A child who has been diagnosed with asthma for several years has been using a short-acting B2-agonist (SABA) to control symptoms. The nurse practitioner learns that the child has recently begun using the SABA two or three times each week to treat wheezing and shortness of breath. The child currently has clear breath sounds and an FEV1 of 75% of personal best. What will the nurse practitioner do next?

A 4-year-old child diagnosed with an upper respiratory tract infection has cloudy nasal discharge and moderate nasal congestion interfering with sleep. The parent asks what product to use to help with symptoms. What will the primary care pediatric nurse practitioner recommend?  

A school age child is in the clinic because of symptoms of purulent, foul-smelling nasal discharge from the right nostril. Nasal visualization reveals something shiny in a mass of mucous in the nasal cavity. What will the nurse practitioner  do?

During a well child assessment, the nurse practitioner auscultates a harsh, blowing grade IV/VI murmur in a 6-month-old infant. What will the nurse practitioner do next?  

During a well baby examination of a 6-week-old infant, the nurse practitioner notes poor weight gain, acrocyanosis of the hands and feet, thready peripheral pulses, and a respiratory rate of 60 breaths per minute. Oxygen saturation on room air is 93%. The remainder of the exam is unremarkable. Which action is correct?  

A school-age child has an abrupt onset of sore throat, nausea, headache, and a temperature of 102.3°F. An examination reveals petechiae on the soft palate, beefy-red tonsils with yellow exudate, and a scarlatiniform rash. What is the most important initial test to order?  

Short Answer: Use three to five sentences to answer this question ============================================================================================================= List three (3) ways pharmacy benefit managers make money (Guest Lecture)

A 30-month-old child with no previous history of otitis media awoke during the night with right ear pain. The nurse practitioner notes an axillary temperature of 100.5°F and an erythematous, mild bulging tympanic membrane. What is the recommended treatment for this child?  

(a) (3) What is the function of the insular cortex?    (b) (3) What is the function of the anterior cingulate cortex?

A 14-year-old is female who is brought to your clinic by her mother who claims to hear the child vomiting after dinner in the evenings. The patient reportedly denies vomiting and feels fine. On physical exam, you notice petechial hemorrhages of the soft palate and conjunctiva. Further exam reveals scars on her knuckles, swollen parotid glands,  dental erosions. Her weight is normal. Lab tests reveal hypochloremia and hypokalemia. What is your top differential diagnosis?