A child complains of itching in both ears and is having trou…

A child complains of itching in both ears and is having trouble hearing. The primary care pediatric nurse practitioner notes periauricular edema and marked swelling of the external auditory canal and elicits severe pain when manipulating the external ear structures. Which is an appropriate intervention?

The nurse practitioner performs a well child examination on…

The nurse practitioner performs a well child examination on a 12-month-old child who had repair of a congenital heart defect at 8 months of age. The child has a normal exam. The parent reports that the child is not taking any medications. The nurse practitioner will contact the child’s cardiologist to discuss whether the child needs which medication?

A 7-month-old infant has had five prior acute ear infections…

A 7-month-old infant has had five prior acute ear infections and is currently on the 10th day of therapy with amoxicillin-clavulanate after a failed course of amoxicillin. The primary care pediatric nurse practitioner notes marked middle ear effusion and erythema of the TM. The child is irritable and has a temperature of 99.8°F. What is the next step in management of this child’s ear infection?

A 2 year old female presents today with a sudden onset fever…

A 2 year old female presents today with a sudden onset fever, at office it is 101.3.  Last fever reducer three hours ago.  The mom states that the child was fine last night but now she seems like she does not want to eat.  Upon exam of the mouth you see the following (see picture).  You do not notice any lesions on the hands or feet.  What is your diagnosis?