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The parents of a child with muscular spinal atrophy, type I, report that the child will not live a long life. What recommendation should be made for this child and family?

A 13 y/o known diabetic has increased thirst, polyuria, abdominal pain, and nausea. Her blood glucose is 485 and she has ketones in her urine. What additional laboratory information is warranted emergently?

You are caring for a 9 year old male in the PICU after an a bowel resection. He is intubated and you receive the following ABG. What changes can you make to his ventilator (current settings: Tidal volume 5/kg, PEEP6, Rate: 24, O2 100%).  ABG:  7.12/55/18/220/-2.1

Signs and symptoms of sickle cell anemia in a child over the age of 6 months may include all of the following EXCEPT:

An ACPNP is completing a literature search for a quality improvement project and is unable to find a systematic review or randomized control trial for the topic. The next level of evidence to search for includes

In order of most concerning, the differential diagnoses for a 10 y/o with acute periumbilical pain without fever include

Which of the following scenarios provides the highest suspicion for child maltreatment?

A toddler is admitted to the PICU with suspected urosepsis. Her urine culture results indicated bacteria count >100,000 CFU/ml. What is your interpretation and what is the next step?

When placing a central venous line inserted to the internal jugular vein, obtaining an XR prior to starting intravenous fluids is important to document positioning

A 5 y/o with ataxia needs a lumbar puncture. Which of the following sedation plans would be the most efficient with the least side effects to complete this diagnostic test?