A 16-year-old client presents to clinic for evaluation of recurrent headaches, which are described as a tight band around the client’s head. The client is an ambitious, high-achieving student who voices anxiety about upcoming final examinations. The client denies nausea, vomiting, visual disturbances, muscle weakness, or aura with the headache episodes. The vital signs are all within normal limits for age and gender. What is the most likely diagnosis?

A 2 ½ -year-old boy is seen in the clinic with a 1-day history of refusing to use his left arm. The mother states the child ran after a ball that was rolling into the street and the mother grabbed the child’s left forearm and pulled him away from the street. The child is holding his left arm close to his body with the elbow in a flexed position. On physical examination, the child has no bony tenderness, erythema, or swelling of the joints but on passive motion, the child resists and cries in pain. What is the diagnosis for this child?

The caregiver of a 4-year-old child calls the clinic and reports the child had a second febrile seizure. The seizure was identical to the one the child had 3 months ago: The child developed an elevated temperature and had a generalized convulsion which lasted 90 seconds. At present, the child is happy and playing with the family pet. How should the nurse practitioner advise the caregiver?

A thirteen-year-old boy presents to the clinic with a history of multiple episodes of  “passing out” at church. He states after standing quietly for about 10 minutes, he feels warm and then his vision darkens from the periphery. He feels sweaty, his heart races, he feels dizzy, and then he passes out. When he “comes round”, he returns to normal. His EKG is normal. What is the most likely diagnosis? 

A 4-day-old full-term newborn presents today for routine follow-up after an uneventful 48-hour nursery course. Maternal history: negative for HIV, Hepatitis B, syphilis, Group B streptococcus. No maternal history of smoking, alcohol or drug use. Newborn screening panel was completed. The newborn passed the hearing and critical congenital heart disease screenings.  Hepatitis B vaccine #1, Vitamin K, and erythromycin ophthalmic ointment were administered after delivery.  The infant is nursing every 2 hours and has 10 wet diapers and 4 to 5 seedy yellow bowel movements per day.  The infant has lost 3% of birth weight. What should be included in the care of this newborn?

A 5-year-old child is brought to the clinic. The caregiver reports the child has been lethargic and has had a low-grade fever for about 2 weeks. Physical examination reveals no significant findings other than pallor and lymphadenopathy. A complete blood count reveals decreased hematocrit, neutropenia, and thrombocytopenia. What action should the nurse practitioner take next? 

A 13-year-old client presents to clinic for a follow-up on a head injury, occurring 3 days ago The child initially had a headache when the injury occurred, but it resolved. The child reports a her energy level is back to normal but is experiencing headaches, which are relieved by acetaminophen, about 20 minutes after her first class of the day. The headaches recur in the afternoon when she tries to do her homework. Her mother is concerned she is falling behind in school.  Which of the following is the next best step in this client’s management?

A 3-month-old infant presents with swelling of the right upper arm without history of trauma. On exam, the infant has tenderness of the arm without erythema, has right-sided scalp swelling, and multiple small bruises on the torso. Which of the following is the best next steps in management?

Which statement about Kawasaki Disease (KD) is true?

A 12-year-old female presents to the clinic with a history of heavy menses, episodes of epistaxis twice a month, and reports to bruise easily. What is the most likely diagnosis for this patient?