NR 602 Final Exam Chamberlain Spring 2024 LATEST UPDATE!!
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Course
NR 602
Institution
NR 602
COLIC - ANSWER Unknown abdominal discomfort;
"cries for more than 3 hours a day, for more than 3 days a week, and more than 3 weeks"
Colic Management - ANSWER Probiotics may be offered; Consideration of hydrolyzed protein formula
DEHYDRATION Management - ANSWER Commercially available oral hy...
NR 602 Final Exam Chamberlain Spring
2024 LATEST UPDATE!!
COLIC - ANSWER Unknown abdominal discomfort;
"cries for more than 3 hours a day, for more than 3 days a week, and more than 3 weeks"
Colic Management - ANSWER Probiotics may be offered; Consideration of hydrolyzed protein formula
DEHYDRATION Management - ANSWER Commercially available oral hydration solutions (ORS)
Continue breastfeeding with ORS supplementation
Offer young children 20 ml/kg per hour
Offer older children 100 mL of ORS every 5 minutes
Combine with IV therapy as needed
Reassess after 4 hours; repeat if needed
Avoid juice, soft drinks, and sports drinks
Appendicitis S/S - ANSWER Presence of involuntary guarding,
RLQ rebound tenderness, maximal pain over McBurney point
Heel-drop jarring test
inability to stand straight or climb stairs; winces when getting off examination table or riding in a car over
bumps;
child most comfortable with bent knees.
Positive psoas sign or obturator sign
Rovsing sign or rebound tenderness strongly suggests peritoneal irritation.
Tenderness and possibly a mass (abscess) on the right side on rectal examination.
McBurney point/sign - ANSWER Pain w/ palpation and release; Rebound tenderness is most reliable.
, 1.5 to 2 inches in from the right anterior superior iliac crest (on a line toward the umbilicus) on
abdominal examination (most reliable finding
positive psoas sign - ANSWER retract R thigh while on left side; illicit pain consistent with appendicitis
Monitor for proteinuria at each annual well child examination. - ANSWER An adolescent has 2+
proteinuria in a random dipstick urinalysis. A subsequent first morning voided specimen is negative.
What will the primary care pediatric nurse practitioner do to manage this condition?
Henoch Schönlein purpura - ANSWER A child has gross hematuria, abdominal pain, and arthralgia as well
as a rash. What diagnosis is most likely?
Phenazopyridine (Pyridium) - ANSWER may be given at 12 mg/kg/day for 6- to 12-year-olds and 200 mg
for those older than 12 years old, three times a day for dysuria
Refer the infant to a pediatric urologist or surgeon for possible orchiopexy - ANSWER A 6-month-old
infant has a retractile testis that was noted at the 2-month well baby exam. What will the primary care
pediatric nurse practitioner do to manage this condition?
Nitrites - ANSWER indirect measure of bacteria in the urine and the most specific marker for infection.
Proteinuria - ANSWER Possible indicative d/t renal disease or orthostactic
Refer immediately to a pediatric surgeon. - ANSWER A 9-month-old infant is brought to the clinic with
scrotal swelling and fussiness. The primary care pediatric nurse practitioner notes a tender mass in the
affected scrotum that is difficult to reduce. What is the correct action?
Negative leukocyte esterase and nitrites - ANSWER reasonably rule out a UTI; however, a culture is still
indicated
Obtaining serial measurements to assess patterns over - ANSWER The primary care pediatric nurse
practitioner evaluates children's growth to screen for endocrine and metabolic disorders. Which is a
critical component of this screening?
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