A 10-year-old presents to the clinic complaining of a sore throat. Further history taking reveals a temperature up to 102ºF for the past 2 days, bad breath and difficulty opening their mouth.  The nurse practitioner’s assessment reveals an area of pus-filled tissue in front of the patient’s right tonsil and cervical lymphadenopathy. What should the treatment plan be for this patient?

A 13-year-old female with sickle cell anemia presents in the clinic for a wellness examination. Upon completion of a normal physical examination, the patient asks the nurse practitioner if they will sign the sports physical form for high school. The patient states that they would like to join the high school swim team. What should the nurse practitioner do?

The primary care pediatric nurse practitioner is examining a 5-year-old child who has had recurrent fevers, bone pain, and a recent loss of weight. The physical exam reveals scattered petechiae, lymphadenopathy, and bruising. A complete blood count shows thrombocytopenia, anemia, and an elevated white cell blood count. The nurse practitioner will refer this child to a specialist for what diagnostic testing?

The parents of a formula-fed newborn report that they get their drinking water from a well. What will the primary care pediatric nurse practitioner recommend to provide adequate fluoride for this infant? (Remember our talk on fluorosis!)

An 11-year-old presents to the clinic complaining of itchy eyelids. The nurse practitioner notes swelling and erythema of the eyelid margins and conjunctiva, as well as flaky, scaly debris over the eyelid margins. The patient has had no fever, no runny nose and no discharge from the eyes. Further examination of the patient record reveals a history of seborrhea. The MOST appropriate treatment for this patient is:

During a wellness examination an adolescent explains to the nurse practitioner that they have had some localized bleeding of the gums when brushing the teeth. An examination of the mouth reveals the presence of plaque and calculus on the teeth, which are not loose. What should the nurse practitioner recommend?

The nurse practitioner is reviewing the hematology report on a child with beta-thalassemia minor and notes a hemoglobin level of 8 g/dL. What should the nurse practitioner do next?

The parent of a 6-month-old infant calls to ask about teething? What would you recommend to the parent as comfort measures for this infant? (Please list at least 2 things you would advise the parent to do to comfort the baby who is teething.)

A 7-year-old presents to the clinic complaining of a swollen eye. The child has had a temperature at or above 102.5ºF for the past 2 days that has been controlled with ibuprofen. The parent states that the child complained that something stung him about a 4-5 days ago. The child has been rubbing his eye for the past 4 days and continues to say that it “burns and itches”.  An examination reveals a child who is not septic, but has an eye that looks like this.. What is the BEST treatment plan for this patient?

The  nurse practitioner diagnosed a high school soccer player with mononucleosis. After further assessment, the nurse practitioner notes mild hepatomegaly. The patient asks when they can go back to playing soccer. What should the nurse practitioner tell this patient?