A 5-year-old presents with fever of 103 degrees, toxic appearance, crackles in right lower lobe. Oxygen saturation is 89% and respiratory rate is 55. What is the most appropriate intervention? Prescribe high dose oral amoxicillin Perform respiratory viral testing Administer albuterol in the office Send to the ED for admission Correct

A 15-year-old female reports fainting at school in class on two occasions. The adolescent’s orthostatic blood pressures are normal. The primary care pediatric nurse practitioner suspects a cardiac cause for these episodes and will order which tests before referring her to a pediatric cardiologist? 12-lead electrocardiogram Correct Endocardial biopsy Tilt table testing Treadmill exercise testing

Sustainability is an expense item only. An organization choosing sustainability will see reduced profits.

A child is diagnosed with community-acquired pneumonia and will be treated as an outpatient. Which antibiotic will the primary care pediatric nurse practitioner prescribe? Amoxicillin Correct Azithromycin Ceftriaxone Oseltamivir

Integrating sustainable business practices may help to identify new revenue streams for an organization.

For maximum effectiveness sustainable strategies are often implemented at which stage of an organization’s value chain?

The primary care pediatric nurse practitioner (PNP) is performing a well child examination on a school-age child who had complete repair of a tetralogy of Fallot (TOF) defect in infancy. What is important in this child’s health maintenance regime? Cardiology clearance for sports participation Correct Restriction of physical activity to avoid pulmonary complications Sub-acute bacterial endocarditis prophylaxis precautions Teaching about management of hypercyanotic episodes

The primary care pediatric nurse practitioner evaluates a child who awoke with a sore throat and high fever after a nap. The child appears anxious and is sitting on the parent’s lap with the neck hyperextended. The physical exam reveals stridor, drooling, nasal flaring, and retractions. What will the nurse practitioner do next? Administer a broad-spectrum intravenous antibiotic. Obtain blood and throat cultures and start antibiotic therapy. Send the child to radiology for a lateral neck radiograph. Transport the child to the hospital via emergency medical services. Correct

A school-age child has had nasal discharge and daytime cough but no fever for 12 days without improvement in symptoms. The child has not had antibiotics recently and there is no significant antibiotic resistance in the local community. What is the appropriate treatment for this child? Amoxicillin 45 mg/kg/day Correct Amoxicillin 80-90 mg/kg/day Amoxicillin-clavulanate 80-90 mg/kg/day Saline irrigation for symptomatic relief

During the Civil War, soldiers routinely injected themselves with morphine to cope with pain and the tragedies of war.