A school-age child has a history of chronic otitis media and…

A school-age child has a history of chronic otitis media and is seen in the clinic with vertigo. The primary care pediatric nurse practitioner notes profuse purulent otorrhea from both pressure-equalizing tubes and a pearly-white lesion on one tympanic membrane. Which condition is most likely? Cholesteatoma Correct Mastoiditis Otitis externa Otitis media with effusion  

?   A 14-year-old child has a 2-week history of severe itchi…

?   A 14-year-old child has a 2-week history of severe itching and tearing of both eyes. The primary care pediatric nurse practitioner notes redness and swelling of the eyelids along with stringy, mucoid discharge. What will the nurse practitioner prescribe? Saline solution or artificial tears Topical steroid drops Topical olopatadine Correct Topical vasoconstrictor drops

During a well child assessment of an infant, the primary car…

During a well child assessment of an infant, the primary care pediatric nurse practitioner (NP) notes a dark red-brown light reflex in the left eye and a slightly brighter, red-orange light reflex in the right eye. What will the nurse practitioner do next? Dilate the pupils and reassess the red reflex. Order auto-refractor screening of the eyes. Recheck the red reflex in 1 month. Refer the infant to an ophthalmologist. Correct

The primary care pediatric nurse practitioner is treating an…

The primary care pediatric nurse practitioner is treating an infant with lacrimal duct obstruction who has developed bacterial conjunctivitis. After 2 weeks of treatment with topical antibiotics along with massage and frequent cleansing of secretions, the infant’s symptoms have not improved. Which action is correct? Perform massage more frequently. Prescribe an oral antibiotic. Recommend hot compresses. Refer to an ophthalmologist. Correct

During a well child exam on a 4-year-old child, the primary…

During a well child exam on a 4-year-old child, the primary care pediatric nurse practitioner notes that the clinic nurse recorded “20/50” for the child’s vision and noted that the child had difficulty cooperating with the exam. What will the nurse practitioner recommend? Follow up with a visual acuity screen in 6 months. Refer to a pediatric ophthalmologist. Re-test the child in 1 year. Test the child’s vision in 1 month. Correct