider and the patient, ensuring that decisions align with the patient's values and preferences.

Question 5

The primary care pediatric nurse practitioner diagnoses a 5-year-old child with asthma and prescribes an oral steroid and a short-acting beta-adrenergic medication via a metered-dose inhaler to manage acute symptoms. Along with education about the prescribed medications, what information is important to give the child's family at this visit?

Accepted Answer

The answer of The primary care pediatric nurse practitioner diagnoses...

Question 6

What is the most important role of the primary care pediatric nurse practitioner who provides care for a child with special health care needs who sees several specialists and receives community and school-based services?

Accepted Answer

The most important role in this scenario is coordinating services to ensure continuity of care. Children with special health care needs often require care from multiple providers and services, which can become disconnected without proper coordination. As the primary care pediatric nurse practitioner, it is crucial to serve as a central point of contact and work with other providers and services to ensure that the child receives comprehensive and coordinated care. While other roles such as assessing the parent's ability to perform home care tasks, monitoring adherence to the health care plan, and ordering medications and other treatments are important, they are not as critical as coordinating care in this situation.

Question 7

The primary care pediatric nurse practitioner is preparing to perform a well child examination on a 5-year-old child who has multiple developmental and cognitive delays. The child's mother is angry and tells the nurse practitioner that her friends' children are all preparing for kindergarten. What will the nurse practitioner do:

Accepted Answer

The best choice in this situation is to allow the mother to express her feelings, understanding that she is experiencing grief. It is important for the nurse practitioner to acknowledge the mother's feelings and validate them. The mother may be feeling overwhelmed and concerned about her child's future, and it is important to provide emotional support in addition to addressing the child's healthcare needs. The other options, while potentially helpful, do not directly address the mother's immediate emotional needs.

Question 8

The primary care pediatric nurse practitioner is assessing an ill 2-month-old infant who is febrile and refusing most fluids. The preliminary blood work indicates a viral infection and shows that the infant is hydrated. The infant is alert. The infant's parents are attentive and live close by. What will the nurse practitioner do?

Accepted Answer

The infant is hydrated and alert, indicating that the illness is not severe enough to warrant hospital admission or urgent care. The nurse practitioner can provide sick care instructions to the parents and schedule a follow-up appointment in the clinic the next day to monitor the infant's progress. Giving parenteral antibiotics and antipyretics would not be appropriate since the infection is viral, not bacterial.

Question 9

The primary care pediatric nurse practitioner cares for several families with chronically ill children who text status updates about their children to a mobile device that has an encryption- protection platform installed. If the nurse practitioner misplaces the mobile device, it is important to do what?

Accepted Answer

Disconnecting the user from the system would prevent unauthorized access to the sensitive information on the mobile device in case it falls into the wrong hands. The nurse practitioner should then report the incident to their IT department or supervisor immediately for further action.

Question 10

The parent of a child with complex health care needs tells the primary care pediatric nurse practitioner that the child has had difficulty breathing the past two nights but can't articulate specific symptoms. The child has normal oxygen saturations and a normal respiratory rate with clear breath sounds. What will the nurse practitioner do?

Accepted Answer

Since the child has normal oxygen saturations, a normal respiratory rate, and clear breath sounds, there is no immediate indication for hospital admission or extensive testing. Encouraging the parent to call when concerned and scheduling a follow-up appointment allows for ongoing monitoring and evaluation of the child's respiratory status. However, if the child's condition worsens or additional concerning symptoms arise, hospital admission or further testing may be necessary.

Quiz 25: Introduction to Disease Management

A toddler is prescribed a liquid oral medication. The parent tells the primary care pediatric nurse practitioner that the child refuses to take medications and usually spits them out. What will the nurse practitioner do?

A toddler swallowed a coin several days prior. The child's parent has not found the coin in the child's stool. Which imaging test will the primary care pediatric nurse practitioner employ to evaluate this ingestion?

The primary care pediatric nurse practitioner uses a shared decision-making (SDM) model when working with families of children with chronic health conditions. When using this model, the nurse practitioner can expect:

What is the most important role of the primary care pediatric nurse practitioner who provides care for a child with special health care needs who sees several specialists and receives community and school-based services?