Family Nurse Practitioner Exam

In what circumstance should a pediatric patient with normal growth patterns be monitored rather than treated?

1. When there is a slight elevation in liver enzymes

2. When presenting with dehydration

3. When showing signs of acute infection

4. When experiencing unexplained pain

The correct answer is: When there is a slight elevation in liver enzymes

Monitoring rather than treating a pediatric patient with normal growth patterns is appropriate in the case of a slight elevation in liver enzymes. This is because minor elevations in liver enzymes can sometimes occur without significant underlying pathology, especially if the child demonstrates normal growth and lacks other concerning symptoms. The body may be able to naturally resolve these minor fluctuations without the need for immediate intervention or treatment. In contrast, dehydration, acute infection, and unexplained pain in a pediatric patient typically warrant more immediate evaluation and intervention. Dehydration can quickly lead to serious complications if not addressed promptly. Likewise, signs of acute infection may indicate the need for treatment to prevent further morbidity, as untreated infections can progress rapidly in children. Unexplained pain could be a sign of a significant underlying condition, necessitating further investigation and potentially treatment to ensure the child's well-being. Thus, the slight elevation in liver enzymes, in the context of normal growth and absence of symptoms, is the case where monitoring is more suitable than active treatment.