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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!)

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?

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:

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?

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?

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 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.)

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?

A 13-year-old presents to the clinic with the following symptoms: Pain at multiple sites on their body Pain that awakens them from sleep Pain that is keeping them from playing soccer Fatigue Headache What diagnosis should the nurse practitioner expect and what should the nurse practitioner suggest for relief of symptoms. (Please list at least 2 suggestions.)

An 8-year-old child presents to the clinic with their parent. During the history part of the visit, the nurse practitioner discovers that the patient has been complaining of fatigue, fever off and on for weeks, joint pain and a facial rash that worsens in the sunlight. What should the nurse practitioner suspect the diagnosis to be for this patient?